Science.gov

Sample records for forest health status

  1. National technical report on forest health, 1996

    SciTech Connect

    Stolte, K.W.

    1997-10-01

    Forest Health Monitoring (FHM) is a national program designed to determine the status, changes, and trends in indicators of forest condition on an annual basis. The FHM program uses data from ground plots and surveys, aerial surveys, and other biotic data sources and develops analytical approaches to address forest health issues that affect the sustainability of forest ecosystems. This report focuses on 18 States that have ground plots. Six forest health issues were identified by the FHM program in 1996 to evaluate forest health; forest ecosystem fragmentation, forest vitality, key ecosystem processes, plant biodiversity, soil conservation, and wildlife habitat.

  2. Forest Health Detectives

    ERIC Educational Resources Information Center

    Bal, Tara L.

    2014-01-01

    "Forest health" is an important concept often not covered in tree, forest, insect, or fungal ecology and biology. With minimal, inexpensive equipment, students can investigate and conduct their own forest health survey to assess the percentage of trees with natural or artificial wounds or stress. Insects and diseases in the forest are…

  3. Airborne laser scanning for forest health status assessment and radiative transfer modelling

    NASA Astrophysics Data System (ADS)

    Novotny, Jan; Zemek, Frantisek; Pikl, Miroslav; Janoutova, Ruzena

    2013-04-01

    Structural parameters of forest stands/ecosystems are an important complementary source of information to spectral signatures obtained from airborne imaging spectroscopy when quantitative assessment of forest stands are in the focus, such as estimation of forest biomass, biochemical properties (e.g. chlorophyll /water content), etc. The parameterization of radiative transfer (RT) models used in latter case requires three-dimensional spatial distribution of green foliage and woody biomass. Airborne LiDAR data acquired over forest sites bears these kinds of 3D information. The main objective of the study was to compare the results from several approaches to interpolation of digital elevation model (DEM) and digital surface model (DSM). We worked with airborne LiDAR data with different density (TopEye Mk II 1,064nm instrument, 1-5 points/m2) acquired over the Norway spruce forests situated in the Beskydy Mountains, the Czech Republic. Three different interpolation algorithms with increasing complexity were tested: i/Nearest neighbour approach implemented in the BCAL software package (Idaho Univ.); ii/Averaging and linear interpolation techniques used in the OPALS software (Vienna Univ. of Technology); iii/Active contour technique implemented in the TreeVis software (Univ. of Freiburg). We defined two spatial resolutions for the resulting coupled raster DEMs and DSMs outputs: 0.4 m and 1 m, calculated by each algorithm. The grids correspond to the same spatial resolutions of hyperspectral imagery data for which the DEMs were used in a/geometrical correction and b/building a complex tree models for radiative transfer modelling. We applied two types of analyses when comparing between results from the different interpolations/raster resolution: 1/calculated DEM or DSM between themselves; 2/comparison with field data: DEM with measurements from referential GPS, DSM - field tree alometric measurements, where tree height was calculated as DSM-DEM. The results of the analyses

  4. Forest health and global change.

    PubMed

    Trumbore, S; Brando, P; Hartmann, H

    2015-08-21

    Humans rely on healthy forests to supply energy, building materials, and food and to provide services such as storing carbon, hosting biodiversity, and regulating climate. Defining forest health integrates utilitarian and ecosystem measures of forest condition and function, implemented across a range of spatial scales. Although native forests are adapted to some level of disturbance, all forests now face novel stresses in the form of climate change, air pollution, and invasive pests. Detecting how intensification of these stresses will affect the trajectory of forests is a major scientific challenge that requires developing systems to assess the health of global forests. It is particularly critical to identify thresholds for rapid forest decline, because it can take many decades for forests to restore the services that they provide. PMID:26293952

  5. Health Is a Status.

    ERIC Educational Resources Information Center

    Carter, George F.

    1984-01-01

    Although the terms "personal health" and "medical care" are used interchangeably, they have different meanings. Health is a personal responsibility, medicine is a drug given as a form of treatment. A new definition of health is suggested that treats health as a dynamic status. (DF)

  6. Health status of newcomers.

    PubMed

    Matuk, L C

    1996-01-01

    This article presents and discusses findings on the health status of newcomers residing in Windsor, Ontario. The data are part of a larger study, which was based on the Ontario Health Survey's questionnaire. Data were collected from 548 newcomers through home visits, focus groups, mail surveys, and telephone interviews. Descriptive multivariate analyses focused on main areas in newcomers' physical and mental health status and their access to health services. The findings identified that most newcomers do not have acute, life-threatening physical problems or chronic illness. They do not experience major problems with access to health care or activity limitations. Men are happier, more satisfied with their health, and less stressed than women. This study has implications for adoption of sensitive transcultural approaches to promote newcomers' health. Special challenges lie in women's health and mental health.

  7. Occurrence of Phytophthora plurivora and other Phytophthora species in oak forests of southern Poland and their association with site conditions and the health status of trees.

    PubMed

    Jankowiak, R; Stępniewska, H; Bilański, P; Kolařík, M

    2014-11-01

    Phytophthora plurivora and other Phytophthora species are known to be serious pathogens of forest trees. Little is known, however, about the presence of P. plurivora in Polish oak forests and their role in oak decline. The aims of this study were to identify P. plurivora in healthy and declining Quercus robur stands in southern Poland and to demonstrate the relationship between different site factors and the occurrence of P. plurivora. In addition, the virulence of P. plurivora and other Phytophthora species was evaluated through inoculations using 2-year-old oak seedlings. Rhizosphere soil was investigated from 39 oak stands representing different healthy tree statuses. The morphology and DNA sequences of the internal transcribed spacer regions (ITS) of the ribosomal DNA and the mitochondrial cox1 gene were used for identifications. P. plurivora, an oak fine root pathogen, was isolated from rhizosphere soil samples in 6 out of 39 stands. Additionally, Phytophthora cambivora, Phytophthora polonica and Phytophthora rosacearum-like were also obtained from several stands. The results showed a significant association between the presence of P. plurivora and the health status of oak trees. Similar relationships were also observed for all identified Phytophthora species. In addition, there was evidence for a connection between the presence of all identified Phytophthora species and some site conditions. Phytophthora spp. occurred more frequently in declining stands and in silt loam and sandy loam soils with pH ≥ 3.66. P. plurivora and P. cambivora were the only species capable of killing whole plants, producing extensive necrosis on seedling stems.

  8. Airborne chemicals and forest health

    SciTech Connect

    Woodman, J.N.; Cowling, E.B.

    1987-02-01

    Over the past few years the possible contribution of acid rain to the problem of forest decline has been a cause of increasing public concern. Research has begun to determine whether airborne chemicals are causing or contributing to visible damage and mortality in eastern spruce-fir and sugar maple forests and to changes in tree growth, usually without visible symptoms, in other parts of North America. This paper describes some of the complex biological relationships that determine health and productivity of forests and that make it difficult to distinguish effects of airborne chemicals from effects of natural stress. It describes four major research approaches for assessment of the effects of airborne chemicals on forests, and it summarizes current understanding of the known and possible effects of airborne chemicals on forest trees in North America and Europe. It also briefly describes the major air quality and forest health research programs in North America, and it assesses how ell these programs are likely to meet information needs during the coming decade. 69 references, 2 figures, 1 table.

  9. A tool for assessing ecological status of forest ecosystem

    NASA Astrophysics Data System (ADS)

    Rahman Kassim, Abd; Afizzul Misman, Muhammad; Azahari Faidi, Mohd; Omar, Hamdan

    2016-06-01

    Managers and policy makers are beginning to appreciate the value of ecological monitoring of artificially regenerated forest especially in urban areas. With the advent of more advance technology in precision forestry, high resolution remotely sensed data e.g. hyperspectral and LiDAR are becoming available for rapid and precise assessment of the forest condition. An assessment of ecological status of forest ecosystem was developed and tested using FRIM campus forest stand. The forest consisted of three major blocks; the old growth artificially regenerated native species forests, naturally regenerated forest and recent planted forest for commercial timber and other forest products. Our aim is to assess the ecological status and its proximity to the mature old growth artificially regenerated stand. We used airborne LiDAR, orthophoto and thirty field sampling quadrats of 20x20m for ground verification. The parameter assessments were grouped into four broad categories: a. forest community level-composition, structures, function; landscape structures-road network and forest edges. A metric of parameters and rating criteria was introduced as indicators of the forest ecological status. We applied multi-criteria assessment to categorize the ecological status of the forest stand. The paper demonstrates the application of the assessment approach using FRIM campus forest as its first case study. Its potential application to both artificially and naturally regenerated forest in the variety of Malaysian landscape is discussed

  10. Forest health monitoring: Field methods guide

    SciTech Connect

    Tallent-Halsell, N.G.

    1994-10-01

    This guide is intended to instruct Forest Health Monitors when collecting data on forest health indicators; site condition, growth and regeneration, crown condition, tree damage and mortality assessment, photosynthetically active radiation, vegetation structure, ozone bioindicator species, lichen community structure and field logistics. This guide contains information on measuring, observing and recording data related to the above listed forest health indicators. Pertinent quality assurance information is also included.

  11. Stigma, status, and population health

    PubMed Central

    Phelan, Jo C.; Lucas, Jeffrey W.; Ridgeway, Cecilia L.; Taylor, Catherine J.

    2014-01-01

    Stigma and status are the major concepts in two important sociological traditions that describe related processes but that have developed in isolation. Although both approaches have great promise for understanding and improving population health, this promise has not been realized. In this paper, we consider the applicability of status characteristics theory (SCT) to the problem of stigma with the goal of better understanding social systemic aspects of stigma and their health consequences. To this end, we identify common and divergent features of status and stigma processes. In both, labels that are differentially valued produce unequal outcomes in resources via culturally shared expectations associated with the labels; macro-level inequalities are enacted in micro-level interactions, which in turn reinforce macro-level inequalities; and status is a key variable. Status and stigma processes also differ: Higher- and lower-status states (e.g., male and female) are both considered normal, whereas stigmatized characteristics (e.g., mental illness) are not; interactions between status groups are guided by “social ordering schemas” that provide mutually agreed-upon hierarchies and interaction patterns (e.g., men assert themselves while women defer), whereas interactions between “normals” and stigmatized individuals are not so guided and consequently involve uncertainty and strain; and social rejection is key to stigma but not status processes. Our juxtaposition of status and stigma processes reveals close parallels between stigmatization and status processes that contribute to systematic stratification by major social groupings, such as race, gender, and SES. These parallels make salient that stigma is not only an interpersonal or intrapersonal process but also a macro-level process and raise the possibility of considering stigma as a dimension of social stratification. As such, stigma’s impact on health should be scrutinized with the same intensity as that of

  12. 78 FR 2947 - Manti-La Sal National Forest, Utah; Maverick Point Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-15

    ... Forest Service Manti-La Sal National Forest, Utah; Maverick Point Forest Health Project AGENCY: Forest Service, USDA. ACTION: Notice of intent to prepare environmental impact statement. SUMMARY: The Forest... environmental impacts of the Maverick Point Forest Health Project. This project is designed to achieve goals...

  13. [Forest health ecological risk assessment in China].

    PubMed

    Xiao, Fengjin; Ouyang, Hua; Cheng, Shulan; Zhang, Qiang

    2004-02-01

    Forest health ecological risk assessment is an important factor in forest resources management. In this paper, we selected forest fire, forest disease-pest disasters and acid rain as main risk sources, described the risk resources by probability, intensity and distributing, and mapped each risk source. The endpoints were the damages that the risk acceptor might and these damages might cause ecosystems' organization and function changing under the uncertainty risk sources. Endpoints of forest might compose of productivity descent, reducing biodiversity, forest degrading, forest ecological function declining, furthermore, forest disappearing. We described exposure in terms of intensity, space, and time. In the exposure and hazard analysis, we used fragile index to show frangibility or resistibility (resistibility is reverse to frangibility), and analyzed the damages by different risk sources. Risk assessment and management was the integrated phase of the research. Because of the spatial heterogeneity of risk sources, all risk index were overlaid in the China map by GIS, which divided the region into 30 ecological risk sub-zones (provinces), according to risk index of each risk sub-zone, and the forest in China was divided into six levels of risk zones. In every level of risk zones, we also put forward the countermeasures for forest health ecological risk management. The result of assessment could provide scientific basis for forest management.

  14. IS NITROGEN DEPOSITION ALTERING THE NITROGEN STATUS OF NORTHEASTERN FORESTS?

    EPA Science Inventory

    This paper reviews literature and compiles existing data to address the question "Is N deposition altering the N status in Northeastern forests?" Using correlational techniques and large sample size, three different categories of indicators appear to give different results. The...

  15. Light on population health status.

    PubMed Central

    Beyrer, K.; Brauer, G. W.; Fliedner, T. M.; Greiner, C.; Reischl, U.

    1999-01-01

    A new approach to illustrating and analysing health status is presented which allows comparisons of various aspects of health in a population at different times and in different populations during given periods. Both quantitative and qualitative elements can be represented, the impact of interventions can be monitored, and the extent to which objectives are achieved can be assessed. The practical application of the approach is demonstrated with reference to the health profiles to Tunisia in 1966 and 1994. PMID:10083719

  16. Health status of older immigrants to Canada.

    PubMed

    Newbold, K Bruce; Filice, John K

    2006-01-01

    Using the 2000/2001 Canadian Community Health Survey (CCHS), this paper examines the health status of the older (aged immigrant population relative to that of non-immigrants in order to identify areas where their health statuses diverge. First, we compare the health status of older immigrants (foreign-born) aged 55 and over in Canada to the Canadian-born in terms of age and gender using multiple measures of health status including self-assessed health. Second, we identify the factors associated with health status using the determinants of health framework. In both cases, the key questions are whether differences in health status exist and whether they are explained primarily by socio-economic, socio-demographic, or lifestyle factors that may point to problems with the Canadian health care system. Findings indicate that there is a relative comparability in the health status of older immigrants, even after controlling for age.

  17. Tropical forests: present status and future outlook.

    PubMed

    Myers, N

    1991-09-01

    Tropical forests still cover almost 8 million km squared of the humid tropics but they are being destroyed at ever-more rapid rates. In 1989, the area deforested amounted to 142,200 km squared, or nearly 90% more than in 1979. Thus, whereas the 1989 amounted total to 1.8% of the remaining biome, the proportion could well continue to rise for the foreseeable future, until there is little forest in just a few decades. Deforestati on patterns are far from even throughout the biome. In much of the Southeast and Southern Asia, East and West Africa, and Central America, there is likely to be little forest left by the year 2000 or shortly thereafter. But in the Zaire basin, western Brazilian Amazonia, and the Guyana highlands, sizeable expanses of forest could persist a good while longer. The main agent of deforestation in the 'shifted cultivator' or displaced peasant, who, responding to land hunger and general lack of rural development in traditional farming areas of countries concerned, feels there is no alternative but to adopt a slash-and-burn lifestyle in forestlands. This person is now accounting for at least 60% of deforestation, a rapidly expanding proportion. However, he receives far less policy attention than the commercial logger, the cattle rancher, and other agents of deforestation. PMID:12317221

  18. Tropical forests: present status and future outlook.

    PubMed

    Myers, N

    1991-09-01

    Tropical forests still cover almost 8 million km squared of the humid tropics but they are being destroyed at ever-more rapid rates. In 1989, the area deforested amounted to 142,200 km squared, or nearly 90% more than in 1979. Thus, whereas the 1989 amounted total to 1.8% of the remaining biome, the proportion could well continue to rise for the foreseeable future, until there is little forest in just a few decades. Deforestati on patterns are far from even throughout the biome. In much of the Southeast and Southern Asia, East and West Africa, and Central America, there is likely to be little forest left by the year 2000 or shortly thereafter. But in the Zaire basin, western Brazilian Amazonia, and the Guyana highlands, sizeable expanses of forest could persist a good while longer. The main agent of deforestation in the 'shifted cultivator' or displaced peasant, who, responding to land hunger and general lack of rural development in traditional farming areas of countries concerned, feels there is no alternative but to adopt a slash-and-burn lifestyle in forestlands. This person is now accounting for at least 60% of deforestation, a rapidly expanding proportion. However, he receives far less policy attention than the commercial logger, the cattle rancher, and other agents of deforestation.

  19. Health status among elderly Hungarians and Americans.

    PubMed

    Buss, T F; Beres, C; Hofstetter, C R; Pomidor, A

    1994-07-01

    Selected health status data for elderly populations from similar industrial cities-Youngstown, Ohio, USA, and Debrecen, Hungary-were compared. Because of their impoverished health care system, unregulated heavily industrialized society, and unhealthful life-styles Hungarians were hypothesized to have poorer health status than Americans, even after taking into account demographic mediating factors. The study provides a health status baseline for elderly Hungarians shortly after communism's fall in 1989-1990 and shows how great a gap exists between Hungarian health status and that in the West. Hungarians were in much poorer health as measured by functional status, symptomatology, medical condition, depression, and subjective health status. Distinctions persisted when controlling for gender, age, and education. Poverty-level (and income) did not explain health status differences. The paper concludes that Hungary should pay more attention to health promotion, prevention, and primary care, as well as to reforming patient management in hospitals, nursing homes, and home care programs. PMID:24390093

  20. 78 FR 38287 - Bitterroot National Forest, Darby Ranger District, Como Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    .... Correction In the Federal Register of June 17, 2013, in FR DOC 2013- 14229 on page 36163 in the second column... Forest Service Bitterroot National Forest, Darby Ranger District, Como Forest Health Project AGENCY: Forest Service. ACTION: Notice; Correction. SUMMARY: The Department of Agriculture (USDA), Forest...

  1. Perceived health status and health insurance status: protective factors against health-related debt?

    PubMed

    Christy, Kameri; Hampton-Stover, Elena; Shobe, Marcia; Hammig, Bart

    2013-01-01

    Current health care debate has largely focused on the need for health insurance coverage rather than quality coverage. Yet the economic downturn has resulted in an increasing number of individuals who are uninsured or underinsured, and consequently face financial hardships. Multivariate analyses were used with 95 adults to examine relationships between health insurance, health status, and health debt. Controlling for demographics, and human and financial capital, findings suggest that health debt is not related to health insurance or health status. However, individuals with post-secondary education and non-homeowners appear to be more at risk for accumulating health debt.

  2. Health of North American forests: Stress and risk assessment

    SciTech Connect

    Smith, W.H. )

    1990-01-01

    The 1980s will be remembered by forest professionals as a decade of intense and widespread societal concern for the vitality and integrity of forest systems. Daily reports of tropical deforestation and temperate forest decline have heightened social consciousness of forest health. It is therefore appropriate, as we enter the 1990s, to assess the health of our forests and propose new initiatives in this critically important area. Making generalizations about the health of North American forests is difficult because of the extraordinary diversity of forests, management regimes, and stress factors. This overview article summarizes forest health fundamentals, significant health risks, and priorities in future forest health management for temperate forests of the United States.

  3. Health status and Canada's immigrant population.

    PubMed

    Newbold, K Bruce; Danforth, Jeff

    2003-11-01

    Given the framework of the 1984 Canada Health Act, the health status of immigrants should be similar to average levels within whole of Canada. Yet, assuming equality of health status between immigrant and non-immigrants, or between immigrant groups is likely an unrealistic and simplistic assumption, given unseen barriers affecting accessibility, the restructuring of the Canadian health care system, and problems with the provision of health care resources to the immigrant population. Using the National Population Health Survey, this paper focuses upon the health status of the immigrant population relative to that of non-immigrants within Canada, with reference to diagnosed conditions, self-assessed health, and the Health Utilities Index Mark 3. Findings indicate that, with the exception of the most recent arrivals, immigrants experience worse health status across most dimensions relative to non-immigrants. Multivariate analysis reveals that age, income adequacy, gender, and home ownership are dimensions upon which health status differs between the two groups.

  4. Effects of acid rain on forest nutrient status

    SciTech Connect

    Johnson, D.W.; Turner, J.; Kelly, J.M.

    1982-06-01

    The paper presents an extensive literature review that deals with the assessment of the effects of acidic atmospheric inputs on forest nutrient status within the context of natural, internal acid production by carbonic and organic acids as well as the nutrient inputs and drains by management practices such as harvesting, fire and fertilization. 123 refs.

  5. Health consequences of forest fires in Indonesia.

    PubMed

    Frankenberg, Elizabeth; McKee, Douglas; Thomas, Duncan

    2005-02-01

    We combined data from a population-based longitudinal survey with satellite measures of aerosol levels to assess the impact of smoke from forest fires that blanketed the Indonesian islands of Kalimantan and Sumatra in late 1997 on adult health. To account for unobserved differences between haze and nonhaze areas, we compared changes in the health of individual respondents. Between 1993 and 1997, individuals who were exposed to haze experienced greater increases in difficulty with activities of daily living than did their counterparts in nonhaze areas. The results for respiratory and general health, although more complicated to interpret, suggest that haze had a negative impact on these dimensions of health.

  6. Aging, Nutritional Status and Health

    PubMed Central

    Leslie, Wilma; Hankey, Catherine

    2015-01-01

    The older population is increasing worldwide and in many countries older people will outnumber younger people in the near future. This projected growth in the older population has the potential to place significant burdens on healthcare and support services. Meeting the diet and nutrition needs of older people is therefore crucial for the maintenance of health, functional independence and quality of life. While many older adults remain healthy and eat well those in poorer health may experience difficulties in meeting their nutritional needs. Malnutrition, encompassing both under and over nutrition increases health risks in the older population. More recently the increase in obesity, and in turn the incidence of chronic disease in older adults, now justifies weight management interventions in obese older adults. This growing population group is becoming increasingly diverse in their nutritional requirements. Micro-nutrient status may fluctuate and shortfalls in vitamin D, iron and a number of other nutrients are relatively common and can impact on well-being and quality of life. Aging presents a number of challenges for the maintenance of good nutritional health in older adults. PMID:27417787

  7. Boreal forest health and global change.

    PubMed

    Gauthier, S; Bernier, P; Kuuluvainen, T; Shvidenko, A Z; Schepaschenko, D G

    2015-08-21

    The boreal forest, one of the largest biomes on Earth, provides ecosystem services that benefit society at levels ranging from local to global. Currently, about two-thirds of the area covered by this biome is under some form of management, mostly for wood production. Services such as climate regulation are also provided by both the unmanaged and managed boreal forests. Although most of the boreal forests have retained the resilience to cope with current disturbances, projected environmental changes of unprecedented speed and amplitude pose a substantial threat to their health. Management options to reduce these threats are available and could be implemented, but economic incentives and a greater focus on the boreal biome in international fora are needed to support further adaptation and mitigation actions.

  8. Boreal forest health and global change.

    PubMed

    Gauthier, S; Bernier, P; Kuuluvainen, T; Shvidenko, A Z; Schepaschenko, D G

    2015-08-21

    The boreal forest, one of the largest biomes on Earth, provides ecosystem services that benefit society at levels ranging from local to global. Currently, about two-thirds of the area covered by this biome is under some form of management, mostly for wood production. Services such as climate regulation are also provided by both the unmanaged and managed boreal forests. Although most of the boreal forests have retained the resilience to cope with current disturbances, projected environmental changes of unprecedented speed and amplitude pose a substantial threat to their health. Management options to reduce these threats are available and could be implemented, but economic incentives and a greater focus on the boreal biome in international fora are needed to support further adaptation and mitigation actions. PMID:26293953

  9. Front Range Forest Health Partnership Phase 1 feasibility study

    SciTech Connect

    Volkin, P

    1998-09-01

    The Front Range Forest Health Partnership is an alliance of individuals, citizen groups, federal, state, private, and nonprofit organizations that formed to promote forest health restoration and reduce fire risks on Colorado's Front Range. The partnership promotes selective thinning to restore forest health and supports economically feasible end uses for wood waste materials. The Phase I study was initiated to determine the environmental and economic feasibility of using wood wastes from forested and urban areas for the production of fuel-grade ethanol.

  10. Jamaican youth health status 2005.

    PubMed

    Fox, K; Gordon-Strachan, G; Johnson, A; Ashley, D

    2009-12-01

    The purpose of this survey is to determine health-seeking behaviour, nutritional status and lifestyles of adolescents aged 10-15 years. A random sample of 3003 (1422 males and 1581 females) schoolchildren, aged 10-15 years, was studied in a cross-sectional, interviewer-administered school-based survey conducted in all school types islandwide in a nationally representative sample of Jamaican children currently attending school. Some 3003 youths, 1422 males and 1581 females were interviewed. Males and females had similar healthcare-seeking behaviour but fewer students attending schools in rural areas reported having their eyes or hearing checked, or had seen a dentist than those attending urban schools. Some twelve per cent of adolescents were overweight/obese. More females than males and more urban than rural students were overweight or obese. More boys (86.3%) were physically active in the last week than girls (75%). Physical activity peaked at age 13 years and was lowest at ages 11 and 14-15 years. Some 13% of adolescents 10-15 years old reported having had sexual intercourse, with boys being four times as likely as girls to report sexual activity (OR - 4.97; C.I. - 3.82, 6.47). The median age of sexual debut was 15.43 years for boys and over 15 years for girls. One-third of adolescents drank alcohol and 3% smoked marijuana in the past year. More boys than girls used drugs (p < 0.01). Some 14% of adolescents felt lonely, sad or wanted to cry most of the time/always. One-tenth seriously considered suicide. This study concluded that most adolescents attending primary and secondary schools in Jamaica were not involved in risky behaviour. However, it reveals some critical areas of concern with regard to nutritional status and physical activity, emotional well-being, drug use and sexual activity. PMID:20583678

  11. The Effects of Acid Rain on Forest Nutrient Status

    NASA Astrophysics Data System (ADS)

    Johnson, Dale W.; Turner, John; Kelly, J. M.

    1982-06-01

    The effects of acidic atmospheric inputs on forest nutrient status must be assessed within the context of natural, internal acid production by carbonic and organic acids as well as the nutrient inputs and drains by management practices such as harvesting, fire, and fertilization. In all cases the anion associated with acid inputs must be mobile in the soil if leaching is to occur; immobilization of anions can effectively prevent cation leaching. Soil acidification will occur only if the often substantial buffering capacity of the soil in question is exceeded by acid inputs and if cation weathering from primary minerals is insufficient to offset cation losses by leaching. Such circumstances are rare but certainly could occur in theory, at least, given sufficiently large acid inputs on poorly buffered soils. Soils most sensitive to change are thought to be those of moderately acid pH and low cation exchange capacity. Neither very acid soils nor neutral, highly buffered soils are sensitive to acidification by acid rain. Given extremely high acid inputs, acid rain can cause temporary increases in nitrogen mineralization and nitritication as well as Al mobilization in soils. While temporary increases in N availability can cause increased forest growth in N-deficient forests, increased Al availability can cause toxic reactions in tree roots. Little is known about tree Al toxicity levels as yet, however. It must be emphasized that assessment of acid rain effects is a problem of quantification. Given sufficiently high inputs on sensitive sites, negative effects of acid rain must occur, as is true of inputs of any substance, including H2O. Acid rain inputs of sufficient magnitude to cause acute effects, such as growth increase due to N mobilization or growth decrease due to Al mobilization, are apparently very rare under ambient field conditions. Long-term effects on forest nutrient status can be either beneficial or adverse, depending on site nutrient status, silvicultural

  12. The effects of acid rain on forest nutrient status

    SciTech Connect

    Johnson, D.W.; Turner, J.; Kelly, J.M.

    1982-06-01

    The effects of acidic atmospheric inputs on forest nutrient status must be assessed within the context of natural, internal acid production by carbonic and organic acids as well as the nutrient inputs and drains by management practices such as harvesting, fire, and fertilization. Soil acidification will occur only if the often substantial buffering capacity of the soil in question is exceeded by acid inputs and if cation weathering from primary minerals is insufficient to offset cation losses by leaching. Such circumstances are rare but certainly could occur given sufficiently large acid inputs on poorly buffered soils. Soils most sensitive to change are thought to be those of moderately acid pH and low cation exchange capacity. Neither very acid soils nor neutral, highly buffered soils are sensitive to acidification by acid rain. Given extremely high acid inputs, acid rain can cause temporary increases in nitrogen mineralization and nitrification as well as Al mobilization in soils. While temporary increases in N availability can cause increased forest growth in N-deficient forests, increased Al availability can cause toxic reactions in tree roots. Given sufficiently high inputs on sensitive sites, negative effects of acid rain must occur, as is true of inputs of any substance, including H/sub 2/O. Acid rain inputs of sufficient magnitude to cause acute effects, such as growth increase due to N mobilization or growth decrease due to Al mobilization, are apparently very rare under ambient field conditions. Long-term effects on forest nutrient status can be either beneficial or adverse, depending on site nutrient status, silvicultural practices, and amount of atmospheric inputs. (JMT)

  13. Conserving the forests of the Chesapeake: The status, trends, and importance of forests for the bay`s sustainable future

    SciTech Connect

    1996-09-01

    The report reviews the most current data on the status and trends of forests in the states of the Chesapeake Bay watershed. The report begins with an historical perspective of land use changes in the basin from the time of European settlement to today. It then proceeds with the status of the forests in the Bay watershed in 1996 and trends of forest change from the mid 1970`s to early 1990`s. The information is examined in light of its importance to the Bay. Finally, we present recommendations for an effective forest conservation program for the Chesapeake Bay region.

  14. Health status of prisoners in Canada

    PubMed Central

    Kouyoumdjian, Fiona; Schuler, Andrée; Matheson, Flora I.; Hwang, Stephen W.

    2016-01-01

    Abstract Objective To review the literature for quantitative research on the health status of persons in custody in provincial, territorial, and federal correctional facilities in Canada, and summarize recent evidence. Quality of evidence A search was performed in research databases and the websites of relevant Canadian governmental and non-governmental organizations for quantitative studies of health conducted between 1993 and 2014. Studies were included that provided quantitative data on health status for youth or adults who had been detained or incarcerated in a jail or prison in Canada. Main message The health status of this population is poor compared with the general Canadian population, as indicated by data on social determinants of health, mortality in custody, mental health, substance use, communicable diseases, and sexual and reproductive health. Little is known about mortality after release, chronic diseases, injury, reproductive health, and health care access and quality. Conclusion Health status data should be used to improve health care and to intervene to improve health for persons while in custody and after release, with potential benefits for all Canadians. PMID:27427562

  15. Forest health monitoring: Southeast loblolly/shortleaf pine demonstration interim report

    SciTech Connect

    Lewis, T.E.; Conkling, B.L.

    1994-04-01

    The U.S. Environmental Protection Agency's Office of Research and Development is conducting an Environmental Monitoring and Assessment Program (EMAP) with other federal agencies to establish the status of and trends in the ecological health of the Nation's natural resources. The forest component of EMAP is a multiagency effort referred to as Forest Health Monitoring (FHM). The FHM program conducted a two year demonstration study to test a suite of indicators considered important in assessing forest health. The study is referred to in this report as the Southeast Loblolly/Shortleaf Pine Demonstration, or SE DEMO. The interim report describes the results from the first year of the SE DEMO. The use of such data is encouraged by EMAP to foster a better understanding of the anticipated performance of an indicator prior to large investments in funding for field research. These data were used to the extent possible to determine the current status of each indicator with respect to the six criteria.

  16. Health Literacy, Social Support, and Health Status among Older Adults

    ERIC Educational Resources Information Center

    Lee, Shoou-Yih D.; Arozullah, Ahsan M.; Cho, Young Ik; Crittenden, Kathleen; Vicencio, Daniel

    2009-01-01

    The study examines whether social support interacts with health literacy in affecting the health status of older adults. Health literacy is assessed using the short version of the Test of Functional Health Literacy in Adults. Social support is measured with the Medical Outcome Study social support scale. Results show, unexpectedly, that rather…

  17. Forest experience and psychological health benefits: the state of the art and future prospect in Korea.

    PubMed

    Shin, Won Sop; Yeoun, Poung Sik; Yoo, Rhi Wha; Shin, Chang Seob

    2010-01-01

    The aims of this study were twofold: to examine the empirical evidence supporting the positive contribution that a forest environment can make on human psychological health and well-being and to describe the theoretical framework within which the forest environment has this effect. Our review of the literature provides empirical evidence that a forest experience can contribute to improved emotional and cognitive health.This experience can be through a forest activity program and by experiencing the social and physical conditions of the forest environment and the therapeutic elements of the forest. Visiting or viewing a forest scene has been documented to have a positive effect on psychological healing and well-being in terms of recovering from stress, improving concentration and productivity, improving the psychological state, particularly for people from urban environments. Wilderness and related studies clearly demonstrate that being in a forest environment has a positive effect on people, while results from other studies indicate that contacts with forest environments provide multiple positive physiological and psychological effects on human health that included decreasing the blood pressure and heart rate and reducing anxiety and stress. There are several theories explaining the healing effects of the forest on human beings. Most hypothesize that restorative environments are settings in which recovery is associated with the reduction of stress and that the benefits of contact with natures include a wide range of positive physiological and psychological responses. These theories are based on an evolutionary perspective and share a number of similarities and differences. This article summarizes a number of these theories of restorative environments as well as addresses the current status of forest therapy and the challenges and opportunities for therapeutic effects of the forest in Korea.

  18. Health Status, Personal Definition of Health, and Health Behavior Choice in the Elderly.

    ERIC Educational Resources Information Center

    Wood, Norma J.

    The purpose of this study was to investigate the relationships among health status, personal definition of health, and health behavior choice in the elderly. Self-assessed health status was measured using a modified Cantril Ladder, personal definition of health was measured using the Laffrey Health Conception Scale (LHCS), and health behavior…

  19. Life cycle responses to health insurance status.

    PubMed

    Pelgrin, Florian; St-Amour, Pascal

    2016-09-01

    This paper studies the lifetime effects of exogenous changes in health insurance coverage (e.g. Medicare, PPACA, termination of employer-provided plans) on the dynamic optimal allocation (consumption, leisure, health expenditures), status (health and wealth), and welfare. We solve, simulate, and structurally estimate a parsimonious life cycle model with endogenous exposure to morbidity and mortality risks, and exogenous health insurance. By varying coverage, we identify the marginal effects of insurance when young and/or when old on allocations, statuses, and welfare. Our results highlight positive effects of insurance on health, wealth and welfare, as well as mid-life substitution away from healthy leisure in favor of more health expenses, caused by peaking wages, and accelerating health issues.

  20. The Mental Health Status of California Veterans.

    PubMed

    Tran, Linda Diem; Grant, David; Aydin, May

    2016-04-01

    Data from the California Health Interview Survey (CHIS) from 2011--2013 showed approximately 90,000 veterans had mental health needs and 200,000 reported serious thoughts of suicide during the 12 months prior to participating in CHIS. Although the proportion of veterans reporting mental health need or serious psychological distress was no higher than the general population, California veterans were more likely to report lifetime suicide ideation. This policy brief uses CHIS data to examine the mental health status, needs, and barriers to care among veterans in California. Veterans were more likely to receive mental health or substance use treatment than nonveterans, yet three of four veterans with mental health needs received either inadequate or no mental health care. Integrating mental and physical health services, increasing access to care, retaining veterans who seek mental health treatment, and reducing stigma are among the strategies that might improve the mental health of California's veterans. PMID:27416644

  1. The Mental Health Status of California Veterans.

    PubMed

    Tran, Linda Diem; Grant, David; Aydin, May

    2016-04-01

    Data from the California Health Interview Survey (CHIS) from 2011--2013 showed approximately 90,000 veterans had mental health needs and 200,000 reported serious thoughts of suicide during the 12 months prior to participating in CHIS. Although the proportion of veterans reporting mental health need or serious psychological distress was no higher than the general population, California veterans were more likely to report lifetime suicide ideation. This policy brief uses CHIS data to examine the mental health status, needs, and barriers to care among veterans in California. Veterans were more likely to receive mental health or substance use treatment than nonveterans, yet three of four veterans with mental health needs received either inadequate or no mental health care. Integrating mental and physical health services, increasing access to care, retaining veterans who seek mental health treatment, and reducing stigma are among the strategies that might improve the mental health of California's veterans.

  2. Temporal Forest Change Detection and Forest Health Assessment using Remote Sensing

    NASA Astrophysics Data System (ADS)

    Ya'acob, Norsuzila; Mohd Azize, Aziean Binti; Anis Mahmon, Nur; Laily Yusof, Azita; Farhana Azmi, Nor; Mustafa, Norfazira

    2014-03-01

    This paper presents the detection of Angsi and Berembun Reserve Forest change for years 1996 and 2013. Forest is an important part of our ecosystem. The main function is to absorb carbon oxide and produce oxygen in their cycle of photosynthesis to maintain a balance and healthy atmosphere. However, forest changes as time changes. Some changes are necessary as to give way for economic growth. Nevertheless, it is important to monitor forest change so that deforestation and development can be planned and the balance of ecosystem is still preserved. It is important because there are number of unfavorable effects of deforestation that include environmental and economic such as erosion of soil, loss of biodiversity and climate change. The forest change detection can be studied with reference of several satellite images using remote sensing application. Forest change detection is best done with remote sensing due to large and remote study area. The objective of this project is to detect forest change over time and to compare forest health indicated by Normalized Difference Vegetation Index (NDVI) using remote sensing and image processing. The forest under study shows depletion of forest area by 12% and 100% increment of deforestation activities. The NDVI value which is associated with the forest health also shows 13% of reduction.

  3. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Health care claim status transaction. 162.1401... RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care claim status transaction. The health care claim status transaction is the transmission of either of...

  4. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Health care claim status transaction. 162.1401... RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care claim status transaction. The health care claim status transaction is the transmission of either of...

  5. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Health care claim status transaction. 162.1401... RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care claim status transaction. The health care claim status transaction is the transmission of either of...

  6. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Health care claim status transaction. 162.1401... RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care claim status transaction. The health care claim status transaction is the transmission of either of...

  7. Benchmarking dairy herd health status using routinely recorded herd summary data.

    PubMed

    Parker Gaddis, K L; Cole, J B; Clay, J S; Maltecca, C

    2016-02-01

    Genetic improvement of dairy cattle health through the use of producer-recorded data has been determined to be feasible. Low estimated heritabilities indicate that genetic progress will be slow. Variation observed in lowly heritable traits can largely be attributed to nongenetic factors, such as the environment. More rapid improvement of dairy cattle health may be attainable if herd health programs incorporate environmental and managerial aspects. More than 1,100 herd characteristics are regularly recorded on farm test-days. We combined these data with producer-recorded health event data, and parametric and nonparametric models were used to benchmark herd and cow health status. Health events were grouped into 3 categories for analyses: mastitis, reproductive, and metabolic. Both herd incidence and individual incidence were used as dependent variables. Models implemented included stepwise logistic regression, support vector machines, and random forests. At both the herd and individual levels, random forest models attained the highest accuracy for predicting health status in all health event categories when evaluated with 10-fold cross-validation. Accuracy (SD) ranged from 0.61 (0.04) to 0.63 (0.04) when using random forest models at the herd level. Accuracy of prediction (SD) at the individual cow level ranged from 0.87 (0.06) to 0.93 (0.001) with random forest models. Highly significant variables and key words from logistic regression and random forest models were also investigated. All models identified several of the same key factors for each health event category, including movement out of the herd, size of the herd, and weather-related variables. We concluded that benchmarking health status using routinely collected herd data is feasible. Nonparametric models were better suited to handle this complex data with numerous variables. These data mining techniques were able to perform prediction of health status and could add evidence to personal experience in herd

  8. Benchmarking dairy herd health status using routinely recorded herd summary data.

    PubMed

    Parker Gaddis, K L; Cole, J B; Clay, J S; Maltecca, C

    2016-02-01

    Genetic improvement of dairy cattle health through the use of producer-recorded data has been determined to be feasible. Low estimated heritabilities indicate that genetic progress will be slow. Variation observed in lowly heritable traits can largely be attributed to nongenetic factors, such as the environment. More rapid improvement of dairy cattle health may be attainable if herd health programs incorporate environmental and managerial aspects. More than 1,100 herd characteristics are regularly recorded on farm test-days. We combined these data with producer-recorded health event data, and parametric and nonparametric models were used to benchmark herd and cow health status. Health events were grouped into 3 categories for analyses: mastitis, reproductive, and metabolic. Both herd incidence and individual incidence were used as dependent variables. Models implemented included stepwise logistic regression, support vector machines, and random forests. At both the herd and individual levels, random forest models attained the highest accuracy for predicting health status in all health event categories when evaluated with 10-fold cross-validation. Accuracy (SD) ranged from 0.61 (0.04) to 0.63 (0.04) when using random forest models at the herd level. Accuracy of prediction (SD) at the individual cow level ranged from 0.87 (0.06) to 0.93 (0.001) with random forest models. Highly significant variables and key words from logistic regression and random forest models were also investigated. All models identified several of the same key factors for each health event category, including movement out of the herd, size of the herd, and weather-related variables. We concluded that benchmarking health status using routinely collected herd data is feasible. Nonparametric models were better suited to handle this complex data with numerous variables. These data mining techniques were able to perform prediction of health status and could add evidence to personal experience in herd

  9. Socioeconomic status and health of immigrants.

    PubMed

    Vacková, Jitka; Brabcová, Iva

    2015-01-01

    The aim of this article is to acquaint the general public with select socioeconomic status (SES) parameters (type of work, education level, employment category, and net monthly income) of select nationalities (Ukrainians, Slovaks, Vietnamese, Poles, and Russians) from a total of 1,014 immigrants residing in the Czech Republic. It will also present a subjective assessment of socioeconomic status and its interconnection with subjective assessment of health status. This work was carried out as part of the "Social determinants and their impact on the health of immigrants living in the Czech Republic" project (identification number LD 13044), which was conducted under the auspices of the European Cooperation in Science and Technology (COST) agency. Quantitative methodology in the form of a questionnaire was selected to facilitate the research aim. Data was processed using the Statistical Package for Social Sciences (SPSS), version 16.0 (SPSS, Inc., Chicago, IL, USA). Statistical analyses were performed using the Pearson chi-square test, adjusted residual analysis, and multivariate correspondence analysis. The results of these tests demonstrated a statistically significant relationship between subjective assessments of socioeconomic status and the following related select characteristics: type of work performed (manual/intellectual), employment categories, education, and net monthly income. Results indicate that those situated lowest on the socioeconomic ladder feel the poorest in terms of health; not only from a subjective perspective, but also in terms of objective parameter comparisons (e.g. manual laborers who earn low wages). As the level of subjective SES assessment increases, the level of subjective health assessment increases, as well. Thus, the relationship has a natural gradient, as was described by Wilkinson and Marmot in 2003. Our study found no evidence of a healthy immigrant effect. Therefore, it was not possible to confirm that health status deteriorates

  10. Telemental health: A status update.

    PubMed

    Aboujaoude, Elias; Salame, Wael; Naim, Lama

    2015-06-01

    A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up-to-date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet-based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better-designed meta-analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis-specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology-mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the "therapeutic alliance", privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology-enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities.

  11. Telemental health: A status update

    PubMed Central

    Aboujaoude, Elias; Salame, Wael; Naim, Lama

    2015-01-01

    A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up-to-date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet-based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better-designed meta-analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis-specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology-mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the “therapeutic alliance”, privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology-enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities. PMID:26043340

  12. Telemental health: A status update.

    PubMed

    Aboujaoude, Elias; Salame, Wael; Naim, Lama

    2015-06-01

    A rather large body of literature now exists on the use of telemental health services in the diagnosis and management of various psychiatric conditions. This review aims to provide an up-to-date assessment of telemental health, focusing on four main areas: computerized CBT (cCBT), Internet-based CBT (iCBT), virtual reality exposure therapy (VRET), and mobile therapy (mTherapy). Four scientific databases were searched and, where possible, larger, better-designed meta-analyses and controlled trials were highlighted. Taken together, published studies support an expanded role for telepsychiatry tools, with advantages that include increased care access, enhanced efficiency, reduced stigma associated with visiting mental health clinics, and the ability to bypass diagnosis-specific obstacles to treatment, such as when social anxiety prevents a patient from leaving the house. Of technology-mediated therapies, cCBT and iCBT possess the most efficacy evidence, with VRET and mTherapy representing promising but less researched options that have grown in parallel with virtual reality and mobile technology advances. Nonetheless, telepsychiatry remains challenging because of the need for specific computer skills, the difficulty in providing patients with a deep understanding or support, concerns about the "therapeutic alliance", privacy fears, and the well documented problem of patient attrition. Future studies should further test the efficacy, advantages and limitations of technology-enabled CBT, as well as explore the online delivery of other psychotherapeutic and psychopharmacological modalities. PMID:26043340

  13. 78 FR 36163 - Bitterroot National Forest, Darby Ranger District, Como Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-17

    ..., thermal cover, old growth, and visual quality. DATES: Comments concerning the scope of the analysis must... document and disclose the effects analysis of the proposed Como Forest Health Project (Como FHP). The Como... carried through the analysis because existing conditions in the project area do not meet forest...

  14. Quality of Life, Health Status, and Depression

    PubMed Central

    Pike, Nancy A.; Evangelista, Lorraine S.; Doering, Lynn V.; Eastwood, Jo-Ann; Lewis, Alan B.; Child, John S.

    2012-01-01

    Background Quality of life (QOL) in adolescents and adults who have undergone the Fontan procedure and are living with only 1 ventricle is presumed to be diminished. Objectives This study aimed to compare QOL, health status, and prevalence of depression in adolescents/adults after the Fontan procedure with healthy counterparts and to identify predictors of QOL in the Fontan group. Methods Using a comparative, cross-sectional design, 54 adolescents and adults with single ventricle congenital heart disease who have undergone the Fontan procedure were compared with 66 age-matched healthy counterparts. Quality of life, health status, depression, and social support were measured using the Satisfaction With Life Scale, Short Form Survey Version 2, Patient Health Questionnaire Depression Module, and Multidimensional Scale of Perceived Social Support. Clinical variables were abstracted from medical records. Predictors of QOL were determined using multiple linear regression. Results Adolescents and adults in the Fontan group reported lower physical health status (mean [SD] = 46.5 [9.3] vs mean [SD] = 55.9 [5.1], P < .001) and were more depressed (mean [SD] = 7.3 [5.9] vs mean [SD] = 4.5 [4.3], P < .004) than their healthy counterparts. There were no differences in QOL, mental health status, or social support between the 2 groups. Functional status (New York Heart Association class), depression, and social support accounted for 55% of the variance in QOL in the Fontan group. Conclusions Despite lower levels of physical health, the QOL of Fontan patients was comparable with that of their healthy counterparts; this finding contradicts previous proxy reports, self-reports, and assumptions that QOL is lower in patients with complex single ventricle congenital heart disease. However, because Fontan patients were more depressed than their healthy counterparts, the need for early screening and detection is warranted. PMID:21912272

  15. Cancer survival disparities by health insurance status.

    PubMed

    Niu, Xiaoling; Roche, Lisa M; Pawlish, Karen S; Henry, Kevin A

    2013-06-01

    Previous studies found that uninsured and Medicaid insured cancer patients have poorer outcomes than cancer patients with private insurance. We examined the association between health insurance status and survival of New Jersey patients 18-64 diagnosed with seven common cancers during 1999-2004. Hazard ratios (HRs) with 95% confidence intervals for 5-year cause-specific survival were calculated from Cox proportional hazards regression models; health insurance status was the primary predictor with adjustment for other significant factors in univariate chi-square or Kaplan-Meier survival log-rank tests. Two diagnosis periods by health insurance status were compared using Kaplan-Meier survival log-rank tests. For breast, colorectal, lung, non-Hodgkin lymphoma (NHL), and prostate cancer, uninsured and Medicaid insured patients had significantly higher risks of death than privately insured patients. For bladder cancer, uninsured patients had a significantly higher risk of death than privately insured patients. Survival improved between the two diagnosis periods for privately insured patients with breast, colorectal, or lung cancer and NHL, for Medicaid insured patients with NHL, and not at all for uninsured patients. Survival from cancer appears to be related to a complex set of demographic and clinical factors of which insurance status is a part. While ensuring that everyone has adequate health insurance is an important step, additional measures must be taken to address cancer survival disparities.

  16. Temperate forest health in an era of emerging megadisturbance

    USGS Publications Warehouse

    Millar, Constance I.; Stephenson, Nathan L.

    2015-01-01

    Although disturbances such as fire and native insects can contribute to natural dynamics of forest health, exceptional droughts, directly and in combination with other disturbance factors, are pushing some temperate forests beyond thresholds of sustainability. Interactions from increasing temperatures, drought, native insects and pathogens, and uncharacteristically severe wildfire are resulting in forest mortality beyond the levels of 20th-century experience. Additional anthropogenic stressors, such as atmospheric pollution and invasive species, further weaken trees in some regions. Although continuing climate change will likely drive many areas of temperate forest toward large-scale transformations, management actions can help ease transitions and minimize losses of socially valued ecosystem services.

  17. Formaldehyde exposure and health status in households.

    PubMed Central

    Broder, I; Corey, P; Brasher, P; Lipa, M; Cole, P

    1991-01-01

    This report describes a case study concerned with acute and subacute health effects of formaldehyde in the indoor air, which is based on a large group of control houses and houses retroinsulated 4 to 5 years earlier with urea formaldehyde foam insulation (UFFI). Both groups underwent an environmental and health assessment on two occasions separated by an interval of 12 months, during which about one-half of the UFFI group performed remedial work on their houses. The results show that in the first survey of the study population, before remedial work, there was a moderate excess of many adverse health status indicators among the UFFI subset relative to the controls. This was associated with the presence of direct exposure-response relationships between formaldehyde levels in the UFFI houses and the prevalence of a number of symptoms. No comparable relationships were seen among the controls. At the second survey, performed following the removal of the UFFI, there was an appreciable reduction in the excess of most adverse health status indicators among the UFFI subjects. This improvement in health status among the UFFI removal subset was not associated with any significant diminution of formaldehyde exposures, although the previously observed exposure-response relationships had vanished. These observations imply that the findings obtained in the preremedial stage of the study cannot be explained by formaldehyde exposure alone. PMID:1821362

  18. [Health status of delinquent male youths].

    PubMed

    Oliván Gonzalvo, G

    2002-04-30

    Objective. To assess the health status of delinquent male youths at the time of their admission to a juvenile correctional center.Design. Cross-sectional descriptive study over a 6-year period (1995-2000). Setting. Health primary care. Juvenile correctional center in Zaragoza, Spain. Participants. Two hundred forty male adolescents were admitted during the study period. Mean age was 15 years (SD, 1.3) (range, 13-17 years). Measurements and main results. Health status via medical history and physical examination was assessed according to standard protocols and individualized complementary laboratory examinations were performed. Most frequent health problems were smoking habit (97.1%), drug/alcohol abuse (54.1%), odontologic (40%), psychopathologic disorders (17.1%), incomplete immunization status (16.6%), growth and nutritional disorders (14.5%) growth delay (5.8%), malnutrition (3.3%), overweight (2.1%), obesity (3.3%) , infectious diseases associated with intravenous drug use and/or risk sexual behaviors (10.4%) hepatitis C (4.6%), hepatitis B (2.9%), AIDS (2.1%), syphilis (0.8%) , dermatological (10%), opthalmological (7.5%), and respiratory (5%). Less prevalent health problems were orthopedic (3.3%), anemia (3.3%), otic (2.5%), cardiovascular (2.5%), and intestinal parasitism (1.6%). Conclusions. Early intervention during the stay into juvenile correctional center regarding their physical health and especially their mental health, from the sanitary and educative viewpoint, presents a unique opportunity to solve the basic health needs of these high-risk adolescents.

  19. Developing a Forest Health Index for public engagement and decision support using local climatic, ecological, and socioeconomic data

    NASA Astrophysics Data System (ADS)

    Arnott, J. C.; Katzenberger, J.; Cundiff, J.

    2013-12-01

    Forest health is an oft-used term without a generally accepted definition. Nonetheless, the concept of forest health continues to permeate scientific, resource management, and public discourse, and it is viewed as a helpful communication device for engagement on issues of concern to forests and their surrounding communities. Notwithstanding the challenges associated with defining the concept of 'forest health,' we present a model for assessing forest health at a watershed scale. Utilizing the Roaring Fork Valley, Colorado--a mountain watershed of 640,000 forested acres--as a case study, we have created a Forest Health Index that integrates a range of climatic, ecological, and socioeconomic data into an assessment organized along a series of public goals including, 1) Ecosystem Services, 2) Public Health & Safety, 3) Sustainable Use & Management, and 4) Ecological Integrity. Methods for this index were adopted from an earlier effort called the Ocean Health Index by Halpern et al, 2012. Indicators that represent drivers of change, such as temperature and precipitation, as well as effects of change, such as primary productivity and phenology, were selected. Each indicator is assessed by comparing a current status of that indicator to a reference scenario obtained through one of the following methods: a) statistical analysis of baseline data from the indicator record, b) commonly accepted normals, thresholds, limits, concentrations, etc., and c) subjective expert judgment. The result of this assessment is a presentation of graphical data and accompanying ratings that combine to form an index of health for the watershed forest ecosystem. We find this product to have potential merit for communities working to assess the range of conditions affecting forest health as well as making sense of the outcomes of those affects. Here, we present a description of the index methodology, data results from engagement with forest watershed stakeholders, example results of data

  20. INTERNAL NITROGEN CYCLING IN WESTERN OREGON FORESTS WITH DIFFERENT NITROGEN STATUS

    EPA Science Inventory

    Nitrogen incorporation and retention in forest ecosystems should vary with site N status, because nitrogen often limits temperate forest productivity and microbial activity. We followed the incorporation of a pulse of 15N-ammonium into the roots, microbes and soil organic matter...

  1. Health Status of Kanaka Maoli (Indigenous Hawaiians).

    PubMed

    Blaisdell, Richard Kekuni

    1993-01-01

    PURPOSE OF THE PAPER: To summarize the current health status of Kanaka Maoli (indigenous Hawaiians) with historical background, underlying factors responsible for the Kanaka Maoli health plight and recommendations. METHODS: The author reviewed the available literature and some not readily available, unpublished information. PRINCIPAL FINDINGS: Kanaka Maoli continue to have the worst health and socio­economic indicators of the various ethnic groups in their home islands of Ka Pae'aina (Hawai'i). Cardiovascular disorders, cancer, diabetes, obstructive lung disease, maternal and infant health and mental distress are the prominent maladies. Tobacco smoking, high­fat diet, alcohol drinking, hyperlipidemia and obesity are the major lifestyle risk factors. Societal factors, such as depopulation, foreign transmigration, colonial exploitation, coercive assimilation, cultural conflict and racism persist. Since 1990, Kanaka Maoli communities have established five island­wide Native Hawaiian Health Care Systems to improve availability, accessibility, and acceptability of health services to their people, but with inadequate resources. CONCLUSIONS: Under present conditions, while the future may bring some amelioration of Kanaka Maoli ill health, the price will be progressive acculturation and loss of Kanaka Maoli identity. Accordingly, recommendations include augmented revitalization of the traditional culture, effective recontrol by the Kanaka Maoli of their lives and natural resources and thus, improved total health. KEY WORDS: Pacific Islander Americans, Kanaka Maoli, Hawaiians, Indigenous Health, Culture, Ethnicity, Racism, Colonialism, Sovereignty

  2. Monitoring the health of a forest: A Canadian approach.

    PubMed

    Addison, P A

    1989-04-01

    In Canada, acid rain is the generic term encompassing all forms of air pollution - wet and dry deposition, gaseous pollutant concentrations, and airborne particulates. It was because these pollutants, alone or in combination, may directly or indirectly affect the heath of Canada's forests, that in 1984, the Canadian Forestry Service initiated a national forest monitoring program (Acid Rain National Early Warning System or ARNEWS).Research studies on pollutant effects of the past 15-20 years have demonstrated that it is not possible to define specific symptoms of acid rain or mixtures of pollutants on native tree species or specific responses of the forest ecosystem. Consequently, ARNEWS monitored incipient acid rain effects by determining the forest's state of health rather than by concentrating on specific pollutant responses.The detection system entails experienced insect and disease survey forest rangers assessing both specific plots and the forest as a whole for extraordinary forest damage. The techniques used include mensurational and symptomatological measurements as well as evaluation of stands for damage from natural and anthropogenic causes. Critical also to the system was the capability of the Canadian Forestry Service to support the detection system with research staff who could carry out studies to explain any abnormalities in forest condition detected during the annual surveys. The ultimate outcome of the monitoring system if unexplained forest damage is detected is a research project on possible causes.

  3. Remote sensing assessment of forest health in the Bohemian forests of central Europe

    SciTech Connect

    Entcheva, P.K.; Rock, B.N.; Lauten, G.N.; Cibula, W.G.

    1996-12-31

    Current studies using Landsat TM data for assessment of forest damage in the Czech Republic and Germany have demonstrated that tree levels of forest damage (light, moderate and heavy) can be discriminated applying logit regression methods, when on the ground foresters can recognize a total of five levels of decline. Field studies using portable spectrometer and a narrow-band video camera provide evidence for recent improvement in forest health and demonstrate that monitoring of the red edge portion of the visible/near infrared region of the spectrum may provide the early warning capabilities, missing when using broad band sensor systems. Detailed measurements of initial stages of damage suggest that hyperspectral sensors, such as the Lewis HSI scheduled for launch in 1997, will provide the capabilities for detection and identification of the initial stages of forest damage.

  4. Status of forest birds on Rota, Mariana Islands

    USGS Publications Warehouse

    Camp, Richard J.; Brinck, Kevin W.; Gorresen, P. Marcos; Amidon, Fred A.; Radley, Paul M.; Berkowitz, S. Paul; Banko, Paul C.

    2014-01-01

    The western Pacific island of Rota is the third largest human inhabited island in the Mariana archipelago, and is designated an Endemic Bird Area. Between 1982 and 2012, 12 point-transect distance sampling surveys were conducted to assess population status. Surveys did not consistently sample the entire island; thus, we used a ratio estimator to estimate bird abundances in strata not sampled during every survey. Occupancy models of the 2012 survey revealed general patterns of habitat use and detectability among 11 species that could be reliably modeled. The endangered Mariana crow (Corvus kubaryi) was dispersed around the periphery of the island in steep forested habitats. In contrast, the endangered Rota white-eye (Zosterops rotensis) was restricted to the high-elevation mesa. Precision of detection probabilities and occupancy estimates and effects of habitat types, sampling conditions, and specific observers varied considerably among species, indicating that more narrowly defined classifications and additional observer training may improve the accuracy of predictive modeling. Population estimates of five out of ten native bird species, including collared kingfisher (Todiramphus chloris orii), Mariana crow, Mariana fruit-dove (Ptilinopus roseicapilla), Micronesian myzomela (Myzomela rubrata), and white-throated ground-dove (Gallicolumba xanthonura) declined over the 30-year time series. The crow declined sharply to fewer than 200 individuals (upper 95% confidence interval). Trends increased for Micronesian starling (Aplonis opaca), rufous fantail (Rhipidura rufifrons mariae), and white tern (Gygis alba). Rota white-eye numbers declined from 1982 to the late 1990s, but returned to 1980s levels by 2012. The trend for the yellow bittern (Ixobrychus sinensis) was inconclusive. The alien Eurasian tree sparrow (Passer montanus) apparently increased in number despite an unreliable trend assessment. Declines were noted in the other two alien birds, black drongo (Dicrurus

  5. Health-related worries, perceived health status, and health care utilization.

    PubMed

    Ren, A; Okubo, T; Takahashi, K

    1994-12-01

    This study examines the association of health-related worries (over cancers, diabetes, work-related stress, heart attack, obesity, general physical fitness, and/or other health conditions) and perceived health status (excellent, good, fair or poor) to the utilization of health care services for 19, 139 Japanese local public service employees. Data on health-related worries and health status were obtained from a self-administered questionnaire survey in 1988 and analyzed in relation to the subsequent 12-month utilization of health care. Results showed that perceived health status was associated with the utilization for almost all medical conditions and so was worry over a specific condition and the subsequent utilization of health care services. The implication of these findings is that measures targeting the relief of an employee's health-related worries, through either health consultation or other health programs, may contribute to the reduction of an employee's health care utilization and costs.

  6. Remote Sensing of Bioindicators for Forest Health Assessment

    NASA Astrophysics Data System (ADS)

    Kefauver, Shawn Carlisle

    The impacts of tropospheric ozone on forest health in Mediterranean type climates in California, USA and Catalonia, Spain were investigated using a combination of remote sensing, Geographic Information System (GIS), and field studies focused on sensitive bioindicator conifer species and ambient ozone monitoring. For the field validation of impacts of tropospheric ozone on conifer health, the Ozone Injury Index (OII) was applied to the bioindicator species Pinus ponderosa, Pinus jeffreyi, and Pinus uncinata. Combining these three tools, it was possible to build meaningful ecological models covering large areas to enhance our understanding of the biotic and abiotic interactions which affect forest health. Regression models predicting ozone injury improved considerably when incorporating ozone exposure with GIS related to plant water status, including water availability and water usage, as a proxies for estimating the stomatal conductance and ozone uptake R2=0.35, p = 0.016 in Catalonia, R2=0.36, p < 0.001 in Yosemite and R2=0.33, p = 0.007 in Sequoia/Kings Canyon National Parks in California). Individual OII components in Catalonia were modeled with improved success compared to the original full OII, in particular visible chlorotic mottling (R2=0.60, p < 0.001). The visual chlorotic mottling component of the OII was the most strongly correlated to remote sensing indices, in particular the photochemical reflectance index (PRI; R2=0.28, p=0.0044 for OIIVI-amount and R 2=0.33 and p=0.0016 for OIIVI -severity). Regression models assessing ozone injury to conifers using imaging spectroscopy techniques also improved when incorporating the GIS proxies of stomatal conductance (R 2=0.59, p<0.0001 for OII in California and R2=0.68, p<0.0001 for OIIVI in Catalonia). Finally, taking advantage of a time series of ambient ozone monitoring in Catalonia, it was found that all models improved when incorporating the cumulative exposure to ozone over a period of three years (R2=0.56, p

  7. Tribes in Karnataka: Status of health research

    PubMed Central

    Roy, Subarna; Hegde, Harsha V.; Bhattacharya, Debdutta; Upadhya, Vinayak; Kholkute, Sanjiva D.

    2015-01-01

    The south Indian State of Karnataka, once part of several kingdoms and princely states of repute in the Deccan peninsula, is rich in its historic, cultural and anthropological heritage. The State is the home to 42,48,987 tribal people, of whom 50,870 belong to the primitive group. Although these people represent only 6.95 per cent of the population of the State, there are as many as 50 different tribes notified by the Government of India, living in Karnataka, of which 14 tribes including two primitive ones, are primarily natives of this State. Extreme poverty and neglect over generations have left them in poor state of health and nutrition. Unfortunately, despite efforts from the Government and non-Governmental organizations alike, literature that is available to assess the state of health of these tribes of the region remains scanty. It is however, interesting to note that most of these tribes who had been original natives of the forests of the Western Ghats have been privy to an enormous amount of knowledge about various medicinal plants and their use in traditional/folklore medicine and these practices have been the subject matter of various scientific studies. This article is an attempt to list and map the various tribes of the State of Karnataka and review the studies carried out on the health of these ethnic groups, and the information obtained about the traditional health practices from these people. PMID:26139788

  8. Ocelot Population Status in Protected Brazilian Atlantic Forest.

    PubMed

    Massara, Rodrigo Lima; Paschoal, Ana Maria de Oliveira; Doherty, Paul Francis; Hirsch, André; Chiarello, Adriano Garcia

    2015-01-01

    Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca) and pumas (Puma concolor), but effects on mesocarnivores, such as ocelots (Leopardus pardalis), are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are < 50 ha. We tested whether variation in ocelot abundance could be explained by reserve size, forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas) and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators. PMID:26560347

  9. Ocelot Population Status in Protected Brazilian Atlantic Forest.

    PubMed

    Massara, Rodrigo Lima; Paschoal, Ana Maria de Oliveira; Doherty, Paul Francis; Hirsch, André; Chiarello, Adriano Garcia

    2015-01-01

    Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca) and pumas (Puma concolor), but effects on mesocarnivores, such as ocelots (Leopardus pardalis), are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are < 50 ha. We tested whether variation in ocelot abundance could be explained by reserve size, forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas) and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators.

  10. Ocelot Population Status in Protected Brazilian Atlantic Forest

    PubMed Central

    Massara, Rodrigo Lima; Paschoal, Ana Maria de Oliveira; Doherty, Paul Francis; Hirsch, André; Chiarello, Adriano Garcia

    2015-01-01

    Forest fragmentation and habitat loss are detrimental to top carnivores, such as jaguars (Panthera onca) and pumas (Puma concolor), but effects on mesocarnivores, such as ocelots (Leopardus pardalis), are less clear. Ocelots need native forests, but also might benefit from the local extirpation of larger cats such as pumas and jaguars through mesopredator release. We used a standardized camera trap protocol to assess ocelot populations in six protected areas of the Atlantic forest in southeastern Brazil where over 80% of forest remnants are < 50 ha. We tested whether variation in ocelot abundance could be explained by reserve size, forest cover, number of free-ranging domestic dogs and presence of top predators. Ocelot abundance was positively correlated with reserve size and the presence of top predators (jaguar and pumas) and negatively correlated with the number of dogs. We also found higher detection probabilities in less forested areas as compared to larger, intact forests. We suspect that smaller home ranges and higher movement rates in smaller, more degraded areas increased detection. Our data do not support the hypothesis of mesopredator release. Rather, our findings indicate that ocelots respond negatively to habitat loss, and thrive in large protected areas inhabited by top predators. PMID:26560347

  11. 45 CFR 162.1401 - Health care claim status transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Health care claim status transaction. 162.1401 Section 162.1401 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1401 Health care...

  12. Health Status of Migrant Farmworkers: A Literature Review and Commentary.

    ERIC Educational Resources Information Center

    Rust, George S.

    1990-01-01

    Reviews the medical literature on the health status of migrant farmworkers. Finds adequate coverage of dental health, nutrition, and childhood health, as well as several disease categories. Finds that more research is needed on population estimates, basic health status indicators, and the prevalence rates of the most common causes of death. (FMW)

  13. [Health status of high-altitude population].

    PubMed

    Okumiya, Kiyoto

    2013-01-01

    The health status of high-altitude population in Qinghai (China), Ladakh (India), and Arunachal (India) was investigated using comprehensive geriatric functional assessment in relation to their recent lifestyle change with the socio-economic globalization. People in urban areas had a higher prevalence of lifestyle-related diseases and poorer geriatric functions, and a lower subjective quality of life (QOL) than people in rural areas. The optimal prevention of lifestyle-related diseases and preservation of a high QOL are important for the people living in each of the above-mentioned areas with a high altitude.

  14. Assessment of calcium status in Maine forests: Review and future projection

    USGS Publications Warehouse

    Huntington, T.G.

    2005-01-01

    Forest harvesting and acidic deposition can cause substantial decreases in the calcium (Ca) inventory of forest soils if such losses are not replenished through mineral weathering, atmospheric deposition, or fertilization. The net balance between losses and gains defines the forest Ca status. Site-specific studies have measured Ca pools and fluxes in Maine forests, but no synthesis has been published. In this paper, I review the literature on forest Ca and assess the current status and potential future trends. Forest soils in Maine are currently at lesser risk of Ca depletion compared with many forest soils in the central and southeastern United States, because levels of acidic deposition and rates of Ca accumulation in trees are lower in Maine. The rate of Ca accumulation in trees is reduced in Maine as a result of lower growth rates and a higher proportion of conifer trees that require less Ca than hardwoods. However, field-scale biogeochemical studies in Maine and New Hampshire, and regional estimates of harvest removals and soil inventories coupled with low weathering estimates, indicate that Ca depletion is a realistic concern in Maine. The synthesis of site-specific and regional data for Maine in conjunction with the depletion measured directly in surrounding areas indicates that the Ca status of many forest soils in Maine is likely declining. Ca status could decrease further in the future if forest growth rates increase in response to climate trends and recovery from insect-induced mortality and excessive harvesting in recent years. Proposed climate change induced reductions in spruce and fir and increases in hardwoods would also increase the risk of Ca depletion. ?? 2005 NRC.

  15. Wage differences according to health status in France.

    PubMed

    Ben Halima, Mohamed Ali; Rococo, Emeline

    2014-11-01

    Many OECD countries have implemented anti-discrimination laws in recent decades. However, according to the annual report published in 2010 by the French High Authority for the Fight against Discrimination and for Equality, the second most commonly cited factor in discrimination claims since 2005 is a handicap or health status. The aim of this research is to estimate the level of unexplained components in the wage gap that can be attributed to wage discrimination based on health status in France in 2010 utilizing data from the Health, Healthcare and Insurance survey among 1594 individuals. Three health indicators are used: self-perceived health status, activity limitations and long-term chronic illness. To measure the wage gap according to an individual's health status, the analysis considers the endogenous selection of health status and unobserved differences in productivity. The results demonstrate that wage discrimination is experienced by individuals in poor health regardless of the health indicator utilized. The hourly wage rate among individuals with poor self-assessed health status is on average 14.2% lower than among individuals with good self-assessed health status. However, for individuals suffering from a long-term chronic illness or an activity limitation, the gap is 6.3% and 4.5%, respectively. The decomposition performed on wage differences according to health status by correcting for health status selection bias and controlling for unobserved differences in productivity indicates that the 'unexplained component' that can be attributed to wage discrimination is equal to 50%.

  16. Mechanisms by which Childhood Personality Traits Influence Adult Health Status

    PubMed Central

    Hampson, Sarah E.; Goldberg, Lewis R.; Vogt, Thomas M.; Dubanoski, Joan P.

    2008-01-01

    Objective To test a lifespan health-behavior model in which educational attainment and health behaviors (eating habits, smoking, and physical activity) were hypothesized as mechanisms to account for relations between teacher ratings of childhood personality traits and self-reported health status at midlife. Design The model was tested on 1,054 members of the Hawaii Personality and Health cohort, which is a population-based cohort participating in a longitudinal study of personality and health spanning 40 years from childhood to midlife. Outcome Self-reported health status as a latent construct indicated by general health, functional status, and body mass index. Results Childhood Agreeableness, Conscientiousness, and Intellect/Imagination influenced adult health status indirectly through educational attainment, healthy eating habits, and smoking. Several direct effects of childhood traits on health behaviors and health status were also observed. Conclusion The model extends past associations found between personality traits and health behaviors or health status by identifying a life-course pathway based on the health-behavior model through which early childhood traits influence adult health status. The additional direct effects of personality traits indicate that health-behavior mechanisms may not provide a complete account of relations between personality and health. PMID:17209705

  17. Beyond Status: Relating Status Inequality to Performance and Health in Teams

    ERIC Educational Resources Information Center

    Christie, Amy M.; Barling, Julian

    2010-01-01

    Status structures in organizations are ubiquitous yet largely ignored in organizational research. We offer a conceptualization of team status inequality, or the extent to which status positions on a team are dispersed. Status inequality is hypothesized to be negatively related to individual performance and physical health for low-status…

  18. Folate status and health: challenges and opportunities.

    PubMed

    Obeid, Rima; Oexle, Konrad; Rißmann, Anke; Pietrzik, Klaus; Koletzko, Berthold

    2016-04-01

    Each year approximately 2400 pregnancies develop folic acid-preventable spina bifida and anencephaly in Europe. Currently, 70% of all affected pregnancies are terminated after prenatal diagnosis. The prevalence of neural tube defects (NTDs) has been significantly lowered in more than 70 countries worldwide by applying fortification with folic acid. Periconceptional supplementation of folic acid also reduces the risk of congenital heart diseases, preterm birth, low birth weight, and health problems associated with child mortality and morbidity. All European governments failed to issue folic acid fortification of centrally processed and widely eaten foods in order to prevent NTDs and other unwanted birth outcomes. The estimated average dietary intake of folate in Germany is 200 μg dietary folate equivalents (DFE)/day. More than half of German women of reproductive age do not consume sufficient dietary folate to achieve optimal serum or red blood cell folate concentrations (>18 or 1000 nmol/L, respectively) necessary to prevent spina bifida and anencephaly. To date, targeted supplementation is recommended in Europe, but this approach failed to reduce the rate of NTDs during the last 10 years. Public health centers for prenatal care and fortification with folic acid in Europe are urgently needed. Only such an action will sufficiently improve folate status, prevent at least 50% of the NTD cases, reduce child mortality and morbidity, and alleviate other health problems associated with low folate such as anemia. PMID:25825915

  19. [Health status of military men serving on the North Fleet].

    PubMed

    Myznikov, I L; Askerko, N V; Khankevich, Iu R; Ustimenko, L I; Burtsev, N N; Kuz'minov, O V; Sadchenko, S N; Matochkina, A A; Trofimova, A Iu

    2014-06-01

    Authors analyzed data characterizing health status of military men serving on the North Fleet, peculiarities of changes in category of fitness for military service in 2002-2011. It was found that 75.1% of conscripts fell into first health group, 20.1%--fell into second health group, 4.8%--fell into third health group. Authors gave detailed characteristics of frequent diseases in military men. Authors formulated organizational solutions, ways of improvement of conscripts' health status.

  20. Status Epilepticus: Epidemiology and Public Health Needs

    PubMed Central

    Sánchez, Sebastián; Rincon, Fred

    2016-01-01

    Status epilepticus (SE) is defined as a continuous clinical and/or electrographic seizure activity lasting five minutes or more or recurrent seizure activity without return to baseline. There is a paucity of epidemiological studies of SE, as most research is derived from small population studies. The overall incidence of SE is 9.9 to 41 per 100,000/year, with peaks in children and the elderly and with febrile seizures and strokes as its main etiologies. The etiology is the major determinant of mortality. Governments and the academic community should predominantly focus on the primary prevention of etiologies linked to SE, as these are the most important risk factors for its development. This review describes the incidence, prevalence, etiology, risk factors, outcomes and costs of SE and aims to identify future research and public health needs. PMID:27537921

  1. Status Epilepticus: Epidemiology and Public Health Needs.

    PubMed

    Sánchez, Sebastián; Rincon, Fred

    2016-01-01

    Status epilepticus (SE) is defined as a continuous clinical and/or electrographic seizure activity lasting five minutes or more or recurrent seizure activity without return to baseline. There is a paucity of epidemiological studies of SE, as most research is derived from small population studies. The overall incidence of SE is 9.9 to 41 per 100,000/year, with peaks in children and the elderly and with febrile seizures and strokes as its main etiologies. The etiology is the major determinant of mortality. Governments and the academic community should predominantly focus on the primary prevention of etiologies linked to SE, as these are the most important risk factors for its development. This review describes the incidence, prevalence, etiology, risk factors, outcomes and costs of SE and aims to identify future research and public health needs. PMID:27537921

  2. A quantitative approach to perceived health status: a validation study.

    PubMed

    Hunt, S M; McKenna, S P; McEwen, J; Backett, E M; Williams, J; Papp, E

    1980-12-01

    The current recognition of the importance of perceived health status as a predictor of need for, and utilisation of, health services has led to attempts to produce indicators which assess subjective rather than objective health problems. The development of the Nottingham Health Profile is described, together with a study which tested the validity of the instrument on four groups of elderly people differing in health status. The results showed that the profile was capable of discriminating between groups differing in terms of diagnosed chronic illness, number of consultations at primary care level, and physiological fitness. Age, sex, and marital status were not significant overall in affecting scores. In these elderly subjects, perceived health status accorded well with objective health status. Further tests of the profile are now taking place on younger groups of subjects. PMID:7241028

  3. Forest health monitoring 1992 annual statistical summary. Project report

    SciTech Connect

    Aalexander, S.A.; Barnard, J.E.

    1994-04-01

    In 1990, the U.S. Department of Agriculture (USDA) Forest Service (FS) and the U.S. Environmental Protection Agency (EPA) initiated a cooperative national program to monitor the condition of the nation's forests. This multi-agency effort, within EPA's Environmental Monitoring and Assessment Program (EMAP), is called the Forest Health Monitoring (FHM) program. In 1992, Detection Monitoring activities were conducted in twelve states: Alabama; Connecticut; Delaware; Georgia; Maine; Maryland; Massachusetts; New Hampshire; New Jersey; Rhode Island; Vermont; and Virginia. Data analysis results for the following indicators are presented; tree species and stand density (mensuration); tree crown condition; tree species diversity; and air pollution bioindicator plants. The cumulative distribution function methods used in the analysis provide a statistical summary of most measurements. Tabular summaries were also prepared in some cases.

  4. Decoupling social status and status certainty effects on health in macaques: a network approach

    PubMed Central

    Hannibal, Darcy L.; Nathman, Amy C.; Capitanio, John P.; Hsieh, Fushing; Atwill, Edward R.; McCowan, Brenda

    2016-01-01

    Background Although a wealth of literature points to the importance of social factors on health, a detailed understanding of the complex interplay between social and biological systems is lacking. Social status is one aspect of social life that is made up of multiple structural (humans: income, education; animals: mating system, dominance rank) and relational components (perceived social status, dominance interactions). In a nonhuman primate model we use novel network techniques to decouple two components of social status, dominance rank (a commonly used measure of social status in animal models) and dominance certainty (the relative certainty vs. ambiguity of an individual’s status), allowing for a more complex examination of how social status impacts health. Methods Behavioral observations were conducted on three outdoor captive groups of rhesus macaques (N = 252 subjects). Subjects’ general physical health (diarrhea) was assessed twice weekly, and blood was drawn once to assess biomarkers of inflammation (interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and C-reactive protein (CRP)). Results Dominance rank alone did not fully account for the complex way that social status exerted its effect on health. Instead, dominance certainty modified the impact of rank on biomarkers of inflammation. Specifically, high-ranked animals with more ambiguous status relationships had higher levels of inflammation than low-ranked animals, whereas little effect of rank was seen for animals with more certain status relationships. The impact of status on physical health was more straightforward: individuals with more ambiguous status relationships had more frequent diarrhea; there was marginal evidence that high-ranked animals had less frequent diarrhea. Discussion Social status has a complex and multi-faceted impact on individual health. Our work suggests an important role of uncertainty in one’s social status in status-health research. This work also suggests that

  5. Decoupling social status and status certainty effects on health in macaques: a network approach

    PubMed Central

    Hannibal, Darcy L.; Nathman, Amy C.; Capitanio, John P.; Hsieh, Fushing; Atwill, Edward R.; McCowan, Brenda

    2016-01-01

    Background Although a wealth of literature points to the importance of social factors on health, a detailed understanding of the complex interplay between social and biological systems is lacking. Social status is one aspect of social life that is made up of multiple structural (humans: income, education; animals: mating system, dominance rank) and relational components (perceived social status, dominance interactions). In a nonhuman primate model we use novel network techniques to decouple two components of social status, dominance rank (a commonly used measure of social status in animal models) and dominance certainty (the relative certainty vs. ambiguity of an individual’s status), allowing for a more complex examination of how social status impacts health. Methods Behavioral observations were conducted on three outdoor captive groups of rhesus macaques (N = 252 subjects). Subjects’ general physical health (diarrhea) was assessed twice weekly, and blood was drawn once to assess biomarkers of inflammation (interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), and C-reactive protein (CRP)). Results Dominance rank alone did not fully account for the complex way that social status exerted its effect on health. Instead, dominance certainty modified the impact of rank on biomarkers of inflammation. Specifically, high-ranked animals with more ambiguous status relationships had higher levels of inflammation than low-ranked animals, whereas little effect of rank was seen for animals with more certain status relationships. The impact of status on physical health was more straightforward: individuals with more ambiguous status relationships had more frequent diarrhea; there was marginal evidence that high-ranked animals had less frequent diarrhea. Discussion Social status has a complex and multi-faceted impact on individual health. Our work suggests an important role of uncertainty in one’s social status in status-health research. This work also suggests that

  6. Vitamin D Status of College Students: Implications for Health Leaders

    ERIC Educational Resources Information Center

    Cress, Eileen McKenna

    2014-01-01

    Vitamin D deficiency is considered to be a pandemic with implications for compromised bone health and other chronic diseases. Few studies have examined vitamin D status in college-aged individuals where prevention of future health consequences is still possible. Serum vitamin D 25(OH)D status and vitamin D intake were examined in 98 college…

  7. Status and changes of mangrove forest in Mekong Delta: Case study in Tra Vinh, Vietnam

    NASA Astrophysics Data System (ADS)

    Thu, Phan Minh; Populus, Jacques

    2007-01-01

    Because shrimp culture in the Mekong Delta develops rapidly, it has negatively impacted the environment, socio-economics and natural resources. In particular, mangrove forests have been altered by the shrimp culture. The area of mangrove forests in the region has been reduced and this is seen especially in Tra Vinh province. The results obtained from GIS (Geography Information System) and RS (Remote Sensing) show the status of mangrove forests in Tra Vinh province in 1965, 1995 (Northeastern part of Tra Vinh Province) and 2001. In 1965, the area of mangrove forests was 21,221 ha making up 56% of total land-use, while in 2001 it was 12,797 ha making up 37% of total land-use. Also based on GIS analysis, over the 36 years (1965-2001), the total coverage of mangrove forests have decreased by 50% since 1965. However, the speed of mangrove forest destruction in the period from 1965 to 1995 was much less than that in the period from 1995 to 2001. The average annual reduction in mangrove forest coverage in the first period (1965-1995) was 0.2% whereas it was 13.1% in the later period (1995-2001). For the long time, mangrove deforestation has been caused by war, collection of firewood and clearing for agriculture, and recently, shrimp farming has significantly contributed rate of mangrove destruction.

  8. Assessing human health risk in the USDA forest service

    SciTech Connect

    Hamel, D.R.

    1990-12-31

    This paper identifies the kinds of risk assessments being done by or for the US Department of Agriculture (USDA) Forest Service. Summaries of data sources currently in use and the pesticide risk assessments completed by the agency or its contractors are discussed. An overview is provided of the agency`s standard operating procedures for the conduct of toxicological, ecological, environmental fate, and human health risk assessments.

  9. Neighborhood socioeconomic status, depression, and health status in the Look AHEAD (Action for health in diabetes) study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Depression and diminished health status are common in adults with diabetes, but few studies have investigated associations with socio-economic environment. The objective of this manuscript was to evaluate the relationship between neighborhood-level SES and health status and depression. Individual-le...

  10. Phosphorus status of soils from contrasting forested ecosystems in southwestern Siberia

    NASA Astrophysics Data System (ADS)

    Achat, D. L.; Bakker, M. R.; Zeller, B.; Derrien, D.; Barsukov, P.; Nikitich, P.

    2011-12-01

    Phosphorus is one of the most limiting nutrients in many ecosystems and mineral reserves available for fertilizer production are forecasted to last for no more than 100 yrs. Crop requirements for P are often lower in forests than in agriculture and P fertilization to forest ecosystems is not very common on a global scale. In southern Siberia, expected climate change would lead to higher overall precipitation, higher temperatures and subsequently to changes in land use (i.e. agricultural land could increase on detriment of forests). In the present work we evaluated P status in four forested ecosystems in southwestern Siberia including 1 site with lowland Populus tremula, and 3 upland sites in the Salair mountains with Populus tremula, Abies siberica or with small forest openings. The upland sites feature twice higher productivity than the lowland sites and it was suggested that thick snow cover on those sites would enable winter activity of microbial communities leading to faster soil degradation processes and higher nutrient availability. We thus wanted to test whether biological processes in the upland sites were of larger impact on P status than in the lowland sites. We combined 32P isotopic dilution techniques (for diffusive P), chemical extractions (for total P, organic P) and fumigation/incubation/respiration methods (for microbial P) to test this hypothesis. Additional soil analyses (C, N and othes) were performed. Results will be interpreted in the light of the exising knowledge on botany, climate, pedology and expected implications for future land use, would this occur to change.

  11. Minority Health Status in Adulthood: The Middle Years

    PubMed Central

    LaVeist, Thomas A.; Bowie, Janice V.; Cooley-Quille, Michele

    2000-01-01

    The objective of this article is to describe the racial and ethnic differences in health status during the “middle years” of life. We use data from National Vital Statistics Reports (Hoyert, Kochanek, and Murphy, 1999) to estimate excess mortality among racial and ethnic minority groups for the leading causes of death among adults. Also discussed are the current state of scholarship in minority health and suggestions for future directions for research on racial and ethnic differences in health status. PMID:25372505

  12. Effects of Social Capital on General Health Status

    PubMed Central

    Yamaguchi, Ayano

    2014-01-01

    This paper discusses the concept of social capital as a potential factor in understanding the controversial relationship between income inequality and individual health status, arguing a positive, important role for social capital. Most of the health research literature focuses on individual health status and reveals that social capital increases individual health. However, the difficulty in measuring social capital, together with what may be the nearly impossible task of attributing causality, should relegate the concept to a more theoretical role in health research. Nonetheless, social capital receives academic attention as a potentially important factor in health research. This paper finds that the mixed results of empirical research on income inequality and health status remain a problem in the context of defining a stable relationship between socioeconomic status and health status. Clearly, further research is needed to elaborate on the income inequality and health relationship. In addition, focused, rigorous examination of social capital in a health context is needed before health researchers can comfortably introduce it as a concept of influence or significance. PMID:24762345

  13. Health status of anthracite surface coal miners

    SciTech Connect

    Amandus, H.E.; Petersen, M.R.; Richards, T.B.

    1989-03-01

    In 1984-1985, medical examinations consisting of a chest radiograph, spirometry test, and questionnaire on work history, respiratory symptoms, and smoking history were administered to 1,061 white males who were employed at 31 coal cleaning plants and strip coal mines in the anthracite coal region of northeastern Pennsylvania. The prevalence of radiographic evidence of International Labour Office (ILO) category 1 or higher small opacities was 4.5% in 516 men who had never been employed in a dusty job other than in surface coal mining. Among these 516 workers, all 4 cases of ILO radiographic category 2 or 3 rounded opacities and 1 case of large opacities had been employed as a highwall drill operator or helper. The prevalence of category 1 or higher opacities increased with tenure as a highwall drill operator or helper (2.7% for 0 y, 6.5% for 1-9 yr, 25.0% for 10-19 y, and 55.6% for greater than or equal to 20 y drilling). Radiographic evidence of small rounded opacities, dyspnea, and decreases in FEV1.0, FVC, and peak flow were significantly related to tenure at drilling operations after adjusting for age, height, cigarette smoking status, and exposures in dusty jobs other than in surface coal mining. However, tenure in coal cleansing plants and other surface coal mine jobs were not related to significant health effects. The apparent excess prevalence of radiographic small rounded opacities in anthracite surface coal mine drillers suggests that quartz exposures have been increased. Average respirable quartz concentrations at surface coal mine drilling operations should be evaluated to determine whether exposures are within existing standards, and dust exposures should be controlled.

  14. Breastfeeding, infant health, and socioeconomic status.

    PubMed

    Martorell, R; O'Gara, C

    1985-01-01

    This paper examines the relationship between infant feeding practices and infant growth in a study carried out in the slums of Tegucigalpa, Honduras. The following hypothese are tested: whether infants who are breastfed will grow better than infants who are bottlefed (infants who are both breastfed and bottlefed will occupy an intermediate position); whether the positive effect of breastfeeding and the negative impact of bottlefeeding will be enhanced after controlling for measures of socioeconomic status; and whether the magnitude of the effects that can be ascribed to breast and bottlefeeding decline with age such that by late infancy growth and health are less affected by milk feeding practice. Data were collected in a cross-sectional study in 1982 of low-income "barrios" of Tegucigalpa, the capital of Honduras. Data were collected by means of a household questionnaire and a physical examination of the infant. 912 households with living infants participated. Only households in which a birth had occurred in the 12 months preceding the interview were included. The following conclusions resulted from the study: infants who are breastfed grow better than infants who are bottle fed; infants who were both bottle-and breastfed occupied the intermediate position in terms of growth; controlling for potentially confusing factors tended to make associations with breastfeeding more positive and more negative with bottlefeeding; the results indicate stronger, more consistent associations in the 1st 9 months of life than in the period from 9 to 12 months. Breastfeeding is best through infancy, and then supplementary feeding is required.

  15. Functional Status and Health Information in Canada: Proposals and Prospects

    PubMed Central

    Bickenbach, Jerome E.

    2003-01-01

    The primary obstacle to evidence-based health care quality assessment in Canada is reliable data on health encounters and episodes of care. The recent Federal/Provincial Health Accord will enhance health data collection, including standardized functional status information (FSI) for administrative records. Canadian health policy developers also agree that FSI is needed to bridge data gaps since alterations in functional status create the continuity that links all episodes of care and health service utilization. Given Canada's universal, single-payer, health financing structure, the prospects for coherent and systemwide data collection are good. This article describes the Canadian health care from the perspective of health information, and surveys proposals in electronic health technology development, the obstacles that need to be faced, and the prospects of doing so. PMID:12894637

  16. Trends in the Health Status of Medicare Risk Contract Enrollees

    PubMed Central

    Riley, Gerald; Zarabozo, Carlos

    2006-01-01

    Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time. Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent. The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare. PMID:17427847

  17. Religion, Spirituality, and Health Status in Geriatric Outpatients

    PubMed Central

    Daaleman, Timothy P.; Perera, Subashan; Studenski, Stephanie A.

    2004-01-01

    BACKGROUND Religion and spirituality remain important social and psychological factors in the lives of older adults, and there is continued interest in examining the effects of religion and spirituality on health status. The purpose of this study was to examine the interaction of religion and spirituality with self-reported health status in a community-dwelling geriatric population. METHODS We performed a cross-sectional analysis of 277 geriatric outpatients participating in a cohort study in the Kansas City area. Patients underwent a home assessment of multiple health status and functional indicators by trained research assistants. A previously validated 5-item measure of religiosity and 12-item spirituality instrument were embedded during the final data collection. Univariate and multivariate analyses were performed to determine the relationship between each factor and self-reported health status. RESULTS In univariate analyses, physical functioning (P <.01), quality of life (P <.01), race (P <.01), depression (P <.01), age (P = .01), and spirituality (P <.01) were all associated with self-reported health status, but religiosity was not (P = .12). In a model adjusted for all covariates, however, spirituality remained independently associated with self-appraised good health (P = .01). CONCLUSIONS Geriatric outpatients who report greater spirituality, but not greater religiosity, are more likely to appraise their health as good. Spirituality may be an important explanatory factor of subjective health status in older adults. PMID:15053283

  18. Beyond status: relating status inequality to performance and health in teams.

    PubMed

    Christie, Amy M; Barling, Julian

    2010-09-01

    Status structures in organizations are ubiquitous yet largely ignored in organizational research. We offer a conceptualization of team status inequality, or the extent to which status positions on a team are dispersed. Status inequality is hypothesized to be negatively related to individual performance and physical health for low-status individuals when uncooperative behavior is high. Trajectories of the outcomes across time are also explored. Analyses using multilevel modeling largely support our hypotheses in a sample of National Basketball Association players across six time points from 2000 to 2005.

  19. Immigration, Generational Status and Health Literacy in Canada

    ERIC Educational Resources Information Center

    Ng, Edward; Omariba, D. Walter R.

    2014-01-01

    Background: Immigrants, a fast-growing population in Canada, score below the national average in health literacy, but the reasons behind the low scores are largely unknown. Also, there is a need to understand the long-term impact of immigration by examining health literacy by generational status. Objective: To examine health literacy differentials…

  20. Bone Related Health Status in Adolescent Cyclists

    PubMed Central

    Olmedillas, Hugo; González-Agüero, Alejandro; Moreno, Luís A.; Casajús, José A.; Vicente-Rodríguez, Germán

    2011-01-01

    Purpose To describe bone status and analyse bone mass in adolescent cyclists. Methods Male road cyclists (n = 22) who had been training for a minimum of 2 years and a maximum of 7 years with a volume of 10 h/w, were compared to age-matched controls (n = 22) involved in recreational sports activities. Subjects were divided in 2 groups based on age: adolescents under 17 yrs (cyclists, n = 11; controls, n = 13) and over 17 yrs (cyclists, n = 11; controls, n = 9). Peak oxygen uptake (VO2max) was measured on a cycloergometer. Whole body, lumbar spine, and hip bone mineral content (BMC), density (BMD) and bone area were assessed using dual x-ray absorptiometry (DXA). Volumetric BMD (vBMD) and bone mineral apparent density (BMAD) were also estimated. Results The BMC of cyclists was lower for the whole body, pelvis, femoral neck and legs; BMD for the pelvis, hip, legs and whole body and legs bone area was lower but higher in the hip area (all, P≤0.05) after adjusting by lean mass and height. The BMC of young cyclists was 10% lower in the leg and 8% higher in the hip area than young controls (P≤0.05). The BMC of cyclists over 17 yrs was 26.5%, 15.8% and 14.4% lower BMC at the pelvis, femoral neck and legs respectively while the BMD was 8.9% to 24.5% lower for the whole body, pelvis, total hip, trochanter, intertrochanter, femoral neck and legs and 17.1% lower the vBMD at the femoral neck (all P≤0.05). Grouped by age interaction was found in both pelvis and hip BMC and BMD and in femoral neck vBMD (all P≤0.05). Conclusion Cycling performed throughout adolescence may negatively affect bone health, then compromising the acquisition of peak bone mass. PMID:21980360

  1. Health Inequalities Policy in Korea: Current Status and Future Challenges

    PubMed Central

    Lee, Sang-il

    2012-01-01

    In recent years, health inequalities have become an important public health concern and the subject of both research and policy attention in Korea. Government reports, as well as many epidemiological studies, have provided evidence that a wide range of health outcomes and health-related behaviors are socioeconomically patterned, and that the magnitude of health inequalities is even increasing. However, except for the revised Health Plan 2010 targets for health equity, few government policies have explicitly addressed health inequalities. Although a number of economic and social policies may have had an impact on health inequalities, such impact has scarcely been evaluated. In this review, we describe the current status of research and policy on health inequalities in Korea. We also suggest future challenges of approaches and policies to reduce health inequalities and highlight the active and intensive engagement of many policy sectors and good evidence for interventions that will make meaningful reduction of health inequalities possible. PMID:22661869

  2. Assessment of soil calcium status in red spruce forests in the northeastern United States

    USGS Publications Warehouse

    Lawrence, G.B.; David, M.B.; Bailey, S.W.; Shortle, W.C.

    1997-01-01

    Long-term changes in concentrations of available Ca in soils of red spruce forests have been documented, but remaining questions about the magnitude and regional extent of these changes have precluded an assessment of the current and future status of soil Ca. To address this problem, soil samples were collected in 1992-93 from 12 sites in New York, Vermont, New Hampshire, and Maine to provide additional data necessary to synthesize all available research results on soil Ca in red spruce forests. Sites were chosen to encompass the range of environmental conditions experienced by red spruce. Concentrations of exchangeable Ca ranged from 2.13 to 21.6 cmol(c) kg-1 in the Oa horizon, and from 0.11 to 0.68 cmol(c) kg-1 in the upper 10 cm of the B horizon. These measurements expanded the range of exchangeable Ca reported in the literature for both horizons in northeastern red spruce forests. Exchangeable Ca was the largest Ca fraction in the forest floor at most sites (92% of acid-extractable Ca), but mineral Ca was the largest fraction at the three sites that also had the highest mineral-matter concentrations. The primary factor causing variability in Ca concentrations among sites was the mineralogy of parent material, but exchangeable concentrations in the B horizon of all sites were probably reduced by acidic deposition. Because the majority of Ca in the forest floor is in a readily leachable form, and Ca inputs to the forest floor from the mineral soil and atmospheric deposition have been decreasing in recent decades, the previously documented decreases in Ca concentrations in the forest floor over previous decades may extend into the future.

  3. The third world health status of black American males.

    PubMed Central

    Gadson, Sandra L.

    2006-01-01

    In contrast to their white counterparts, black men in the United States live sicker and die younger. This longstanding phenomenon is sharply reflected in the poor international health status of black males. The NMA president discusses major health issues facing black males and posits a multidimensional strategy for addressing racial disparities in men's health, with a national focus on health promotion and disease prevention, improving healthcare quality and access, and eliminating structural inequities. PMID:16623060

  4. [Offshore ecosystem health status assessment: a review].

    PubMed

    Dai, Ben-lin; Hua, Zu-lin; Mu, Fei-hu; Xu, Ning; He, Yu-long

    2013-04-01

    With the promotion of the concept of sustainable development, the issues of aquatic ecosystem health attract substantial attention, and considerable work has been carried out on the health assessment of waters, e. g. , rivers and lakes. However, the health assessment of offshore ecosystem is still at its exploratory stage. Based on the investigations on the related references at home and abroad, this paper analyzed the concepts of offshore ecosystem health assessment, summarized the main methods for the assessment, the principles for screening related indicators, and the research philosophy, and systematically listed the quantitative indices for the assessment. Aiming at the main existing issues in the researches of offshore ecosystem health, the future research directions about the offshore ecosystem health were suggested. It was considered that the concept and connotation analyses, the screening of assessment indicators, the choice of assessment scale, and the integration of assessment methods should be further strengthened to improve the assessment of offshore ecosystem health.

  5. Perceptions of one African American community about its' health, health status and safety.

    PubMed

    Stringfield, Y N

    2000-01-01

    African Americans remain at the low end of the socio-economic stratum, have less health care access, and have the highest mortality from illnesses. This supports a need for African American nurses to enter African American communities to offer health education/literacy sessions. This project conducted a survey to determine the health status of African Americans living in a select section eight housing area and their perception of their health, health status and safety. Participants identified their health and health status as good. They had a high concern about safety in their neighborhood. Earlier reports from the county and state do not support the respondents' belief about their health or health status. These same reports do support the respondents concern for safety.

  6. Status of the Southern Carpathian forests in the long-term ecological research network.

    PubMed

    Badea, Ovidiu; Bytnerowicz, Andrzej; Silaghi, Diana; Neagu, Stefan; Barbu, Ion; Iacoban, Carmen; Iacob, Corneliu; Guiman, Gheorghe; Preda, Elena; Seceleanu, Ioan; Oneata, Marian; Dumitru, Ion; Huber, Viorela; Iuncu, Horia; Dinca, Lucian; Leca, Stefan; Taut, Ioan

    2012-12-01

    Air pollution, bulk precipitation, throughfall, soil condition, foliar nutrients, as well as forest health and growth were studied in 2006-2009 in a long-term ecological research (LTER) network in the Bucegi Mountains, Romania. Ozone (O(3)) was high indicating a potential for phytotoxicity. Ammonia (NH(3)) concentrations rose to levels that could contribute to deposition of nutritional nitrogen (N) and could affect biodiversity changes. Higher that 50% contribution of acidic rain (pH < 5.5) contributed to increased acidity of forest soils. Foliar N concentrations for Norway spruce (Picea abies), Silver fir (Abies alba), Scots pine (Pinus sylvestris), and European beech (Fagus sylvatica) were normal, phosphorus (P) was high, while those of potassium (K), magnesium (Mg), and especially of manganese (Mn) were significantly below the typical European or Carpathian region levels. The observed nutritional imbalance could have negative effects on forest trees. Health of forests was moderately affected, with damaged trees (crown defoliation >25%) higher than 30%. The observed crown damage was accompanied by the annual volume losses for the entire research forest area up to 25.4%. High diversity and evenness specific to the stand type's structures and local climate conditions were observed within the herbaceous layer, indicating that biodiversity of the vascular plant communities was not compromised.

  7. Status of the Southern Carpathian forests in the long-term ecological research network.

    PubMed

    Badea, Ovidiu; Bytnerowicz, Andrzej; Silaghi, Diana; Neagu, Stefan; Barbu, Ion; Iacoban, Carmen; Iacob, Corneliu; Guiman, Gheorghe; Preda, Elena; Seceleanu, Ioan; Oneata, Marian; Dumitru, Ion; Huber, Viorela; Iuncu, Horia; Dinca, Lucian; Leca, Stefan; Taut, Ioan

    2012-12-01

    Air pollution, bulk precipitation, throughfall, soil condition, foliar nutrients, as well as forest health and growth were studied in 2006-2009 in a long-term ecological research (LTER) network in the Bucegi Mountains, Romania. Ozone (O(3)) was high indicating a potential for phytotoxicity. Ammonia (NH(3)) concentrations rose to levels that could contribute to deposition of nutritional nitrogen (N) and could affect biodiversity changes. Higher that 50% contribution of acidic rain (pH < 5.5) contributed to increased acidity of forest soils. Foliar N concentrations for Norway spruce (Picea abies), Silver fir (Abies alba), Scots pine (Pinus sylvestris), and European beech (Fagus sylvatica) were normal, phosphorus (P) was high, while those of potassium (K), magnesium (Mg), and especially of manganese (Mn) were significantly below the typical European or Carpathian region levels. The observed nutritional imbalance could have negative effects on forest trees. Health of forests was moderately affected, with damaged trees (crown defoliation >25%) higher than 30%. The observed crown damage was accompanied by the annual volume losses for the entire research forest area up to 25.4%. High diversity and evenness specific to the stand type's structures and local climate conditions were observed within the herbaceous layer, indicating that biodiversity of the vascular plant communities was not compromised. PMID:22234644

  8. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese

    PubMed Central

    Liu, Yong-Bing; Liu, Liu; Li, Yan-Fei; Chen, Yan-Li

    2015-01-01

    Background: Despite the large volume of research dedicated to health-related behavior change, chronic disease costs continue to rise, thus creating a major public health burden. Health literacy, the ability to seek, understand, and utilize health information, has been identified as an important factor in the course of chronic conditions. Little research has been conducted on the relationship between health literacy and health-related behaviors and health status in elderly Chinese. The aim of this study was to elucidate the relationship between health literacy and health-related behaviors and health status in China. Methods: The subjects enrolled in this study were selected based on a stratified cluster random sampling design. Information involving >4500 older adults in 44 pension institutions in Urumqi, Changji, Karamay, and Shihezi of Xinjiang between September 2011 and June 2012 was collected. The Chinese Citizen Health Literacy Questionnaire (China Health Education Centre, 2008) and a Scale of the General Status were administered and the information was obtained through face-to-face inquiries by investigators. A total of 1452 respondents met the inclusion criteria. A total of 1452 questionnaires were issued and the valid response rate was 96.14% (1396 of 1452). Factors affecting health literacy and the relationship to health literacy were identified by one-way ANOVA and a multiple linear regression model. Results: The average health literacy level of the elderly in nursing homes was relatively low (71.74 ± 28.35 points). There were significant differences in the health literacy score among the factors of age, gender, race, education level, household income, marital conditions, and former occupation (p < 0.001). The health literacy score was significantly associated with smoking, drinking, physical exercise, and health examination (p < 0.001). The elderly with higher health literacy scores were significantly less likely to have risky behaviors (smoking, regular

  9. Using Community Health Assessment to Teach and Explore Health Status Disparities

    ERIC Educational Resources Information Center

    Sullivan, Marianne; Levine, Jack

    2014-01-01

    Introduction: Community health assessment (CHA) is a useful tool for identifying health status disparities at the community level. Developing the skills of master's level public health students to conduct CHA addresses a number of the Association of Schools of Public Health Core competencies for graduate public health education. Teaching…

  10. Code Status and Resuscitation Options in the Electronic Health Record

    PubMed Central

    Bhatia, Haresh L.; Patel, Neal R.; Choma, Neesha N.; Grande, Jonathan; Giuse, Dario A.; Lehmann, Christoph U.

    2014-01-01

    Aim The advance discussion and documentation of code-status is important in preventing undesired cardiopulmonary resuscitation and related End of Life interventions. Code-status documentation remains infrequent and paper-based, which limits its usefulness. This study evaluates a tool to document code-status in the electronic health records at a large teaching hospital, and analyzes the corresponding data. Methods Encounter data for patients admitted to the Medical Center were collected over a period of 12 months (01-APR-2012 – 31-MAR-2013) and the code-status attribute was tracked for individual patients. The code-status data were analyzed separately for adult and pediatric patient populations. We considered 131,399 encounters for 83,248 adult patients and 80,778 encounters for 55,656 pediatric patients in this study. Results 71% of the adult patients and 30% of the pediatric patients studied had a documented code-status. Age and severity of illness influenced the decision to document code-status. Demographics such as gender, race, ethnicity, and proximity of primary residence were also associated with the documentation of code-status. Conclusion Absence of a recorded code-status may result in unnecessary interventions. Code-status in paper charts may be difficult to access in cardiopulmonary arrest situations and may result in unnecessary and unwanted interventions and procedures. Documentation of Code-status in electronic records creates a readily available reference for care providers. PMID:25447035

  11. Toward an integrated classification of ecosystems: Defining opportunities for managing fish and forest health

    SciTech Connect

    Rieman, B.E.; Lee, D.C.; Thurow, R.F.; Hessburg, P.F.; Sedell, J.R.

    2000-04-01

    Many of the aquatic and terrestrial ecosystems of the Pacific Northwest United States have been simplified and degraded in part through past land-management activities. Recent listings of fishes under the Endangered Species Act and major new initiatives for the restoration of forest health have precipitated contentious debate among managers and conservation interests in the region. Because aggressive management activities proposed for forest restoration may directly affect watershed processes and functions, the goals of aquatic and terrestrial conservation and restoration are generally viewed as in conflict. The inextricable links in ecological processes and functions, however, suggest the two perspectives should really represent elements of the same problem; that of conserving and restoring more functional landscapes. The authors used recent information on the status and distribution of forest and fish communities to classify river sub basins across the region and explore the potential conflict and opportunity for a more integrated view of management. The authors classification indicated that there are often common trends in terrestrial and aquatic communities that highlight areas of potential convergence in management goals. Regions where patterns diverge may emphasize the need to particular care and investment in detailed risk analyses. Their spatially explicit classification of sub basin conditions provides a mechanism for progress in three areas that the authors think is necessary for a more integrated approach to management: (1) communication among disciplines; (2) effective prioritization of limited conservation and restoration resources; and (3) a framework for experimentation and demonstration of commitment and untested restoration techniques.

  12. Quantifying spatial patterns in the Yakama Nation Tribal Forest and Okanogan-Wenatchee National Forest to assess forest health

    NASA Astrophysics Data System (ADS)

    Wilder, T. F.

    2013-05-01

    Over the past century western United States have experienced drastic anthropogenic land use change from practices such as agriculture, fire exclusion, and timber harvesting. These changes have complex social, cultural, economic, and ecological interactions and consequences. This research studied landscapes patterns of watersheds with similar LANDFIRE potential vegetation in the Southern Washington Cascades physiographic province, within the Yakama Nation Tribal Forest (YTF) and Okanogan-Wenatchee National Forest, Naches Ranger District (NRD). In the selected watersheds, vegetation-mapping units were delineated and populated based on physiognomy of homogeneous areas of vegetative composition and structure using high-resolution aerial photos. Cover types and structural classes were derived from the raw, photo-interpreted vegetation attributes for individual vegetation mapping units and served as individual and composite response variables to quantify and assess spatial patterns and forest health conditions between the two ownerships. Structural classes in both the NRD and YTF were spatially clustered (Z-score 3.1, p-value 0.01; Z-score 2.3, p-value 0.02, respectively), however, ownership and logging type both explained a significant amount of variance in structural class composition. Based on FRAGSTATS landscape metrics, structural classes in the NRD displayed greater clustering and fragmentation with lower interspersion relative to the YTF. The NRD landscape was comprised of 47.4% understory reinitiation structural class type and associated high FRAGASTAT class metrics demonstrated high aggregation with moderate interspersion. Stem exclusion open canopy displayed the greatest dispersal of structural class types throughout the NRD, but adjacencies were correlated to other class types. In the YTF, stem exclusion open canopy comprised 37.7% of the landscape and displayed a high degree of aggregation and interspersion about clusters throughout the YTF. Composite cover

  13. Children with special health care needs: how immigrant status is related to health care access, health care utilization, and health status.

    PubMed

    Javier, Joyce R; Huffman, Lynne C; Mendoza, Fernando S; Wise, Paul H

    2010-07-01

    To compare health care access, utilization, and perceived health status for children with SHCN in immigrant and nonimmigrant families. This cross-sectional study used data from the 2003 California Health Interview Survey to identify 1404 children (ages 0-11) with a special health care need. Chi-square and logistic regression analyses were used to examine relations between immigrant status and health access, utilization, and health status variables. Compared to children with special health care needs (CSHCN) in nonimmigrant families, CSHCN in immigrant families are more likely to be uninsured (10.4 vs. 4.8%), lack a usual source of care (5.9 vs. 1.9%), report a delay in medical care (13.0 vs. 8.1%), and report no visit to the doctor in the past year (6.8 vs. 2.6%). They are less likely to report an emergency room visit in the past year (30.0 vs. 44.0%), yet more likely to report fair or poor perceived health status (33.0 vs. 16.0%). Multivariate analyses suggested that the bivariate findings for children with SHCN in immigrant families largely reflected differences in family socioeconomic status, parent's language, parental education, ethnicity, and children's insurance status. Limited resources, non-English language, and limited health-care use are some of the barriers to staying healthy for CSHCN in immigrant families. Public policies that improve access to existing insurance programs and provide culturally and linguistically appropriate care will likely decrease health and health care disparities for this population.

  14. Type A-B Behavior and Perceived Health Status.

    ERIC Educational Resources Information Center

    Rozette, Elizabeth J.; Hicks, Robert A.

    Previous research suggests that the mental and physical health of the Type B personality should be better than that of the Type A personality. To test this hypothesis, 81 university students responded to the Glass (1977) version of the Jenkins Activity Survey for college students which assessed perceived health status. The results showed that 54…

  15. First molar health status in different craniofacial relationships

    PubMed Central

    Linjawi, Amal I

    2016-01-01

    Objective To investigate the association between the health status of permanent first molars and different craniofacial relationships among adolescents. Study design This is a retrospective study on patients’ records aged 11–15 years. Sex, skeletal relationship, vertical growth pattern, malocclusion, overjet, and overbite were assessed. The health status of permanent first molars was recorded from the orthopantomograms and intraoral photographs as “sound” and “not sound”. Chi-square, Mann–Whitney U and Kruskal–Wallis tests, and Pearson’s correlation coefficient were used to analyze and correlate the assessed variables. Significance level was set at P<0.05. Results A total of 210 records were evaluated; 81 were male, 68 had Class I and 91 had Class II skeletal relationships. More than half of the subjects had normal (n=67) to moderate deep bite (n=72); normal (n=91), moderately increased (n=54), to severely increased (n=50) overjet; and Class I (n=106) and Class II division 1 (n=75) malocclusion. Significant differences were found in the health status of the permanent first molars with respect to sex (P=0.034), vertical growth pattern (P=0.01), and overbite (P=0.047). Strong correlations were only found between the health status of the permanent first molars and the following variables: sex (P=0.036) and vertical growth pattern (P=0.004). Significant correlation was further found between the upper left first molar health status and sex (P=0.019) and the lower right first molar health status and the vertical growth pattern (P=0.001). No significant association was found with the anteroposterior craniofacial relationships (P>0.05). Conclusion Sex difference and vertical growth patterns were found to be potential predictors of the health status of the permanent first molars. No significant association was found with the anteroposterior craniofacial relationships. PMID:27462176

  16. Health status of migrant farmworkers: a literature review and commentary.

    PubMed Central

    Rust, G S

    1990-01-01

    I made a computerized search of MEDLINE files from 1966 through October 1989 followed by a review of this literature. Four hundred eighty-five articles were scanned; 152 were found specifically related to migrant families, while another 51 articles addressed the health of agricultural workers or farmers in general. Solid data exist on dental health, nutrition and, to a lesser extent, childhood health. Data also were prominent in several disease categories including certain infectious diseases, pesticide exposures, occupational dermatoses, and lead levels in children. Estimates of the size of the migrant and seasonal farmworker population vary widely. Basic health status indicators such as age-related death rates are unknown. Prevalence rates of the most common cause of death in the United States have yet to be studied. More research is needed into the health problems and health status of migrant and seasonal farmworker families. PMID:2205116

  17. The health status of women in the world-system.

    PubMed

    Dyches, H; Rushing, B

    1993-01-01

    The health status of women is examined within the context of a global political economy. The authors present a beginning attempt to model some key macrolevel processes linked to the health of women. In particular, a structural modeling technique known as LVPLS (or "soft modeling") is used to empirically test one recent formulation of world-system theory. The findings give added emphasis to the importance of the larger economic forces that affect women's health. PMID:8500952

  18. Social status, glucocorticoids, immune function, and health: can animal studies help us understand human socioeconomic-status-related health disparities?

    PubMed

    Cavigelli, Sonia A; Chaudhry, Hashim S

    2012-08-01

    For humans in developed nations, socioeconomic status (SES)--relative income, education and occupational position in a society--is a strong predictor of morbidity and mortality rates, with increasing SES predicting longer life span (e.g. Marmot et al., 1991). Mechanisms underlying this relationship have been examined, but the relative role of each mechanism still remains unknown. By understanding the relative role of specific mechanisms that underlie dramatic health disparities between high and low social status individuals we can begin to identify effective, targeted methods to alleviate health disparities. In the current paper, we take advantage of a growing number of animal studies that have quantified biological health-related correlates (glucocorticoid production and immune function) of social status and compare these studies to the current literature on human SES and health to determine if and how animal studies can further our understanding of SES-associated human health disparities. Specifically, we compared social-status related glucocorticoid production and immune function in humans and animals. From the review, we show that our present understanding of the relationships between social status and glucocorticoid production/immune function is still growing, but that there are already identifiable parallels (and non-parallels) between humans and animals. We propose timely areas of future study focused on (1) specific aspects of social status that may influence stress-related physiology, (2) mechanisms underlying long-term influences of social status on physiology and health, and (3) intervention studies to alleviate potentially negative physiological correlates of social status. PMID:22841799

  19. Profiles of Risk: Maternal Health, Socioeconomic Status, and Child Health

    PubMed Central

    Hardie, Jessica Halliday; Landale, Nancy S.

    2013-01-01

    Child health is fundamental to well-being and achievement throughout the life course. Prior research has demonstrated strong associations between familial socioeconomic resources and children’s health outcomes, with especially poor health outcomes among disadvantaged youth who experience a concentration of risks, yet little is known about the influence of maternal health as a dimension of risk for children. This research used nationally representative U.S. data from the National Health Interview Surveys in 2007 and 2008 (N = 7,361) to evaluate the joint implications of maternal health and socioeconomic disadvantage for youth. Analyses revealed that maternal health problems were present in a substantial minority of families, clustered meaningfully with other risk factors, and had serious implications for children’s health. These findings support the development of health policies and interventions aimed at families. PMID:23794751

  20. Toward a utility theory foundation for health status index models.

    PubMed Central

    Torrance, G W

    1976-01-01

    The axioms of utility theory are restated in terms of health outcomes, and some additional assumptions, consistent with the assumptions implicit in health status index models, are adduced to develop a consistent theory of the utility of health states. On the basis of the axioms and specific assumptions, techniques for measuring the health utility functions of individuals are described, and it is shown how these axioms and assumptions may be used to determine the utility to the individual of health programs that will affect him in various ways. PMID:1025050

  1. Nutrient status and plant growth effects of forest soils in the Basin of Mexico.

    PubMed

    Fenn, M E; Perea-Estrada, V M; de Bauer, L I; Pérez-Suárez, M; Parker, D R; Cetina-Alcalá, V M

    2006-03-01

    The nutrient status of forest soils in the Mexico City Air Basin was evaluated by observing plant growth responses to fertilization with N, P or both nutrients combined. P deficiency was the most frequent condition for soil from two high pollution sites and N deficiency was greatest at a low N deposition site. Concentrations of Pb and Ni, and to a lesser extent Zn and Co, were higher at the high pollution sites. However, positive plant growth responses to P and sometimes to N, and results of wheat root elongation bioassays, suggest that heavy metal concentrations were not directly phytotoxic. Further studies are needed to determine if heavy metal toxicity to mycorrhizal symbionts of eucalyptus (Eucalyptus camaldulensis Dehnh.) from high pollution sites may explain the P deficiency and stunted growth. P deficiency is expected to limit the capacity for biotic N retention in N saturated forested watersheds in the Basin of Mexico dominated by Andisols.

  2. Home Health Care With Telemonitoring Improves Health Status for Older Adults with Heart Failure

    PubMed Central

    Madigan, Elizabeth; Schmotzer, Brian J.; Struk, Cynthia J.; DiCarlo, Christina M.; Kikano, George; Piña, Ileana L.; Boxer, Rebecca S.

    2014-01-01

    Home telemonitoring can augment home health care services during a patient's transition from hospital to home. Home health care agencies commonly use telemonitors for patients with heart failure although studies have shown mixed results in the use of telemonitors to reduce rehospitalizations. This randomized trial investigated if older patients with heart failure admitted to home health care following a hospitalization would have a reduction in rehospitalizations and improved health status if they received telemonitoring. Patients were followed up to 180 days post-discharge from home health care services. Results showed no difference in the time to rehospitalizations or emergency visits between those who received a telemonitoring vs. usual care. Older heart failure patients who received telemonitoring had better health status by home health care discharge than those who received usual care. Therefore for older adults with heart failure telemonitoring may be important adjunct to home health care services to improve health status. PMID:23438509

  3. Health Status of Homeless and Marginally Housed Users of Mental Health Self-Help Agencies.

    ERIC Educational Resources Information Center

    Segal, Steven P.; Gomory, Tomi; Silverman, Carol J.

    1998-01-01

    Investigates the health status of 310 homeless and marginally housed people to determine the usefulness of mental health self-help agencies (SHAs) in addressing their physical health needs. Findings indicated that frequencies of health problems among respondents were similar to those of other homeless or marginally housed groups and that the study…

  4. Perceptions of Forest Health among Preservice Educators and Implication for Teaching Youth

    ERIC Educational Resources Information Center

    Monroe, Martha C.; Lauretta, Sarah

    2014-01-01

    The objectives of this study were to (a) determine preservice educators' perceptions of forest health, (b) define the experiences which may have influenced their understanding, and (c) identify the approaches they might use to convey forest health information. Twelve interviews were conducted with preservice science and agriculture education…

  5. Status of men's health in Canada.

    PubMed

    Goldenberg, S Larry

    2014-07-01

    Men are more likely to die of cancer, heart disease, or diabetes at younger ages than women - a reality that is compounded by the reluctance of men to use healthcare services. In addition to reduced life expectancy, men can also expect to live fewer healthy years than their female counterparts. As gynecologists and obstetricians have led the women's health movement in addressing gender-specific gaps in care, urologists are well-poised to take on a leadership role to advocate for, and address, men's health initiatives. PMID:25243037

  6. Health Effect of Forest Bathing Trip on Elderly Patients with Chronic Obstructive Pulmonary Disease.

    PubMed

    Jia, Bing Bing; Yang, Zhou Xin; Mao, Gen Xiang; Lyu, Yuan Dong; Wen, Xiao Lin; Xu, Wei Hong; Lyu, Xiao Ling; Cao, Yong Bao; Wang, Guo Fu

    2016-03-01

    Forest bathing trip is a short, leisurely visit to forest. In this study we determined the health effects of forest bathing trip on elderly patients with chronic obstructive pulmonary disease (COPD). The patients were randomly divided into two groups. One group was sent to forest, and the other was sent to an urban area as control. Flow cytometry, ELISA, and profile of mood states (POMS) evaluation were performed. In the forest group, we found a significant decrease of perforin and granzyme B expressions, accompanied by decreased levels of pro-inflammatory cytokines and stress hormones. Meanwhile, the scores in the negative subscales of POMS decreased after forest bathing trip. These results indicate that forest bathing trip has health effect on elderly COPD patients by reducing inflammation and stress level.

  7. Health Effect of Forest Bathing Trip on Elderly Patients with Chronic Obstructive Pulmonary Disease.

    PubMed

    Jia, Bing Bing; Yang, Zhou Xin; Mao, Gen Xiang; Lyu, Yuan Dong; Wen, Xiao Lin; Xu, Wei Hong; Lyu, Xiao Ling; Cao, Yong Bao; Wang, Guo Fu

    2016-03-01

    Forest bathing trip is a short, leisurely visit to forest. In this study we determined the health effects of forest bathing trip on elderly patients with chronic obstructive pulmonary disease (COPD). The patients were randomly divided into two groups. One group was sent to forest, and the other was sent to an urban area as control. Flow cytometry, ELISA, and profile of mood states (POMS) evaluation were performed. In the forest group, we found a significant decrease of perforin and granzyme B expressions, accompanied by decreased levels of pro-inflammatory cytokines and stress hormones. Meanwhile, the scores in the negative subscales of POMS decreased after forest bathing trip. These results indicate that forest bathing trip has health effect on elderly COPD patients by reducing inflammation and stress level. PMID:27109132

  8. Psychological Perspectives on Pathways Linking Socioeconomic Status and Physical Health

    PubMed Central

    Matthews, Karen A.; Gallo, Linda C.

    2011-01-01

    Low socioeconomic status (SES) is a reliable correlate of poor physical health. Rather than treat SES as a covariate, health psychology has increasingly focused on the psychobiological pathways that inform understanding why SES is related to physical health. This review assesses the status of research that has examined stress and its associated distress, and social and personal resources as pathways. It highlights work on biomarkers and biological pathways related to SES that can serve as intermediate outcomes in future studies. Recent emphasis on the accumulation of psychobiological risks across the life course is summarized and represents an important direction for future research. Studies that test pathways from SES to candidate psychosocial pathways to health outcomes are few in number but promising. Future research should test integrated models rather than taking piecemeal approaches to evidence. Much work remains to be done, but the questions are of great health significance. PMID:20636127

  9. Calcium oxalate contribution to calcium cycling in forests of contrasting nutrient status

    USGS Publications Warehouse

    Dauer, Jenny M.; Perakis, Steven S.

    2014-01-01

    Calcium oxalate (Ca oxalate) is an insoluble biomineral that forms in plants and fungi, and occurs in soils across many types of ecosystems. Assessing how Ca oxalate may shape ecosystem Ca cycling requires information on the distribution of Ca oxalate among plant biomass, detritus, and mineral soil, and how it varies with ecosystem Ca status. We compared two Douglas-fir forests of contrasting ecosystem Ca availability, and found that Ca oxalate was partitioned similarly among plant biomass, detritus and mineral soil major ecosystem compartments at both sites, and total pools of Ca oxalate were greater in the high-Ca forest. However, the proportional importance of Ca oxalate was greater in the low-Ca than high-Ca forest (18% versus 4% of actively cycling ecosystem Ca, respectively). And calcium oxalate in mineral soil, which is of particular interest as a potential long-term Ca reservoir, was a larger portion of total available Ca (exchangeable Ca plus Ca oxalate Ca) in the low-Ca site than the high-Ca site (9% versus 1% of available soil Ca, respectively). Calcium oxalate was the dominant form of Ca returned from plants to soil as leaf litterfall at the high-Ca site, yet calcium oxalate disappeared rapidly from decomposing litter (0.28 yr−1 or faster) at both sites. We conclude that accumulation of Ca oxalate in forest ecosystems appears most closely related to overall Ca supply for live biomass pools, and that the accumulation of Ca oxalate in forest floor and mineral soil is limited by rapid microbial degradation of putatively unavailable Ca oxalate.

  10. Hybrid poplar plantations are suitable habitat for reintroduced forest herbs with conservation status.

    PubMed

    Boothroyd-Roberts, Kathleen; Gagnon, Daniel; Truax, Benoit

    2013-01-01

    Plantations of fast-growing tree species may be of use in conservation by accelerating the restoration of forest habitat on abandoned farmland and increasing connectivity in fragmented landscapes. The objective of this study was to determine if hybrid poplar plantations can be suitable habitats for the reintroduction of native forest plant species and, if so, which abiotic factors predict successful reintroduction. Four species of forest herb species (Trillium grandiflorum, Sanguinaria canadensis, Maianthemum racemosum, Asarum canadense), of which three have legal conservation status, were transplanted into experimental plantations of two hybrid poplar clones and nearby second-growth woodlots at six sites in southern Quebec, Canada. The transplanted individuals were protected from deer browsing with exclusion cages. After two years, the plant responses of all four species were stable or increased over two years in both types of hybrid poplar plantations. Sanguinaria showed a better response in the plantations than in the woodlots, preferring the rich post-agricultural soils of the plantations with low C:N ratios. Asarum and Maianthemum showed no significant difference between stand types, while Trillium grew better in the woodlots than in the plantations. Much of the variability in the response of the latter three species was unexplained by the measured environmental variables. These results suggest that certain forest herb species can be reintroduced as juvenile plants into plantations, knowing that their spontaneous recolonization is often limited by dispersal and/or seedling establishment. Plantations could also contribute to the conservation of biodiversity by providing an environment for the cultivation of forest herb species as an alternative to their destructive harvest from natural populations.

  11. Effects of acid deposition on calcium nutrition and health of Southern Appalachian spruce fir forests

    SciTech Connect

    McLaughlin, S.B.; Wullschleger, S.; Stone, A.; Wimmer, R.; Joslin, J.D.

    1995-02-01

    The role of acid deposition in the health of spruce fir forests in the Southern Appalachian Mountains has been investigated by a wide variety of experimental approaches during the past 10 years. These studies have proceeded from initial dendroecological documentation of altered growth patterns of mature trees to increasingly more focused ecophysiological research on the causes and characteristics of changes in system function associated with increased acidic deposition. Field studies across gradients in deposition and soil chemistry have been located on four mountains spanning 85 km of latitude within the Southern Appalachians. The conclusion that calcium nutrition is an important component regulating health of red spruce in the Southern Appalachians and that acid deposition significantly reduces calcium availability in several ways has emerged as a consistent result from multiple lines or research. These have included analysis of trends in wood chemistry, soil solution chemistry, foliar nutrition, gas exchange physiology, root histochemistry, and controlled laboratory and field studies in which acid deposition and/or calcium nutrition has been manipulated and growth and nutritional status of saplings or mature red spruce trees measured. This earlier research has led us to investigate the broader implications and consequences of calcium deficiency for changing resistance of spruce-fir forests to natural stresses. Current research is exploring possible relationships between altered calcium nutrition and shifts in response of Fraser fir to insect attack by the balsam wooly adelgid. In addition, changes in wood ultrastructural properties in relation to altered wood chemistry is being examined to evaluate its possible role in canopy deterioration, under wind and ice stresses typical of high elevation forests.

  12. Social capital, health, and elderly driver status.

    PubMed

    Isbel, Stephen T; Berry, Helen L

    2016-03-01

    Driving a car enables many people to engage in meaningful activities that, in turn, help develop and maintain personal social capital. Social capital, a combination of community participation and social cohesion, is important in maintaining well-being. This paper argues that social capital can provide a framework for investigating the general role of transportation and driving a car specifically to access activities that contribute to connectedness and well-being among older people. This paper proposes theoretically plausible and empirically testable hypotheses about the relationship between driver status, social capital, and well-being. A longitudinal study may provide a new way of understanding, and thus of addressing, the well-being challenges that occur when older people experience restrictions to, or loss of, their driver's license.

  13. Social capital, health, and elderly driver status

    PubMed Central

    Isbel, Stephen T.; Berry, Helen L.

    2016-01-01

    Driving a car enables many people to engage in meaningful activities that, in turn, help develop and maintain personal social capital. Social capital, a combination of community participation and social cohesion, is important in maintaining well-being. This paper argues that social capital can provide a framework for investigating the general role of transportation and driving a car specifically to access activities that contribute to connectedness and well-being among older people. This paper proposes theoretically plausible and empirically testable hypotheses about the relationship between driver status, social capital, and well-being. A longitudinal study may provide a new way of understanding, and thus of addressing, the well-being challenges that occur when older people experience restrictions to, or loss of, their driver’s license. PMID:27505020

  14. Social capital, health, and elderly driver status.

    PubMed

    Isbel, Stephen T; Berry, Helen L

    2016-03-01

    Driving a car enables many people to engage in meaningful activities that, in turn, help develop and maintain personal social capital. Social capital, a combination of community participation and social cohesion, is important in maintaining well-being. This paper argues that social capital can provide a framework for investigating the general role of transportation and driving a car specifically to access activities that contribute to connectedness and well-being among older people. This paper proposes theoretically plausible and empirically testable hypotheses about the relationship between driver status, social capital, and well-being. A longitudinal study may provide a new way of understanding, and thus of addressing, the well-being challenges that occur when older people experience restrictions to, or loss of, their driver's license. PMID:27505020

  15. Forest Cover Associated with Improved Child Health and Nutrition: Evidence from the Malawi Demographic and Health Survey and Satellite Data

    NASA Technical Reports Server (NTRS)

    Johnson, Kiersten B.; Jacob, Anila; Brown, Molly Elizabeth

    2013-01-01

    Healthy forests provide human communities with a host of important ecosystem services, including the provision of food, clean water, fuel, and natural medicines. Yet globally, about 13 million hectares of forests are lost every year, with the biggest losses in Africa and South America. As biodiversity loss and ecosystem degradation due to deforestation continue at unprecedented rates, with concomitant loss of ecosystem services, impacts on human health remain poorly understood. Here, we use data from the 2010 Malawi Demographic and Health Survey, linked with satellite remote sensing data on forest cover, to explore and better understand this relationship. Our analysis finds that forest cover is associated with improved health and nutrition outcomes among children in Malawi. Children living in areas with net forest cover loss between 2000 and 2010 were 19% less likely to have a diverse diet and 29% less likely to consume vitamin A-rich foods than children living in areas with no net change in forest cover. Conversely, children living in communities with higher percentages of forest cover were more likely to consume vitamin A-rich foods and less likely to experience diarrhea. Net gain in forest cover over the 10-year period was associated with a 34% decrease in the odds of children experiencing diarrhea (P5.002). Given that our analysis relied on observational data and that there were potential unknown factors for which we could not account, these preliminary findings demonstrate only associations, not causal relationships, between forest cover and child health and nutrition outcomes. However, the findings raise concerns about the potential short- and long-term impacts of ongoing deforestation and ecosystem degradation on community health in Malawi, and they suggest that preventing forest loss and maintaining the ecosystems services of forests are important factors in improving human health and nutrition outcomes.

  16. Forest cover associated with improved child health and nutrition: evidence from the Malawi Demographic and Health Survey and satellite data.

    PubMed

    Johnson, Kiersten B; Jacob, Anila; Brown, Molly E

    2013-08-01

    Healthy forests provide human communities with a host of important ecosystem services, including the provision of food, clean water, fuel, and natural medicines. Yet globally, about 13 million hectares of forests are lost every year, with the biggest losses in Africa and South America. As biodiversity loss and ecosystem degradation due to deforestation continue at unprecedented rates, with concomitant loss of ecosystem services, impacts on human health remain poorly understood. Here, we use data from the 2010 Malawi Demographic and Health Survey, linked with satellite remote sensing data on forest cover, to explore and better understand this relationship. Our analysis finds that forest cover is associated with improved health and nutrition outcomes among children in Malawi. Children living in areas with net forest cover loss between 2000 and 2010 were 19% less likely to have a diverse diet and 29% less likely to consume vitamin A-rich foods than children living in areas with no net change in forest cover. Conversely, children living in communities with higher percentages of forest cover were more likely to consume vitamin A-rich foods and less likely to experience diarrhea. Net gain in forest cover over the 10-year period was associated with a 34% decrease in the odds of children experiencing diarrhea (P = .002). Given that our analysis relied on observational data and that there were potential unknown factors for which we could not account, these preliminary findings demonstrate only associations, not causal relationships, between forest cover and child health and nutrition outcomes. However, the findings raise concerns about the potential short- and long-term impacts of ongoing deforestation and ecosystem degradation on community health in Malawi, and they suggest that preventing forest loss and maintaining the ecosystem services of forests are important factors in improving human health and nutrition outcomes. PMID:25276536

  17. The health status of young adults in the United States.

    PubMed

    Park, M Jane; Paul Mulye, Tina; Adams, Sally H; Brindis, Claire D; Irwin, Charles E

    2006-09-01

    The health issues of young adulthood have received relatively little attention compared with those of adolescence, although the critical issues in young adulthood parallel those of adolescence. Young adults often fare worse than adolescents on health indicators, with many measures of negative outcomes--including rates of injury, homicide, and substance use--peaking during the young adult years. The contextual factors shaping health status and access to care in young adulthood differ significantly from the context of adolescence. This article synthesizes national data to present a health profile of young adults, reviewing social indicators that describe the context of young adulthood and presenting measures of health status. We examine mortality, morbidity, risky behaviors, and health care access and utilization, identifying the most significant gender and racial/ethnic disparities. The article also identifies limitations of existing data and offers suggestions for future research and health monitoring in this area. We conclude with a discussion of current efforts to address the health and well-being of young adults and argue for creating a national health agenda for young adults that includes research, programs and policies to address health issues during this period of the lifespan.

  18. The health status of minority populations in the United States.

    PubMed Central

    Nickens, H. W.

    1991-01-01

    There is increasing national recognition that while our nation's health care system is the most expensive in the world, the health care status of Americans overall ranks poorly compared with other Western, industrialized nations. In the United States we tend to look at minority-majority variations of health status, as well as the variations of many other indicators by race or ethnicity, because race and ethnicity are particularly important components of our society. In general, health status indicators of minority Americans are worse than those of whites. In some locales, death rates of minority Americans are comparable to those of Third World nations. At the same time, minority Americans make up a rapidly increasing proportion of the nation's population and work force. Our baseline national data on some minority groups, however, currently are inadequate to detect shifts in health status. Finally, the rapidly expanding problem of the acquired immunodeficiency syndrome among some minority populations provides both an imperative and an opportunity to learn how model prevention programs should be designed and executed. PMID:1877226

  19. International Students: A Comparison of Health Status and Physical Health before and after Coming to the United States

    ERIC Educational Resources Information Center

    Msengi, Clementine M.; Msengi, Israel G.; Harris, Sandra; Hopson, Michael

    2011-01-01

    The purpose of this study was to assess the health status and physical health of international students at five American universities. International students in the United States were asked to compare the status of their health before and after coming to the United States. Findings suggested that health status of international students declined…

  20. Status and trends of native birds in the Keauhou and Kilauea forest, Hawai`i Island.

    USGS Publications Warehouse

    Camp, Richard J.; Jacobi, James D.; Pratt, Thane K.; Gorresen, P. Marcos; Rubenstein, Tanya

    2010-01-01

    A Safe Harbor Agreement (SHA) is a voluntary arrangement between the U.S. Fish and Wildlife Service and non-Federal landowners to promote the protection, conservation, and recovery of listed species without imposing further land use restrictions on the landowners. Kamehameha Schools is considering entering into a SHA for their Keauhou and Kīlauea Forest lands on the island of Hawai′i. Bird surveys were conducted in 2008 to determine the current occurrence and density of listed species for the Keauhou and Kīlauea Forest, a prerequisite for establishing an agreement. Because of different management practices in the proposed SHA area we stratified the survey data into intact and altered forest strata. The listed passerines—′Akiapōlā′au (Hemignathus munroi), Hawai′i Creeper (Oreomystis mana), and Hawai′i ′Ākepa (Loxops coccineus)—occur in both strata but at low densities. The endangered ′Io (Hawaiian Hawk; Buteo solitarius) also occurs within both strata at low densities. This report was prepared for the U.S. Fish and Wildlife Service and Kamehameha Schools to provide information they can use to establish baseline levels for the SHA. In addition, we describe the status and trends of the non-listed native birds.

  1. Water and Forest Health: Drought Stress as a Core Driver of Forest Disturbances and Tree Mortality in Western North America

    NASA Astrophysics Data System (ADS)

    Allen, C. D.; Williams, P.

    2012-12-01

    Increasing warmth and dry climate conditions have affected large portions of western North America in recent years, causing elevated levels of both chronic and acute forest drought stress. In turn, increases in drought stress amplify the incidence and severity of the most significant forest disturbances in this region, including wildfire, drought-induced tree mortality, and outbreaks of damaging insects and diseases. Regional patterns of drought stress and various forest disturbances are reviewed, including interactions among climate and the various disturbance processes; similar global-scale patterns and trends of drought-amplified forest die-off and high-severity wildfire also are addressed. New research is presented that derives a tree-ring-based Forest Drought Stress Index (FDSI) for the three most widespread conifer species (Pinus edulis, Pinus ponderosa, and Pseudotsuga menziesii) in the southwestern US (Arizona, New Mexico), demonstrating nonlinear escalation of FDSI to levels unprecedented in the past 1000 years, in response to both drought and especially recent warming. This new work further highlights strong correlations between drought stress and amplified forest disturbances (fire, bark beetle outbreaks), and projects that by ca. 2050 anticipated regional warming will cause mean FDSI levels to reach extreme levels that may exceed thresholds for the survival of current tree species in large portions of their current range. Given recent trends of forest disturbance and projections for substantially warmer temperatures and greater drought stress for much of western North America in coming years, the growing risks to western forest health are becoming clear. This emerging understanding suggests an urgent need to determine potentials and methods for managing water on-site to maintain the vigor and resilience of western forests in the face of increasing levels of climate-induced water stress.

  2. The effect of relationship status on health with dynamic health and persistent relationships.

    PubMed

    Kohn, Jennifer L; Averett, Susan L

    2014-07-01

    The dynamic evolution of health and persistent relationship status pose econometric challenges to disentangling the causal effect of relationships on health from the selection effect of health on relationship choice. Using a new econometric strategy we find that marriage is not universally better for health. Rather, cohabitation benefits the health of men and women over 45, being never married is no worse for health, and only divorce marginally harms the health of younger men. We find strong evidence that unobservable health-related factors can confound estimates. Our method can be applied to other research questions with dynamic dependent and multivariate endogenous variables.

  3. Social contact, socioeconomic status, and the health status of older Malaysians.

    PubMed

    Wu, Z H; Rudkin, L

    2000-04-01

    We tested the applicability of the stress buffering hypothesis in a developing country setting with data from the Senior Sample of the Malaysian Family Life Survey-2. Using ordered logistic regression methods, we examined whether having daily contact with adult children moderates the effect of low socioeconomic status (SES; conceptualized as a chronic stressor) on self-assessed health status. We found that low SES is associated with poorer health for all three ethnic groups--Malay, Chinese, and Indian. Further, for Malays and Chinese, we found that the negative effects of low SES on health tend to be stronger for older people with less frequent contact with adult children than for those who have daily contact. These results provide general support for the buffering model and suggest that, as found in developed countries, active intergenerational relationships in developing country settings may have protective effects on the health of older people experiencing chronic stressors.

  4. Health Status and Leisure Behavior of Sexual Assault Victims: Educational Opportunities for Health and Leisure Professionals.

    ERIC Educational Resources Information Center

    Sheffield, Emilyn A.; And Others

    The health status and leisure behavior of victims of sexual assault were studied. Data concerning present illness symptoms, past illness symptoms, negative health behavior, family health history, and female reproductive physiology illness symptoms were obtained and analyzed. Sexual assault victims were similar to nonvictims demographically except…

  5. Comparison of Health Status and Health Behaviors between Female Graduate and Undergraduate College Students

    ERIC Educational Resources Information Center

    Bulmer, Sandra Minor; Irfan, Syed; Barton, Barbara; Vancour, Michele; Breny, Jean

    2010-01-01

    Objective: Graduate females represent a substantial and growing proportion of the college student population, yet health promotion research and programming has traditionally focused on undergraduates. This study compared health status and health behaviors of female graduate and undergraduate students at a public university in the northeastern U.S.…

  6. Neighborhood Socioeconomic Status, Depression, and Health Status in the Look AHEAD (Action for Health in Diabetes) Study

    PubMed Central

    2011-01-01

    Background Depression and diminished health status are common in adults with diabetes, but few studies have investigated associations with socio-economic environment. The objective of this manuscript was to evaluate the relationship between neighborhood-level SES and health status and depression. Methods Individual-level data on 1010 participants at baseline in Look AHEAD (Action for Health in Diabetes), a trial of long-term weight loss among adults with type 2 diabetes, were linked to neighborhood-level SES (% living below poverty) from the 2000 US Census (tracts). Dependent variables included depression (Beck Inventory), and health status (Medical Outcomes Study (SF-36) scale). Multi-level regression models were used to account simultaneously for individual-level age, sex, race, education, personal yearly income and neighborhood-level SES. Results Overall, the % living in poverty in the participants' neighborhoods varied, mean = 11% (range 0-67%). Compared to their counterparts in the lowest tertile of neighborhood poverty (least poverty), those in the highest tertile (most poverty) had significantly lower scores on the role-limitations(physical), role limitations(emotional), physical functioning, social functioning, mental health, and vitality sub-scales of the SF-36 scale. When evaluating SF-36 composite scores, those living in neighborhoods with more poverty had significantly lower scores on the physical health (β-coefficient [β] = -1.90 units, 95% CI: -3.40,-0.039), mental health (β = -2.92 units, -4.31,-1.53) and global health (β = -2.77 units, -4.21,-1.33) composite scores. Conclusion In this selected group of weight loss trial participants, lower neighborhood SES was significantly associated with poorer health status. Whether these associations might influence response to the Look AHEAD weight loss intervention requires further investigation. PMID:22182286

  7. The Health Status of Children Living in Urban Appalachian Neighborhoods.

    ERIC Educational Resources Information Center

    Brown, M. Kathryn; Obermiller, Phillip J.

    This study compares the health status of Appalachian children living in Cincinnati neighborhoods to that of children living in five predominantly low-income black neighborhoods and children living in the rest of Cincinnati. Age-specific, standardized morbidity ratio analyses were performed to compare the frequency of admissions to hospital and…

  8. The Health Status of Adults on the Autism Spectrum

    ERIC Educational Resources Information Center

    Croen, Lisa A.; Zerbo, Ousseny; Qian, Yinge; Massolo, Maria L.; Rich, Steve; Sidney, Stephen; Kripke, Clarissa

    2015-01-01

    Compared to the general pediatric population, children with autism have higher rates of co-occurring medical and psychiatric illnesses, yet very little is known about the general health status of adults with autism. The objective of this study was to describe the frequency of psychiatric and medical conditions among a large, diverse, insured…

  9. The concept of race and health status in America.

    PubMed Central

    Williams, D R; Lavizzo-Mourey, R; Warren, R C

    1994-01-01

    Race is an unscientific, societally constructed taxonomy that is based on an ideology that views some human population groups as inherently superior to others on the basis of external physical characteristics or geographic origin. The concept of race is socially meaningful but of limited biological significance. Racial or ethnic variations in health status result primarily from variations among races in exposure or vulnerability to behavioral, psychosocial, material, and environmental risk factors and resources. Additional data that capture the specific factors that contribute to group differences in disease must be collected. However, reductions in racial disparities in health will ultimately require change in the larger societal institutions and structures that determine exposure to pathogenic conditions. More attention needs to be given to the ways that racism, in its multiple forms, affects health status. Socio-economic status is a central determinant of health status, overlaps the concept of race, but is not equivalent to race. Inadequate attention has been given to the range of variation in social, cultural, and health characteristics within and between racial or ethnic minority populations. There is a growing emphasis, both within and without the Federal Government, on the collection of racial or ethnic identifiers in health data systems, but noncoverage of the Asian and Pacific Islander population, Native Americans, and subgroups of the Hispanic population is still a major problem. However, for all racial or ethnic groups, we need not only more data but better data. We must be more active in directly measuring the health-related aspects of belonging to these social categories. PMID:8303011

  10. The concept of race and health status in America.

    PubMed

    Williams, D R; Lavizzo-Mourey, R; Warren, R C

    1994-01-01

    Race is an unscientific, societally constructed taxonomy that is based on an ideology that views some human population groups as inherently superior to others on the basis of external physical characteristics or geographic origin. The concept of race is socially meaningful but of limited biological significance. Racial or ethnic variations in health status result primarily from variations among races in exposure or vulnerability to behavioral, psychosocial, material, and environmental risk factors and resources. Additional data that capture the specific factors that contribute to group differences in disease must be collected. However, reductions in racial disparities in health will ultimately require change in the larger societal institutions and structures that determine exposure to pathogenic conditions. More attention needs to be given to the ways that racism, in its multiple forms, affects health status. Socio-economic status is a central determinant of health status, overlaps the concept of race, but is not equivalent to race. Inadequate attention has been given to the range of variation in social, cultural, and health characteristics within and between racial or ethnic minority populations. There is a growing emphasis, both within and without the Federal Government, on the collection of racial or ethnic identifiers in health data systems, but noncoverage of the Asian and Pacific Islander population, Native Americans, and subgroups of the Hispanic population is still a major problem. However, for all racial or ethnic groups, we need not only more data but better data. We must be more active in directly measuring the health-related aspects of belonging to these social categories.

  11. Legal status, emotional well-being and subjective health status of Latino immigrants.

    PubMed Central

    Cavazos-Rehg, Patricia A.; Zayas, Luis H.; Spitznagel, Edward L.

    2007-01-01

    Among the many stresses that undocumented Latino immigrants experience, worries about their legal status and preoccupation with disclosure and deportation can heighten the risk for emotional distress and impaired quality of health. To better document these effects, this study examined the relationship between deportation concern and emotional and physical well-being among a group of Latino immigrants in a midwestern city. One-hundred-forty-three persons were recruited through community sources. Fifty-six participants (39%) expressed concern with seeking services for fear of deportation, while 87 did not endorse this concern. Measures of emotional distress, Hispanic immigrant stress and subjective health status were administered. Results indicate that Latino immigrants with concerns about deportation are at heightened risk of experiencing negative emotional and health states (particularly anger), Hispanic immigrant stress associated with extrafamilial factors and substandard health status. Findings inform policymakers of culturally relevant stressors of undocumented Latino immigrants that help to create and perpetuate the health and mental health disparities of this group. PMID:17987916

  12. Employment Status and Perceived Health Status in Younger and Older People with Multiple Sclerosis

    ERIC Educational Resources Information Center

    Krokavcova, Martina; Nagyova, Iveta; Rosenberger, Jaroslav; Gavelova, Miriam; Middel, Berrie; Gdovinova, Zuzana; Groothoff, Johan W.; van Dijk, Jitse P.

    2012-01-01

    This study explores how employment is associated with perceived physical and mental health status in people with multiple sclerosis (MS) adjusted for sociodemographic and clinical variables stratified by age. The sample consisted of 184 MS patients divided into a younger (less than 45 years) and an older (greater than or equal to 45 years) age…

  13. Assessing Bisexual Stigma and Mental Health Status: A Brief Report

    PubMed Central

    Bostwick, Wendy

    2013-01-01

    Bisexual women often report higher rates of depression and mental health problems than their heterosexual and lesbian counterparts. These disparities likely occur, in part, as a result of the unique stigma that bisexual women face and experience. Such stigma can in turn operate as a stressor, thereby contributing to poor mental health status. The current pilot study tested a new measure of bisexual stigma and its association with mental health. Results suggest a moderate positive correlation between the two, and point to areas for future consideration when measuring bisexual stigma. PMID:24683314

  14. Socioeconomic status. The relationship with health and autoimmune diseases.

    PubMed

    Calixto, Omar-Javier; Anaya, Juan-Manuel

    2014-06-01

    Socioeconomic status (SES) is a hierarchical social classification associated with different outcomes in health and disease. The most important factors influencing SES are income, educational level, occupational class, social class, and ancestry. These factors are closely related to each other as they present certain dependent interactions. Since there is a need to improve the understanding of the concept of SES and the ways it affects health and disease, we review herein the tools currently available to evaluate SES and its relationship with health and autoimmune diseases. PMID:24418307

  15. Socioeconomic status. The relationship with health and autoimmune diseases.

    PubMed

    Calixto, Omar-Javier; Anaya, Juan-Manuel

    2014-06-01

    Socioeconomic status (SES) is a hierarchical social classification associated with different outcomes in health and disease. The most important factors influencing SES are income, educational level, occupational class, social class, and ancestry. These factors are closely related to each other as they present certain dependent interactions. Since there is a need to improve the understanding of the concept of SES and the ways it affects health and disease, we review herein the tools currently available to evaluate SES and its relationship with health and autoimmune diseases.

  16. Assessing Bisexual Stigma and Mental Health Status: A Brief Report.

    PubMed

    Bostwick, Wendy

    2012-01-01

    Bisexual women often report higher rates of depression and mental health problems than their heterosexual and lesbian counterparts. These disparities likely occur, in part, as a result of the unique stigma that bisexual women face and experience. Such stigma can in turn operate as a stressor, thereby contributing to poor mental health status. The current pilot study tested a new measure of bisexual stigma and its association with mental health. Results suggest a moderate positive correlation between the two, and point to areas for future consideration when measuring bisexual stigma. PMID:24683314

  17. Death education within health education: current status, future directions.

    PubMed

    Crase, D

    1981-12-01

    A national survey was conducted among 205 university level divisions/departments of health education to determine the current status of death education courses within the health education field. Forty-nine college and university health educators currently teaching the course returned usable instruments. Death education receives the same credit, utilizes similar grading systems and is generally managed much like other academic courses. Since the discipline is in its infancy and many teachers are relatively unprepared, respondents called for greater quality control and improved professional preparation. Several concerns accompanying the growth of death education were identified.

  18. Quality of Life, Health Status, and Health Service Utilization Related to a New Measure of Health Literacy FLIGHT/VIDAS

    PubMed Central

    Ownby, Raymond L; Acevedo, Amarilis; Jacobs, Robin J.; Caballero, Joshua; Waldrop-Valverde, Drenna

    2014-01-01

    Objective Researchers have identified significant limitations in some currently-used measures of health literacy. The purpose of this paper is to present data on the relation of health-related quality of life, health status, and health service utilization to performance on a new measure of health literacy in a nonpatient population. Methods The new measure was administered to 475 English- and Spanish-speaking community-dwelling volunteers along with existing measures of health literacy and assessments of health-related quality of life, health status, and healthcare service utilization. Relations among measures were assessed via correlations and health status and utilization was tested across levels of health literacy using ANCOVA models. Results The new health literacy measure is significantly related to existing measures of health literacy as well as to participants’ health-related quality of life. Persons with lower levels of health literacy reported more health conditions, more frequent physical symptoms, and greater healthcare service utilization. Conclusion The new measure of health literacy is valid and shows relations to measures of conceptually-related constructs such as quality of life and health behaviors. Practice Implications: FLIGHT/VIDAS may be useful to researchers and clinicians interested in a computer administered and scored measure of health literacy. PMID:24856447

  19. Health Status of People Undergoing Foreclosure in the Philadelphia Region

    PubMed Central

    Lynch, Julia

    2009-01-01

    Objectives. We assessed the health status of people undergoing mortgage foreclosure in the Philadelphia region to determine if there was a relationship between foreclosure and health. Methods. Participants were recruited in partnership with a mortgage counseling agency. Participants' health status and health care use were compared with a community sample from the 2008 Southeastern Pennsylvania Household Health Survey. We used publicly filed foreclosure records to assess response bias. Results. Of the 250 people recruited, 36.7% met screening criteria for major depression. The foreclosure sample was significantly more likely than the community sample to not have insurance coverage (adjusted odds ratio [AOR] = 2.28; 95% confidence interval [CI] = 1.49, 3.48) and to not have filled a prescription because of cost in the preceding year (AOR = 3.44; 95% CI = 2.45, 4.83). Approximately 9% of the participants reported that their own or a family member's medical condition was the primary reason they were undergoing foreclosure. More than a quarter of those in foreclosure (27.7%) stated that they owed money to medical creditors. Conclusions. Foreclosure affects already-vulnerable populations. Public health practitioners may be able to leverage current efforts to connect homeowners with mortgage counseling agencies to improve health care access. PMID:19696373

  20. 78 FR 14072 - Trestle Forest Health Project, Eldorado National Forest, El Dorado County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-04

    ... proposal to modify vegetation on approximately 7,000 acres of National Forest System land. The purpose of the project is to modify the forest vegetation in order to put it on a trajectory toward the desired... large old growth conifers, and oak trees. Hand cut understory vegetation, pile and burn the piles...

  1. Subjective socioeconomic status and health in cross-national comparison.

    PubMed

    Präg, Patrick; Mills, Melinda C; Wittek, Rafael

    2016-01-01

    Research has established a robust association between subjective socioeconomic status (SES) and health outcomes, which holds over and above the associations between objective markers of SES and health. Furthermore, comparative research on health inequalities has shown considerable variation in the relationship between different objective markers of SES and health across countries. Drawing on data from 29 countries, we present the first cross-national study on the subjective SES-health relationship. For two health outcomes, namely self-rated health (SRH) and psychological wellbeing, we are able to confirm that subjective SES is related to health in all countries under study, even when income, education, and occupational prestige are accounted for. Furthermore, we document considerable variation in the strength of the subjective SES-health association across countries. This variation however is largely independent of country differences in income inequality and country affluence. The health benefits of a high subjective SES appear to be slightly larger in more affluent countries, but only for SRH, not for psychological wellbeing.

  2. Oral health status in children with renal disorders.

    PubMed

    Subramaniam, P; Gupta, M; Mehta, A

    2012-01-01

    Advances in pediatric nephrology have resulted in increased survival rates of children with renal disorders. Renal disease is characterized by multiple organ involvement, including soft and hard tissues of the oral cavity. Data regarding the oral health status of Indian children with renal disorders is scarce. Thus, the aim of this study was to assess the oral health status of children with renal disorders in Jaipur city, India. Thirty six children in the age-group of 4-14 years, diagnosed with renal disorders were selected Data pertaining to demographics, medication history, body mass index and blood investigations were obtained from the hospital records. The World Health Organization (WHO) criteria were used to diagnose dental caries. Enamel defects were recorded according to Developmental Defects of Enamel index. Oral hygiene status, salivary pH and buffering capacity were also assessed. The mean blood hemoglobin value was 9.75 gm/dl, blood urea nitrogen 43.06 gm/dl and serum creatinine 1.5 mg/dl. Enamel defects were seen in 58.3% of children. Their mean deft and DMFT scores were 1.5 and 0.5, respectively. The mean Oral Hygiene Index-Simplified (OHI-S) score was 1.56. Gingival overgrowth was not present. Mean salivary pH was 6.92 and buffering capacity of stimulated saliva was 9.86. It is necessary for pediatric dentists to follow preventive oral health regimens that are tailored to these patients.

  3. Health and nutritional status of old-old African Americans.

    PubMed

    Bernard, M A; Anderson, C; Forgey, M

    1995-01-01

    This study reports the initial results of a baseline cross-sectional evaluation of the health and nutritional status of 58 old-old African Americans, 74 years of age and older, residing in low income housing complexes in metropolitan Oklahoma City. Although the population had a high overall functional status, cognitive status, and mood, there were a number of nutritional parameters suggestive of nutritional risk. In particular, 20% of subjects had relatively low serum albumin levels, 14% had serum cholesterol levels below 160 mg/dl, and a subset of the population reported low intake during 24 hour dietary recall. The National Center and Caucus on Black Aged report that 60% of African American elders live at or below the poverty level. These study findings suggest that the present cohort of African American elders may be at nutritional risk.

  4. The influence of ecosystem nitrogen status on carbon cycling in forests

    NASA Astrophysics Data System (ADS)

    Ollinger, S. V.; Smith, M.; Richardson, A.; Hollinger, D. Y.; Martin, M.; Jenkins, J.

    2006-12-01

    The carbon and nitrogen cycles in terrestrial ecosystems are tightly coupled through a shared set of biological processes. The N status of plant canopies exerts a direct influence on carbon assimilation through its well-known effect on net photosynthesis. In soils, both the accumulation of N and the decay of organic matter are often related to the initial C/N ratio of litterfall. Similarly, respiration rates in both roots and foliage have been shown to be positively correlated with tissue N concentrations. These linkages suggest that the N status of ecosystems may provide a useful indicator of their overall C metabolism. Further, evidence from both CO2 and N enrichment experiments indicates that alteration of one cycle can have important implications for the other. This is significant in that global cycles of both C and N have been greatly perturbed by humans. Despite the well-known influence of nitrogen availability on fluxes of carbon, few studies have explicitly examined the role of nitrogen as it pertains to spatial and temporal variation in carbon cycling. This is due, in part, to limited crossover between different scientific communities, but also stems from some very real methodological limitations that make regional-scale assessment of N status difficult. Here, we report on an NACP investigation that examines the degree to which rates of carbon assimilation and growth in forests can be related to both local and regional variation in ecosystem N status. Field measurements from a series of forested research sites within the AmeriFlux network have been combined with hyperspectral remote sensing data from the AVIRIS and Hyperion instruments. Results from a cross-site synthesis indicate a positive relationship between canopy N and the maximum rate of carbon assimilation, as measured by flux towers. Because existing methods of canopy N detection are restricted to small landscapes, a parallel investigation involves developing generalizeable canopy N detection

  5. Health Status and Health Dynamics in an Empirical Model of Expected Longevity*

    PubMed Central

    Benítez-Silva, Hugo; Ni, Huan

    2010-01-01

    Expected longevity is an important factor influencing older individuals’ decisions such as consumption, savings, purchase of life insurance and annuities, claiming of Social Security benefits, and labor supply. It has also been shown to be a good predictor of actual longevity, which in turn is highly correlated with health status. A relatively new literature on health investments under uncertainty, which builds upon the seminal work by Grossman (1972), has directly linked longevity with characteristics, behaviors, and decisions by utility maximizing agents. Our empirical model can be understood within that theoretical framework as estimating a production function of longevity. Using longitudinal data from the Health and Retirement Study, we directly incorporate health dynamics in explaining the variation in expected longevities, and compare two alternative measures of health dynamics: the self-reported health change, and the computed health change based on self-reports of health status. In 38% of the reports in our sample, computed health changes are inconsistent with the direct report on health changes over time. And another 15% of the sample can suffer from information losses if computed changes are used to assess changes in actual health. These potentially serious problems raise doubts regarding the use and interpretation of the computed health changes and even the lagged measures of self-reported health as controls for health dynamics in a variety of empirical settings. Our empirical results, controlling for both subjective and objective measures of health status and unobserved heterogeneity in reporting, suggest that self-reported health changes are a preferred measure of health dynamics. PMID:18187217

  6. Health Status and Health Risks of the "Hidden Majority" of Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Emerson, Eric

    2011-01-01

    Little is known about the health status of and health risks faced by adults with intellectual disability who do not use intellectual disability services. Self-report data collected from 1,022 people with mild intellectual disability in England indicated that people who do not use intellectual disability services are more likely to smoke tobacco…

  7. Quality of life and health status in breast carcinoma.

    PubMed

    van der Steeg, A F W; De Vries, J; Roukema, J A

    2004-12-01

    Quality of life is of increasing importance in clinical oncology studies. When analysing publications concerning quality of life in breast cancer, however, the majority of the articles appear to study health status and not quality of life. Therefore five recommendations were formulated to apply reading a 'quality of life' article. With the use of these recommendations an article can be evaluated and the clinical significance can be assessed. PMID:15522550

  8. Certification programs for eHealth--status quo.

    PubMed

    Urbauer, Philipp; Herzog, Juliane; Pohn, Birgit; Forjan, Mathias; Sauermann, Stefan

    2014-01-01

    The skills of the workforce are a core factor for the quality of healthcare systems. On top of the basic education, postgraduate training is an important factor for continuously maintaining as well as improving the workforce qualification level. Advanced training often provides certification of the acquired skills. This paper analyses the status quo of international certification programs in the sector of eHealth (EU, US, Global). It uses available literature and observations from international educational expert's workgroups. It identifies gaps regarding certifications in eHealth and suggests steps for solutions. Despite little attention to legal and financial eHealth related content in certification programs in the EU as well as a low degree of harmonization of international certifications in general, there are strong activities especially in the international scope towards personal certification programs in eHealth. Major changes are to be expected within the coming years. PMID:24825699

  9. Certification programs for eHealth--status quo.

    PubMed

    Urbauer, Philipp; Herzog, Juliane; Pohn, Birgit; Forjan, Mathias; Sauermann, Stefan

    2014-01-01

    The skills of the workforce are a core factor for the quality of healthcare systems. On top of the basic education, postgraduate training is an important factor for continuously maintaining as well as improving the workforce qualification level. Advanced training often provides certification of the acquired skills. This paper analyses the status quo of international certification programs in the sector of eHealth (EU, US, Global). It uses available literature and observations from international educational expert's workgroups. It identifies gaps regarding certifications in eHealth and suggests steps for solutions. Despite little attention to legal and financial eHealth related content in certification programs in the EU as well as a low degree of harmonization of international certifications in general, there are strong activities especially in the international scope towards personal certification programs in eHealth. Major changes are to be expected within the coming years.

  10. Effect of health development assistance on health status in sub-Saharan Africa

    PubMed Central

    Negeri, Keneni Gutema; Halemariam, Damen

    2016-01-01

    Introduction Data on the effect of health aid on the health status in developing countries are inconclusive. Moreover, studies on this issue in sub-Saharan Africa are scarce. Therefore, this study aims to analyze the effect of health development aid in sub-Saharan Africa. Methods Using panel data analytic method, as well as infant mortality rate as a proxy for health status, this study examines the effect of health aid on infant mortality rate in sub-Saharan Africa. The panel was constructed from data on 43 countries for the period 1990–2010. Fixed effect, random effect, and first difference generalized method of moments estimator were used for estimation. Results Health development aid has a statistically significant positive effect. A 1% increase of health development assistance per capita saves the lives of two infants per 1,000 live births (P=0.000) in the region. Conclusion Contrary to health aid pessimists’ view, this study observes the fact that health development assistance has strong favorable effect in improving health status in sub-Saharan Africa. PMID:27103844

  11. [Odor perception in relation to age, general health, nutritional status, and dental status].

    PubMed

    Griep, M I; Mets, T F; Vogelaere, P; Collys, K; Laska, M; Massart, D L

    1997-02-01

    Many studies have shown that odour perception declines with age. Considering the possible role of age-related phenomena such as general health, dental health and nutrition in such a decline, their joint effect on variability in odour perception was evaluated in the present study. 73 apparently healthy adults aged from 53 to 86 years (median age = 66), living in the community, took part in this study. The SENIEUR protocol was used to assess the general health status and anthropometric measures were obtained to assess the nutritional status. The sensory detection threshold for isoamylacetate (banana odour) was determined as the lowest detectable odour concentration. Dental status was assessed by a questionnaire on the presence of natural teeth and wearing of dentures. Those in poor general health had significantly higher mean odour thresholds (2.35, SD = 1.34), where threshold concentration was expressed as -log(mol/l), than those in good (3.47, SD = 1.46) or reasonably general health (3.75, SD = 1.02). Partial denture wearers had significantly higher odour thresholds (2.99, SD = 1.12) than those having only natural teeth (4.24, SD = 1.43). Significant correlations between age and anthropometrical values were found, indicating that with age, muscle mass particularly in women decreases (r = -0.50). Odour perception of women correlated significantly inversely with triceps skinfold thickness (r = -0.42), indicating that poor sense of small is associated with high body content of fat. Our results indicate that general health and dental state are important age-associated factors in odour perception. Since age does not show a significant independent effect, neither in an analysis of variance, nor in a multiple regression analysis, such factors tend to become more important than chronological age per se.

  12. 45 CFR 162.1402 - Standards for health care claim status transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Standards for health care claim status transaction... STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1402 Standards for health care claim status transaction. The Secretary adopts the following standards for the...

  13. 45 CFR 162.1403 - Operating rules for health care claim status transaction.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Operating rules for health care claim status... DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1403 Operating rules for health care claim status transaction. On and after January 1, 2013, the Secretary...

  14. 45 CFR 162.1402 - Standards for health care claim status transaction.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Standards for health care claim status transaction... STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1402 Standards for health care claim status transaction. The Secretary adopts the following standards for the...

  15. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... RESIDENCE § 1245.14 Adjustment of status of certain health care workers. An alien applying for adjustment of status to perform labor in a health care occupation as described in 8 CFR 1212.15(c) must present... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Adjustment of status of certain health...

  16. 45 CFR 162.1402 - Standards for health care claim status transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Standards for health care claim status transaction... STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1402 Standards for health care claim status transaction. The Secretary adopts the following standards for the...

  17. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... RESIDENCE § 1245.14 Adjustment of status of certain health care workers. An alien applying for adjustment of status to perform labor in a health care occupation as described in 8 CFR 1212.15(c) must present... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Adjustment of status of certain health...

  18. 45 CFR 162.1403 - Operating rules for health care claim status transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Operating rules for health care claim status... DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1403 Operating rules for health care claim status transaction. On and after January 1, 2013, the Secretary...

  19. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... RESIDENCE § 1245.14 Adjustment of status of certain health care workers. An alien applying for adjustment of status to perform labor in a health care occupation as described in 8 CFR 1212.15(c) must present... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Adjustment of status of certain health...

  20. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... RESIDENCE § 1245.14 Adjustment of status of certain health care workers. An alien applying for adjustment of status to perform labor in a health care occupation as described in 8 CFR 1212.15(c) must present... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Adjustment of status of certain health...

  1. 8 CFR 1245.14 - Adjustment of status of certain health care workers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... RESIDENCE § 1245.14 Adjustment of status of certain health care workers. An alien applying for adjustment of status to perform labor in a health care occupation as described in 8 CFR 1212.15(c) must present... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Adjustment of status of certain health...

  2. 45 CFR 162.1402 - Standards for health care claim status transaction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Standards for health care claim status transaction... STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1402 Standards for health care claim status transaction. The Secretary adopts the following standards for the...

  3. 45 CFR 162.1403 - Operating rules for health care claim status transaction.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Operating rules for health care claim status... DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1403 Operating rules for health care claim status transaction. On and after January 1, 2013, the Secretary...

  4. 45 CFR 162.1402 - Standards for health care claim status transaction.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Standards for health care claim status transaction... STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1402 Standards for health care claim status transaction. The Secretary adopts the following standards for the...

  5. 45 CFR 162.1403 - Operating rules for health care claim status transaction.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Operating rules for health care claim status... DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Health Care Claim Status § 162.1403 Operating rules for health care claim status transaction. On and after January 1, 2013, the Secretary...

  6. Self-Esteem, Oral Health Behaviours, and Clinical Oral Health Status in Chinese Adults: An Exploratory Study

    ERIC Educational Resources Information Center

    Chin, Luzy Siu-Hei; Chan, Joanne Chung-Yan

    2013-01-01

    Objectives: This is an exploratory study to examine the relations among self-esteem, oral health behaviours and clinical oral health status in Chinese adults. In addition, gender differences in clinical oral health status and oral health behaviours were explored. Methods: Participants were 192 patients from a private dental clinic in Hong Kong…

  7. Planted forest health: The need for a global strategy.

    PubMed

    Wingfield, M J; Brockerhoff, E G; Wingfield, B D; Slippers, B

    2015-08-21

    Several key tree genera are used in planted forests worldwide, and these represent valuable global resources. Planted forests are increasingly threatened by insects and microbial pathogens, which are introduced accidentally and/or have adapted to new host trees. Globalization has hastened tree pest emergence, despite a growing awareness of the problem, improved understanding of the costs, and an increased focus on the importance of quarantine. To protect the value and potential of planted forests, innovative solutions and a better-coordinated global approach are needed. Mitigation strategies that are effective only in wealthy countries fail to contain invasions elsewhere in the world, ultimately leading to global impacts. Solutions to forest pest problems in the future should mainly focus on integrating management approaches globally, rather than single-country strategies. A global strategy to manage pest issues is vitally important and urgently needed. PMID:26293956

  8. Planted forest health: The need for a global strategy.

    PubMed

    Wingfield, M J; Brockerhoff, E G; Wingfield, B D; Slippers, B

    2015-08-21

    Several key tree genera are used in planted forests worldwide, and these represent valuable global resources. Planted forests are increasingly threatened by insects and microbial pathogens, which are introduced accidentally and/or have adapted to new host trees. Globalization has hastened tree pest emergence, despite a growing awareness of the problem, improved understanding of the costs, and an increased focus on the importance of quarantine. To protect the value and potential of planted forests, innovative solutions and a better-coordinated global approach are needed. Mitigation strategies that are effective only in wealthy countries fail to contain invasions elsewhere in the world, ultimately leading to global impacts. Solutions to forest pest problems in the future should mainly focus on integrating management approaches globally, rather than single-country strategies. A global strategy to manage pest issues is vitally important and urgently needed.

  9. Oral health status in children and adolescents with haemophilia.

    PubMed

    Othman, N A A; Sockalingam, S N M P; Mahyuddin, A

    2015-09-01

    This case-controlled study aimed to evaluate the existing oral health status in children and adolescents with haemophilia. A total of 50 haemophilia patients and 50 matched controls aged seven to 16 years were recruited into the study. Clinical examination was carried out to determine dental caries experience, oral hygiene status and gingival condition in these two groups. Information regarding previous dental history, oral hygiene practices and dietary habits were also obtained. No significant difference was found in mean caries experience in primary and secondary dentitions (P = 0.86 and 0.32) and in Simplified Oral Hygiene Index (OHI-S, P = 0.20) between both groups. However, a significantly higher proportion of haemophilia patients (24%) had better oral hygiene status as compared to the controls (2%, P = 0.004). Furthermore, there was a significant difference in Modified Gingival Index (MGI, P = 0.02) between the two groups with the study group having less gingival inflammation. A total of 88% (n = 44) of the haemophilia patients were registered and received dental treatment in specialist dental clinics. More than half (56%, n = 28) had frequent dental visits and only one-third of the haemophilia patients had history of hospitalization due to oral problems. There was no significant difference in oral hygiene practices and dietary habits between both groups. In general, haemophilia children and adolescents in this study had similar caries experience, a significantly better oral hygiene status and gingival health as compared to healthy controls. The main reason for this is the multidisciplinary approach implemented by medical health-care professionals as primary care provider and the dental team.

  10. Correlates of the health statuses of the faculty at midlife

    PubMed Central

    Galeon, Galvin Alaan

    2016-01-01

    Background: Between the school years of 2009-2012, the turnover record of the University of San Jose-Recoletos (USJ-R), Cebu City, Philippines showed that permanent faculty members who left the institution were all midlifers. Their reasons varied from health issues to greener pasture elsewhere. Materials and Methods: This study then sought to explore the health statuses of the faculty midlifers of the USJ-R. The data were collected through survey conducted among the 106 faculty midlifers of the university. This study applied multivariate analyses to the survey data using Pearson-moment of correlation to determine the relationship between the sociodemographic profile of the research participants and their health statuses. Results: This research revealed that faculty midlifers are generally well physically. They showed emotional maturity and have positive outlook toward midlife. More so, their health conditions are significantly related with their sex, age, years of teaching, educational attainment, and income. Conclusion: At midlife, the faculty members of USJ-R can still generally be considered physically well. Thus, if they are well-managed, they can become relevant and better contributors to the attainment of the basic goals and objectives of the educational institution and the educational system in general. PMID:27134476

  11. Current status and problems in certification of sustainable forest management in China.

    PubMed

    Zhao, Jingzhu; Xie, Dongming; Wang, Danyin; Deng, Hongbing

    2011-12-01

    Forest certification is a mechanism involving the regulation of trade of forest products in order to protect forest resources and improve forest management. Although China had a late start in adopting this process, the country has made good progress in recent years. As of July 31, 2009, 17 forest management enterprises and more than one million hectares of forests in China have been certified by the Forest Stewardship Council (FSC). Several major factors affect forest certification in China. The first set is institutional in nature. Forest management in China is based on centralized national plans and therefore lacks flexibility. A second factor is public awareness. The importance and value of forest certification are not widely understood and thus consumers do not make informed choices regarding certified forest products. The third major factor is the cost of certification. Together these factors have constrained the development of China's forest certification efforts. However, the process does have great potential. According to preliminary calculations, if 50% of China's commercial forests were certified, the economic cost of forest certification would range from US$0.66-86.63 million while the economic benefits for the forestry business sector could exceed US$150 million. With continuing progress in forest management practices and the development of international trade in forest products, it becomes important to improve the forest certification process in China. This can be achieved by improving the forest management system, constructing and perfecting market access mechanisms for certificated forest products, and increasing public awareness of environmental protection, forest certification, and their interrelationship.

  12. Current Status and Problems in Certification of Sustainable Forest Management in China

    NASA Astrophysics Data System (ADS)

    Zhao, Jingzhu; Xie, Dongming; Wang, Danyin; Deng, Hongbing

    2011-12-01

    Forest certification is a mechanism involving the regulation of trade of forest products in order to protect forest resources and improve forest management. Although China had a late start in adopting this process, the country has made good progress in recent years. As of July 31, 2009, 17 forest management enterprises and more than one million hectares of forests in China have been certified by the Forest Stewardship Council (FSC). Several major factors affect forest certification in China. The first set is institutional in nature. Forest management in China is based on centralized national plans and therefore lacks flexibility. A second factor is public awareness. The importance and value of forest certification are not widely understood and thus consumers do not make informed choices regarding certified forest products. The third major factor is the cost of certification. Together these factors have constrained the development of China's forest certification efforts. However, the process does have great potential. According to preliminary calculations, if 50% of China's commercial forests were certified, the economic cost of forest certification would range from US0.66-86.63 million while the economic benefits for the forestry business sector could exceed US150 million. With continuing progress in forest management practices and the development of international trade in forest products, it becomes important to improve the forest certification process in China. This can be achieved by improving the forest management system, constructing and perfecting market access mechanisms for certificated forest products, and increasing public awareness of environmental protection, forest certification, and their interrelationship.

  13. Equity and efficiency in health status and health services utilization: a household perspective.

    PubMed

    Sirageldin, I; Diop, F

    1991-01-01

    Health economists examine the existing pattern of disease, the initial distributional structure of public policies, and the behavioral response of households in allocating resources towards health promoting activities to understand the health consequences of public fiscal and income policies. They hope that this analysis will guide health policymakers to minimize differentials in health service utilization and health outcomes. The household production of health serves as the general framework. The analysis reveals that the demand for health and the demand for health services depend on the organization of government fiscal and distribution policies. Further the demand for health services hinges on its own price as well as on the prices of other inputs including nutrition and environmental sanitation. The government basically subsidizes these inputs, but it does not equally distribute the subsidies. For people with the lower subsidy on other health inputs, the health benefit from using health services tend to be lower. Thus the fact that these households have a low demand for health and low use of health services may indicate a rational decision which reveals low perceived productivity of these inputs. Therefore policymakers should include the effect of public subsidies when examining the effect of public policies on health status. These policies may include structural adjustment or cost recovery schemes. In fact, as evidenced in a case study in the Ivory Coast, structural adjustments did not affect the rural poor and urban poor, but instead adversely affected middle class urban households. Hence policymakers should not limit their examinations to traditional income groups. PMID:12285361

  14. Health status of the elderly in the Marigot Health District, Dominica.

    PubMed

    Veen-de Vries, N R; Luteijn, A J; Nasiiro, R S; Meyboom-de Jong, B

    1999-06-01

    The health status and the prevalence of hypertension, diabetes mellitus, glaucoma and visual disorders of 123 elderly people (56 men, 67 women) in the Marigot Health District, Dominica, were assessed by means of four questionnaires; collection of data from their medical records; physical examination, measurement of blood pressure, visual acuity and intra-ocular pressure (IOP); and testing for glucosuria. The overall health status was good, but 20% were dependent on care. 74% were independent in the activities in daily life, with only moderate limitations in activities. The health status decreased considerably in those over 75 years of age. There were slight perceived differences in health status between men and women. About 40% of the study population were known to be hypertensive, and another 13% had an elevated blood pressure on examination. Diabetes mellitus was present in 15%. 20% had a visual acuity of 0.1 or below, and 10% had an elevated IOP. During the study, a considerable number of new cases of hypertension, diabetes mellitus and elevated IOP were diagnosed. 50% of the study population who were on medication used this more than as prescribed. This study indicates a high prevalence of the secondary complications of hypertension, diabetes mellitus, cataract, glaucoma and osteo-arthritis that cause disability and dependency in the elderly population. Education, diagnosis at an early stage and appropriate treatment of these disorders may prevent or delay their development. We sugggest the development of a programme oriented approach of primary health care for the elderly to support this.

  15. Men's health status during pregnancy and early fatherhood.

    PubMed

    Ferketich, S L; Mercer, R T

    1989-06-01

    The findings in this study of 147 men agreed with earlier research that health status declines over the first 8 months of fatherhood. The study extends previous work in that causes of this decline were tested. Empirical respecified models predicting health perception during pregnancy, early postpartum 1, 4, and 8 months were able to predict from 20 to 60% of the variance. These models were substantively more powerful than the hypothesized theoretical model that was tested, which explained from 12 to 38% of the variance. At all time periods there was a link between negative life events and a direct or indirect predictor of health perception. Other variables that consistently entered the models with either direct or indirect links were self-esteem, mastery, and either depression or anxiety. The empirical respecified models showed moderate to strong predictive power and provide a base for future model testing and subsequent intervention studies.

  16. Health care utilization and changes in health status over time for migraineurs

    PubMed Central

    Chuck, Anderson; Jacobs, Philip; Ohinmaa, Arto; Schopflocher, Donald; Rashiq, Saifudin; Feroe, Raquel

    2007-01-01

    BACKGROUND: Determining how migraineurs manage their condition from the viewpoint of health resource utilization (including both medical and personal resources) may provide insights that could lead to more effective care strategies. OBJECTIVES: To determine the relative importance of modifiable health-influencing activities for migraineurs, and to compare the effects of these activities between migraineurs and nonmigraineurs in the general population. METHODS: Linear regression analysis was applied to all persons older than 19 years of age with migraine in the Canadian Community Health Survey Cycle 1.1. The dependent variable was reported health status change over time. Explanatory variables were a series of health care utilization, health behaviour and background control variables. RESULTS: Results showed that health status was positively associated with higher levels of physical activity and negatively associated with smoking for both migraineurs and nonmigraineurs, even when controlling for all other variables. CONCLUSION: By modifying controllable resources and behaviours, the reported health status of migraineurs can be improved as effectively as nonmigraineurs. PMID:18080049

  17. Irregular breakfast eating and health status among adolescents in Taiwan

    PubMed Central

    Yang, Rea-Jeng; Wang, Edward K; Hsieh, Yeu-Sheng; Chen, Mei-Yen

    2006-01-01

    Background Regular breakfast eating (RBE) is an important contributor to a healthy lifestyle and health status. The aims of the present study were to evaluate the relationships among irregular breakfast eating (IRBE), health status, and health promoting behavior (HPB) for Taiwanese adolescents. Methods A cross-sectional, descriptive design was used to investigate a cluster sample of 1609 (7th -12th grade) adolescents located in the metropolitan Tao-Yuan area during the 2005 academic year. The main variables comprised breakfast eating pattern, body weight, and health promoting behaviors. Data were collected by a self-administered questionnaire. Results A total of 1609 participants were studied, 64.1% in junior high school and 35.9% in high school, boys (47.1%) and girls (52.9%) ranging in age from 12–20 years. Of the total participant population, 28.8% were overweight and nearly one quarter (23.6%) reported eating breakfast irregularly during schooldays. The findings indicated that adolescents with RBE had a lower risk of overweight (OR for IRBE vs. RBE = 1.51, 95% CI: 1.12, 2.04), and that the odds of becoming overweight were 51% greater for IRBE than for RBE even after controlling for demographical and HPB variables. IRBE also was a strong indicator for HPB. However, the profile of the high-risk IRBE group was predominantly junior high schoolchildren and/or children living without both parents. Conclusion This study provides valuable information about irregular breakfast eating among adolescents, which is associated with being overweight and with a low frequency of health promoting behavior. School and family health promotion strategies should be used to encourage all adolescents to eat breakfast regularly. PMID:17150112

  18. Identification of COPD patients' health status using an intelligent system in the CHRONIOUS wearable platform.

    PubMed

    Bellos, Christos C; Papadopoulos, Athanasios; Rosso, Roberto; Fotiadis, Dimitrios I

    2014-05-01

    The CHRONIOUS system offers an integrated platform aiming at the effective management and real-time assessment of the health status of the patient suffering from chronic obstructive pulmonary disease (COPD). An intelligent system is developed for the analysis and the real-time evaluation of patient's condition. A hybrid classifier has been implemented on a personal digital assistant, combining a support vector machine, a random forest, and a rule-based system to provide a more advanced categorization scheme for the early and in real-time characterization of a COPD episode. This is followed by a severity estimation algorithm which classifies the identified pathological situation in different levels and triggers an alerting mechanism to provide an informative and instructive message/advice to the patient and the clinical supervisor. The system has been validated using data collected from 30 patients that have been annotated by experts indicating 1) the severity level of the current patient's health status, and 2) the COPD disease level of the recruited patients according to the GOLD guidelines. The achieved characterization accuracy has been found 94%.

  19. Status of simulation in health care education: an international survey.

    PubMed

    Qayumi, Karim; Pachev, George; Zheng, Bin; Ziv, Amitai; Koval, Valentyna; Badiei, Sadia; Cheng, Adam

    2014-01-01

    Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages.

  20. Status of simulation in health care education: an international survey.

    PubMed

    Qayumi, Karim; Pachev, George; Zheng, Bin; Ziv, Amitai; Koval, Valentyna; Badiei, Sadia; Cheng, Adam

    2014-01-01

    Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages. PMID:25489254

  1. Status of simulation in health care education: an international survey

    PubMed Central

    Qayumi, Karim; Pachev, George; Zheng, Bin; Ziv, Amitai; Koval, Valentyna; Badiei, Sadia; Cheng, Adam

    2014-01-01

    Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages. PMID:25489254

  2. Smoking, educational status and health inequity in India.

    PubMed

    Gupta, Rajeev

    2006-07-01

    Health related behaviours, especially smoking and tobacco use, are major determinants of health and lead to health inequities. Smoking leads to acute respiratory diseases, tuberculosis and asthma in younger age groups and non communicable diseases such as chronic lung disease, cardiovascular diseases and cancer in middle and older age. We observed an inverse association of educational status with tobacco use (smoking and other forms) in western Indian State of Rajasthan. In successive cross-sectional epidemiological studies- the Jaipur Heart Watch (JHW)- in rural (JHWR; n=3148, men=1982), and urban subjects: JHW-1 (n=2212, men=1415), JHW-2 (n=1124, men=550) and JHW-3 (n=458, men=226), we evaluated various cardiovascular risk factors. The greatest tobacco consumption was observed among the illiterate and low educational status subjects (nil, 1-5, 6-10, >10 yr of formal education) as compared to more literate in men (JHW-R 60, 51, 46 and 36% respectively; JHW-1 44, 52, 30 and 18% JHW-2 54, 43, 29 and 24%; and JHW-3 50, 27, 25 and 25%) as well as women (Mantel Haenzel test, P for trend <0.05). In the illiterate subjects the odds ratios (OR) and 95 per cent confidence intervals (CI) for smoking or tobacco use as compared to the highest educational groups in rural (men OR 2.68, CI 2.02, 3.57; women OR 3.13, CI 1.22, 8.08) as well as larger urban studies- JHW-1 (men OR 2.47, CI 1.70, 3.60; women OR 13.78, CI 3.35, 56.75) and JHW-2 (men OR 3.81; CI 1.90, 7.66; women OR 13.73, CI 1.84, 102.45) were significantly greater (P<0.01). Smoking significantly correlated with prevalence of coronary heart disease and hypertension. Other recent Indian studies and national surveys report similar associations. Health ethicists argue that good education and health lead to true development in an underprivileged society. We propose that improving educational status, a major social determinant of health, can lead to appropriate health related behaviours and prevent the epidemics of non

  3. Effects of TCMC on Transformation of Good Health Status to Suboptimal Health Status: A Nested Case-Control Study

    PubMed Central

    Wang, Tian; Chen, Jieyu; Sun, Xiaomin; Xiang, Lei; Zhou, Lin; Li, Fei; Lin, Changsong; Jiang, Pingping; Wu, Shengwei; Xiao, Ya; Cheng, Jingru; Luo, Ren; Liu, Yanyan; Zhao, Xiaoshan

    2015-01-01

    To explore the effects of traditional Chinese medicine constitution (TCMC) on transformation of good health status to suboptimal health status (SHS), we conducted a nested case-control study among college students in China. During the 18-month mean follow-up time, 543 cases of SHS (42.7%) occurred in 1273 healthy students. There was a significant (P = 0.000) and marked reduction in SHMS V1.0 total score in the case group at the 18-month follow-up (69.32 ± 5.45) compared with baseline (78.60 ± 4.70), but there was no significant change in the control group. Conditional logistic regression analysis showed that respondents reporting Yin-deficiency and Qi-deficiency were, respectively, 2.247 and 2.198 times more likely to develop SHS, while tendency to Yin-deficiency and tendency to Damp-heat were, respectively, 1.642 and 1.506 times more likely to develop SHS. However, the Balanced Constitution was a significant protective factor (OR 0.649; P < 0.05). Altogether, these findings demonstrate that Yin-deficiency, Qi-deficiency, tendency to Yin-deficiency, and tendency to Damp-heat appeared to induce a change in health status to SHS, while the Balanced Constitution seemed to restrain this change. We conclude that regulating the unbalanced TCMC (such as Yin-deficiency and Qi-deficiency) may prevent a healthy status developing into SHS or lead to the regression of SHS. PMID:26346320

  4. Health status: does it predict choice in further education?

    PubMed Central

    Koivusilta, L; Rimpelä, A; Rimpelä, M

    1995-01-01

    STUDY OBJECTIVE--To study the significance of a young person's health to his or her choice of further education at age 16. DESIGN--A cross sectional population survey SETTING--The whole of Finland. PARTICIPANTS--A representative sample of 2977 Finnish 16 year olds. The response rate was 83%. MEASUREMENTS AND MAIN RESULTS--The three outcome variables reflected successive steps on the way to educational success: school attendance after the completion of compulsory schooling, the type of school, and school achievement for those at school. Continuing their education and choosing upper secondary school were most typical of young people from upper social classes. Female gender and living with both parents increased the probability of choosing to go on to upper secondary school. Over and above these background variables, some health factors had additional explanatory power. Continuing their education, attending upper secondary schools, and good achievement were typical of those who considered their health to be good. Chronically ill adolescents were more likely to continue their education than the healthy ones. CONCLUSIONS--School imposes great demands on young people, thus revealing differences in personal health resources. Adaptation to the norms of a society in which education is highly valued is related to satisfying health status. In a welfare state that offers equal educational opportunities for everyone, however, chronically ill adolescents can add to their resources for coping through schooling. Health related selection thus works differently for various indicators of health and in various kinds of societies. Social class differences in health in the future may be more dependent on personally experienced health problems than on medically diagnosed diseases. PMID:7798039

  5. Status and distribution of mangrove forests of the world using earth observation satellite data

    USGS Publications Warehouse

    Giri, C.; Ochieng, E.; Tieszen, L.L.; Zhu, Z.; Singh, A.; Loveland, T.; Masek, J.; Duke, N.

    2011-01-01

    Aim Our scientific understanding of the extent and distribution of mangrove forests of the world is inadequate. The available global mangrove databases, compiled using disparate geospatial data sources and national statistics, need to be improved. Here, we mapped the status and distributions of global mangroves using recently available Global Land Survey (GLS) data and the Landsat archive.Methods We interpreted approximately 1000 Landsat scenes using hybrid supervised and unsupervised digital image classification techniques. Each image was normalized for variation in solar angle and earth-sun distance by converting the digital number values to the top-of-the-atmosphere reflectance. Ground truth data and existing maps and databases were used to select training samples and also for iterative labelling. Results were validated using existing GIS data and the published literature to map 'true mangroves'.Results The total area of mangroves in the year 2000 was 137,760 km2 in 118 countries and territories in the tropical and subtropical regions of the world. Approximately 75% of world's mangroves are found in just 15 countries, and only 6.9% are protected under the existing protected areas network (IUCN I-IV). Our study confirms earlier findings that the biogeographic distribution of mangroves is generally confined to the tropical and subtropical regions and the largest percentage of mangroves is found between 5?? N and 5?? S latitude.Main conclusions We report that the remaining area of mangrove forest in the world is less than previously thought. Our estimate is 12.3% smaller than the most recent estimate by the Food and Agriculture Organization (FAO) of the United Nations. We present the most comprehensive, globally consistent and highest resolution (30 m) global mangrove database ever created. We developed and used better mapping techniques and data sources and mapped mangroves with better spatial and thematic details than previous studies. ?? 2010 Blackwell

  6. Status and distribution of mangrove forests of the world using earth observation satellite data

    USGS Publications Warehouse

    Giri, Chandra; Ochieng, E.; Tieszen, Larry L.; Zhu, Zhi-Liang; Singh, Ashbindu; Loveland, Thomas R.; Masek, Jeffery G.; Duke, Norm

    2011-01-01

    Aim  Our scientific understanding of the extent and distribution of mangrove forests of the world is inadequate. The available global mangrove databases, compiled using disparate geospatial data sources and national statistics, need to be improved. Here, we mapped the status and distributions of global mangroves using recently available Global Land Survey (GLS) data and the Landsat archive. Methods  We interpreted approximately 1000 Landsat scenes using hybrid supervised and unsupervised digital image classification techniques. Each image was normalized for variation in solar angle and earth–sun distance by converting the digital number values to the top-of-the-atmosphere reflectance. Ground truth data and existing maps and databases were used to select training samples and also for iterative labelling. Results were validated using existing GIS data and the published literature to map ‘true mangroves’. Results  The total area of mangroves in the year 2000 was 137,760 km2 in 118 countries and territories in the tropical and subtropical regions of the world. Approximately 75% of world's mangroves are found in just 15 countries, and only 6.9% are protected under the existing protected areas network (IUCN I-IV). Our study confirms earlier findings that the biogeographic distribution of mangroves is generally confined to the tropical and subtropical regions and the largest percentage of mangroves is found between 5° N and 5° S latitude. Main conclusions  We report that the remaining area of mangrove forest in the world is less than previously thought. Our estimate is 12.3% smaller than the most recent estimate by the Food and Agriculture Organization (FAO) of the United Nations. We present the most comprehensive, globally consistent and highest resolution (30 m) global mangrove database ever created. We developed and used better mapping techniques and data sources and mapped mangroves with better spatial and thematic details than previous studies.

  7. Educational attainment and self-rated health status among single mothers in rural Alabama.

    PubMed

    Zekeri, Andrew A

    2013-08-01

    Using previous data from a random sample of 300 single mothers from rural Alabama, multiple regression analysis indicated that food insecurity and employment status had a modest effect on self-rated health status, while educational attainment and income had the greatest effect. These variables explained 29% of the variance in health status. Social and economic policies that affect educational attainment and income distribution may have important consequences for health status in these rural areas.

  8. Measuring general animal health status: Development of an animal health barometer.

    PubMed

    Depoorter, Pieter; Van Huffel, Xavier; Diricks, Herman; Imberechts, Hein; Dewulf, Jeroen; Berkvens, Dirk; Uyttendaele, Mieke

    2015-03-01

    The development of an animal health barometer, an instrument to measure the general health of the Belgian livestock population on a yearly basis and to monitor its evolution over time, is described. The elaboration of a set of 13 animal health indicators (AHIs) as the basis for the animal health barometer is discussed. These indicators were weighted by experts - including scientists, policy makers and agro-industrial representatives - to determine their relative weight in the barometer. The result of the barometer is expressed as a comparison with a previous year. Based on the results of the 13 AHIs, it is concluded that general animal health in Belgium shows a positive evolution since 2008. The animal health barometer provides a composite view of the status of livestock health in Belgium and is a tool to communicate in an intelligible, comprehensible manner on aspects of animal health to consumers and professional stakeholders in the animal production and food chain. Together with the food safety barometer (Baert et al., 2011. Food Res. Int. 44, 940) and the plant health barometer (Wilmart et al., 2014. Eur. J. Plant Pathol. doi: 10.1007/s10658-014-0547-x), the animal health barometer is one of the three instruments to provide a holistic view on the overall status of the safety of the food chain in Belgium.

  9. [Health behaviour and health status of nursing staff--a review of the literature].

    PubMed

    Tracogna, U; Klewer, J; Kugler, J

    2002-07-01

    Presently around 1.1 million nurses are employed in the German health care system. Due to increased workload and staff reduction, studies on the health behaviour and health condition of nursing staff are increasingly important. Hence we reviewed the literature on health behaviour and health condition of nursing staff. Articles available in Medline and Embase from 1978 to 2000 were included, focussing on smoking, alcohol consumption, substance abuse, eating habits, body-mass index, dental health status, risk behaviour in traffic, workload, burnout syndrome, sports and recreation, job satisfaction, subjective health status, subjective complaints, vaccinations and quality of life. Health behaviour was divided in unhealthy and healthy behaviour. It became obvious that most of the studies focussed on investigation of unhealthy behaviour, such as smoking, alcohol consumption, substance abuse and poor eating habits. Health promotion was mainly seen as avoiding these unhealthy habits. Only in current studies definitions of health promoting behaviour were developed as a part of a comprehensive life-style.

  10. Soil acidification and foliar nutrient status of Ontario's deciduous forest in 1986 and 2005.

    PubMed

    Miller, Diane E; Watmough, Shaun A

    2009-02-01

    To assess the impacts of the decline in sulphur (S) deposition over the past 20 years in Ontario, soil chemistry and sugar maple (Acer saccharum Marsh) foliar chemistry were measured at 17 sites in south and central Ontario in 2005 and compared with archived samples collected in 1986. Foliar S concentrations were lower in 2005, reflecting the decline in S deposition whereas foliar N remained unchanged, reflecting the lack of change in N deposition in Ontario. Mineral soil pH, exchangeable base cations were lower in 2005 whereas total S, N and cation exchange capacity (CEC) were unchanged. Foliar concentrations of Ca were positively related to soil Ca levels in the A-horizon and were lower in 2005. Despite evidence of increasing soil acidity and losses of calcium, foliar base cation concentrations at most sites were adequate for sugar maple and forest health in terms of canopy appearance (Decline Index) improved.

  11. [Health status and health needs assessment--state of the art of the public health practice in Croatia].

    PubMed

    Vuletić, Silvije; Sogorić, Selma; Malatestinić, Dulija; Bozicević, Ivana

    2010-12-01

    Public health practice performance is measured through its three core functions, i.e. assessment, policy development and assurance. We describe the existing health status and health care needs assessment practices in the Republic of Croatia. Health care needs assessment in Croatia includes mortality and morbidity information available through vital records but does not include community input (opinion and attitude) and participation. Health needs are not analyzed in order to determine the causes of health problems. Analysis of health needs of the population groups at highest risk also does not exist. Resources assessment is not part of the process, so we do not know how adequate the existing health resources are. In the Croatian health care system practice, the assessment function is limited through the almost exclusive use of the routine health and demographic statistics. Academic public health has introduced other kinds of more participative, subgroups oriented, qualitative methodologies but in daily routine, these methods are hardly used. Since health needs assessment is one of the core public health functions, in the future its practice has to be reoriented from pure monitoring towards identifying and solving community health problems. Partnership with community has to be a cornerstone for more efficient health needs assessment practice. In the light of previous statement, we present and discuss new trends in the assessment practice in Croatia, i.e. revision of routine health data collection, ways of performing intervention aimed health surveys, naturalistic approach in health needs assessment, and health needs research of population groups at highest risk.

  12. Green spaces and General Health: Roles of mental health status, social support, and physical activity.

    PubMed

    Dadvand, Payam; Bartoll, Xavier; Basagaña, Xavier; Dalmau-Bueno, Albert; Martinez, David; Ambros, Albert; Cirach, Marta; Triguero-Mas, Margarita; Gascon, Mireia; Borrell, Carme; Nieuwenhuijsen, Mark J

    2016-05-01

    Green spaces are associated with improved health, but little is known about mechanisms underlying such association. We aimed to assess the association between greenness exposure and subjective general health (SGH) and to evaluate mental health status, social support, and physical activity as mediators of this association. This cross-sectional study was based on a population-based sample of 3461 adults residing in Barcelona, Spain (2011). We characterized outcome and mediators using the Health Survey of Barcelona. Objective and subjective residential proximity to green spaces and residential surrounding greenness were used to characterize greenness exposure. We followed Baron and Kenny's framework to establish the mediation roles and we further quantified the relative contribution of each mediator. Residential surrounding greenness and subjective residential proximity to green spaces were associated with better SGH. We found indications for mediation of these associations by mental health status, perceived social support, and to less extent, by physical activity. These mediators altogether could explain about half of the surrounding greenness association and one-third of the association for subjective proximity to green spaces. We observed indications that mental health and perceived social support might be more relevant for men and those younger than 65years. The results for objective residential proximity to green spaces were not conclusive. In conclusion, our observed association between SGH and greenness exposure was mediated, in part, by mental health status, enhanced social support, and physical activity. There might be age and sex variations in these mediation roles.

  13. Socioeconomic status and health in the Japanese population.

    PubMed

    Kagamimori, Sadanobu; Gaina, Alexandru; Nasermoaddeli, Ali

    2009-06-01

    There is growing interest in the influence of socioeconomic status (SES) on health. Individual SES has been shown to be closely related to mortality, morbidity, health-related behavior and access to health care services in Western countries. Whether the same set of social determinants accounts for higher rates of mortality or morbidity in Japan is questionable, because over the past decade the magnitude of the social stratification within the society has increased due to economic and social circumstances. SES must be interpreted within the economic, social, demographic and cultural contexts of a specific country. In this report we discuss the impact of individuals' socioeconomic position on health in Japan with regard to educational attainment, occupational gradient/class, income level, and unemployment. This review is based mainly on papers indexed in Medline/PubMed between 1990 and 2007. We find that socioeconomic differences in mortality, morbidity and risk factors are not uniformly small in Japan. The majority of papers investigate the relationship between education, occupational class and health, but low income and unemployment are not examined sufficiently in Japan. The results also indicate that different socioeconomic contexts and inequality contribute to the mortality, morbidity, and biological and behavioral risk factors in Japan, although the pattern and direction of the relationships may not necessarily be the same in terms of size, pattern, distribution, magnitude and impact as in Western countries. In particular, the association between higher occupational status and lower mortality, as well as higher educational attainment and either mortality or morbidity, is not as strongly expressed among the Japanese. Japan is still one of the healthiest and most egalitarian nations in the world, and social inequalities within the population are less expressed. However, the magnitude of the social stratification has started to increase, and this is an alarming

  14. Race, ethnicity, and socioeconomic status in research on child health.

    PubMed

    Cheng, Tina L; Goodman, Elizabeth

    2015-01-01

    An extensive literature documents the existence of pervasive and persistent child health, development, and health care disparities by race, ethnicity, and socioeconomic status (SES). Disparities experienced during childhood can result in a wide variety of health and health care outcomes, including adult morbidity and mortality, indicating that it is crucial to examine the influence of disparities across the life course. Studies often collect data on the race, ethnicity, and SES of research participants to be used as covariates or explanatory factors. In the past, these variables have often been assumed to exert their effects through individual or genetically determined biologic mechanisms. However, it is now widely accepted that these variables have important social dimensions that influence health. SES, a multidimensional construct, interacts with and confounds analyses of race and ethnicity. Because SES, race, and ethnicity are often difficult to measure accurately, leading to the potential for misattribution of causality, thoughtful consideration should be given to appropriate measurement, analysis, and interpretation of such factors. Scientists who study child and adolescent health and development should understand the multiple measures used to assess race, ethnicity, and SES, including their validity and shortcomings and potential confounding of race and ethnicity with SES. The American Academy of Pediatrics (AAP) recommends that research on eliminating health and health care disparities related to race, ethnicity, and SES be a priority. Data on race, ethnicity, and SES should be collected in research on child health to improve their definitions and increase understanding of how these factors and their complex interrelationships affect child health. Furthermore, the AAP believes that researchers should consider both biological and social mechanisms of action of race, ethnicity, and SES as they relate to the aims and hypothesis of the specific area of

  15. The health status of rural primary schoolchildren in Central Zambia.

    PubMed

    Ng'andu, N H; Nkowane, B M; Watts, T E

    1991-06-01

    In a study of 528 rural primary schoolchildren in Central Zambia, it was found that the health status of the schoolchildren was not good as indicated by inadequate nutrition, a high prevalence of S. haematobium (18%), hookworm (33%), and malaria (43%) infections. There were no statistically significant differences in prevalence of undernutrition between girls and boys and there were no significant trends with age. The treatment and control of hookworm disease, urinary schistosomiasis and malaria deserve a high priority in this area. As for malaria, until an international programme on its control can be developed, the acquisition of protective immunity is of paramount importance. This study shows how the use of 'simple' screening procedures can provide information to direct health education and other disease control measures in school health programmes. As the economic situation in Zambia is not good, the best hope for improvement of the children's health lies with environmental improvement in sanitation, water supplies and provision of basic health education. PMID:1711129

  16. Utilisation of oral health services, oral health needs and oral health status in a peri-urban informal settlement.

    PubMed

    Westaway, M S; Viljoen, E; Rudolph, M J

    1999-04-01

    Interviews were conducted with 294 black residents (155 females and 138 males) of a peri-urban informal settlement in Gauteng to ascertain utilisation of oral health services, oral health needs and oral health status. Only 37 per cent of the sample had consulted a dentist or medical practitioner, usually for extractions. Teenagers and employed persons were significantly less likely to utilise dentists than the older age groups and unemployed persons. Forty per cent were currently experiencing oral health problems such as a sore mouth, tooth decay and bleeding/painful gums. Two hundred and twelve (73 per cent) interviewees wanted dental treatment or advice. Residents who rated their oral health status as fair or poor appeared to have the greatest need for oral health services. The use of interviews appears to be a cost-effective method of determining oral morbidity. PMID:10518916

  17. [Health status hygienic assessment of primary military education establishment pupils].

    PubMed

    Avshits, I V; Shirinskiĭ, V A

    2010-01-01

    During a comprehensive study, the investigators have made a hygienic assessment of an academic process and the actual nutrition of military school pupils, revealed the specific features of functioning of the body's major systems in adolescents at a closed primary military education establishment, studied the body's adaptive reactions to a combination of factors during study, and hygienically evaluated the pupils' health. Their health has been shown to improve at a closed education establishment according to the basic parameters of the body's functional status and nonspecific resistance, physical development. Specific recommendations are proposed to correct daily diets for pupils of primary military education establishments in order to bring the actual nutrition of cadets in compliance with the standard physiological requirements for this group of pupils.

  18. The relationship between memory complaints, activity and perceived health status.

    PubMed

    Lee, P-L

    2014-04-01

    Subjective memory complaints (SMC) is a possible symptom of mild cognitive impairment which may progress to dementia. The present study examines the relationship of physical activity (PA), cognitive activity (CA), social activity (SA), and perceived health status (HS) with SMC for middle age and older adults. Participants were from the MIDUS II study (Midlife in the United States) recruited in 2004-2006 (Mean age = 55.99; N = 3030). Hierarchical multiple regression was performed with SMC as the dependent variable, along with PA, CA, SA, and HS as the independent variables. The study revealed that SMC was strongly related to PA, CA, and HS, while controlling covariates. Further, HS had the strongest link with SMC among these predictors while interaction effects (PA × HS, CA × HS, and SA × HS) were insignificant. In addition, different results were achieved in younger versus older groups. Participants with more CA, PA and perception of better health had lower frequency of memory complaints. PMID:24646046

  19. The health status burden of people with fibromyalgia: a review of studies that assessed health status with the SF-36 or the SF-12

    PubMed Central

    Hoffman, D L; Dukes, E M

    2008-01-01

    Objective The current review describes how the health status profile of people with fibromyalgia (FM) compares to that of people in the general population and patients with other health conditions. Methods A review of 37 studies of FM that measured health status with the 36-item Medical Outcomes Study Short-Form Health Survey (SF-36) or the 12-item Short-Form Health Survey (SF-12). Results Studies performed worldwide showed that FM groups were significantly more impaired than people in the general population on all eight health status domains assessed. These domains include physical functioning, role functioning difficulties caused by physical problems, bodily pain, general health, vitality (energy vs. fatigue), social functioning, role functioning difficulties caused by emotional problems and mental health. FM groups had mental health summary scores that fell 1 standard deviation (SD) below the general population mean, and physical health summary scores that fell 2 SD below the general population mean. FM groups also had a poorer overall health status compared to those with other specific pain conditions. FM groups had similar or significantly lower (poorer) physical and mental health status scores compared to those with rheumatoid arthritis, osteoarthritis, osteoporosis, systemic lupus erythematosus, myofacial pain syndrome, primary Sjögren's syndrome and others. FM groups scored significantly lower than the pain condition groups mentioned above on domains of bodily pain and vitality. Health status impairments in pain and vitality are consistent with core features of FM. Conclusions People with FM had an overall health status burden that was greater in magnitude compared to people with other specific pain conditions that are widely accepted as impairing. Review Criteria Studies in this review were identified through a search of electronic databases (MEDLINE: 1990–2006; EMBASE: 1990–2006). Search terms included: ‘fibromyalgia’, ‘health status’,

  20. Deported Mexican migrants: health status and access to care

    PubMed Central

    Fernández-Niño, Julián Alfredo; Ramírez-Valdés, Carlos Jacobo; Cerecero-Garcia, Diego; Bojorquez-Chapela, Ietza

    2014-01-01

    OBJECTIVE To describe the health status and access to care of forced-return Mexican migrants deported through the Mexico-United States border and to compare it with the situation of voluntary-return migrants. METHODS Secondary data analysis from the Survey on Migration in Mexico’s Northern Border from 2012. This is a continuous survey, designed to describe migration flows between Mexico and the United States, with a mobile-population sampling design. We analyzed indicators of health and access to care among deported migrants, and compare them with voluntary-return migrants. Our analysis sample included 2,680 voluntary-return migrants, and 6,862 deportees. We employ an ordinal multiple logistic regression model, to compare the adjusted odds of having worst self-reported health between the studied groups. RESULTS As compared to voluntary-return migrants, deportees were less likely to have medical insurance in the United States (OR = 0.05; 95%CI 0.04;0.06). In the regression model a poorer self-perceived health was found to be associated with having been deported (OR = 1.71, 95%CI 1.52;1.92), as well as age (OR = 1.03, 95%CI 1.02;1.03) and years of education (OR = 0.94 95%CI 0.93;0.95). CONCLUSIONS According to our results, deportees had less access to care while in the United States, as compared with voluntary-return migrants. Our results also showed an independent and statistically significant association between deportation and having poorer self-perceived health. To promote the health and access to care of deported Mexican migrants coming back from the United States, new health and social policies are required. PMID:25119943

  1. A Geospatial Assessment of Mountain Pine Beetle Infestations and Their Effect on Forest Health in Okanogan-Wenatchee National Forest

    NASA Astrophysics Data System (ADS)

    Allain, M.; Nguyen, A.; Johnson, E.; Williams, E.; Tsai, S.; Prichard, S.; Freed, T.; Skiles, J. W.

    2010-12-01

    Fire-suppression over the past century has resulted in an accumulation of forest litter and increased tree density. As nutrients are sequestered in forest litter and not recycled by forest fires, soil nutrient concentrations have decreased. The forests of Northern Washington are in poor health as a result of these factors coupled with sequential droughts. The mountain pine beetle (MPB) thrives in such conditions, giving rise to an outbreak in Washington’s Okanogan-Wenatchee National Forest. These outbreaks occur in three successive stages— the green, red, and gray stages. Beetles first infest the tree in the green phase, leading to discoloration of needles in the red phase and eventually death in the gray phase. With the use of geospatial technology, these outbreaks can be better mapped and assessed to evaluate forest health. Field work on seventeen randomly selected sites was conducted using the point-centered quarter method. The stratified random sampling technique ensured that the sampled trees were representative of all classifications present. Additional measurements taken were soil nutrient concentrations (sodium [Na+], nitrate [NO3-], and potassium [K+]), soil pH, and tree temperatures. Satellite imagery was used to define infestation levels and geophysical parameters, such as land cover, vegetation classification, and vegetation stress. ASTER images were used with the Ratio Vegetation Index (RVI) to explore the differences in vegetation, while MODIS images were used to analyze the Disturbance Index (DI). Four other vegetation indices from Landsat TM5 were used to distinguish the green, red and gray phases. Selected imagery from the Hyperion sensor was used to run a minimum distance supervised classification in ENVI, thus testing the ability of Hyperion imagery to detect the green phase. The National Agricultural Imagery Program (NAIP) archive was used to generate accurate maps of beetle-infested regions. This algorithm was used to detect bark beetle

  2. Religiosity dimensions and subjective health status in Greek students.

    PubMed

    Kioulos, K T; Bergiannaki, J D; Glaros, A; Vassiliadou, M; Alexandri, Z; Papadimitriou, G

    2015-01-01

    The quest for existential meaning constitutes a universal phenomenon traditionally manifested in official religions (religiosity) or personal modes of transcendence (spirituality). Religiosity and spirituality have been found to be associated with a variety of mental health and illness parameters. In the last decades there is an increasing number of publications with interesting results on the relationship between religiosity and mental health, both on a theoretical and a clinical level. Recent research suggests the presence of clinically important interactions between religious beliefs and mental health, although the exact nature of the associations remains unclear. The aim of the present study is to investigate subjective health status in relation to specific dimensions of religiosity and spirituality in Greek students; 202 students of the faculty of Theology of the University of Athens were interviewed using the Brief Multidimensional Measurement of Religiousness/Spirituality (BMMRS), which assesses the dimensions of "daily spiritual experiences", "meaning", "values/beliefs", "forgiveness", "private religious practices", "religious/spiritual coping", "religious support", "religious/ spiritual history", "commitment", "organizational religiousness", and "religious preferences". Subjective health status was measured by the General Health Questionnaire (GHQ-28) which examines four areas of health in the following sub-scales: (a) somatic symptoms, (b) anxiety and insomnia, (c) social dysfunction and (d) severe depression. Pearson correlations coefficients and linear regression analyses were used to estimate the associations of GHQ-28 subscales with religiosity dimensions. High scores in each dimension of BMMRS corresponded to a low level of religiosity. The dimension of "daily spiritual experiences" was positively correlated with the subscales of anxiety/ insomnia, social dysfunction and severe depression, while the dimension of "values/beliefs" with social

  3. Religiosity dimensions and subjective health status in Greek students.

    PubMed

    Kioulos, K T; Bergiannaki, J D; Glaros, A; Vassiliadou, M; Alexandri, Z; Papadimitriou, G

    2015-01-01

    The quest for existential meaning constitutes a universal phenomenon traditionally manifested in official religions (religiosity) or personal modes of transcendence (spirituality). Religiosity and spirituality have been found to be associated with a variety of mental health and illness parameters. In the last decades there is an increasing number of publications with interesting results on the relationship between religiosity and mental health, both on a theoretical and a clinical level. Recent research suggests the presence of clinically important interactions between religious beliefs and mental health, although the exact nature of the associations remains unclear. The aim of the present study is to investigate subjective health status in relation to specific dimensions of religiosity and spirituality in Greek students; 202 students of the faculty of Theology of the University of Athens were interviewed using the Brief Multidimensional Measurement of Religiousness/Spirituality (BMMRS), which assesses the dimensions of "daily spiritual experiences", "meaning", "values/beliefs", "forgiveness", "private religious practices", "religious/spiritual coping", "religious support", "religious/ spiritual history", "commitment", "organizational religiousness", and "religious preferences". Subjective health status was measured by the General Health Questionnaire (GHQ-28) which examines four areas of health in the following sub-scales: (a) somatic symptoms, (b) anxiety and insomnia, (c) social dysfunction and (d) severe depression. Pearson correlations coefficients and linear regression analyses were used to estimate the associations of GHQ-28 subscales with religiosity dimensions. High scores in each dimension of BMMRS corresponded to a low level of religiosity. The dimension of "daily spiritual experiences" was positively correlated with the subscales of anxiety/ insomnia, social dysfunction and severe depression, while the dimension of "values/beliefs" with social

  4. Disability incidence and official health status transitions in Russia.

    PubMed

    Becker, Charles M; Merkuryeva, Irina S

    2012-01-01

    This paper examines determinants of being disabled in Russia, along with the probability of moving from one disability status to another, using data from 1994 through 2005 from the Russian Longitudinal Monitoring Survey. Results from multinomial probit regressions indicate that disability risk rises sharply with age, declines with income and self-reported good health, and is lower for women. Neither smoking nor drinking alcohol increases either the risk of being or becoming disabled. Recovery--health status improvement--improves with household size. Misclassification or measurement error is important: a surprisingly large proportion of "incurably" disabled Russians do in fact recover. This study has been funded in part by National Institute of Aging grant #2P30 AG17248-02 through the Population Aging Center at the University of Colorado at Boulder. We are grateful to Aleksandr Andreev for outstanding research assistance. Jeanine Braithwaite, John Komlos, Cem Mete, Mieke Meurs, Daniel Mont, Frank Sloan, and five anonymous referees contributed valuable comments. We acknowledge our appreciation without implicating them in remaining errors and misinterpretations.

  5. The effects of Taiwan's National Health Insurance on access and health status of the elderly.

    PubMed

    Chen, Likwang; Yip, Winnie; Chang, Ming-Cheng; Lin, Hui-Sheng; Lee, Shyh-Dye; Chiu, Ya-Ling; Lin, Yu-Hsuan

    2007-03-01

    The primary objective of this paper is to evaluate the impact of Taiwan's National Health Insurance program (NHI), established in 1995, on improving elderly access to care and health status. Further, we estimate the extent to which NHI reduces gaps in access and health across income groups. Using data from a longitudinal survey, we adopt a difference-in-difference methodology to estimate the causal effect of Taiwan's NHI. Our results show that Taiwan's NHI has significantly increased utilization of both outpatient and inpatient care among the elderly, and such effects were more salient for people in the low- or middle-income groups. Our findings also reveal that although Taiwan's NHI greatly increased the utilization of both outpatient and inpatient services, this increased utilization of health services did not reduce mortality or lead to better self-perceived general health status for Taiwanese elderly. Measures more sensitive than mortality and self-perceived general health may be necessary for discerning the health effects of NHI. Alternatively, the lack of NHI effects on health may reflect other quality and efficiency problems inherent in the system not yet addressed by NHI. PMID:16929478

  6. Measurement of socioeconomic status in health disparities research.

    PubMed Central

    Shavers, Vickie L.

    2007-01-01

    Socioeconomic status (SES) is frequently implicated as a contributor to the disparate health observed among racial/ ethnic minorities, women and elderly populations. Findings from studies that examine the role of SES and health disparities, however, have provided inconsistent results. This is due in part to the: 1) lack of precision and reliability of measures; 2) difficulty with the collection of individual SES data; 3) the dynamic nature of SES over a lifetime; 4) the classification of women, children, retired and unemployed persons; 5) lack of or poor correlation between individual SES measures; and 6) and inaccurate or misleading interpretation of study results. Choosing the best variable or approach for measuring SES is dependent in part on its relevance to the population and outcomes under study. Many of the commonly used compositional and contextual SES measures are limited in terms of their usefulness for examining the effect of SES on outcomes in analyses of data that include population subgroups known to experience health disparities. This article describes SES measures, strengths and limitations of specific approaches and methodological issues related to the analysis and interpretation of studies that examine SES and health disparities. PMID:17913111

  7. Veterinary public health in India: current status and future needs.

    PubMed

    Ghatak, S; Singh, B B

    2015-12-01

    Veterinary public health (VPH) assumes huge significance in developing countries such as India. However, the implementation of VPH services throughout the country is still in its infancy. From 1970 onwards, many institutes, national and international organisations, professional societies, policies and personalities have contributed towards the development of VPH in India. Nevertheless, there is an urgent need to develop VPH still further as there are many issues, such as high population density, the re-emergence of zoonotic pathogens, environmental pollution and antimicrobial resistance, that require attention. The time has surely come to involve all stakeholders, ranging from primary producers (e.g., farmers) to policy-makers, so as to garner support for the holistic implementation of VPH services in India. To improve VPH activities and services, science-based policies enforced through stringent regulation are required to improve human, animal and environmental health. The emergence of the 'One Health' concept has ushered in new hopes for the resurrection of VPH in India. Applying tools such as the World Organisation for Animal Health (OlE) Day One Competencies and the OlE Tool for the Evaluation of Performance of Veterinary Services (PVS Tool) is essential to improve the quality of national Veterinary Services and to identify gaps and weaknesses in service provision, which can be remedied to comply with the OlE international standards. VPH initiatives started modestly but they continue to grow. The present review is focused on the current status and future needs of VPH in India.

  8. Veterinary public health in India: current status and future needs.

    PubMed

    Ghatak, S; Singh, B B

    2015-12-01

    Veterinary public health (VPH) assumes huge significance in developing countries such as India. However, the implementation of VPH services throughout the country is still in its infancy. From 1970 onwards, many institutes, national and international organisations, professional societies, policies and personalities have contributed towards the development of VPH in India. Nevertheless, there is an urgent need to develop VPH still further as there are many issues, such as high population density, the re-emergence of zoonotic pathogens, environmental pollution and antimicrobial resistance, that require attention. The time has surely come to involve all stakeholders, ranging from primary producers (e.g., farmers) to policy-makers, so as to garner support for the holistic implementation of VPH services in India. To improve VPH activities and services, science-based policies enforced through stringent regulation are required to improve human, animal and environmental health. The emergence of the 'One Health' concept has ushered in new hopes for the resurrection of VPH in India. Applying tools such as the World Organisation for Animal Health (OlE) Day One Competencies and the OlE Tool for the Evaluation of Performance of Veterinary Services (PVS Tool) is essential to improve the quality of national Veterinary Services and to identify gaps and weaknesses in service provision, which can be remedied to comply with the OlE international standards. VPH initiatives started modestly but they continue to grow. The present review is focused on the current status and future needs of VPH in India. PMID:27044147

  9. Adapting forest health assessments to changing perspectives on threats--a case example from Sweden.

    PubMed

    Wulff, Sören; Lindelöw, Åke; Lundin, Lars; Hansson, Per; Axelsson, Anna-Lena; Barklund, Pia; Wijk, Sture; Ståhl, Göran

    2012-04-01

    A revised Swedish forest health assessment system is presented. The assessment system is composed of several interacting components which target information needs for strategic and operational decision making and accommodate a continuously expanding knowledge base. The main motivation for separating information for strategic and operational decision making is that major damage outbreaks are often scattered throughout the landscape. Generally, large-scale inventories (such as national forest inventories) cannot provide adequate information for mitigation measures. In addition to broad monitoring programs that provide time-series information on known damaging agents and their effects, there is also a need for local and regional inventories adapted to specific damage events. While information for decision making is the major focus of the health assessment system, the system also contributes to expanding the knowledge base of forest conditions. For example, the integrated monitoring programs provide a better understanding of ecological processes linked to forest health. The new health assessment system should be able to respond to the need for quick and reliable information and thus will be an important part of the future monitoring of Swedish forests.

  10. Examining the Impact of Maternal Health, Race, and Socioeconomic Status on Daughter's Self-Rated Health Over Three Decades.

    PubMed

    Shippee, Tetyana P; Rowan, Kathleen; Sivagnanam, Kamesh; Oakes, J Michael

    2015-09-01

    This study examines the role of mother's health and socioeconomic status on daughter's self-rated health using data spanning three decades from the National Longitudinal Surveys of Mature Women and Young Women (N = 1,848 matched mother-daughter pairs; 1,201 White and 647 African American). Using nested growth curve models, we investigated whether mother's self-rated health affected the daughter's self-rated health and whether socioeconomic status mediated this relationship. Mother's health significantly influenced daughters' self-rated health, but the findings were mediated by mother's socioeconomic status. African American daughters reported lower self-rated health and experienced more decline over time compared with White daughters, accounting for mother's and daughter's covariates. Our findings reveal maternal health and resources as a significant predictor of daughters' self-rated health and confirm the role of socioeconomic status and racial disparities over time.

  11. Examining the Impact of Maternal Health, Race, and Socioeconomic Status on Daughter's Self-Rated Health Over Three Decades.

    PubMed

    Shippee, Tetyana P; Rowan, Kathleen; Sivagnanam, Kamesh; Oakes, J Michael

    2015-09-01

    This study examines the role of mother's health and socioeconomic status on daughter's self-rated health using data spanning three decades from the National Longitudinal Surveys of Mature Women and Young Women (N = 1,848 matched mother-daughter pairs; 1,201 White and 647 African American). Using nested growth curve models, we investigated whether mother's self-rated health affected the daughter's self-rated health and whether socioeconomic status mediated this relationship. Mother's health significantly influenced daughters' self-rated health, but the findings were mediated by mother's socioeconomic status. African American daughters reported lower self-rated health and experienced more decline over time compared with White daughters, accounting for mother's and daughter's covariates. Our findings reveal maternal health and resources as a significant predictor of daughters' self-rated health and confirm the role of socioeconomic status and racial disparities over time. PMID:26668178

  12. The Association Between Self-Rated Mental Health Status and Total Health Care Expenditure

    PubMed Central

    Nguyen, Muoi T.; Chan, Winnie Y.; Keeler, Courtney

    2015-01-01

    Abstract Both clinical diagnoses and self-rated measures of mental illness are associated with a variety of outcomes, including physical well-being, health utilization, and expenditure. However, much of current literature primarily utilizes clinically diagnosed data. This cross-sectional study explores the impact of mental illness and health care expenditure using 2 self-rated measures: self-rated measured of perceived mental health status (SRMH) and Kessler Screening Scale for Psychological Distress (K6). Data from the 2011 Medical Expenditure Panel Survey Household Component, a nationally representative sample of noninstitutionalized individuals (n = 18,295), were analyzed using bivariate χ2 tests and a 2-part model (logistics regression and generalized linear model regression for the first and second stages, respectively). Although predictive of any health expenditure, SRMH alone was not highly predictive of the dollar value of that health expenditure conditional on any spending. By comparison, the K6 measure was significantly and positively associated with the probability of any health expenditure as well as the dollar value of that spending. Taken together, both the K6 and SRMH measures suggest a positive relationship between poor mental health and the probability of any health expenditure and total expenditure conditional on any spending, even when adjusting for other confounding factors such as race/ethnicity, sex, age, educational attainment, insurance status, and some regional characteristics. Our results suggest that psychological distress and SRMH may represent potential pathways linking poor mental health to increased health care expenditure. Further research exploring the nuances of these relationships may aid researchers, practitioners, and policy makers in addressing issues of inflated health care expenditure in populations at risk for poor mental health. PMID:26334899

  13. Cardiovascular Health Status by Occupational Group - 21 States, 2013.

    PubMed

    Shockey, Taylor M; Sussell, Aaron L; Odom, Erika C

    2016-01-01

    Cardiovascular disease (CVD) accounts for one of every three deaths in the United States, making it the leading cause of mortality in the country (1). The American Heart Association established seven ideal cardiovascular health behaviors or modifiable factors to improve CVD outcomes in the United States. These cardiovascular health metrics (CHMs) are 1) not smoking, 2) being physically active, 3) having normal blood pressure, 4) having normal blood glucose, 5) being of normal weight, 6) having normal cholesterol levels, and 7) eating a healthy diet (2). Meeting six or all seven CHMs is associated with a lower risk for all-cause, CVD, and ischemic heart disease mortalities compared with the risk to persons who meet none or only one CHM (3). Fewer than 2% of U.S. adults meet all seven of the American Heart Association's CHMs (4). Cardiovascular morbidity and mortality account for an estimated annual $120 billion in lost productivity in the workplace; thus, workplaces are viable settings for effective health promotion programs (5). With over 130 million employed persons in the United States, accounting for about 55% of all U.S. adults, the working population is an important demographic group to evaluate with regard to cardiovascular health status. To determine if an association between occupation and CHM score exists, CDC analyzed data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS) industry and occupation module, which was implemented in 21 states. Among all occupational groups, community and social services employees (14.6%), transportation and material moving employees (14.3%), and architecture and engineering employees (11.6%) had the highest adjusted prevalence of meeting two or fewer CHMs. Transportation and material moving employees also had the highest prevalence of "not ideal" ("0" [i.e., no CHMs met]) scores for three of the seven CHMs: physical activity (54.1%), blood pressure (31.9%), and weight (body mass index [BMI]; 75.5%). Disparities

  14. Assessing health status and outcomes in a geriatric day hospital.

    PubMed

    Fowler, R W; Congdon, P; Hamilton, S

    2000-11-01

    The study objective was to assess the feasibility and usefulness of recommended outcome measures in older people attending a geriatric day hospital for multidisciplinary assessment and rehabilitation. We used the 'Short Form 36' (SF36) questionnaire which had been proposed as a suitable outcome tool for the elderly, as well as standard assessment scales (eg Barthel index). These were administered by interviewers at the start of day hospital attendance and repeated by postal survey three and six months later. Change in overall health status was rated by the clinical team. The study took place in a geriatric day unit based in a support hospital, specialising in assessment and rehabilitation of older people. Participants were older people referred directly from the community, or following an inpatient day, whose assessment indicated a need for multidisciplinary rehabilitation. Stroke and musculo-skeletal disorders were the commonest underlying conditions. There was a high incidence of non-completion on SF36 questions relating to physical and mental function. Subsequent interviews showed that patients found some questions irrelevant. Floor effects were common. In contrast, the standard scales were invariably fully completed. Compared with local population survey data, respondents had low baseline scores on all SF36 dimensions. Differences over time were probably explained by varying methods of administration. In spite of a clinical perception of improved health status during day hospital attendance, both standard and SF36 scores showed overall deterioration. Two conclusions could be drawn from this study. 1. Measures of physical and mental disability and quality of life gave lower results than expected and continued declining over a six month period, even when the clinical team felt that the patient had improved. 2. Administration of SF36 by an interviewer is essential to obtain meaningful results in older people with poor physical health, which should be interpreted

  15. Mortality rates associated with crown health for eastern forest tree species.

    PubMed

    Morin, Randall S; Randolph, KaDonna C; Steinman, Jim

    2015-03-01

    The condition of tree crowns is an important indicator of tree and forest health. Crown conditions have been evaluated during inventories of the US Forest Service Forest Inventory and Analysis (FIA) program since 1999. In this study, remeasured data from 55,013 trees on 2616 FIA plots in the eastern USA were used to assess the probability of survival among various tree species using the suite of FIA crown condition variables. Logistic regression procedures were employed to develop models for predicting tree survival. Results of the regression analyses indicated that crown dieback was the most important crown condition variable for predicting tree survival for all species combined and for many of the 15 individual species in the study. The logistic models were generally successful in representing recent tree mortality responses to multiyear infestations of beech bark disease and hemlock woolly adelgid. Although our models are only applicable to trees growing in a forest setting, the utility of models that predict impending tree mortality goes beyond forest inventory or traditional forestry growth and yield models and includes any application where managers need to assess tree health or predict tree mortality including urban forest, recreation, wildlife, and pest management.

  16. Disentangling race and socioeconomic status: a key to understanding health inequalities.

    PubMed

    LaVeist, Thomas A

    2005-06-01

    This article addresses one of the most vexing problems facing health disparities researchers, the confounding of race and socioeconomic status. This article does the following: (1) it outlines the magnitude of confounding between race and socioeconomic status; (2) it demonstrates problems caused by this confounding; (3) it examines the degree to which race disparities are a function of socioeconomic status; and (4) it discusses considerations for advancing research on health disparities after accounting for the confounding of race and socioeconomic status.

  17. The image of health status and quality of life in a Caribbean society

    PubMed Central

    Bourne, Paul A.; McGrowder, Donovan A.; Charles, Christopher A.D.; Francis, Cynthia G.

    2010-01-01

    Background: Health is defined as the presence or absence of illness. This conceptualization of health status is dominant in health treatment and in fashioning the health care system. However, very little research has been done on how Jamaicans view health status and quality of life (QoL). Aims: This article seeks to understand how Jamaicans conceptualize health status and QoL because definitional content has implications for their health. Material and Methods: The current study utilized two national cross-sectional probability surveys from the Centre for Leadership and Governance (CLG) which looked at QoL among other variables and the Jamaican Survey of Living Conditions (JSLC) which measured living standards including health status. The sample in both surveys was 8,120 participants. Results: The majority of the respondents in the CLG (54%) and the JSLC (82.2%) surveys reported good health status. There was a strong statistical relationship between area of residence and health status (P < 0.0001) unlike the relationship between area of residence and quality of life (P < 0.137). The respondents dichotomized health status and QoL and a significant relationship was found between both variables (P < 0.0001). The respondents’ dichotomization of health status and QoL is explained by the significant relationship between health status and self reported illness (P < 0.0001) where respondents view health status as the absence or presence of illness, excluding QoL. Conclusion: Health status means the presence or absence of illness and excludes QoL which is not in keeping with previous findings. This distinction is culturally determined. PMID:22624140

  18. Forest health in the Blue Mountains: Science perspectives. A management strategy for fire-adapted ecosystems. Forest Service general technical report

    SciTech Connect

    Mutch, R.W.; Arno, S.F.; Brown, J.K.; Carlson, C.E.; Ottmar, R.D.

    1993-02-01

    The fire-adapted forests of the Blue Mountains are suffering from a forest health problem of catastrophic proportions. The composition of the forest at lower elevations has shifted from historically open-growth stands of primarily ponderosa pine and western larch to stands with dense understories of Douglas-fir and grand fir. Epidemic levels of insect infestations and large wildfires adversely affect visual quality, wildlife habitat, stream sedimentation, and timber values. A management strategy to restore forest health at lower elevations will require that the seral ponderosa pine and western larch stands be managed for much lower tree densities and a more open coniferous understory. A combination of silvicultural partial cutting and prescribed fire on a large scale will be needed to produce the desired future condition of healthy, open, and park-like forests.

  19. Health Insurance Status May Affect Cancer Patients' Survival

    MedlinePlus

    ... or federal policy. More Health News on: Cancer Health Disparities Health Insurance Recent Health News Related MedlinePlus Health Topics Cancer Health Disparities Health Insurance About MedlinePlus Site Map FAQs Contact ...

  20. Oral Health Status and Behaviour of Mauritians Visiting Private Dental Clinics

    ERIC Educational Resources Information Center

    Gunsam, P. Pugo; Banka, S.

    2011-01-01

    Purpose: This paper seeks to assess the oral health status and behaviour of a sample of the Mauritian population visiting private dental clinics. Design/methodology/approach: Oral health status was determined using the World Health Organization (Decayed, Missing, Filled Teeth (DMFT) index indicating the prevalence of caries, and factors associated…

  1. Oral health status in Navajo Nation Head Start Children

    PubMed Central

    Batliner, Terrence; Wilson, Anne; Tiwari, Tamanna; Glueck, Deborah; Henderson, William G; Thomas, Jacob F; Braun, Patricia A; Cudeii, Diana; Quissell, David O; Albino, Judith

    2014-01-01

    Objective This study assessed oral health status for preschool aged children in Navajo Nation to obtain baseline decayed, missing, and filled tooth surfaces (dmfs) data and dental caries patterns, describe socio-demographic correlates of children’s baseline dmfs measures, and compare the children’s dmfs measures to previous dental survey data for Navajo Nation from Indian Health Service and the National Health and Nutrition Examination Survey (NHANES). Methods The analyzed study sample included 981 child/caregiver dyads residing in Navajo Nation who completed baseline dmfs assessments for an ongoing randomized clinical trial involving Navajo Nation Head Start Centers. Calibrated dental hygienists collected baseline dmfs data from child participants ages 3–5 years (488 males and 493 females), and caregivers completed a Basic Research Factors Questionnaire (BRFQ). Results Mean dmfs for the study population was 21.33 (SD =19.99) and not appreciably different from the 1999 Indian Health Service survey of Navajo Nation preschool aged children (mean=19.02, SD=16.59, p=0.08). However, 69.5 percent of children in the current study had untreated decay compared to 82.9 percent in the 1999 Indian Health Service survey (p<0.0001). Study results were considerably higher than the 16.0 percent reported for 2–4 year old children in the Whites Only group from the 1999–2004 NHANES data. Age had the strongest association with dmfs, followed by child gender, and caregivers’ income and education. Conclusion Dental caries in preschool aged Navajo children is extremely high compared to other US population segments and dmfs has not appreciably changed for more than a decade. PMID:24954053

  2. Mental health status, aggression, and poor driving distinguish traffic offenders from non-offenders but health status predicts driving behavior in both groups

    PubMed Central

    Abdoli, Nasrin; Farnia, Vahid; Delavar, Ali; Dortaj, Fariborz; Esmaeili, Alireza; Farrokhi, Noorali; Karami, Majid; Shakeri, Jalal; Holsboer-Trachsler, Edith; Brand, Serge

    2015-01-01

    Background In Iran, traffic accidents and deaths from traffic accidents are among the highest in the world, and generally, driver behavior rather than technical failures or environmental conditions are responsible for traffic accidents. In a previous study, we showed that among young Iranian male traffic offenders, poor mental health status, along with aggression, predicted poor driving behavior. The aims of the present study were twofold, to determine whether this pattern could be replicated among non-traffic offenders, and to compare the mental health status, aggression, and driving behavior of male traffic offenders and non-offenders. Methods A total of 850 male drivers (mean age =34.25 years, standard deviation =10.44) from Kermanshah (Iran) took part in the study. Of these, 443 were offenders (52.1%) and 407 (47.9%) were non-offenders with lowest driving penalty scores applying for attaining an international driving license. Participants completed a questionnaire booklet covering socio-demographic variables, traits of aggression, health status, and driving behavior. Results Compared to non-offenders, offenders reported higher aggression, poorer mental health status, and worse driving behavior. Among non-offenders, multiple regression indicated that poor health status, but not aggression, independently predicted poor driving behavior. Conclusion Compared to non-offenders, offenders reported higher aggression, poorer health status and driving behavior. Further, the predictive power of poorer mental health status, but not aggression, for driving behavior was replicated for male non-offenders. PMID:26300646

  3. Infants of Mexican immigrants. Health status of an emerging population.

    PubMed

    Guendelman, S; English, P; Chavez, G

    1995-01-01

    Previous studies suggest that infants of Mexican immigrants have favorable birth outcomes despite their high socioeconomic risks. These favorable outcomes have been associated with a protective sociocultural orientation among immigrants. A sample of 708 infants of Mexican origin was assessed to determine whether such health advantages at birth are sustained at 8 to 16 months of age, or alternatively, whether their health deteriorates because of adverse socioeconomic conditions. A a cross-sectional survey was conducted in San Diego County to determine whether the child was healthy or ill (the latter indicating a history of serious infectious disease) and the factors associated with this outcome. Among infants born without serious medical problems, 74% remained healthy. For 26% of the infants, their health status was eroded by social conditions. Factors associated with illness were large households, barriers to care, and maternal characteristics including smoking, pregnancy complications, and employment. Women born in Mexico who were newcomers to the United States and spoke Spanish exclusively were more likely than non-newcomers to have ill children. In this population, one fourth of Latino infants of immigrants were at high risk for serious infectious disease despite using preventive care.

  4. Health Status and Health Determinants of Older Immigrant Women in Canada: A Scoping Review

    PubMed Central

    Guruge, Sepali; Birpreet, Birpreet; Samuels-Dennis, Joan A.

    2015-01-01

    Increasing international migration in the context of aging populations makes a comprehensive understanding of older immigrant women's health status and determinants of their health particularly urgent. Using Arksey and O'Malley's framework, we conducted a scoping review to examine the available literature on the health of older immigrant women in Canada. We searched CINAHL, PsycINFO, Embase, Medline, and Cochrane databases for the period of 1990 to 2014 for Canadian-based, peer-reviewed studies on the topic. A total of 20 articles met the inclusion criteria. These articles were divided into six areas of focus: physical health; mental health; abuse; health promotion and chronic disease prevention; barriers to healthcare access and utilization; and health beliefs, behaviours, and practices. Our results show that the health of older immigrant women is affected by the interplay of various social determinants of health including the physical and social environment; economic conditions; cultural beliefs; gendered norms; and the healthcare delivery system. Our results also revealed that older immigrant women tend to have more health problems, underutilize preventive services, such as cancer screening, and experience more difficulties in accessing healthcare services. PMID:26273480

  5. Adjusting for Health Status in Non-Linear Models of Health Care Disparities

    PubMed Central

    Cook, Benjamin L.; McGuire, Thomas G.; Meara, Ellen; Zaslavsky, Alan M.

    2009-01-01

    This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented (propensity score, rank and replace, and a combined method) that adjust for health status while allowing SES variables to mediate the relationship between race and access to care. Applying these methods to a nationally representative sample of blacks and non-Hispanic whites surveyed in the 2003 and 2004 Medical Expenditure Panel Surveys (MEPS), we assessed the concordance of each of these methods with the Institute of Medicine (IOM) definition of racial disparities, and empirically compared the methods' predicted disparity estimates, the variance of the estimates, and the sensitivity of the estimates to limitations of available data. The rank and replace and combined methods (but not the propensity score method) are concordant with the IOM definition of racial disparities in that each creates a comparison group with the appropriate marginal distributions of health status and SES variables. Predicted disparities and prediction variances were similar for the rank and replace and combined methods, but the rank and replace method was sensitive to limitations on SES information. For all methods, limiting health status information significantly reduced estimates of disparities compared to a more comprehensive dataset. We conclude that the two IOM-concordant methods were similar enough that either could be considered in disparity predictions. In datasets with limited SES information, the combined method is the better choice. PMID:20352070

  6. Adjusting for Health Status in Non-Linear Models of Health Care Disparities.

    PubMed

    Cook, Benjamin L; McGuire, Thomas G; Meara, Ellen; Zaslavsky, Alan M

    2009-03-01

    This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented (propensity score, rank and replace, and a combined method) that adjust for health status while allowing SES variables to mediate the relationship between race and access to care. Applying these methods to a nationally representative sample of blacks and non-Hispanic whites surveyed in the 2003 and 2004 Medical Expenditure Panel Surveys (MEPS), we assessed the concordance of each of these methods with the Institute of Medicine (IOM) definition of racial disparities, and empirically compared the methods' predicted disparity estimates, the variance of the estimates, and the sensitivity of the estimates to limitations of available data. The rank and replace and combined methods (but not the propensity score method) are concordant with the IOM definition of racial disparities in that each creates a comparison group with the appropriate marginal distributions of health status and SES variables. Predicted disparities and prediction variances were similar for the rank and replace and combined methods, but the rank and replace method was sensitive to limitations on SES information. For all methods, limiting health status information significantly reduced estimates of disparities compared to a more comprehensive dataset. We conclude that the two IOM-concordant methods were similar enough that either could be considered in disparity predictions. In datasets with limited SES information, the combined method is the better choice.

  7. Quantifying the effect of health status on health care utilization using a preference-based health measure.

    PubMed

    Lima, Viviane Dias; Kopec, Jacek A

    2005-02-01

    The purpose of this study was to quantify the effect of health status on current and future payments and number of visits to health professionals in a large, representative community sample in British Columbia, Canada. The study population was comprised of all respondents to the 1994/5 cycle of the Canadian National Population Health Survey (NPHS) who were 12 years of age or older and residing in the province of British Columbia (N = 2084). Health status was measured with the Health Utilities Index (HUI). Two outcomes were defined for each subject: (a) the sum of all healthcare costs covered by the Medical Services Plan, incurred during a given fiscal year, and (b) the total number of visits to all health practitioners during the same year. Outcome data were obtained for a period 1994-1998. We examined the relationship between the HUI and healthcare use in a multivariate log-linear model. In the full sample, better health in 1994-1995 was associated with lower healthcare cost and lower number of visits from 1994 through 1998. The overall adjusted cost ratio was 0.89 (99% CI = 0.85, 0.94) and the overall adjusted visit ratio was 0.91 (99% CI + 0.87, 0.95). The effect of health status on the costs of care and on the number of visits was similar in men and women, was stronger in persons less than 45 years of age compared to those 45+, and was not different according to place of residence. We conclude that the HUI is a strong predictor of health services use over 5 years. A 0.1 improvement in health utility is associated with a 10% reduction in the costs of care and number of visits to health professionals. PMID:15550300

  8. Status of the world's remaining closed forests: An assessment using satellite data and policy options

    USGS Publications Warehouse

    Singh, A.; Shi, H.; Foresman, T.; Fosnight, E.A.

    2001-01-01

    Historically, it appears that some of the WRCF have survived because i) they lack sufficient quantity of commercially valuable species; ii) they are located in remote or inaccessible areas; or iii) they have been protected as national parks and sanctuaries. Forests will be protected when people who are deciding the fate of forests conclude than the conservation of forests is more beneficial, e.g. generates higher incomes or has cultural or social values, than their clearance. If this is not the case, forests will continue to be cleared and converted. In the future, the WRCF may be protected only by focused attention. The future policy options may include strategies for strong protection measures, the raising of public awareness about the value of forests, and concerted actions for reducing pressure on forest lands by providing alternatives to forest exploitation to meet the growing demands of forest products. Many areas with low population densities offer an opportunity for conservation if appropriate steps are taken now by the national governments and international community. This opportunity must be founded upon the increased public and government awareness that forests have vast importance to the welfare of humans and ecosystems' services such as biodiversity, watershed protection, and carbon balance. Also paramount to this opportunity is the increased scientific understanding of forest dynamics and technical capability to install global observation and assessment systems. High-resolution satellite data such as Landsat 7 and other technologically advanced satellite programs will provide unprecedented monitoring options for governing authorities. Technological innovation can contribute to the way forests are protected. The use of satellite imagery for regular monitoring and Internet for information dissemination provide effective tools for raising worldwide awareness about the significance of forests and intrinsic value of nature.

  9. Oral Health Status of Children with Disability Living in Albania

    PubMed Central

    Gaçe, Eno; Kelmendi, Manola; Fusha, Enika

    2014-01-01

    Introduction: This study was carried out at nine (9) special schools for disabled children in Albania. The aim of the study is to determine the caries prevalence and oral hygiene status of children with different disabilities attending different schools for disabled at Albania. Methods: Participants are grouped according disability Autistic Spectrum Disorder, Down syndrome, Cerebral Palsy, Mental Retarded, Blind, Deaf-Mute and age group (0-5, 6-10, 11-14, 15-18 years old children). Caries and oral health status were examined and assessed according WHO 1997 criteria. Results: Overall caries prevalence at permanent dentition for all groups is 85.3% and for primary dentition 72%. The mean deft index is 3.4 ± 3.5(p≤0.029), mean DMFT= 4.9±4.6 (p≤0.001) with significance difference across type of disability (Kruskal-Wallis test) for both dentition. The mean OHI-S of total population is 1.91; there is significant difference across disability type (p≤0.001, Anova test) for OHI-S index. In total 43.2 % have good, 49.4% fair and 7.4% bad oral hygiene. Conclusions: The subjects in this study had a high prevalence of dental caries, poor oral hygiene and need for restorative care. PMID:25685085

  10. Gender-related differences in lifestyle may affect health status.

    PubMed

    Varì, Rosaria; Scazzocchio, Beatrice; D'Amore, Antonio; Giovannini, Claudio; Gessani, Sandra; Masella, Roberta

    2016-01-01

    Consistent epidemiological and clinical evidence strongly indicates that chronic non-communicable diseases are largely associated with four lifestyle risk factors: inadequate diet, physical inactivity, tobacco use, and excessive alcohol use. Notably, obesity, a worldwide-growing pathological condition determined by the combination between inadequate diet and insufficient physical activity, is now considered a main risk factor for most chronic diseases. Dietary habits and physical activity are strongly influenced by gender attitudes and behaviors that promote different patterns of healthy or unhealthy lifestyles among women and men. Furthermore, different roles and unequal relations between genders strongly interact with differences in social and economic aspects as well as cultural and societal environment. Because of the complex network of factors involved in determining the risk for chronic diseases, it has been promoting a systemic approach that, by integrating sex and gender analysis, explores how sex-specific biological factors and gender-related social factors can interact to influence the health status. PMID:27364389

  11. Gender-related differences in lifestyle may affect health status.

    PubMed

    Varì, Rosaria; Scazzocchio, Beatrice; D'Amore, Antonio; Giovannini, Claudio; Gessani, Sandra; Masella, Roberta

    2016-01-01

    Consistent epidemiological and clinical evidence strongly indicates that chronic non-communicable diseases are largely associated with four lifestyle risk factors: inadequate diet, physical inactivity, tobacco use, and excessive alcohol use. Notably, obesity, a worldwide-growing pathological condition determined by the combination between inadequate diet and insufficient physical activity, is now considered a main risk factor for most chronic diseases. Dietary habits and physical activity are strongly influenced by gender attitudes and behaviors that promote different patterns of healthy or unhealthy lifestyles among women and men. Furthermore, different roles and unequal relations between genders strongly interact with differences in social and economic aspects as well as cultural and societal environment. Because of the complex network of factors involved in determining the risk for chronic diseases, it has been promoting a systemic approach that, by integrating sex and gender analysis, explores how sex-specific biological factors and gender-related social factors can interact to influence the health status.

  12. [Health status of female soldiers serving in the Northern Fleet].

    PubMed

    Myznikov, I L; Askerko, N V; Ustimenko, L I; Miloshevich, Iu R; Volkova, L V; Sadchenko, S N; Matochkina, A A

    2013-09-01

    Authors analyzed the health status and morbidity among female soldiers serving under the contract in the Northern Fleet, age peculiarities, results of medical in-patient examination and expert assessment, put in medical records in accordance with prophylactic medical examination service and medical examination. Annual data about military troops, morbidity and medical examination among female soldiers in the period 2002-2010 (n-14,5 thousand of people) are included into analysis. 502 medical records of female soldiers approved by military physician board were analyzed. Authors presented statistic data about primary diseases and chronic pathology and considered causes of changing of the category of fitness for military service and its gender peculiarities. Authors suggest changing the recruiting concept for female soldiers and the system of medical in-patient examination.

  13. Employment status and income as potential mediators of educational inequalities in population mental health

    PubMed Central

    Niedzwiedz, Claire L.; Popham, Frank

    2016-01-01

    We assessed whether educational inequalities in mental health may be mediated by employment status and household income. Poor mental health was assessed using General Health Questionnaire ‘caseness’ in working age adult participants (N = 48 654) of the Health Survey for England (2001–10). Relative indices of inequality by education level were calculated. Substantial inequalities were apparent, with adjustment for employment status and household income markedly reducing their magnitude. Educational inequalities in mental health were attenuated by employment status. Policy responses to economic recession (such as active labour market interventions) might reduce mental health inequalities but longitudinal research is needed to exclude reverse causation. PMID:27593454

  14. Health status in long-term survivors of pediatric craniopharyngiomas.

    PubMed

    Crom, Deborah B; Smith, Daniel; Xiong, Zang; Onar, Arzu; Hudson, Melissa M; Merchant, Thomas E; Morris, E Brannon

    2010-12-01

    Craniopharyngiomas are the third most common pediatric brain tumor and most common pediatric suprasellar tumor. Contemporary treatment of craniopharyngiomas uses limited surgery and radiation in an effort to minimize morbidity, but the long-term health status of patients treated in this fashion has not been well described. The purpose of this study was to analyze the health status of long-term survivors of pediatric craniopharyngioma treated primarily with radiation and conservative surgical resection. Medical records of all long-term survivors of craniopharyngioma treated at St. Jude Children's Research Hospital and then transferred to the long-term follow-up clinic were reviewed. The initial cohort comprised 55 patients. Of these, 51 (93%) were alive at the time of this analysis. The median age at diagnosis was 7.1 years (range, 1.2-17.6 years), and 29 (57%) were male. At the time of analysis, the median survival was 7.6 years (range, 5.0-21.3 years). Diagnosis and treatment included surgical biopsy, resection (n = 50), and radiation therapy (n=48). Only 1 patient received chemotherapy. Polyendocrinopathy was the most common morbidity, with hypothyroidism (96%), adrenocorticotropic hormone deficiency (84%), and diabetes insipidus (53%) occurring most frequently. Half of the patients were hypogonadal, and 33 (65%) were overweight or obese. The most common neurologic problems included shunt dependence (37%), seizures (28%), and headaches (39%). Psychological and educational deficits were also identified in a significant number of these individuals. Despite efforts to reduce morbidity in these patients, many survivors remain burdened with significant medical complications. In a small percentage of patients, complications may result in death even during extended remission of craniopharyngioma. Because of the broad spectrum or morbidities experienced, survivors of craniopharyngioma continue to benefit from multidisciplinary care. PMID:21207770

  15. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers

    PubMed Central

    Papathanasiou, Ioanna V.

    2015-01-01

    Introduction: Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. Aim: The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. Material and Methods: The sample in this study consisted of 240 health care employees. The Greek version of Maslach’s Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers’ mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. Results: The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated

  16. Mental health status of infertile couples based on treatment outcome

    PubMed Central

    Baghianimoghadam, Mohammad Hosein; Aminian, Amir Hossein; Baghianimoghadam, Behnam; Ghasemi, Nasrin; Abdoli, Ali Mohammad; Seighal Ardakani, Najmeh; Fallahzadeh, Hosein

    2013-01-01

    Background: Infertility is accompanied by numerous psychological and social problems. Infertile couples are more anxious and emotionally distressed than other fertile people. Previous studies suggested that infertility is more stressful for women than men. Objective: The purpose of this study was to determine the status of general health of infertile couples. Materials and Methods: This cross-sectional study evaluated general health of 150 infertile couples attending to Yazd Research and Clinical Center for Infertility that were selected consequently. The data were gathered by the researchers, based on face to face interview before and after three months of treatment by two questionnaires. The first questionnaire had questions on demographic information and the second one was the General Health Questionnaire-28 (GHQ-28). This questionnaire has four sub- scales areas. All data were transferred directly to SPSS 15 and analyzed. Results: The mean age of women was 28.3 and men were 32.4 years. The scores for all sub- scales of GHQ in women were more than men. There was significant difference between age and general health at physical symptoms scales (p=0.002), anxiety and sleep disorders (p=0.003). The age group 25-29 years had higher scores (more than 7) than other age groups. There was significant difference between the scale of social dysfunction and results of treatment. Conclusion: Our results, similar to the previous studies have revealed negetive social and mental effects of infertility on women is more than men, so there is need that they be educated specially. PMID:24639785

  17. Periodontal health status and treatment needs among the elderly.

    PubMed

    Ajwani, S; Tervonen, T; Närhi, T O; Ainamo, A

    2001-01-01

    The numbers of dentate elderly are growing rapidly in all industrialized countries, and epidemiological information about their oral health is urgently needed. Our study is part of the population-based Helsinki Ageing Study (HAS), and this paper describes the periodontal health status as well as the need for periodontal treatment among the dentate elderly born in 1904, 1909, and 1914 and living in January, 1989, in Helsinki, Finland (n = 175). The dental examinations were carried out during 1990 and 1991 at the Institute of Dentistry, University of Helsinki, Finland. The subjects' periodontal health was recorded by the CPITN (Community Periodontal Index of Treatment Needs) method. The mean number of remaining teeth was 15.1 among men and 14.0 among women, with the mean number of remaining sextants 3.7 and 3.5, respectively. Healthy periodontal tissues (CPI = 0) were found in 7% of the subjects. Bleeding on probing (CPI = 1) was recorded in 6%, and calculus and/or overhanging margins of restorations (CPI = 2) in 41% of the subjects, as the worst finding. Altogether, 46% of the subjects had deep periodontal pockets, 35% with at least one 4- to 5-mm pocket (CPI = 3), and 11% with at least one > or = 6-mm pocket (CPI = 4). Overall, 93% of the subjects required oral hygiene instruction, 87% scaling and root planing, and 11% complex periodontal treatment. The periodontal treatment need was significantly higher in men than in women; however, no significant differences were observed among the three age cohorts. The need for complex periodontal treatment was unexpectedly low, probably explained by the fact that there were many missing teeth, especially molars, perhaps lost due to poor periodontal health.

  18. Health Status of Older US Workers and Nonworkers, National Health Interview Survey, 1997–2011

    PubMed Central

    Fleming, Lora E.; Christ, Sharon; Muennig, Peter; Prado, Guillermo; Tannenbaum, Stacey L.; Yang, Xuan; Caban-Martinez, Alberto J.; Lee, David J.

    2015-01-01

    Introduction Many US workers are increasingly delaying retirement from work, which may be leading to an increase in chronic disease at the workplace. We examined the association of older adults’ health status with their employment/occupation and other characteristics. Methods National Health Interview Survey data from 1997 through 2011 were pooled for adults aged 65 or older (n = 83,338; mean age, 74.6 y). Multivariable logistic regression modeling was used to estimate the association of socioeconomic factors and health behaviors with 4 health status measures: 1) self-rated health (fair/poor vs good/very good/excellent); 2) multimorbidity (≤1 vs ≥2 chronic conditions); 3) multiple functional limitations (≤1 vs ≥2); and 4) Health and Activities Limitation Index (HALex) (below vs above 20th percentile). Analyses were stratified by sex and age (young–old vs old–old) where interactions with occupation were significant. Results Employed older adults had better health outcomes than unemployed older adults. Physically demanding occupations had the lowest risk of poor health outcomes, suggesting a stronger healthy worker effect: service workers were at lowest risk of multiple functional limitations (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.71–0.95); and blue-collar workers were at lowest risk of multimorbidity (OR, 0.84; 95% CI, 0.74–0.97) and multiple functional limitation (OR, 0.84; 95% CI, 0.72–0.98). Hispanics were more likely than non-Hispanic whites to report fair/poor health (OR, 1.62; 95% CI, 1.52–1.73) and lowest HALex quintile (OR, 1.21; 95% CI, 1.13–1.30); however, they were less likely to report multimorbidity (OR, 0.78; 95% CI, 0.73–0.83) or multiple functional limitations (OR, 0.82; 95% CI, 0.77–0.88). Conclusion A strong association exists between employment and health status in older adults beyond what can be explained by socioeconomic factors (eg, education, income) or health behaviors (eg, smoking). Disability

  19. Tree and forest effects on air quality and human health in the United States.

    PubMed

    Nowak, David J; Hirabayashi, Satoshi; Bodine, Allison; Greenfield, Eric

    2014-10-01

    Trees remove air pollution by the interception of particulate matter on plant surfaces and the absorption of gaseous pollutants through the leaf stomata. However, the magnitude and value of the effects of trees and forests on air quality and human health across the United States remains unknown. Computer simulations with local environmental data reveal that trees and forests in the conterminous United States removed 17.4 million tonnes (t) of air pollution in 2010 (range: 9.0-23.2 million t), with human health effects valued at 6.8 billion U.S. dollars (range: $1.5-13.0 billion). This pollution removal equated to an average air quality improvement of less than one percent. Most of the pollution removal occurred in rural areas, while most of the health impacts and values were within urban areas. Health impacts included the avoidance of more than 850 incidences of human mortality and 670,000 incidences of acute respiratory symptoms.

  20. Household portfolio choices, health status and health care systems: A cross-country analysis based on SHARE

    PubMed Central

    Atella, Vincenzo; Brunetti, Marianna; Maestas, Nicole

    2013-01-01

    Health risk is increasingly viewed as an important form of background risk that affects household portfolio decisions. However, its role might be mediated by the presence of a protective full-coverage national health service that could reduce households’ probability of incurring current and future out-of-pocket medical expenditures. We use SHARE data to study the influence of current health status and future health risk on the decision to hold risky assets, across ten European countries with different health systems, each offering a different degree of protection against out-of-pocket medical expenditures. We find robust empirical evidence that perceived health status matters more than objective health status and, consistent with the theory of background risk, health risk affects portfolio choices only in countries with less protective health care systems. Furthermore, portfolio decisions consistent with background risk models are observed only with respect to middle-aged and highly-educated investors. PMID:23885134

  1. Household portfolio choices, health status and health care systems: A cross-country analysis based on SHARE.

    PubMed

    Atella, Vincenzo; Brunetti, Marianna; Maestas, Nicole

    2012-05-01

    Health risk is increasingly viewed as an important form of background risk that affects household portfolio decisions. However, its role might be mediated by the presence of a protective full-coverage national health service that could reduce households' probability of incurring current and future out-of-pocket medical expenditures. We use SHARE data to study the influence of current health status and future health risk on the decision to hold risky assets, across ten European countries with different health systems, each offering a different degree of protection against out-of-pocket medical expenditures. We find robust empirical evidence that perceived health status matters more than objective health status and, consistent with the theory of background risk, health risk affects portfolio choices only in countries with less protective health care systems. Furthermore, portfolio decisions consistent with background risk models are observed only with respect to middle-aged and highly-educated investors.

  2. Health status differentials in the People's Republic of China.

    PubMed Central

    Lawson, J S; Lin, V

    1994-01-01

    OBJECTIVES. This study sought to demonstrate that health status varies markedly in different parts of China. METHODS. The main source of data was statistics compiled by the Chinese Ministry for Public Health for 1978 to 1990 regarding causes of death. However, because mortality statistics in China are based on localities that have the capacity to provide data, they are not entirely representative. The international classification of disease categories was also used, together with anatomically based disease descriptions. Rates were calculated using the 1982 and 1990 population censuses. RESULTS. Death rates differ markedly between urban and rural areas. Deaths due to infectious diseases, respiratory diseases, pregnancy and childbirth, and injuries and poisoning are much higher in rural areas; those due to pertussis, dysentery, typhoid, hepatitis, rabies, and anthrax are much more common in the apparently poorer provinces. Schistosomiasis remains a major problem in some provinces. Goiter and cretinism are still major diseases in many parts of China, especially those areas with iodine deficiency. CONCLUSIONS. Cause-of-death patterns in Chinese cities are similar to those of industrially developed countries such as Australia, Japan, and the United States. Such patterns in the poorer rural areas are much more typical of those of developing countries. PMID:8179041

  3. Health status of the Italian people: gender inequalities. Commentary.

    PubMed

    Sabetta, Tiziana; Ricciardi, Walter

    2016-01-01

    Differences between male and female affect diseases onset, evolution and prognosis. In terms of survival, women have a higher life expectancy at birth than men, with strong differences at regional level (the highest values in Trento AP and the lowest in Campania). Smoking, alcohol consumption, overweight and obesity and physical activities indicators are analyzed among men and woman. A reduction in smokers and number of smoked cigarettes is observed, especially among men. Men also show a higher number of ex-smokers than woman. Also for alcohol consumption, the prevalence of consumers at risk is higher among men than women. Overweight and obesity are more prevalent among men than women, the same as physical activity played continuously and occasionally. Gender differences are also shown in hospitalization rate and mortality rate for ischemic heart disease, affecting men twice more than women. The analysis shows a good health status condition of Italian people, but it is important to be aware that gender is one of essential characteristics in health care field, independently of people age. PMID:27364387

  4. Self-Reported Health Status in Primary Health Care: The Influence of Immigration and Other Associated Factors

    PubMed Central

    Salinero-Fort, Miguel Á.; Jiménez-García, Rodrigo; del Otero-Sanz, Laura; de Burgos-Lunar, Carmen; Chico-Moraleja, Rosa M.; Martín-Madrazo, Carmen; Gómez-Campelo, Paloma

    2012-01-01

    Objective The aims of this study are to compare self-reported health status between Spanish-born and Latin American-born Spanish residents, adjusted by length of residence in the host country; and additionally, to analyse sociodemographic and psychosocial variables associated with a better health status. Design This is a cross-sectional population based study of Latin American-born (n = 691) and Spanish-born (n = 903) in 15 urban primary health care centres in Madrid (Spain), carried out between 2007 and 2009. The participants provided information, through an interview, about self-reported health status, socioeconomic characteristics, psychosocial factors and migration conditions. Descriptive and multiple logistic regression analyses were conducted. Results The Spanish-born participants reported a better health status than the Latin America-born participants (79.8% versus 69.3%, p<0.001). Different patterns of self-reported health status were observed depending on the length of residence in the host country. The proportion of immigrants with a better health status is greater in those who have been in Spain for less than five years compared to those who have stayed longer. Better health status is significantly associated with being men, under 34 years old, being Spanish-born, having a monthly incomes of over 1000 euros, and having considerable social support and low stress. Conclusions Better self-reported health status is associated with being Spanish-born, men, under 34 years old, having an uppermiddle-socioeconomic status, adequate social support, and low stress. Additionally, length of residence in the host country is seen as a related factor in the self-reported health status of immigrants. PMID:22675564

  5. Determinants of health and nutritional status of rural Nigerian women.

    PubMed

    Ene-Obong, H N; Enugu, G I; Uwaegbute, A C

    2001-12-01

    This study was undertaken to determine the effects of socioeconomic and cultural factors on the health and nutritional status of 300 women of childbearing age in two rural farming communities in Enugu State, Nigeria. The women were engaged in farming, trading, and teaching. A cross-sectional survey was conducted using both qualitative and quantitative data-collection methods. The study involved focus-group discussions (FGDs), interviews using a questionnaire, measurement of food/nutrient intake, assessment of activity patterns, anthropometry, and observations of clinical signs of malnutrition. The better-educated women had higher incomes than those with little or no education. Poor education was mainly attributed to lack of monetary support by parents (34%), marriage while in school (27%), and sex discrimination (21%). The teachers had significantly (p < 0.05) better health status, health and nutrition knowledge, food habits, nutrient intake, and self-concept, and adhered less to detrimental cultural practices. However, none of the women met their iron, riboflavin and niacin requirements. More cases of chronic energy deficiency were observed among the farmers (16%) and traders (13%) than among the teachers (5%). Generally, the women worked long hours with reported working hours (6-7 hours) being lower than the observed working hours (11 hours) for the traders and teachers. Income had a significant (p < 0.05) positive correlation with all nutritional variables, except vitamin C, age-at-marriage (r = 0.719), and nutrition knowledge (r = 0.601). Age-at-marriage had a positive correlation with body mass index (BMI) and all nutritional variables but was significant (p < 0.05) for protein (r = 0.362), calcium (r = 0.358), iron (r = 0.362), riboflavin (r = 0.364), and vitamin C (r = 0.476). Workload was negatively correlated with protein intake (r = 0.346; p < 0.05). Meal frequencies for more than 70% of the farmers and petty traders and 42% of the teachers were dependent

  6. An ecosystem report on the Panama Canal: Monitoring the status of the forest communities and the watershed

    USGS Publications Warehouse

    Ibanez, R.; Condit, R.; Angehr, G.; Aguilar, S.; Garcia, T.; Martinez, R.; Sanjur, A.; Stallard, R.; Wright, S.J.; Rand, A.S.; Heckadon, S.

    2002-01-01

    In 1996, the Smithsonian Tropical Research Institute and the Republic of Panama's Environmental Authority, with support from the United States Agency for International Development, undertook a comprehensive program to monitor the ecosystem of the Panama Canal watershed. The goals were to establish baseline indicators for the integrity of forest communities and rivers. Based on satellite image classification and ground surveys, the 2790 km2 watershed had 1570 km2 of forest in 1997, 1080 km2 of which was in national parks and nature monuments. Most of the 490 km2 of forest not currently in protected areas lies along the west bank of the Canal, and its management status after the year 2000 turnover of the Canal from the U.S. to Panama remains uncertain. In forest plots designed to monitor forest diversity and change, a total of 963 woody plant species were identified and mapped. We estimate there are a total of 850-1000 woody species in forests of the Canal corridor. Forests of the wetter upper reaches of the watershed are distinct in species composition from the Canal corridor, and have considerably higher diversity and many unknown species. These remote areas are extensively forested, poorly explored, and harbor an estimated 1400-2200 woody species. Vertebrate monitoring programs were also initiated, focusing on species threatened by hunting and forest fragmentation. Large mammals are heavily hunted in most forests of Canal corridor, and there was clear evidence that mammal density is greatly reduced in hunted areas and that this affects seed predation and dispersal. The human population of the watershed was 113 000 in 1990, and grew by nearly 4% per year from 1980 to 1990. Much of this growth was in a small region of the watershed on the outskirts of Panama City, but even rural areas, including villages near and within national parks, grew by 2% per year. There is no sewage treatment in the watershed, and many towns have no trash collection, thus streams near large

  7. An ecosystem report on the Panama Canal: monitoring the status of the forest communities and the watershed.

    PubMed

    Ibáñez, Roberto; Condit, Richard; Angehr, George; Aguilar, Salomón; García, Tomas; Martínez, Raul; Sanjur, Amelia; Stallard, Robert; Wright, S Joseph; Rand, A Stanley; Heckadon, Stanley

    2002-11-01

    In 1996, the Smithsonian Tropical Research Institute and the Republic of Panama's Environmental Authority, with support from the United States Agency for International Development, undertook a comprehensive program to monitor the ecosystem of the Panama Canal watershed. The goals were to establish baseline indicators for the integrity of forest communities and rivers. Based on satellite image classification and ground surveys, the 2790 km2 watershed had 1570 km2 of forest in 1997, 1080 km2 of which was in national parks and nature monuments. Most of the 490 km2 of forest not currently in protected areas lies along the west bank of the Canal, and its management status after the year 2000 turnover of the Canal from the U.S. to Panama remains uncertain. In forest plots designed to monitor forest diversity and change, a total of 963 woody plant species were identified and mapped. We estimate there are a total of 850-1000 woody species in forests of the Canal corridor. Forests of the wetter upper reaches of the watershed are distinct in species composition from the Canal corridor, and have considerably higher diversity and many unknown species. These remote areas are extensively forested, poorly explored, and harbor an estimated 1400-2200 woody species. Vertebrate monitoring programs were also initiated, focusing on species threatened by hunting and forest fragmentation. Large mammals are heavily hunted in most forests of Canal corridor, and there was clear evidence that mammal density is greatly reduced in hunted areas and that this affects seed predation and dispersal. The human population of the watershed was 113 000 in 1990, and grew by nearly 4% per year from 1980 to 1990. Much of this growth was in a small region of the watershed on the outskirts of Panama City, but even rural areas, including villages near and within national parks, grew by 2% per year. There is no sewage treatment in the watershed, and many towns have no trash collection, thus streams near large

  8. An ecosystem report on the Panama Canal: monitoring the status of the forest communities and the watershed.

    PubMed

    Ibáñez, Roberto; Condit, Richard; Angehr, George; Aguilar, Salomón; García, Tomas; Martínez, Raul; Sanjur, Amelia; Stallard, Robert; Wright, S Joseph; Rand, A Stanley; Heckadon, Stanley

    2002-11-01

    In 1996, the Smithsonian Tropical Research Institute and the Republic of Panama's Environmental Authority, with support from the United States Agency for International Development, undertook a comprehensive program to monitor the ecosystem of the Panama Canal watershed. The goals were to establish baseline indicators for the integrity of forest communities and rivers. Based on satellite image classification and ground surveys, the 2790 km2 watershed had 1570 km2 of forest in 1997, 1080 km2 of which was in national parks and nature monuments. Most of the 490 km2 of forest not currently in protected areas lies along the west bank of the Canal, and its management status after the year 2000 turnover of the Canal from the U.S. to Panama remains uncertain. In forest plots designed to monitor forest diversity and change, a total of 963 woody plant species were identified and mapped. We estimate there are a total of 850-1000 woody species in forests of the Canal corridor. Forests of the wetter upper reaches of the watershed are distinct in species composition from the Canal corridor, and have considerably higher diversity and many unknown species. These remote areas are extensively forested, poorly explored, and harbor an estimated 1400-2200 woody species. Vertebrate monitoring programs were also initiated, focusing on species threatened by hunting and forest fragmentation. Large mammals are heavily hunted in most forests of Canal corridor, and there was clear evidence that mammal density is greatly reduced in hunted areas and that this affects seed predation and dispersal. The human population of the watershed was 113 000 in 1990, and grew by nearly 4% per year from 1980 to 1990. Much of this growth was in a small region of the watershed on the outskirts of Panama City, but even rural areas, including villages near and within national parks, grew by 2% per year. There is no sewage treatment in the watershed, and many towns have no trash collection, thus streams near large

  9. Assessing the conservation status of neotropical dry forests using geographical information systems and optical remote sensing

    NASA Astrophysics Data System (ADS)

    Portillo, Carlos Alonso

    This thesis is composed of five chapters assessing the following specific goals: (1) To estimate the extent and geographic distribution of the neotropical dry forest. (2) To evaluate the potential use of satellite-detected fires as deforestation predictors in tropical dry forest and (3) To evaluate the potential of remote sensing techniques to detect edge effects in tropical dry forest. Preliminarily, in chapter two, I present a literature review of the techniques and concepts behind remote sensing of biodiversity. Here, I stress out the necessity of integrated assessments using multiple spatial and spectral resolution sensors over a wide array of ecosystems in order to find relevant ecosystem properties that would be sensitive to taxonomic and functional biodiversity. Chapter three describes a regional scale mapping effort of the extent and geographical distribution of tropical dry forests. Our results indicate that the total extent of tropical dry forest in the Americas is 519,597 Km2 with only 4.5% being under protected areas. Results are also presented by subregions and countries. In Chapter four, we show correlations patterns between the number of MODIS Active Fires and forest cover change in four tropical dry forest landscapes in Latin America. At the Santa Cruz site (Bolivia), correlations were strong and significant while at Chamela Site (Mexico) and the Mata Seca site (Brazil) correlations were moderate but significant as well. Chapter five addresses the magnitude of disturbances near the edges of dry forest fragments (edge effects). Results in gap fraction and Fraction of Intercepted Photosynthetically Active Radiation (FiPAR) show that edge influence at tropical dry forests can extend to at least 300-m. Finally, Chapter Six shows the correlation between FiPAR changes at the forest edge and spectral vegetation indices (SVIs) computed from the hyperspectral and multiangular satellite imagery. The work contained in these five chapters address issues that

  10. Socioeconomic Status and Dissatisfaction With Health Care Among Chronically Ill African Americans

    PubMed Central

    Becker, Gay; Newsom, Edwina

    2003-01-01

    Addressing differences in social class is critical to an examination of racial disparities in health care. Low socioeconomic status is an important determinant of access to health care. Results from a qualitative, in-depth interview study of 60 African Americans who had one or more chronic illnesses found that low-income respondents expressed much greater dissatisfaction with health care than did middle-income respondents. Low socioeconomic status has potentially deadly consequences for several reasons: its associations with other determinants of health status, its relationship to health insurance or the absence thereof, and the constraints on care at sites serving people who have low incomes. PMID:12721135

  11. Health status and its determinants in South Africa.

    PubMed

    Yach, D

    1994-03-01

    South Africa's apartheid policies have had direct and indirect effects on morbidity and death that will likely remain for decades. Since 1964, the economy has largely been deteriorating, while the population has grown at 2.8%/year, both of which have hampered economic development and health. South Africa needs to supply water, sanitation, and housing to 75% of the population. Rural development is needed to stem malnutrition, soil erosion, and overgrazing. Urban development design and planning must include health. Schooling needs to improve educators can emphasize school health education. Electricity and better lighting are needed to reduce chest diseases and paraffin poisoning and to improve literacy and learning. Labor migration has contributed to a high rate of sexually transmitted diseases and HIV/AIDS in rural areas. In some cases, industry and the public sector have become partners to improve health. The alcohol industry sponsors drive safe campaigns. South Africans need to address inequalities in health status by race, region, and gender, and to follow a holistic development approach. Infant mortality is just 6.4/1000 for Whites, while it is 66.7/1000 for Blacks. It is 1.5 times lower in the best region than it is in the worst region. 2 of every 25 children die before their first birthday among Africans living in the poorest third of South Africa. 42% of Black men who live to 15 years die before their 60th birthday, while just 17.5% of like White women do. Black children less than 5 years old have an almost 9-fold excess in deaths over White children. The tuberculosis rate is among the highest in the world and is likely to increase as HIV/AIDS spreads. Many other preventable diseases occur among South Africans. 5-8% of the population suffer a disability. South Africa has the highest per capita violence mortality rate worldwide (59.2/100,000 vs. 9.6/100,000 in the US). South Africa is likely to face increases in lung cancer, chronic lung disease, heart disease

  12. Mental health status can reflect disease activity in rheumatoid arthritis

    PubMed Central

    Sokolovic, Sekib; Dervisevic, Vedina; Fisekovic, Saida

    2014-01-01

    Objective A significant number of patients with rheumatoid arthritis (RA) link the start of illness with psychological trauma or severe stress. Impaired mental health (IMH), defined as depression and anxiety with psychoneuroimmunological factors, can play a significant role in RA. The main objective of this research was to investigate the mutual correlation of IMH and RA activity, estimated by the laboratory and clinical parameters in RA patients. Material and Methods An open clinical prospective study that lasted for 6 months was designed. There were 72 patients included, 58 women and 14 men, aged 34 to 80 years and screened for mental health status. The study population was randomized following the Brief Symptoms Inventory (BSI) scale, comprised of 53 questions with a range from 0 (no symptoms) to 4 (severe). This mental test was done only once during the study. Following the results from the BSI scale, RA patients were divided into mentally stable and mentally unstable patients to investigate the influence of RA activity on mental health. The following laboratory and clinical parameters were analyzed: sex, age, erythrocyte sedimentation rate (ESR), rheumatoid factor (RF), C-reactive protein (CRP), anti-cyclic citrullinated peptide (anti-CCP) antibody, and disease activity score (DAS28). All RA patients did not express extra-articular manifestations or Sjögren’s syndrome. The chi-square test, ANOVA, Pearson’s coefficient, and IBM Statistics - SPSS v19 were used. Results From a total of 72 RA patients, there were 44 mentally stable and 28 mentally unstable patients. All patients had either moderate or severe active disease. The only significant correlation of IMH and activity of RA was found in CRP and DAS28, but no significance was observed in ESR, RF, and anti-CCP. The DAS28 showed high disease activity with an average of 5.3 and CRP of 20.9 mg/L in patients with unstable mental health compared to stable mental health patients, where RA was associated with

  13. Environmental monitoring and assessment program forest health monitoring quality assurance project plan for detection monitoring project

    SciTech Connect

    Cline, S.P.; Alexander, S.A.; Barnard, J.E.

    1995-05-01

    The Quality Assurance Project Plan (QAP) is written specifically for the Detection Minitoring project of the interagency Forest Health Monitoring (FHM) program. Sections 1 through 3 briefly explain key features of the Environmental Monitoring and Assessment Program (EMAP), the FHM program, and their interrelationship, respectively. Section 4 describes the general quality assurance (QA) requirements for the FHM Detection Monitoring project. Section 5 contains the separate QAPs for each forest condition indicator: site condition and tree growth and regeneration, tree crown condition, tree damage assessment, photosynthetically active radiation (PAR), vegetation structure, ozone bioindicator plants, and lichen communities.

  14. Improving the health status of Caribbean people: recommendations from the Triangulating on Health Equity summit.

    PubMed

    Sastre, Francisco; Rojas, Patria; Cyrus, Elena; De La Rosa, Mario; Khoury, Aysha H

    2014-09-01

    In 2011, Morehouse School of Medicine convened a summit in San Juan, Puerto Rico, to discuss issues related to the health status of people and communities in the Caribbean region. The summit provided a forum for transparent dialog among researchers, policymakers, and advocates from the Caribbean region and the United States. The summit's theme-improving the region's health outcomes through the adoption of effective practices linking health promotion and primary care, within the context of social and cultural determinants-called for a comprehensive and integrative model or a triangulation of methodologies to improve health outcomes. This article summarizes the recommendations of two workgroup sessions examining the challenges to improving health outcomes in the region and the opportunities to meet those challenges. The recommendations seek to develop action-oriented agendas that integrate research, practice, and policy. Outcomes of the summit highlight the importance of (a) community participation in planning interventions, (b) policymakers' commitment to prioritizing health, and (c) Caribbean governments' commitment to addressing the underlying social factors responsible for poor health outcomes.

  15. Time to get healthy: associations of time perspective with perceived health status and health behaviors.

    PubMed

    Griva, Fay; Tseferidi, Sofia-Ioanna; Anagnostopoulos, Fotios

    2015-01-01

    The present study examined the associations of time perspective (TP) with health behaviors including smoking, exercise, and body mass index (BMI), and perceptions of health status after controlling for sociodemographic factors. Participants (N = 413) completed a web-based questionnaire that included a short version of the Zimbardo Time Perspective Inventory, and reported their weight, height, smoking, and exercise frequency. Future TP was associated with more physical exercise, whereas past-negative and present-fatalistic dimensions were associated with higher BMI. Smoking was not associated with any of the TP dimensions. Additionally, all of the dimensions of TP were found to be associated with conceptually relevant perceptions of health status. Research on TP predominantly focuses on the future and the present orientation, but the findings of the present study suggest that all dimensions of TP should be used in health-related research. Also, issues regarding the role of the present-hedonistic dimension are discussed and directions for future research are proposed. PMID:24784153

  16. Time to get healthy: associations of time perspective with perceived health status and health behaviors.

    PubMed

    Griva, Fay; Tseferidi, Sofia-Ioanna; Anagnostopoulos, Fotios

    2015-01-01

    The present study examined the associations of time perspective (TP) with health behaviors including smoking, exercise, and body mass index (BMI), and perceptions of health status after controlling for sociodemographic factors. Participants (N = 413) completed a web-based questionnaire that included a short version of the Zimbardo Time Perspective Inventory, and reported their weight, height, smoking, and exercise frequency. Future TP was associated with more physical exercise, whereas past-negative and present-fatalistic dimensions were associated with higher BMI. Smoking was not associated with any of the TP dimensions. Additionally, all of the dimensions of TP were found to be associated with conceptually relevant perceptions of health status. Research on TP predominantly focuses on the future and the present orientation, but the findings of the present study suggest that all dimensions of TP should be used in health-related research. Also, issues regarding the role of the present-hedonistic dimension are discussed and directions for future research are proposed.

  17. Health status, use of health care resources, and treatment strategies of Ethiopian and Nigerian immigrants in the United States.

    PubMed

    Chaumba, Josphine

    2011-01-01

    Although different health risks and behaviors displayed by contemporary U.S. immigrants create challenges for health care providers, knowledge on the health of and variations among African immigrant groups in the United States lags behind. This study compared health status, use of health care resources, and treatment strategies of 362 Ethiopian and Nigerian immigrants. The results indicated that mental health and English-speaking ability varied by country of birth. Furthermore, the study sample reported a low use of health care resources. These results suggest the existence of potential health issues among subsections of the African immigrant population that may threaten the maintenance of good health.

  18. Maternal Cultural Participation and Child Health Status in a Middle Eastern Context: Evidence from the Urban Health Study

    PubMed Central

    Khawaja, Marwan; Barazi, Rana; Linos, Natalie

    2006-01-01

    Background The negative effect of poverty on child health has been well established. However, rapid urbanization in developing countries prompts new research questions relating to socio-cultural practices and other related variables in these settings. Objective To examine the association between maternal cultural participation and child health status in impoverished neighbourhoods of Beirut, Lebanon. Methods A cross-sectional survey of 1,241 mothers with children under 5 years was conducted from randomly selected households in three impoverished neighbourhoods of diverse ethnic and religious make-up. The outcome variable was child health status (good/bad) as assessed by the mother. Maternal variables, including cultural participation, education, demographic, and environmental/structural factors were studied. Descriptive statistics and bivariate associations were provided using Pearson’s χ2 tests. Unadjusted and adjusted odds ratios were then obtained from binary logistic regression models. Results Two indicators of maternal cultural participation, namely watching entertaining television and attending movies/art exhibitions, were found to be significantly associated to child health status after controlling for other risk factors. The quality of water, the quality of local health services, and maternal education were also significantly associated with child health status. Household income, child gender, and household dampness had no significant association with child health status in this context. Conclusion Maternal cultural participation was a significant predictor of child health status in impoverished urban communities. Improving child health through culturally focused interventions for mothers, especially in deprived areas, may be great. PMID:17291314

  19. Marketing and Quality of Life: A Model for Improving Perinatal Health Status

    ERIC Educational Resources Information Center

    Dever, G. E. Alan; Smith, Leah T.; Stamps, Bunnie V.

    2005-01-01

    Introduction: A marketing/business model using non-traditional Quality of Life measures was developed to assess perinatal health status on a micro-geographic level. This perinatal health status needs assessment study for Georgia South Central Region was conducted for the years 1994-1999. The model may be applied to any geographic unit in the…

  20. Income Inequality and Health Status in the United States: Evidence from the Current Population Survey.

    ERIC Educational Resources Information Center

    Mellor, Jennifer M.; Milyo, Jeffrey

    2002-01-01

    Current Population Survey data on self-reported health status and income for the general population and those in poverty were analyzed. No consistent association was found between income inequality and individual health status. Previous findings of such an association were attributed to ecological fallacy or failure to control for individual…

  1. Status of precommercial-sized softwoods in Louisiana, 1991. Forest Service research paper

    SciTech Connect

    Rosson, J.F.

    1994-01-01

    Data on precommercial-sized softwoods in seedling- and sapling-sized stands are presented and discussed. Inadequate levels of softwood stocking in NIPF (Nonindustrial private forest) lands could diminish long-term supplies of softwood in the State.

  2. Validation and Impact of Caregivers’ Oral Health Knowledge and Behavior on Children’s Oral Health Status

    PubMed Central

    Wilson, Anne R; Brega, Angela G; Campagna, Elizabeth; Braun, Patricia A; Henderson, William G; Bryant, Lucinda L; Batliner, Terrence S; Quissell, David O; Albino, Judith

    2015-01-01

    Purpose The purpose was to validate oral health knowledge and behavior measures from the Basic Research Factors Questionnaire, developed to capture specific themes contributing to children’s oral health outcomes and influence of caregivers. Methods Data were collected as part of a randomized clinical trial (N=992) aimed at reducing dental caries in young children. Participants were American Indian/Alaska Native caregivers with a child aged three to five years enrolled in a Navajo Nation Head Start Center. Caregivers completed the questionnaire at enrollment with concomitant evaluation of children for decayed, missing, and filled tooth surfaces (dmfs). Oral health knowledge and behavior outcomes were compared with convergent measures (participant sociodemographic characteristics, oral health attitudes, indicators of oral health status). Results Caregiver oral health knowledge was significantly associated with education, income, oral health behavior, and all but one of the oral health attitude measures. Behavior was significantly associated with several measures of oral health attitudes and all but one measure of oral health status. As the behavior score improved, dmfs declined, child/caregiver overall oral health status improved, and pediatric oral health quality of life improved. Conclusions Questionnaire measures were valid for predicting specific caregiver factors potentially contributing to children’s oral health status. PMID:26892215

  3. Respiratory health status of the roadside school children at Kolkata.

    PubMed

    Chattopadhyay, B P; Roychowdhury, A; Alam, Jane; Kundu, S

    2005-07-01

    School students in metro cities are often exposed to vehicle exhausts as their schools are situated mostly on the high traffic roadside. Acute exposure to automobile exhaust is associated with increased respiratory symptoms and may decrease and impair lung function in children. The lung functioning performance of the city school children was compared with rural school children where there is no pollution and automobile exhausts. In Kolkata, two schools for boys (n = 210) and two schools for girls (n = 200) and in rural area one school for boys (n = 99) and the other school for girls (n = 95) were investigated. City schools are situated on the main roadside, nearer to the traffic junction. The detail histories about health status of children, if they have any subjective feelings of health related problems during the school hours or after returning from the school, and the family histories were taken by questionnaire method. The pulmonary function tests (PFT) were carried out by Spirometric method by Spirovit-Sp-10 and Wright's Peak flow meter. The mean PFT values of the students found in the normal range. Boys were having higher values compared to the girls in both city and rural schools. Lung volumes and flow rates were significantly higher in rural students. Symptomatic changes like breathlessness, cough and other problems (sneezing, eye irritation, running nose etc.) among city schoolboys found 13%, 7% and 15% and in girls found 12%, 6% and 7% respectively. In symoptomatic students, mean PFT values were significantly lowered compared to non-symptomatic. PFT values were presented in relation to age and height. It has been found that a number of city school students are having different types of respiratory symptoms. Long-term effect of exposure into such environment may develop lung functional impairments. PMID:16841459

  4. Childhood Health Status and Adulthood Cardiovascular Disease Morbidity in Rural China: Are They Related?

    PubMed Central

    Wang, Qing; Shen, Jay J.

    2016-01-01

    Cardiovascular diseases (CVDs) are among the top health problems of the Chinese population. Although mounting evidence suggests that early childhood health status has an enduring effect on late life chronic morbidity, no study so far has analyzed the issue in China. Using nationally representative data from the 2013 China Health and Retirement Longitudinal Study (CHARLS), a Probit model and Two-Stage Residual Inclusion estimation estimator were applied to analyze the relationship between childhood health status and adulthood cardiovascular disease in rural China. Good childhood health was associated with reduced risk of adult CVDs. Given the long-term effects of childhood health on adulthood health later on, health policy and programs to improve the health status and well-being of Chinese populations over the entire life cycle, especially in persons’ early life, are expected to be effective and successful. PMID:27275829

  5. Selected Health Status Indicators and Behaviors of Young Adults, United States-2003

    ERIC Educational Resources Information Center

    Eaton, Danice K.; Kann, Laura; Okoro, Catherine A.; Collins, Janet

    2007-01-01

    This study examined the prevalence of selected clinical preventive health services, health status indicators, health risk behaviors, and health-promoting behaviors among adults aged 18 to 24 years in the general U.S. population. The study analyzed data from the 2003 Behavioral Risk Factor Surveillance System. Nearly 30% of young adults lacked…

  6. Anxiety and self-perceived health status in Parkinson's disease

    PubMed Central

    Pontone, Gregory M.; Williams, James R.; Anderson, Karen E.; Chase, Gary; Goldstein, Susanne R.; Grill, Stephen; Hirsch, Elaina S.; Lehmann, Susan; Little, John T.; Margolis, Russell L.; Rabins, Peter V.; Weiss, Howard D.; Marsh, Laura

    2011-01-01

    Both anxiety and depression are associated with lower self-perceived health status (HS) in persons with Parkinson's disease (PD). Given the high co-morbidity with depression and other non-motor symptoms, it is unclear whether anxiety disorders, in general, versus specific anxiety subtypes have an independent effect on HS in PD. To examine this question, comprehensive assessments of motor and non-motor symptoms from 249 subjects with idiopathic PD followed in three community-based movement disorders neurology practices were analyzed. HS was measured using the 8-item PD Questionnaire (PDQ-8). Psychiatric diagnoses were established by consensus using a panel of six psychiatrists with expertise in geriatric psychiatry and movement disorders. Stepwise multiple regression analyses were used, with the PDQ-8 score as the dependent variable, to identify independent predictors of HS among motor, psychiatric, and other non-motor variables. Among the anxiety disorders, only anxiety associated with motor fluctuations was an independent predictor of HS after accounting for co-morbid depression and other clinical features. In addition, depressive disorders were also an independent predictor of lower HS. Prevention or treatment of state-dependent anxiety may improve HS in persons with PD. PMID:21292531

  7. Metabolic Health Status and the Obesity Paradox in Older Adults.

    PubMed

    Cheng, Feon W; Gao, Xiang; Mitchell, Diane C; Wood, Craig; Rolston, David D K; Still, Christopher D; Jensen, Gordon L

    2016-01-01

    The explanation for reduced mortality among older persons with overweight or class I obesity compared to those of desirable weight remains unclear. Our objective was to investigate the joint effects of body mass index (BMI) and metabolic health status on all-cause mortality in a cohort of advanced age. Adults aged 74 ± 4.7 (mean ± SD) years at baseline (n = 4551) were categorized according to BMI (18.5-24.9, 25.0-29.9, 30.0-34.9, and ≥35.0 kg/m(2)) and the presence or absence of a metabolically healthy phenotype (i.e., 0 or 1 risk factors based on a modified Adult Treatment Panel III). Metabolically unhealthy was ≥2 risk factors. There were 2294 deaths over a mean 10.9 years of follow up. Relative to metabolically healthy desirable weight, metabolically healthy overweight or class I obesity was not associated with a greater mortality risk (HR 0.90; 95 CI% 0.73-1.13 and HR 0.58; 95 CI% 0.42-0.80, respectively) (P-interaction <0.001). Results remained consistent in rigorous sensitivity analyses. The "obesity paradox" may be partially explained by the inclusion of metabolically healthy overweight and obese older persons, who do not have elevated mortality risk, in population studies of BMI and mortality. PMID:27559852

  8. Health Behaviors and Health Status of At-Risk Latino Students for Diabetes

    PubMed Central

    Hurtado-Ortiz, Maria T.; Santos, Silvia; Reynosa, Astrid

    2012-01-01

    This research study examined the behavioral lifestyle patterns and health status of at-risk Latino college students for future diabetes onset in relation to their age, gender, and acculturation status. Participants were 156 Latino (34% male and 66% female) university students who had a first and/or second degree relative afflicted with diabetes. Findings indicated that Latino students exhibit similar lifestyle patterns in terms of dietary intake, physical activity, and drinking and smoking behaviors observed in the general and college population that have been linked to obesity—a particularly problematic risk factor among those who already have a genetic predisposition for diabetes. The reported findings are of importance for the development of culturally-relevant treatment interventions targeting young Latinos in college. PMID:26566366

  9. Subjective social status, self-rated health and tobacco smoking: Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

    PubMed

    Camelo, Lidyane do V; Giatti, Luana; Barreto, Sandhi M

    2014-11-01

    Using baseline data from ELSA-Brasil (N = 15,105), we investigated whether subjective social status, measured using three 10-rung "ladders," is associated with self-rated health and smoking, independently of objective indicators of social position and depression symptoms. Additionally, we explored whether the magnitude of these associations varies according to the reference group. Subjective social status was independently associated with poor self-rated health and weakly associated with former smoking. The references used for social comparison did not change these associations significantly. Subjective social status, education, and income represent distinct aspects of social inequities, and the impact of each of these indicators on health is different.

  10. Oral health status of older adults in Kentucky: results from the Kentucky Elder Oral Health Survey.

    PubMed

    Bush, Heather M; Dickens, Noel E; Henry, Robert G; Durham, Lisa; Sallee, Nancy; Skelton, Judith; Stein, Pam S; Cecil, James C

    2010-01-01

    The purpose of the Kentucky Elder Oral Health Survey (KEOHS) was to assess the oral health status of Kentuckians 65 and older. The KEOHS consisted of a self-administered questionnaire and a clinical examination. Recruitment occurred from May 2002 through March 2005 of persons aged 65 and older (n = 1,386) whose functional ability was classified by residential setting. Independent elders living in their own homes were designated as "well-elders," those who lived in skilled nursing facilities and who were functionally dependent were designated as "nursing home elders," and those older adults who were considered frail were designated as "homebound elders." Significant associations were found between the functional ability of the elders and demographic characteristics. While elders who were homebound reported the highest rate of barriers to care, dental insurance, affordability, and transportation were consistently reported as barriers for all groups of elders. This study has established the baseline oral health status of older adults in Kentucky and the data show differences that exist for various community living situations.

  11. Lying behavior and postpartum health status in grazing dairy cows.

    PubMed

    Sepúlveda-Varas, P; Weary, D M; von Keyserlingk, M A G

    2014-10-01

    following calving compared with healthy cows; multiparous severely lame cows spent more time lying down (1.7 h longer per day) compared with multiparous cows that were nonlame. Clinically lame cows had fewer lying bouts per day and these bouts were of longer duration than healthy nonlame cows. In summary, changes in lying behavior after calving were associated with postpartum health status in grazing dairy cows.

  12. Strand I, Physical Health: Health Status. Health Curriculum Materials for Grades 4-6.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Curriculum Development Center.

    This health curriculum guide, intended for use with children in grades four through six, contends that the school is in a unique position to supplement efforts by home and community in raising the levels of physical, mental, and social-emotional health for each child. The contents of the guide are presented in outline form and cover observing…

  13. No exit? The effect of health status on dissatisfaction and disenrollment from health plans.

    PubMed Central

    Schlesinger, M; Druss, B; Thomas, T

    1999-01-01

    OBJECTIVE: To examine the implications of serious and chronic health problems on the willingness of enrollees to switch health plans if they are dissatisfied with their current arrangements. DATA SOURCE: A large (20,283 respondents) survey of employees of three national corporations committed to the model of managed competition, with substantial enrollment in four types of health plans: fee-for-service, prepaid group practice, independent practice associations, and point-of-service plans. STUDY DESIGN: A set of logistic regression models are estimated to determine the probability of disenrollment, if dissatisfied, controlling for the influence on satisfaction and disenrollment of age, race, education, family income and size, gender, marital status, mental health status, pregnancy, duration of employment and enrollment in the plan, number of alternative plans, and HMO penetration in the local market. Separate coefficients are estimated for enrollees with and without significant physical health problems. Additional models are estimated to test for the influence of selection effects as well as alternative measures of dissatisfaction and health problems. DATA COLLECTION: Data were collected through a mailed survey with a response rate of 63.5 percent; comparisons to a subsample administered by telephone showed few differences. PRINCIPAL FINDINGS: In group/staff model HMOs and point-of-service plans, only 12-17 percent of the chronically ill enrollees who were so dissatisfied when surveyed that they intended to disenroll actually left their plan in the next open enrollment period. This compared to 25-29 percent of the healthy enrollees in these same plans, who reported this level of dissatisfaction and 58-63 percent of the enrollees under fee-for-service insurance. CONCLUSIONS: Switching plans appears to be significantly limited for enrollees with serious health problems, the very enrollees who will be best informed about the ability of their health plan to provide

  14. Family Legal Status and Health: Measurement Dilemmas in Studies of Mexican-Origin Children

    PubMed Central

    Oropesa, R.S.; Landale, Nancy S.; Hillemeier, Marianne M.

    2015-01-01

    Family legal status is a potentially important source of variation in the health of Mexican-origin children. However, a comprehensive understanding of its role has been elusive due to data limitations and inconsistent measurement procedures. Using restricted data from the 2011-2012 California Health Interview Survey, we investigate the implications of measurement strategies for estimating the share of children in undocumented families and inferences about how legal status affects children's health. The results show that inferences are sensitive to how this “fundamental cause” is operationalized under various combinatorial approaches used in previous studies. We recommend alternative procedures with greater capacity to reveal how the statuses of both parents affect children's well-being. The results suggest that the legal statuses of both parents matter, but the status of mothers is especially important for assessments of child health. The investigation concludes with a discussion of possible explanations for these findings. PMID:26056934

  15. The stability of health status measurement (SF-36) in a working population.

    PubMed

    Chern, J Y; Wan, T T; Pyles, M

    2000-01-01

    This study tests the stability of health status measurement (SF-36) in a working population. A total of 4,225 employees from two sectors (one state agency, one private company) enrolled in three health plans at Trigon BlueCross/BlueShield of Virginia. An eight-dimension short-form health survey (SF-36) was first tested on a cross-sectional basis for its validity. Then, a panel study was established to test for the stability of health status instrument over time. Structural equation modeling built on equality constraint conditions was the statistical technique for this study. Data were collected through two-wave mail surveys. Both comprehensive (original eight scales) and parsimonious (revised five scales) models of health status were found fit into the data quite well. Furthermore, the revised parsimonious model was shown highly stable over time. Within a working population aged 18 to 64, people are relatively healthy. Their perception of health issues is reflected mainly on "physical health status," as indicated by physical functionings or role limitations. The high stability of revised health status model warrants the possibility of using a more concise health status instrument for the majority of people in working force.

  16. Moisture status during a strong El Niño explains a tropical montane cloud forest's upper limit.

    PubMed

    Crausbay, Shelley D; Frazier, Abby G; Giambelluca, Thomas W; Longman, Ryan J; Hotchkiss, Sara C

    2014-05-01

    Growing evidence suggests short-duration climate events may drive community structure and composition more directly than long-term climate means, particularly at ecotones where taxa are close to their physiological limits. Here we use an empirical habitat model to evaluate the role of microclimate during a strong El Niño in structuring a tropical montane cloud forest's upper limit and composition in Hawai'i. We interpolate climate surfaces, derived from a high-density network of climate stations, to permanent vegetation plots. Climatic predictor variables include (1) total rainfall, (2) mean relative humidity, and (3) mean temperature representing non-El Niño periods and a strong El Niño drought. Habitat models explained species composition within the cloud forest with non-El Niño rainfall; however, the ecotone at the cloud forest's upper limit was modeled with relative humidity during a strong El Niño drought and secondarily with non-El Niño rainfall. This forest ecotone may be particularly responsive to strong, short-duration climate variability because taxa here, particularly the isohydric dominant Metrosideros polymorpha, are near their physiological limits. Overall, this study demonstrates moisture's overarching influence on a tropical montane ecosystem, and suggests that short-term climate events affecting moisture status are particularly relevant at tropical ecotones. This study further suggests that predicting the consequences of climate change here, and perhaps in other tropical montane settings, will rely on the skill and certainty around future climate models of regional rainfall, relative humidity, and El Niño.

  17. [Gerodontology consultation in geriatric facilities: general health status (I)].

    PubMed

    Katsoulis, Joannis; Huber, Sandra; Mericske-Stern, Regina

    2009-01-01

    Dental undertreatment is often seen in the older population. This is particularly true for the elderly living in nursing homes and geriatric hospitals. The progression of chronic diseases results in loss of their independence. They rely on daily support and care due to physical or mental impairment. The visit of a dentist in private praxis becomes difficult or impossible and is a logistic problem. These elderly patients are often not aware of oral and dental problems or these are not addressed. The geriatric hospital Bern, Ziegler, has integrated dental care in the concept of physical rehabilitation of geriatric patients. A total of 139 patients received dental treatment in the years 2005/2006. Their mean age was 83 years, but the segment with > 85 years of age amounted to 46%. The general health examinations reveald multiple and complex disorders. The ASA classification (American Society of Anesthesiologists, Physical Status Classification System) was applied and resulted in 15% = P2 (mild systemic disease, no functional limitation), 47% = P3 (severe systemic disease, definite functional limitations) and 38% = P4 (severe systemic disease, constant threat to life). Eighty-seven of the patients exhibited 3 or more chronic diseases with a prevalence of cardiovascular diseases, musculoskelettal disorders and dementia. Overall the differences between men and women were small, but broncho-pulmonary dieseases were significantly more frequent in women, while men were more often diagnosed with dementia and depression. Verbal communication was limited or not possible with 60% of the patients due to cognitive impairment or aphasia after a stroke. Although the objective treatment need is high, providing dentistry for frail and geriatric patients is characterized by risks due to poor general health conditions, difficulties in communication, limitations in feasibility and lack of adequate aftercare. In order to prevent the problem of undertreatment, elderly independently living

  18. Income inequality, social capital and self-rated health and dental status in older Japanese.

    PubMed

    Aida, Jun; Kondo, Katsunori; Kondo, Naoki; Watt, Richard G; Sheiham, Aubrey; Tsakos, Georgios

    2011-11-01

    The erosion of social capital in more unequal societies is one mechanism for the association between income inequality and health. However, there are relatively few multi-level studies on the relation between income inequality, social capital and health outcomes. Existing studies have not used different types of health outcomes, such as dental status, a life-course measure of dental disease reflecting physical function in older adults, and self-rated health, which reflects current health status. The objective of this study was to assess whether individual and community social capital attenuated the associations between income inequality and two disparate health outcomes, self-rated health and dental status in Japan. Self-administered questionnaires were mailed to subjects in an ongoing Japanese prospective cohort study, the Aichi Gerontological Evaluation Study Project in 2003. Responses in Aichi, Japan, obtained from 5715 subjects and 3451 were included in the final analysis. The Gini coefficient was used as a measure of income inequality. Trust and volunteering were used as cognitive and structural individual-level social capital measures. Rates of subjects reporting mistrust and non-volunteering in each local district were used as cognitive and structural community-level social capital variables respectively. The covariates were sex, age, marital status, education, individual- and community-level equivalent income and smoking status. Dichotomized responses of self-rated health and number of remaining teeth were used as outcomes in multi-level logistic regression models. Income inequality was significantly associated with poor dental status and marginally significantly associated with poor self-rated health. Community-level structural social capital attenuated the covariate-adjusted odds ratio of income inequality for self-rated health by 16% whereas the association between income inequality and dental status was not substantially changed by any social capital

  19. Evaluation of a Regional Monitoring Program's Statistical Power to Detect Temporal Trends in Forest Health Indicators

    NASA Astrophysics Data System (ADS)

    Perles, Stephanie J.; Wagner, Tyler; Irwin, Brian J.; Manning, Douglas R.; Callahan, Kristina K.; Marshall, Matthew R.

    2014-09-01

    Forests are socioeconomically and ecologically important ecosystems that are exposed to a variety of natural and anthropogenic stressors. As such, monitoring forest condition and detecting temporal changes therein remain critical to sound public and private forestland management. The National Parks Service's Vital Signs monitoring program collects information on many forest health indicators, including species richness, cover by exotics, browse pressure, and forest regeneration. We applied a mixed-model approach to partition variability in data for 30 forest health indicators collected from several national parks in the eastern United States. We then used the estimated variance components in a simulation model to evaluate trend detection capabilities for each indicator. We investigated the extent to which the following factors affected ability to detect trends: (a) sample design: using simple panel versus connected panel design, (b) effect size: increasing trend magnitude, (c) sample size: varying the number of plots sampled each year, and (d) stratified sampling: post-stratifying plots into vegetation domains. Statistical power varied among indicators; however, indicators that measured the proportion of a total yielded higher power when compared to indicators that measured absolute or average values. In addition, the total variability for an indicator appeared to influence power to detect temporal trends more than how total variance was partitioned among spatial and temporal sources. Based on these analyses and the monitoring objectives of the Vital Signs program, the current sampling design is likely overly intensive for detecting a 5 % trend·year-1 for all indicators and is appropriate for detecting a 1 % trend·year-1 in most indicators.

  20. Evaluation of a regional monitoring program's statistical power to detect temporal trends in forest health indicators.

    PubMed

    Perles, Stephanie J; Wagner, Tyler; Irwin, Brian J; Manning, Douglas R; Callahan, Kristina K; Marshall, Matthew R

    2014-09-01

    Forests are socioeconomically and ecologically important ecosystems that are exposed to a variety of natural and anthropogenic stressors. As such, monitoring forest condition and detecting temporal changes therein remain critical to sound public and private forestland management. The National Parks Service's Vital Signs monitoring program collects information on many forest health indicators, including species richness, cover by exotics, browse pressure, and forest regeneration. We applied a mixed-model approach to partition variability in data for 30 forest health indicators collected from several national parks in the eastern United States. We then used the estimated variance components in a simulation model to evaluate trend detection capabilities for each indicator. We investigated the extent to which the following factors affected ability to detect trends: (a) sample design: using simple panel versus connected panel design, (b) effect size: increasing trend magnitude, (c) sample size: varying the number of plots sampled each year, and (d) stratified sampling: post-stratifying plots into vegetation domains. Statistical power varied among indicators; however, indicators that measured the proportion of a total yielded higher power when compared to indicators that measured absolute or average values. In addition, the total variability for an indicator appeared to influence power to detect temporal trends more than how total variance was partitioned among spatial and temporal sources. Based on these analyses and the monitoring objectives of the Vital Signs program, the current sampling design is likely overly intensive for detecting a 5 % trend·year(-1) for all indicators and is appropriate for detecting a 1 % trend·year(-1) in most indicators.

  1. Evaluation of a regional monitoring program's statistical power to detect temporal trends in forest health indicators

    USGS Publications Warehouse

    Perles, Stephanie J.; Wagner, Tyler; Irwin, Brian J.; Manning, Douglas R.; Callahan, Kristina K.; Marshall, Matthew R.

    2014-01-01

    Forests are socioeconomically and ecologically important ecosystems that are exposed to a variety of natural and anthropogenic stressors. As such, monitoring forest condition and detecting temporal changes therein remain critical to sound public and private forestland management. The National Parks Service’s Vital Signs monitoring program collects information on many forest health indicators, including species richness, cover by exotics, browse pressure, and forest regeneration. We applied a mixed-model approach to partition variability in data for 30 forest health indicators collected from several national parks in the eastern United States. We then used the estimated variance components in a simulation model to evaluate trend detection capabilities for each indicator. We investigated the extent to which the following factors affected ability to detect trends: (a) sample design: using simple panel versus connected panel design, (b) effect size: increasing trend magnitude, (c) sample size: varying the number of plots sampled each year, and (d) stratified sampling: post-stratifying plots into vegetation domains. Statistical power varied among indicators; however, indicators that measured the proportion of a total yielded higher power when compared to indicators that measured absolute or average values. In addition, the total variability for an indicator appeared to influence power to detect temporal trends more than how total variance was partitioned among spatial and temporal sources. Based on these analyses and the monitoring objectives of theVital Signs program, the current sampling design is likely overly intensive for detecting a 5 % trend·year−1 for all indicators and is appropriate for detecting a 1 % trend·year−1 in most indicators.

  2. A systematic review of randomized controlled trials on curative and health enhancement effects of forest therapy

    PubMed Central

    Kamioka, Hiroharu; Tsutani, Kiichiro; Mutoh, Yoshiteru; Honda, Takuya; Shiozawa, Nobuyoshi; Okada, Shinpei; Park, Sang-Jun; Kitayuguchi, Jun; Kamada, Masamitsu; Okuizumi, Hiroyasu; Handa, Shuichi

    2012-01-01

    Objective To summarize the evidence for curative and health enhancement effects through forest therapy and to assess the quality of studies based on a review of randomized controlled trials (RCTs). Study design A systematic review based on RCTs. Methods Studies were eligible if they were RCTs. Studies included one treatment group in which forest therapy was applied. The following databases – from 1990 to November 9, 2010 – were searched: MEDLINE via PubMed, CINAHL, Web of Science, and Ichushi- Web. All Cochrane databases and Campbell Systematic Reviews were also searched up to November 9, 2010. Results Two trials met all inclusion criteria. No specific diseases were evaluated, and both studies reported significant effectiveness in one or more outcomes for health enhancement. However, the results of evaluations with the CONSORT (Consolidated Standards of Reporting Trials) 2010 and CLEAR NPT (A Checklist to Evaluate a Report of a Nonpharmacological Trial) checklists generally showed a remarkable lack of description in the studies. Furthermore, there was a problem of heterogeneity, thus a meta-analysis was unable to be performed. Conclusion Because there was insufficient evidence on forest therapy due to poor methodological and reporting quality and heterogeneity of RCTs, it was not possible to offer any conclusions about the effects of this intervention. However, it was possible to identify problems with current RCTs of forest therapy, and to propose a strategy for strengthening study quality and stressing the importance of study feasibility and original check items based on characteristics of forest therapy as a future research agenda. PMID:22888281

  3. Race, Socioeconomic Status and Health: Complexities, Ongoing Challenges and Research Opportunities

    PubMed Central

    Williams, David R.; Mohammed, Selina A.; Leavell, Jacinta; Collins, Chiquita

    2012-01-01

    This paper provides an overview of racial variations in health and shows that differences in socioeconomic status (SES) across racial groups are a major contributor to racial disparities in health. However, race reflects multiple dimensions of social inequality and individual and household indicators of SES capture relevant but limited aspects of this phenomenon. Research is needed that will comprehensively characterize the critical pathogenic features of social environments and identify how they combine with each other to affect health over the life course. Migration history and status are also important predictors of health and research is needed that will enhance understanding of the complex ways in which race, SES, and immigrant status combine to affect health. Fully capturing the role of race in health also requires rigorous examination of the conditions under which medical care and genetic factors can contribute to racial and SES differences in health. The paper identifies research priorities in all of these areas. PMID:20201869

  4. The impact of COPD on health status: findings from the BOLD study

    PubMed Central

    Janson, Christer; Marks, Guy; Buist, Sonia; Gnatiuc, Louisa; Gislason, Thorarinn; McBurnie, Mary Ann; Nielsen, Rune; Studnicka, Michael; Toelle, Brett; Benediktsdottir, Bryndis; Burney, Peter

    2013-01-01

    The aim of this study was to describe the impact of chronic obstructive pulmonary disease (COPD) on health status in the Burden of Obstructive Lung Disease (BOLD) populations. We conducted a cross-sectional, general population-based survey in 11 985 subjects from 17 countries. We measured spirometric lung function and assessed health status using the Short Form 12 questionnaire. The physical and mental health component scores were calculated. Subjects with COPD (post-bronchodilator forced expiratory volume in 1 s/forced vital capacity <0.70, n = 2269) had lower physical component scores (44±10 versus 48±10 units, p<0.0001) and mental health component scores (51±10 versus 52±10 units, p = 0.005) than subjects without COPD. The effect of reported heart disease, hypertension and diabetes on physical health component scores (-3 to -4 units) was considerably less than the effect of COPD Global Initiative for Chronic Obstructive Lung Disease grade 3 (-8 units) or 4 (-11 units). Dyspnoea was the most important determinant of a low physical and mental health component scores. In addition, lower forced expiratory volume in 1 s, chronic cough, chronic phlegm and the presence of comorbidities were all associated with a lower physical health component score. COPD is associated with poorer health status but the effect is stronger on the physical than the mental aspects of health status. Severe COPD has a greater negative impact on health status than self-reported cardiovascular disease and diabetes. PMID:23722617

  5. Perceived health status and health-promoting behaviors of African-American and White informal caregivers of impaired elders.

    PubMed

    McDonald, Patricia E; Brennan, Patricia Flatley; Wykle, May L

    2005-07-01

    Caregiving and its consequences are major concerns for nurses. Many studies have examined health-promoting behaviors in general (Duffy, 1993; Walker, Volkan, Sechrist, & Pender, 1988), but few studies have explored health-promoting behaviors of caregivers. The purpose of this study was to examine the effects of age, gender, race, and length of caregiving on perceived health status and health-promoting behaviors of African-American and White informal caregivers of impaired elders. Data from a larger study was used to examine a conceptual model linking perceived health status and health-promoting behavior. A sample of 136 (n = 136) African-American and 257 (n = 257) White caregivers was recruited from northeastern Ohio through random digit dialing and interviewed face to face. English-speaking caregivers were selected for study who provided unpaid assistance or care for a minimum of five hours a week to an impaired person 60 years of age or older living in the community. The Health-Promoting Behavior Questionnaire, perceived health status, and a demographic profile were used to measure the study variables. Data were analyzed using hierarchical multiple regression. Findings from this study suggest that the overall fit of the conceptual model was significant, and that moreover, the relationship found between perceived health status and health-promoting behaviors supported Pender's model of health promotion (Pender, 1987). The relationship between perceived health status and health-promoting behaviors has not been documented in prior studies of caregivers, or in studies comparing the two racial groups of African-Americans and Whites. PMID:16255310

  6. Health Insurance Status and Psychological Distress among US Adults Aged 18-64 Years.

    PubMed

    Ward, Brian W; Martinez, Michael E

    2015-10-01

    The purpose of this research was to examine the relationship between psychological distress and aspects of health insurance status, including lack of coverage, types of coverage and disruption in coverage, among US adults. Data from the 2001-2010 National Health Interview Survey were used to conduct analyses representative of the US adult population aged 18-64 years. Multivariate analyses regressed psychological distress on health insurance status while controlling for covariates. Adults with private or no health insurance coverage had lower levels of psychological distress than those with public/other coverage. Adults who recently (≤1 year) experienced a change in health insurance status had higher levels of distress than those who had not recently experienced a change. An interaction effect indicated that the relationship between recent change in health insurance status and distress was not dependent on whether an adult had private versus public/other coverage. However, for adults who had not experienced a change in status in the past year, the average absolute level of distress is higher among those with no coverage versus private coverage. Although significant relationships between psychological distress and health insurance status were identified, their strength was modest, with other demographic and health condition covariates also being potential sources of distress. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  7. Health status among young people in Slovakia: comparisons on the basis of age, gender and education.

    PubMed

    Sleskova, Maria; Salonna, Ferdinand; Madarasova Geckova, Andrea; van Dijk, Jitse P; Groothoff, Johan W

    2005-12-01

    This study examines the health status of young people in Slovakia. Six subjective health indicators (self-rated health, long-standing illness, vitality, mental health, long-term well-being over the last year and occurrence of health complaints during the previous month) were used to assess the health status of three age groups: first grade secondary school students (mean age 15.9 years), third grade students (mean age 17.8 years) and secondary school leavers (mean age 19.6 years). Females rated their health worse than males on all six indicators (most of these differences were statistically significant). For males, younger age was associated with better self-rated health, less long-standing illness and higher levels of long-term well-being during the previous year. For females, the age differences were more complicated: third grade females reported significantly worse health status in terms of vitality, long-standing illness and number of health complaints than the other two age groups. An analysis of health status by educational level (attendance at or completion of grammar, technical or apprentice school), revealed that grammar school third grade females reported worse health than all other respondents on all six indicators. The third grade of grammar school in Slovakia puts particular stresses on students and, since it has been suggested that females may react more negatively than males to stressful events, this may contribute to their more negative self reports.

  8. 77 FR 44107 - Information From Foreign Regions Applying for Recognition of Animal Health Status

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... / Friday, July 27, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF AGRICULTURE Animal and Plant Health... Animal Health Status AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Final rule. SUMMARY: We are amending the regulations that govern the importation of animals and animal products...

  9. Feeling Frugal: Socioeconomic Status, Acculturation, and Cultural Health Beliefs among Women of Mexican Descent.

    ERIC Educational Resources Information Center

    Borrayo, Evelinn A.; Jenkins, Sharon Rae

    2003-01-01

    Investigates influences of acculturation, socioeconomic status (SES), and cultural health beliefs on Mexican-descent women's preventive health behaviors. In 5 focus group interviews sampling across levels of acculturation and SES, women expressing more traditional Mexican health beliefs about breast cancer screening were of lower SES and were less…

  10. Early Identification of Mental Health Problems in Schools: The Status of Instrumentation

    ERIC Educational Resources Information Center

    Levitt, Jessica Mass; Saka, Noa; Romanelli, Lisa Hunter; Hoagwood, Kimberly

    2007-01-01

    When embedded within a continuum of mental health services including both prevention and treatment, school-based mental health identification programs can promote improved academic and mental health functioning among students. This article describes the scientific status of assessment instrumentation that may be used for early mental health…

  11. Socioeconomic Status and the Health of Youth: A Multilevel, Multidomain Approach to Conceptualizing Pathways

    ERIC Educational Resources Information Center

    Schreier, Hannah M. C.; Chen, Edith

    2013-01-01

    Previous research has clearly established associations between low socioeconomic status (SES) and poor youth physical health outcomes. This article provides an overview of the main pathways through which low SES environments come to influence youth health. We focus on 2 prevalent chronic health problems in youth today, asthma and obesity. We…

  12. Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases

    ERIC Educational Resources Information Center

    Glover, Saundra; Bellinger, Jessica D.; Bae, Sejong; Rivers, Patrick A.; Singh, Karan P.

    2010-01-01

    Objective: The objective of this study is to determine racial and ethnic variations in specialty care utilization based on (a) perceived health status and (b) chronic disease status. Methods: Variations in specialty care utilization, by perceived health and chronic disease status, were examined using the Commonwealth Fund Health Care Quality…

  13. A theoretical framework of the good health status of Jamaicans: using econometric analysis to model good health status over the life course

    PubMed Central

    Bourne, Paul A

    2009-01-01

    Background: In recent times, the World Health Organization has increasing drawn attention to the pivotal role of social conditions in determining health status. The non-biological factors produced inequalities in health and need to be considered in health development. In spite of this, extensive review of health Caribbean revealed that no study has examined health status over the life course of Jamaicans. With the value of research in public health, this study is timely and will add value to understand the elderly, middle age and young adults in Jamaica. Objective: The aim of this study is to develop models that can be used to examine (or evaluate) health of Jamaicans, elderly, middle age and young adults. Method: The current study used data from a cross-sectional survey which was conducted between July and October 2002. Stratified random probability sampling technique was used to collect the data from 25,018 respondents across the island. The non-response rate for the survey was 29.7% with 20.5% who did not respond to particular questions, 9.0% did not participated in the survey and another 0.2% was rejected due to data cleaning. Logistic regression analyses were used to model health status of Jamaicans, young adults, middle age adults and elderly. The predictive power of the model was tested using Omnibus Test of Model and Hosmer and Lemeshow (24) was used to examine goodness of fit of the model. The correlation matrix was examined in order to ascertain whether autocorrelation (or multi-collinearity) existed between variables. Results: Using logistic regression analysis, eleven variables emerged as statistically significant predictors of current good health Status of Jamaicans (p<0.05). The factors are retirement income (95%CI=0.487-0.958), logged medical expenditure (95% Confidence Interval, CI =0.907-0.993), marital status (Separated or widowed or divorced: 95%CI=0.309-0.464; married: 95%CI=0.495-0.667; Never married), health insurance (95%CI=0.029-0.046), area

  14. Race: a major health status and outcome variable 1980-1999.

    PubMed

    Clayton, L A; Byrd, W M

    2001-03-01

    Based on the latest available data, African Americans are faced with persistent, or worsening, wide and deep, race-based health disparities compared to the white or general population as we enter the new millennium. These disparities are a 382-year continuum. There have been two periods of health reform specifically addressing the correction of race-based health disparities. The first period (1865-1872) was linked to Freedmen's Bureau legislation and the second (1965-1975) was a part of the Black Civil Rights Movement. Both had dramatic and positive effects on black health status and outcome, but were discontinued too soon to correct the "slave health deficit." Although African-American health status and outcome is slowly improving, black health has generally stagnated or deteriorated compared to whites since 1980. There is a compelling need for a third period of health reform accompanied by a cultural competence movement to address and correct persistent, often worsening, race-based health disparities.

  15. Infertile Individuals’ Marital Relationship Status, Happiness, and Mental Health: A Causal Model

    PubMed Central

    Ahmadi Forooshany, Seyed Habiballah; Yazdkhasti, Fariba; Safari Hajataghaie, Saiede; Nasr Esfahani, Mohammad Hossein

    2014-01-01

    Background This study examined the causal model of relation between marital relation- ship status, happiness, and mental health in infertile individuals. Materials and Methods In this descriptive study, 155 subjects (men: 52 and women: 78), who had been visited in one of the infertility Centers, voluntarily participated in a self-evaluation. Golombok Rust Inventory of Marital Status, Oxford Happiness Ques- tionnaire, and General Health Questionnaire were used as instruments of the study. Data was analyzed by SPSS17 and Amos 5 software using descriptive statistics, independent sample t test, and path analysis. Results Disregarding the gender factor, marital relationship status was directly related to happiness (p<0.05) and happiness was directly related to mental health, (p<0.05). Also, indirect relation between marital relationship status and mental health was significant (p<0.05). These results were confirmed in women participants but in men participants only the direct relation between happiness and mental health was significant (p<0.05). Conclusion Based on goodness of model fit in fitness indexes, happiness had a mediator role in relation between marital relationship status and mental health in infertile individu- als disregarding the gender factor. Also, considering the gender factor, only in infertile women, marital relationship status can directly and indirectly affect happiness and mental health. PMID:25379161

  16. Impact of natural disasters on the functional and health status of patients with rheumatoid arthritis.

    PubMed

    Tomio, Jun; Sato, Hajime; Mizumura, Hiroko

    2011-08-01

    To examine the effects of natural disasters on rheumatoid arthritis (RA) patients we conducted a questionnaire survey targeted to 1,477 members of a nationwide RA patient group in Japan who lived in the municipalities affected by natural disasters between 2004 and 2006. Functional statuses measured by the modified Health Assessment Questionnaire and self-rated health statuses before and after the events were retrospectively examined. The associations between the changes in functional and health status and socio-demographics, direct damage, and preparedness status were statistically analyzed. Of the 665 individuals who responded, the data on 192 women RA patients were analyzed. The values at 1 and 6 months post-event were the same, with 14% experiencing deteriorations of functional status, while 22% experienced a worsening of self-rated health status. Those in poorer functional status before the events were more likely to experience deteriorations of functional [odds ratio (OR) 4.4, 95% confidence interval (CI) 1.5-13.6] and health (OR 2.8, 95% CI 1.2-6.7) status at both 1 month and 6 months (OR 3.9, 95% CI 1.3-12.0, and OR 2.8, 95% CI 1.2-6.7, respectively) after the events. Based on these results, we conclude that the functional and health status of women RA patients could worsen due to the consequences of a natural disaster, with a disproportionately large impact upon those with a poorer functional status.

  17. Indoor air pollution in rural China: Cooking fuels, stoves, and health status

    SciTech Connect

    Peabody, J.W.; Riddell, T.J.; Smith, K.R.; Liu, Y.P.; Zhao, Y.Y.; Gong, J.H.; Milet, M.; Sinton, J.E.

    2005-03-15

    Solid fuels are a major source of indoor air pollution, but in less developed countries the short-term health effects of indoor air pollution are poorly understood. The authors conducted a large cross-sectional study of rural Chinese households to determine associations between individual health status and domestic cooking as a source of indoor air pollution. The study included measures of health status as well as measures of indoor air-pollution sources, such as solid cooking fuels and cooking stoves. Compared with other fuel types, coal was associated with a lower health status, including negative impacts on exhaled carbon monoxide level, forced vital capacity, lifetime prevalence of chronic obstructive pulmonary disease and asthma, and health care utilization. Decreasing household coal use, increasing use of improved stove technology, and increasing kitchen ventilation may decrease the short-term health effects of indoor air pollution.

  18. The role of race/ethnicity and social class in minority health status.

    PubMed Central

    Nickens, H W

    1995-01-01

    Minority health is often considered as a unitary phenomenon; it is often assumed that the health status of minority groups in the United States is similar across groups and much worse than that for whites. Yet the reality is extraordinary diversity. Racial/ethnic groups differ greatly both among and within themselves with regard to health status and with regard to a large number of other indices. Mortality rates around the world generally show an inverse relationship with social class. While this generally holds true in the United States as well, once again we see a strong interaction with race/ethnicity. However, the mediating factors between race/ethnicity and social class, and health status are not well understood. Especially in the face of health care reform, a broad-based research agenda needs to be undertaken so that any restructuring of the health care delivery system is informed by empirical information. PMID:7721589

  19. Exploring the Latino Paradox: How Economic and Citizenship Status Impact Health

    ERIC Educational Resources Information Center

    Campbell, Kelly; Garcia, Donna M.; Granillo, Christina V.; Chavez, David V.

    2012-01-01

    The authors examined the contributions of economic status (ES) and citizenship status to health differences between European Americans, Latino Americans, and noncitizen Latinos. The investigation was framed using social identity and comparison theories. Southern California residents (N = 2,164) were randomly selected to complete a telephone…

  20. Acculturation and sociocultural influences on dietary intake and health status among Puerto Rican adults in Massachusetts

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Previous studies have shown negative consequences of acculturation on lifestyle factors, health status, and dietary intake of Hispanic immigrants in the US. Despite prevalent type 2 diabetes and low socioeconomic status (SES) among Puerto Rican adults living on the US mainland, little is known about...

  1. Parental Support and Adolescents' Health in the Context of Parental Employment Status

    ERIC Educational Resources Information Center

    Bacikova-Sleskova, Maria; Madarasova Geckova, Andrea; van Dijk, Jitse P.; Groothoff, Johan W.; Reijneveld, Sijmen A.

    2011-01-01

    Parental employment status is an important and often overlooked contextual factor that may influence parent-adolescent relationships. The aim of this study is to examine the effect of parental support on adolescents' health within the context of parental employment status. Data on perceived mother's and father's support, mother's and father's…

  2. Oral Health and Nutritional Status of Semi-Institutionalized Persons with Mental Retardation in Brazil

    ERIC Educational Resources Information Center

    Batista, Luciana Rodrigues Vieira; Moreira, Emilia Addison Machado; Rauen, Michelle Soares; Corso, Arlete Catarina Tittoni; Fiates, Giovanna Medeiros Rataichesck

    2009-01-01

    Association between oral health status and nutritional status was investigated in 200 semi-institutionalized persons with mental retardation aged 5-53 years, 45.5% female, in the cities of Florianopolis and Sao Jose, province of Santa Catarina, Brazil. In this cross-sectional study, clinical-odontological examination revealed a high percentage of…

  3. Crop loss from air pollutants and injury to forest trees assessment program. Final status report

    SciTech Connect

    Thompson, C.R.; Kats, G.; Mutters, R.G.; Poe, M.

    1991-04-01

    Yield loss estimates from ozone for 52 different agricultural crops on a county-wide basis for California were made for 1987 and 1988. Compared to expected yields in clean air, losses ranged between 0 and 63 percent. A field survey in 1990 indicated that leaf injury and defoliation were more pronounced in southern portions of the San Joaquin Valley, and an east-to-west gradient in losses also occurred. Some of the crop losses occurring in 1988 air quality were alfalfa, 1.3-11.1%; beans, 0-34%; cotton, 6-45%; grapes,25-31%; onions, 4-20%; oranges, 11-63%; potatoes, 10-20%; rice, 3-7%; sugar beets, 0-9%; tomatoes, 2-22%; and wheat, 0.7-16%. The report includes an extensive bibliography of the effect of air pollution on forest vegetation; no satisfactory models exist for assessing losses to the 21 host tree species listed as 'moderately or very sensitive' to air pollution. Monthly 7- and 12-hour ozone averages indicate that valuable commercial timber species in the forests in El Dorado, Placer, Riverside, San Bernardino, and San Diego counties experience the highest levels of exposures to air pollution, and the absence of monitoring sites hinders the assessment of the risk to Southern Sierra Nevada forests, which are downwind of urban and industrial conifers.

  4. Women in Health Careers: Status of Women in Health Careers in the United States and Other Selected Countries.

    ERIC Educational Resources Information Center

    Pennell, Maryland; Showell, Shirlene

    Compiling available statistical information on the status of women in health careers, the chart book was designed for use at the International Conference on Women in Health. Tables and figures illustrate statements through statistics and graphs. In the section dealing with the United States, tables present a broad statistical base, and figures…

  5. The Relative Contribution of Health Status and Quality of Life Domains in Subjective Health in Old Age

    ERIC Educational Resources Information Center

    Prieto-Flores, Maria-Eugenia; Moreno-Jimenez, Antonio; Fernandez-Mayoralas, Gloria; Rojo-Perez, Fermina; Forjaz, Maria Joao

    2012-01-01

    To analyze the influence of different health status dimensions and quality of life (QoL) domains on older adults' subjective health, and to assess the role that residential satisfaction plays in these relationships. A QoL survey was conducted on a representative sample of the community-dwelling older adult population in Madrid province (Spain).…

  6. Chronic fatigue syndrome and fibromyalgia in Canada: prevalence and associations with six health status indicators

    PubMed Central

    Rusu, C.; Gee, M. E.; Lagacé, C.; Parlor, M.

    2015-01-01

    Introduction: Few studies have considered the factors independently associated with chronic fatigue syndrome (CFS) and/or fibromyalgia (FM) or considered the impact of these conditions on health status using population-based data. Methods: We used data from the nationally representative 2010 Canadian Community Health Survey (n = 59 101) to describe self-reported health professional-diagnosed CFS and/or FM, and their associations with 6 health status indicators. Results: In 2010, diagnosed CFS and FM are reported by 1.4% (95% confidence interval [CI]: 1.3%–1.6%) and 1.5% (1.4%–1.7%), respectively, of the Canadian household population aged 12 years and over, with comorbid CFS and FM affecting 0.3% (0.3%–0.4%) of that population. Prevalent CFS and/or FM were more common among women, adults aged 40 years and over, those with lowest income, and those with certain risk factors for chronic disease (i.e. obesity, physical inactivity and smoking). After controlling for differences between the groups, people with CFS and/or FM reported poorer health status than those with neither condition on 5 indicators of health status, but not on the measure of fair/poor mental health. Having both CFS and FM and having multiple comorbid conditions was associated with poorer health status. Conclusion: Co-occurrence of CFS and FM and having other chronic conditions were strongly related to poorer health status and accounted for much of the differences in health status. Understanding factors contributing to improved quality of life in people with CFS and/or FM, particularly in those with both conditions and other comorbidities, may be an important area for future research. PMID:25811400

  7. [Self-evaluation by workers of health status and its relation to the life style].

    PubMed

    Izutkin, D A; Kvasov, S E; Kopteva, L N

    1991-01-01

    The article provides an analysis of lifestyle factors among industrial workers in connection with their self-assessment of health status. The diet, physical activity, harmful habits, ethico-psychological atmosphere in the family has been assessed. The survey made it possible to detect certain regularities. Such self-assessments of health status as "poor" and "satisfactory" predominated among persons who had a low level of physical activity, irregular meals, smoke or systematically consume alcohol as compared to those conducting healthy lifestyle.

  8. Cultural framework, anger expression, and health status in Russian immigrant women in the United States.

    PubMed

    Bagdasarov, Zhanna; Edmondson, Christine B

    2013-01-01

    We investigated the role of anger expression and cultural framework in predicting Russian immigrant women's physical and psychological health status. One hundred Russian immigrant women between the ages of 30 and 65 completed questionnaires assessing anger expression, cultural framework, and health status. All research questions were addressed using hierarchical regression procedures. The results are discussed in terms of implications for understanding immigration experiences of Russian women who migrate from countries that are more collectivistic and less individualistic than the United States.

  9. Poor mental health status and aggression are associated with poor driving behavior among male traffic offenders

    PubMed Central

    Abdoli, Nasrin; Farnia, Vahid; Delavar, Ali; Esmaeili, Alirez; Dortaj, Fariborz; Farrokhi, Noorali; Karami, Majid; Shakeri, Jalal; Holsboer-Trachsler, Edith; Brand, Serge

    2015-01-01

    Background In Iran, traffic accidents and deaths from traffic accidents are among the highest in the world, and generally driver behavior rather than either technical failures or environmental conditions are responsible for traffic accidents. In the present study, we explored the extent to which aggressive traits, health status, and sociodemographic variables explain driving behavior among Iranian male traffic offenders. Method A total of 443 male driving offenders (mean age: M =31.40 years, standard deviation =9.56) from Kermanshah (Iran) took part in the study. Participants completed a questionnaire booklet covering sociodemographic variables, traits of aggression, health status, and driving behavior. Results Poor health status, such as symptoms of depression, anxiety, insomnia, and social dysfunction, and also higher levels of trait aggression explained poor driving behavior. Multiple regressions indicated that poor health status, but not aggression, independently predicted poor driving behavior. Conclusion Results suggest that health status concerns are associated with poor driving behavior. Prevention and intervention might therefore focus on drivers reporting poor mental health status. PMID:26316753

  10. 75 FR 65608 - Flathead National Forest-Swan Lake Ranger District, Montana; Wild Cramer Forest Health and Fuels...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... timber, reduce hazardous forest fuels, prescribe burn, and reconstruct and construct permanent roads... before they burn onto private lands; (6) provide forest products to the local timber industry... burning are proposed. Use of existing and construction of temporary and permanent (specified) roads...

  11. (abstract) Characterization of Tree Water Status and Dielectric Constant Changes of North American Boreal Forests in Combination with Synthetic Aperture Radar Remote Sensing

    NASA Technical Reports Server (NTRS)

    McDonald, K. C.; Zimmerman, R.; Way, J. B.

    1994-01-01

    The occurrence and magnitude of temporal and spatial tree water status changes in the boreal environment were studied in a floodplain forest in Alaska and in four forest types of Central Canada. Under limited water supply conditions from the rooted soil zone in early spring (freeze/thaw transition) and during summer, trees show declining water potentials. Coincidental change in tree water potential, tree transpiration and tree dielectric constant had been observed in previous studies performed in Mediterranean ecotones. If radar is sensitive to chances in tree water status as reflected through changes in dielectric constant, then radar remote sensing could be used to monitor the water status of forests. The SAR imagery is examined to determine the response of the radar backscatter to the ground based observations of the water status of forest canopies. Comparisons are made between stands and also along the large North-South gradient between sites. Data from SAR are used to examine the radar response to canopy physiological state as related to vegetation freeze/thaw and growing season length.

  12. [The health status of children under poor ecological and social conditions].

    PubMed

    Sukharev, A G; Mikhaĭlova, S A

    2004-01-01

    In the Republic of Altai, the past decades are marked by poor trends in the children's health status: lower birth rates, a rise in general and infantile mortality and morbidity and worse physical development. The districts and areas that differ in environmental and social characteristics have been identified. Their comparison has determined the influence of environmental and social factors on the health status of children. There is a relationship of the children's health to environmental and social factors. It has been found that social factors much more influence than do environmental ones. A combination of environmental and social factors exerts the greatest impact on the basic health indices. In the area exposed to a combination of negative effects of these factors where natives predominantly live, there are negative changes in the children's health status. The leading social factors are maternal working conditions, familial financial position, a child's dietary habits, and living conditions.

  13. Status of nutrition and health claims in Europe.

    PubMed

    Verhagen, Hans; Vos, Ellen; Francl, Sheila; Heinonen, Marina; van Loveren, Henk

    2010-09-01

    Functional foods are closely associated with claims on foods. There are two categories of claims on foods: nutrition claims and health claims. Health claims on (functional) foods must be scientifically substantiated. In December 2006, the European Union published its Regulation 1924/2006 on nutrition and health claims made on foods. As concerns scientific evaluation, the EU-project PASSCLAIM resulted in a set of criteria for the scientific substantiation of health claims on foods. The European Food Safety Authority provides the scientific advise to the European Commission for health claims submitted under Regulation 1924/2006 and has hitherto published several hundreds of opinions on health claims, part of which are positive, part which are negative and a few with insufficient evidence. Antioxidant claims have been approved for the general function of vitamins but not for direct health effects in humans. Another issue with claims is consumer understanding. Consumers can hardly distinguish between graded levels of evidence, and they do make only little or no distinction between nutrition and health claims. Consumers understand nutrition and health claims different from scientists and regulators. Therefore, innovation in industry can readily proceed via approved nutrition claims and approved health claims. The market and the shelves in the stores will not be empty; rather they will look different in the years to come.

  14. The Lifetime Effect of Residential School Attendance on Indigenous Health Status

    PubMed Central

    2014-01-01

    Objectives. I examined the health impact of lifetime Indian Residential school (IRS) attendance and the mediating influences of socioeconomic status and community adversity on health outcomes in a national sample of Aboriginal peoples in Canada. Methods. In an analysis of data on 13 881 Inuit, Métis, and off-reserve First Nations or North American Indian adults responding to the postcensus 2006 Aboriginal Peoples Survey administered October 2006 to March 2007, I tested the direct effect of IRS attendance on health and indirect effects through socioeconomic and community factors using logistic regression procedures. Results. Negative health status was significantly more likely with IRS attendance than nonattendance. The direct effect of IRS attendance remained significant although it attenuated substantially when adjusting for demographic characteristics, socioeconomic status, and community-level adversities. Community adversity and socioeconomic factors, primarily income, employment status, and educational attainment mediated the effect of IRS on health. Conclusions. Residential school attendance is a significant health determinant in the Indigenous population and is adversely associated with subsequent health status both directly and through the effects of attendance on socioeconomic and community-level risks. PMID:24328622

  15. SOME INDICATORS OF HEALTH CARE STATUS IN CROATIA.

    PubMed

    Puntarić, Dinko; Stašević, Ina; Ropac, Darko; Poljičanin, Tamara; Mayer, Dijana

    2015-03-01

    The article presents the basic principles of health care, health care measures and strategic objectives of these measures in Croatia. The health of the population does not depend solely on the activities of the health care system but also on various demographic indicators. Our success in implementing health care depends largely on the structure of health facilities and health workers. The Croatian health system in late 2013 had permanently employed 74,489 workers. Out of these, 77% were health care workers. Most health care workers had only secondary school education (37.7%); physicians represented 17.4% of the workforce. On assessing the health of the population, certain health indicators are of utmost importance. The leading cause of deaths were circulatory diseases (in 2012, 24,988 persons died, 585.5/100,000). Neoplasms were the cause of death in 13,940 persons (326.6/100,000), then injuries and poisoning (69.1/100,000), diseases of the gastrointestinal system (53.1/100,000), and respiratory diseases (50.4/100,000). Data are presented on the basis of diseases reported from several national registries (cancer, psychoactive drug abuse, the disabled, diabetes, and suicides). The importance of vaccination for the control of infectious diseases in Croatia is especially emphasized, as well as the experience and excellent results achieved in this area. The epidemiological situation in Croatia in terms of infectious diseases can be assessed as favorable. This is due to the general living conditions, which contributed to the entire health system, making Croatia equal to other developed countries of Europe and throughout the world.

  16. SOME INDICATORS OF HEALTH CARE STATUS IN CROATIA.

    PubMed

    Puntarić, Dinko; Stašević, Ina; Ropac, Darko; Poljičanin, Tamara; Mayer, Dijana

    2015-03-01

    The article presents the basic principles of health care, health care measures and strategic objectives of these measures in Croatia. The health of the population does not depend solely on the activities of the health care system but also on various demographic indicators. Our success in implementing health care depends largely on the structure of health facilities and health workers. The Croatian health system in late 2013 had permanently employed 74,489 workers. Out of these, 77% were health care workers. Most health care workers had only secondary school education (37.7%); physicians represented 17.4% of the workforce. On assessing the health of the population, certain health indicators are of utmost importance. The leading cause of deaths were circulatory diseases (in 2012, 24,988 persons died, 585.5/100,000). Neoplasms were the cause of death in 13,940 persons (326.6/100,000), then injuries and poisoning (69.1/100,000), diseases of the gastrointestinal system (53.1/100,000), and respiratory diseases (50.4/100,000). Data are presented on the basis of diseases reported from several national registries (cancer, psychoactive drug abuse, the disabled, diabetes, and suicides). The importance of vaccination for the control of infectious diseases in Croatia is especially emphasized, as well as the experience and excellent results achieved in this area. The epidemiological situation in Croatia in terms of infectious diseases can be assessed as favorable. This is due to the general living conditions, which contributed to the entire health system, making Croatia equal to other developed countries of Europe and throughout the world. PMID:26606780

  17. The Relative Impacts of Disease on Health Status and Capability Wellbeing: A Multi-Country Study

    PubMed Central

    Mitchell, Paul Mark; Al-Janabi, Hareth; Richardson, Jeff; Iezzi, Angelo; Coast, Joanna

    2015-01-01

    Background Evaluations of the impact of interventions for resource allocation purposes commonly focus on health status. There is, however, also concern about broader impacts on wellbeing and, increasingly, on a person's capability. This study aims to compare the impact on health status and capability of seven major health conditions, and highlight differences in treatment priorities when outcomes are measured by capability as opposed to health status. Methods The study was a cross-sectional four country survey (n = 6650) of eight population groups: seven disease groups with: arthritis, asthma, cancer, depression, diabetes, hearing loss, and heart disease and one health population ‘comparator’ group. Two simple self-complete questionnaires were used to measure health status (EQ-5D-5L) and capability (ICECAP-A). Individuals were classified by illness severity using condition-specific questionnaires. Effect sizes were used to estimate: (i) the difference in health status and capability for those with conditions, relative to a healthy population; and (ii) the impact of the severity of the condition on health status and capability within each disease group. Findings 5248 individuals were included in the analysis. Individuals with depression have the greatest mean reduction in both health (effect size, 1.26) and capability (1.22) compared to the healthy population. The effect sizes for capability for depression are much greater than for all other conditions, which is not the case for health. For example, the arthritis group effect size for health (1.24) is also high and similar to that of depression, whereas for the same arthritis group, the effect size for capability is much lower than that for depression (0.55). In terms of severity within disease groups, individuals categorised as 'mild' have similar capability levels to the healthy population (effect sizes <0.2, excluding depression) but lower health status than the healthy population (≥0.4). Conclusion

  18. Forest insect pest management and forest management in China: an overview.

    PubMed

    Ji, Lanzhu; Wang, Zhen; Wang, Xiaowei; An, Linli

    2011-12-01

    According to the Seventh National Forest Inventory (2004-2008), China's forests cover an area of 195.45 million ha, or 20.36% of the total land area. China has the most rapidly increasing forest resources in the world. However, China is also a country with serious forest pest problems. There are more than 8,000 species of potential forest pests in China, including insects, plant diseases, rodents and lagomorphs, and hazardous plants. Among them, 300 species are considered as economically or ecologically important, and half of these are serious pests, including 86 species of insects. Forest management and utilization have a considerable influence on the stability and sustainability of forest ecosystems. At the national level, forestry policies always play a major role in forest resource management and forest health protection. In this paper, we present a comprehensive overview of both achievements and challenges in forest management and insect pest control in China. First, we summarize the current status of forest resources and their pests in China. Second, we address the theories, policies, practices and major national actions on forestry and forest insect pest management, including the Engineering Pest Management of China, the National Key Forestry Programs, the Classified Forest Management system, and the Collective Forest Tenure Reform. We analyze and discuss three representative plantations-Eucalyptus, poplar and Masson pine plantations-with respect to their insect diversity, pest problems and pest management measures.

  19. Forest Insect Pest Management and Forest Management in China: An Overview

    NASA Astrophysics Data System (ADS)

    Ji, Lanzhu; Wang, Zhen; Wang, Xiaowei; An, Linli

    2011-12-01

    According to the Seventh National Forest Inventory (2004-2008), China's forests cover an area of 195.45 million ha, or 20.36% of the total land area. China has the most rapidly increasing forest resources in the world. However, China is also a country with serious forest pest problems. There are more than 8,000 species of potential forest pests in China, including insects, plant diseases, rodents and lagomorphs, and hazardous plants. Among them, 300 species are considered as economically or ecologically important, and half of these are serious pests, including 86 species of insects. Forest management and utilization have a considerable influence on the stability and sustainability of forest ecosystems. At the national level, forestry policies always play a major role in forest resource management and forest health protection. In this paper, we present a comprehensive overview of both achievements and challenges in forest management and insect pest control in China. First, we summarize the current status of forest resources and their pests in China. Second, we address the theories, policies, practices and major national actions on forestry and forest insect pest management, including the Engineering Pest Management of China, the National Key Forestry Programs, the Classified Forest Management system, and the Collective Forest Tenure Reform. We analyze and discuss three representative plantations— Eucalyptus, poplar and Masson pine plantations—with respect to their insect diversity, pest problems and pest management measures.

  20. Edentulism and other variables associated with self-reported health status in Mexican adults

    PubMed Central

    Medina-Solís, Carlo Eduardo; Pontigo-Loyola, América Patricia; Pérez-Campos, Eduardo; Hernández-Cruz, Pedro; Avila-Burgos, Leticia; Mendoza-Rodríguez, Martha; Maupomé, Gerardo

    2014-01-01

    Background To determine if edentulism, controlling for other known factors, is associated with subjective self-report health status (SRH) in Mexican adults. Material/Methods We examined the SRH of 13 966 individuals 35 years and older, using data from the National Survey of Performance Assessment, a cross-sectional study that is part of the technical collaboration between the Ministry of Health of Mexico and the World Health Organization, which used the survey instrument and sampling strategies developed by WHO for the World Health Survey. Sociodemographic, socioeconomic, medical, and behavioral variables were collected using questionnaires. Self-reported health was our dependent variable. Data on edentulism were available from 20 of the 32 Mexican states. A polynomial logistic regression model adjusted for complex sampling was generated. Results In the SRH, 58.2% reported their health status as very good/good, 33.8% said they had a moderate health status, and 8.0% reported that their health was bad/very bad. The association between edentulism and SRH was modified by age and was significant only for bad/very bad SRH. Higher odds of reporting moderate health or poor/very poor health were found in women, people with lower socio-economic status and with physical disabilities, those who were not physically active, or those who were underweight or obese, those who had any chronic disease, and those who used alcohol. Conclusions The association of edentulism with a self-report of a poor health status (poor/very poor) was higher in young people than in adults. The results suggest socioeconomic inequalities in SRH. Inequality was further confirmed among people who had a general health condition or a disability. PMID:24852266

  1. Worse Health Status and Higher Incidence of Health Disorders in Rhesus Negative Subjects

    PubMed Central

    Flegr, Jaroslav; Hoffmann, Rudolf; Dammann, Mike

    2015-01-01

    Rhesus-positive and Rhesus-negative persons differ in the presence-absence of highly immunogenic RhD protein on the erythrocyte membrane. The biological function of the RhD molecule is unknown. Its structure suggests that the molecular complex with RhD protein transports NH3 or CO2 molecules across the erythrocyte cell membrane. Some data indicate that RhD positive and RhD negative subjects differ in their tolerance to certain biological factors, including, Toxoplasma infection, aging and fatique. Present cross sectional study performed on 3,130 subjects) showed that Rhesus negative subjects differed in many indices of their health status, including incidences of many disorders. Rhesus negative subjects reported to have more frequent allergic, digestive, heart, hematological, immunity, mental health, and neurological problems. On the population level, a Rhesus-negativity-associated burden could be compensated for, for example, by the heterozygote advantage, but for Rhesus negative subjects this burden represents a serious problem. PMID:26495842

  2. Community mental health care worldwide: current status and further developments

    PubMed Central

    Thornicroft, Graham; Deb, Tanya; Henderson, Claire

    2016-01-01

    This paper aims to give an overview of the key issues facing those who are in a position to influence the planning and provision of mental health systems, and who need to address questions of which staff, services and sectors to invest in, and for which patients. The paper considers in turn: a) definitions of community mental health care; b) a conceptual framework to use when evaluating the need for hospital and community mental health care; c) the potential for wider platforms, outside the health service, for mental health improvement, including schools and the workplace; d) data on how far community mental health services have been developed across different regions of the world; e) the need to develop in more detail models of community mental health services for low‐ and middle‐income countries which are directly based upon evidence for those countries; f) how to incorporate mental health practice within integrated models to identify and treat people with comorbid long‐term conditions; g) possible adverse effects of deinstitutionalization. We then present a series of ten recommendations for the future strengthening of health systems to support and treat people with mental illness.

  3. Community mental health care worldwide: current status and further developments

    PubMed Central

    Thornicroft, Graham; Deb, Tanya; Henderson, Claire

    2016-01-01

    This paper aims to give an overview of the key issues facing those who are in a position to influence the planning and provision of mental health systems, and who need to address questions of which staff, services and sectors to invest in, and for which patients. The paper considers in turn: a) definitions of community mental health care; b) a conceptual framework to use when evaluating the need for hospital and community mental health care; c) the potential for wider platforms, outside the health service, for mental health improvement, including schools and the workplace; d) data on how far community mental health services have been developed across different regions of the world; e) the need to develop in more detail models of community mental health services for low‐ and middle‐income countries which are directly based upon evidence for those countries; f) how to incorporate mental health practice within integrated models to identify and treat people with comorbid long‐term conditions; g) possible adverse effects of deinstitutionalization. We then present a series of ten recommendations for the future strengthening of health systems to support and treat people with mental illness. PMID:27717265

  4. [The social and hygienic aspects in the protection of the health of forest industry workers].

    PubMed

    Akhmetzyanov, L M

    1990-01-01

    The study of social and hygiene aspects in the industry of forest exploitation permitted to point out the changes that occurred in the field of mechanization and automation of production processes, which radically influenced the working conditions and characteristics, as well as the health indices. The study approaches some economic, social and hygiene problems. Proposals are made regarding the improvement of medical care organization for workers, for example the drawing up of a complex programme of prophylaxis of diseases in the enterprises for wood industrialization and of utilization of the computation technique.

  5. ELECTRONIC HEALTH IN GHANA: CURRENT STATUS AND FUTURE PROSPECTS

    PubMed Central

    Afarikumah, Ebenezer

    2014-01-01

    The health-care system in Ghana is similar to those in other developing countries and access to health services for remote communities is extremely limited. In July, 2010, the Government of Ghana launched the national e health strategy. A number of international organizations have initiated various pilot projects, including disseminating and collecting data, education initiatives and telemedicine. In addition, several institutions and organizations are dedicated to the promotion of e-health and a range of Web-based health consultancy services have begun. The main objective of this study is to provide an overview of eHealth activities in Ghana. It was a daunting task, not least because of the need to gather information on eHealth projects and initiatives in Ghana, as there is no existing repository of such information. Through literature search in Africa journals online, Hinari, Medline, Google.com, Journal of Telemedicine and e-Health, Journal of Telemedicine and Telecare, Journal of Medical Internet Research and Interaction with eHealth experts, followed up with some of the authors' for directions to other projects, and following the references in some articles. A total of twenty-two (22) pilot projects have been identified in Ghana. Mobile devices in use range from PDAs to simple phones and smart phones. The key findings of this research are that there are about 22 eHealth project at various stages of implementation in Ghana. Some of these projects have wind up and others are still being implemented. Mobile devices in use range from PDAs to simple mobile phones and smart phones. Most of the projects have been donor initiated. Data collection started in March 2010 to June 2013. Although eHealth seems to have a limited role in Ghana at present, there is growing interest in the opportunities it may offer in terms of improving the delivery and access to services, especially in remote locations. Recommendations for further research are provided. PMID:24678382

  6. Adults with Greater Weight Satisfaction Report More Positive Health Behaviors and Have Better Health Status Regardless of BMI

    PubMed Central

    Blake, Christine E.; Hébert, James R.; Lee, Duck-chul; Adams, Swann A.; Steck, Susan E.; Sui, Xuemei; Kuk, Jennifer L.; Baruth, Meghan; Blair, Steven N.

    2013-01-01

    Background. Prior studies suggest that weight satisfaction may preclude changes in behavior that lead to healthier weight among individuals who are overweight or obese. Objective. To gain a better understanding of complex relationships between weight satisfaction, weight-related health behaviors, and health outcomes. Design. Cross-sectional analysis of data from the Aerobics Center Longitudinal Study (ACLS). Participants. Large mixed-gender cohort of primarily white, middle-to-upper socioeconomic status (SES) adults with baseline examination between 1987 and 2002 (n = 19,003). Main Outcome Variables. Weight satisfaction, weight-related health behaviors, chronic health conditions, and clinical health indicators. Statistical Analyses Performed. Chi-square test, t-tests, and linear and multivariate logistic regression. Results. Compared to men, women were more likely to be dieting (32% women; 18% men) and had higher weight dissatisfaction. Men and women with greater weight dissatisfaction reported more dieting, yo-yo dieting, and snacking and consuming fewer meals, being less active, and having to eat either more or less than desired to maintain weight regardless of weight status. Those who were overweight or obese and dissatisfied with their weight had the poorest health. Conclusion. Greater satisfaction with one's weight was associated with positive health behaviors and health outcomes in both men and women and across weight status groups. PMID:23862054

  7. Gender & Economic Status Matter in Mental Health of Adolescents?

    ERIC Educational Resources Information Center

    Sharma, Namita; Dua, Radha

    2011-01-01

    Mental health is the ability to adjust oneself satisfactorily to the various strains of life. Mental health and Education are closely related to each other. Sound mental is prerequisite for the learner. In this era of severe competition to excel or to be on the top is pressurizing today's adolescents to the utmost. Besides a number of factors like…

  8. Marital Status and Occupational Success Among Mental Health Professionals

    ERIC Educational Resources Information Center

    Marx, John H.; Spray, S. Lee

    1970-01-01

    Concludes that personal relations, professional experiences and occupational success form a network of relationships which integrate the occupational and nonoccupational roles of highly specialized practitioners. Part of a Study of Careers in the Mental Health Field, supported by National Institute of Mental Health Grant MH-09192 and directed by…

  9. Associations between Self-medication, Health Literacy, and Self-perceived Health Status: A Community-Based Study

    PubMed Central

    Kamran, Aziz; Sharifirad, Gholamreza; Shafaeei, Yousef; Mohebi, Siamak

    2015-01-01

    Background: Although the frequency of self-medication has been well-documented in the public health literature, but no study has examined the relationship between health literacy and self-medication yet. This study was aimed to investigating the relationship between health literacy and self-medication in a community-based study. Methods: This cross-sectional study was conducted on 924 adults to survey association between health literacy and self-medication among peoples in Ardabil city in 2014 who were selected using a multi-stage random sampling method. Health literacy was measured by the test of functional health literacy in adults and general health status was measured by the 12-item General Health Questionnaire, and self-reported self-medication (overall, sedative, antibiotic and herbal) in last 3 months was assessed. All statistical analysis was performed using the SPSS version 18 and a P < 0.05 was considered significant. Results: The mean age and weight of respondents were 37 years and 74.7 kg, respectively. The prevalence of self-medication was 61.6%, and the percentage of self-administering antibiotics, sedative, and herbal medicines were 40%, 54.4%, and 59.1% in the last 3 months, respectively. Significant relationship was found between of total health literacy and general health status with self-medication. The prevalence of self-medication among participants with poor and very poor self-rated physical and mental health was significantly higher than other participants (P < 0.001). Conclusions: Self-medication had a significant relationship with health literacy and health status. Therefore, the design and implementation of training programs are necessary to increase the perception on the risk of self-medication. PMID:26288710

  10. Associations among Socioeconomic Status, Perceived Neighborhood Control, Perceived Individual Control, and Self-Reported Health

    ERIC Educational Resources Information Center

    Moore, Spencer; Daniel, Mark; Bockenholt, Ulf; Gauvin, Lise; Richard, Lucie; Stewart, Steven; Dube, Laurette

    2010-01-01

    Recent research has suggested that perceived control and a person's perceptions of their neighborhood environment may mediate the association between socioeconomic status (SES) and health. This cross-sectional study assessed whether perceptions of informal social control mediated the association between SES and self-reported health, and if these…

  11. Effect of Service Barriers on Health Status of Aging South Asian Immigrants in Calgary, Canada

    ERIC Educational Resources Information Center

    Lai, Daniel W. L.; Surood, Shireen

    2013-01-01

    This study examined the relationships between service barriers and health status of aging South Asian immigrants. Data were obtained through a structured telephone survey with a random sample of 220 South Asians 55 years of age and older. The effect of the different types of service barriers on the physical and mental health of participants was…

  12. Trends in the Health Status of Older Manitobans, 1985 to 1999

    ERIC Educational Resources Information Center

    Menec, Verena H.; Lix, Lisa; MacWilliam, Leonard R.

    2005-01-01

    Trends in the health status of the entire senior population aged 65 years or older in Manitoba were examined over a 14-year period (1985-1999) using administrative data (about 150,000 individuals). Significant health gains were apparent for a number of important indicators, including acute myocardial infarction, stroke, cancer, and hip fractures,…

  13. Early Childbearing, Marital Status, and Women's Health and Mortality after Age 50

    ERIC Educational Resources Information Center

    Henretta, John C.

    2007-01-01

    This article examines the relationship between a woman's childbearing history and her later health and mortality, with primary focus on whether the association between them is due to early and later socioeconomic status. Data are drawn from the Health and Retirement Study birth cohort of 1931-1941. Results indicate that, conditional on reaching…

  14. Mental health status of municipal solid waste incinerator workers compared with local government office workers.

    PubMed

    Nakayama, Osamu; Ohkuma, Kazuyuki

    2006-10-01

    Recently in Japan dioxin problem of municipal solid waste incinerator (MSWI) became social issue. The news spread all around Japan and induced fear that workers at incinerators would suffer from cancer or other serious illness induced by the exposure to dioxins. Authors were interested in the effect of this stressful event occurred to the workers and intended to evaluate mental health status of MSWI workers compared with office workers. Subjects were male workers from two MSWI plants and a local government office; 20 government office workers who were engaging in health administration and 55 MSWI workers. Subjects were interviewed about their age, educational carrier, and working schedule. POMS and GHQ30 were used to evaluate mood status of subjects. There were differences in mood state between the two occupational groups. POMS showed that Tension-Anxiety, Depression-Dejection, and Fatigue levels were high in the health administration worker group. GHQ30 showed that General Illness, Social Dysfunction, and Anxiety and Dysphoria state were deviated to abnormal in the health administration worker group. General mental health status evaluated by GHQ30 score was also deviated to abnormal in the office worker group. Our results showed that mental health status of health administration workers was less healthy compared with MSWI workers. This meant that the stress of MSWI workers enhanced by the fear that they might have been exposed to dioxin did not exceed the stress the health administration workers usually had suffered from.

  15. Current Status and Future Plans for Undergraduate Public/Community Health Education Program Accreditation

    ERIC Educational Resources Information Center

    Miller, M. Elizabeth; Birch, David A.; Cottrell, Randall R.

    2010-01-01

    Background: Quality assurance in health education professional preparation has long been a goal of the profession. A comprehensive coordinated accreditation process for graduate and undergraduate health education has been recommended. Purpose: The purpose of this study was to determine the current status of, and future plans for,…

  16. Race, Ethnicity, and Self-Rated Health Status in the Behavioral Risk Factor Surveillance System Survey

    ERIC Educational Resources Information Center

    Borrell, Luisa N.; Crawford, Natalie D.

    2006-01-01

    This study examines the association between race and self-rated health status among Hispanic and non-Hispanic adults in the 2003 Behavioral Risk Factor Surveillance System survey (N = 241,038). Logistic regression was used to estimate the odds of self-rated health as fair/poor for Hispanic Blacks, Hispanic Whites, and non-Hispanic Blacks as…

  17. The Prevalence of Self-Reported Health Problems and Haemoglobin Status of Sudanese Adolescents

    ERIC Educational Resources Information Center

    Moukhyer, M. E.; de Vries, N. K.; Bosma, H.; van Eijk, J. Th. M.

    2006-01-01

    In this paper we describe self-reported health problems and haemoglobin status among 1200 Sudanese adolescents (53.2% females, 46.8% males). Many adolescents report their general health as excellent and good (84%). A large number, however, report separate physical and psychological complaints. Report of psychological complaints is equal for both…

  18. Health and Nutritional Status of Working and Non-Working Mothers in Poverty Groups.

    ERIC Educational Resources Information Center

    Roe, Daphne A.; Eickwort, Kathleen R.

    The aim of this study was to examine the health and nutritional status of low-income women in Upstate New York and to identify problems that interfere with their employment. Questionnaires on health and work, complete medical and employment histories, physical examination, laboratory tests, dental examination and diet recalls were obtained for 469…

  19. Anger Symptomatology, Stress Reactivity and Health Status of Mid-Life Women.

    ERIC Educational Resources Information Center

    Thomas, Sandra P.

    This study examined psychological, behavioral, environmental, and sociodemographic predictors of health status in 87 mid-life women participating in a longitudinal investigation. Correlates of good health were found to be an optimistic disposition, internal locus of control, education, income, employment outside the home, moderate exercise, and…

  20. Minority group status and healthful aging: social structure still matters.

    PubMed

    Angel, Jacqueline L; Angel, Ronald J

    2006-07-01

    During the last 4 decades, a rapid increase has occurred in the number of survey-based and epidemiological studies of the health profiles of adults in general and of the causes of disparities between majority and minority Americans in particular. According to these studies, healthful aging consists of the absence of disease, or at least of the most serious preventable diseases and their consequences, and findings consistently reveal serious African American and Hispanic disadvantages in terms of healthful aging. We (1) briefly review conceptual and operational definitions of race and Hispanic ethnicity, (2) summarize how ethnicity-based differentials in health are related to social structures, and (3) emphasize the importance of attention to the economic, political, and institutional factors that perpetuate poverty and undermine healthful aging among certain groups.

  1. College students' responses to mental health status updates on Facebook.

    PubMed

    Egan, Katie G; Koff, Rosalind N; Moreno, Megan A

    2013-01-01

    Facebook is widely used by the college population, and previous research has shown that mental health references on Facebook are common. Focus groups of college students were held to determine their views of mental health references seen in their peers' Facebook profiles. Students' views of mental health references varied from being serious calls for help, to being jokes or attention-seeking behavior. Responses to mental health references depended on the participants' offline relationship with the poster. Students would contact close friends through a phone call or in-person conversation, but would not approach acquaintances. The prevalence of mental health references on Facebook, and the awareness of these references by college students, may present opportunities for future peer intervention efforts. PMID:23301569

  2. Education for eHealth--a status analysis.

    PubMed

    Herzog, Juliane; Pohn, Birgit; Forjan, Mathias; Sauermann, Stefan; Urbauer, Philipp

    2014-01-01

    eHealth is not only a growing market, but also an important factor for new healthcare systems. National and European initiatives implicitly demand a higher level of knowledge in the areas of healthcare, engineering and management. As part of the eLearning4eHealth project an initial web based study was performed concentrating on European and global eHealth related educational programs. The results show that eHealth related courses do not evenly exist for the identified professions. 43% of the offered programs are focused on the engineering sector, whereas only 21% are available for the management sector. In order to offer compatible and comparable state of knowledge in the identified fields of profession and knowledge, further educational programs may be necessary. Despite the found shortcomings, results have shown that international activities have started in order to close the gaps and improve the quality of knowledge in the interdisciplinary field of eHealth.

  3. Blood pressure control and perceived health status in African Americans with subclinical hypertensive heart disease.

    PubMed

    Burla, Michael J; Brody, Aaron M; Ference, Brian A; Flack, John M; Mahn, James J; Marinica, Alexander L; Carroll, Justin A; Nasser, Samar A; Zhang, Shiling; Levy, Phillip D

    2014-05-01

    The role of antihypertensive therapy in reducing the risk of cardiovascular complications such as heart failure is well established, but the effects of different blood pressure goals on patient-perceived health status has not been well defined. We sought to determine if adverse effects on perceived health status will occur with lower blood pressure goals or more intensive antihypertensive therapy. Data were prospectively collected as a part of a single center, randomized controlled trial designed to evaluate standard (Seventh Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure-compliant) versus intense (<120/80 mm Hg) blood pressure goals for patients with uncontrolled hypertension and subclinical hypertensive heart disease. Blood pressure management was open label, and health status was measured at 3-month intervals over 1 year of follow-up using the short-form (SF)-36. Mixed linear models were constructed for each of the SF-36 summary scores. One hundred twenty-three (mean age 49.4 ± 8.2; 65% female; 95.1% African American) patients were randomized, 88 of whom completed the protocol. With the exception of a decrease in perceived health transition, health status did not change significantly on repeat measurement. Lower blood pressure goals and more intensive antihypertensive therapy appear to be well tolerated with limited effects on patients' perception of health status.

  4. Health status: types of validity and the index of well-being.

    PubMed Central

    Kaplan, R M; Bush, J W; Berry, C C

    1976-01-01

    The concept of validity as it applies to measures of health and health status is examined in the context of a set of standard, widely accepted definitions of validity. Criterion validity is shown to be irrelevant to health status measures because of the lack of a single specific, directly observable measure of health for use as a criterion. To overcome this problem, the Index of Well-being has been constructed to fulfill the definition of content validity by including all levels of function and symptom/problem complexes, a clearly defined relation to the death state, and consumer ratings of the relative desirability of the function levels. Data from a two-wave household interview survey provide convergent evidence of construct validity by demonstrating an expected positive correlation of the Index of Well-being with self-rated well-being and expected negative correlations with age, number of chronic medical conditions, number of reported symptoms or problems, number of physician contacts, and dysfunctional status. Discriminant evidence of construct validity is demonstrated by predicted differences in correlation between concurrent Index of Well-being scores and self-assessed overall health status, and between the Index of Well-being scores and self-rated well-being on different days. A simple method of estimating a currently usable comprehensive population index of health status, the Weighted Life Expectancy, is described. PMID:1030700

  5. Dysphonations in infant cry: A potential marker for health status

    NASA Astrophysics Data System (ADS)

    Abbs, Katlin J.

    Sudden infant death syndrome (SIDS) is defined as an unexplained death in an infant's first year of life. Risk factors for SIDS include maternal smoking, sex, and infant sleep positioning, among others. The current study analyzed dysphonations in the cries of 32 infants 24-66 hours after birth. Dysphonations are acoustic characteristics of cries and include frequency shift (FS), harmonic doubling (HD), biphonation (BP), and noise (N). An interaction effect was found, male infants whose mothers smoked during pregnancy (maternal smoking status) had a significantly lower percent of dysphonations than male infants whose mothers did not smoke during pregnancy (no maternal smoking status). No significant main effects were found for the factors maternal smoking status, sex, infant positioning, or partition. In addition, the types of dysphonations were consistently distributed across groups with noise being the most commonly occurring dysphonation followed by harmonic doubling, frequency shift and then biphonation. It is hypothesized that differences in number and type of dysphonations may either be an effect of differences in infant arousal and/or developmental differences. A lower number of dysphonations seen in male infants with mothers who smoked during pregnancy may suggest a lowered arousal state, which may be associated with the occurrence of SIDS.

  6. The current status of occupational health in China

    PubMed Central

    Zhang, Xueyan; Li, Tao

    2010-01-01

    Objective This study aimed to summarize the major health problems among Chinese workers, the strategies and measures for occupational hazards control, the network and organizations of occupational health administration, and the achievements and current challenges of occupational health in China. Results The situation of occupational health was found to be still serious in China. Enterprises with occupational hazards were widely distributed, the exposed population and cases of occupational diseases were numerous, and occupational risks were being transferred from the city to the countryside and from developed areas to developing ones. New emerging problems coexisted with traditional occupational hazards. Besides, a lack of occupational health services for migrant workers could be a major problem for a long time. Conclusions It is necessary to improve the fields related to occupational health, such as the supervision and administration of small- and medium-scale enterprises, research into key techniques for the prevention and control of occupational hazards, systems for the diagnosis and reporting of occupational diseases, and the training of health professionals. PMID:21432554

  7. A survey on the current status of health care marketing.

    PubMed

    Gardner, S F; Paison, A R

    1985-01-01

    This article presents the results of a survey, conducted by Market-PULSE Measurement Systems, reflecting the growth of health care marketing and the marketing perspectives of health care professionals. The survey results echo the opinions of two groups of professionals: chief executive officers of hospitals over 100 beds; and administrators as well as directors of marketing, planning, and public relations who attended a recent health services marketing conference. The survey, a telephone interview, was conducted to determine: The degree to which hospitals are market oriented. The degree to which hospitals use survey research. The following is an analysis of what the surveyors found.

  8. Development history and bibliography of the US Forest Service crown-condition indicator for forest health monitoring.

    PubMed

    Randolph, KaDonna C

    2013-06-01

    Comprehensive assessment of individual-tree crown condition by the US Department of Agriculture, Forest Service, Forest Inventory and Analysis (FIA) Program has its origins in the concerns about widespread forest decline in Europe and North America that developed in the late 1970s and early 1980s. Programs such as the US National Acid Precipitation Assessment Program, US National Vegetation Survey, Canadian Acid Rain National Early Warning System, and joint US-Canadian North American Sugar Maple Decline Project laid the groundwork for the development of the US Forest Service crown-condition indicator. The crown-condition assessment protocols were selected and refined through literature review, peer review, and field studies in several different forest types during the late 1980s and early 1990s. Between 1980 and 2011, 126 publications relating specifically to the crown-condition indicator were added to the literature. The majority of the articles were published by the US Department of Agriculture, Forest Service or other State or Federal government agency, and more than half were published after 2004.

  9. Considering the health care entity C corporation conversion to tax pass-through entity status.

    PubMed

    Reilly, Robert F

    2012-01-01

    The double taxation of C corporation income from operations and from the ultimate sale of its assets makes the C corporation an inefficient tax status for many health care entities. At the time of this writing, the changes in the federal tax law that are scheduled to take effect in 2013 will increase this level of double-taxation inefficiency. The owners of a C corporation practice can avoid the C corporation status tax inefficiency by converting the practice to either (1) S corporation status or (2) LLC status. The conversion of the health care C corporation to an S corporation may be accomplished without a current tax cost. However, the conversion of a health care C corporation to an LLC status can result in a current tax at both the corporation level and the shareholder level. Nonetheless, the current conversion tax cost may be less than the future tax cost (1) of operating the practice as a C corporation and incurring double taxation at what may be higher tax rates or (2) of incurring the higher tax cost (or reduced price) on the ultimate disposition of the practice assets and the attendant double taxation of the appreciation in the value of the practice assets. Since individual income tax rates on qualifying dividends from C corporations and on capital gains are currently at very low rates, this may be a good time for C corporation practice owners to consider the costs and benefits of a conversion to either S corporation status or LLC status. The practice owners should consult with their accounting, legal, and valuation advisors in order to consider all of the costs and benefits of a possible corporate tax status conversion. An estimation of both the costs and benefits of the corporate tax status conversion depends on the concluded fair market values of the medical practice, dental practice, or other health care entity assets. And, that practice asset appraisal should encompass all of the practice assets, both tangible assets and intangible assets.

  10. "A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"

    PubMed Central

    2010-01-01

    Explanations for the social gradient in health status are informed by the rare exceptions. This cross-sectional observational study examined one such exception, the “Latino paradox” by investigating the presence of a Latino advantage in oral health-related quality of life and the effect of nativity status on this relationship. A nationally representative sample of adults (n = 4208) completed the National Health and Nutrition Examination Survey (NHANES) 2003–2004. The impact of oral disorders on oral health-related quality of life was evaluated using the NHANES Oral Health Impact Profile. Exposures of interest were race, ethnicity and nativity status. Covariates included sociodemographic characteristics, smoking status, self-rated health, access to dental care and number of teeth. Unconditional logistic regression models estimated odds of impaired oral health-related quality of life for racial/ethnic and nativity groups compared to the Non-Latino white population. Overall prevalence of impaired oral health-related quality of life was 15.1%. A protective effect of Latino ethnicity was modified by nativity status, such that Latino immigrants experienced substantially better outcomes than non-Latino whites. However the effect was limited to first-generation Latinos. U.S. born Latinos did not share the oral health-related quality of life advantage of their foreign-born counterparts. This advantage was not attributable to the healthy migrant phenomenon since immigrants of non-Latino origin did not differ from Non-Latino whites. The excess risk among Non-Hispanic Blacks was rendered non-significant after adjustment for socioeconomic position. A protective effect conferred by Latino nativity is unexpected given relatively disadvantaged socioeconomic position of this group, their language barrier and restrictions to needed dental care. As the Latino advantage in oral health-related quality of life is not explained by healthy immigrant selection, cultural explanations

  11. Characterizing the Status (Disturbed, Hybrid or Novel) of Swamp Forest Fragments in a Caribbean Ramsar Wetland: The Impact of Anthropogenic Degradation and Invasive Plant Species.

    PubMed

    Prospere, Kurt; McLaren, Kurt P; Wilson, Byron

    2016-10-01

    The last remaining Amazonian-type swamp forest fragments in Black River Lower Morass, Jamaica, have been subjected to a myriad of anthropogenic disturbances, compounded by the establishment and spread of several invasive plant species. We established 44 permanent sample plots (covering 3.92 ha) across 10 of these swamp forest fragments and sampled all non-woody plants and all trees ≥2 cm DBH found in the plots. These data were used to (1) identify thresholds of hybridity and novelty, (2) derive several diversity and structural descriptors used to characterize the swamp forest fragments and (3) identify possible indicators of anthropogenic degradation. These were incorporated into a framework and used to determine the status of the swamp forest fragments so that appropriate management and conservation measures can be implemented. We recorded 43 woody plant species (9 endemic, 28 native and 4 non-native) and 21 non-tree species. The composition and structure of all the patches differed significantly due to the impact of the herbaceous invasive plant Alpinia allughas, the presence and diversity of other non-native plants, and differing intensities of anthropogenic disturbance (e.g., burning, cutting and harvesting of non-timber forest products). We ranked forest patches along a continuum representing deviations from a historical proxy (least disturbed) swamp forest to those with dramatically altered structural and floristic attributes (=novel swamp forests). Only one fragment overrun with A. allughas was classified as novel. If effective conservation and management does not come to the BRLM, the remaining swamp forest fragments appear doomed to further degradation and will soon disappear altogether.

  12. Characterizing the Status (Disturbed, Hybrid or Novel) of Swamp Forest Fragments in a Caribbean Ramsar Wetland: The Impact of Anthropogenic Degradation and Invasive Plant Species

    NASA Astrophysics Data System (ADS)

    Prospere, Kurt; McLaren, Kurt P.; Wilson, Byron

    2016-10-01

    The last remaining Amazonian-type swamp forest fragments in Black River Lower Morass, Jamaica, have been subjected to a myriad of anthropogenic disturbances, compounded by the establishment and spread of several invasive plant species. We established 44 permanent sample plots (covering 3.92 ha) across 10 of these swamp forest fragments and sampled all non-woody plants and all trees ≥2 cm DBH found in the plots. These data were used to (1) identify thresholds of hybridity and novelty, (2) derive several diversity and structural descriptors used to characterize the swamp forest fragments and (3) identify possible indicators of anthropogenic degradation. These were incorporated into a framework and used to determine the status of the swamp forest fragments so that appropriate management and conservation measures can be implemented. We recorded 43 woody plant species (9 endemic, 28 native and 4 non-native) and 21 non-tree species. The composition and structure of all the patches differed significantly due to the impact of the herbaceous invasive plant Alpinia allughas, the presence and diversity of other non-native plants, and differing intensities of anthropogenic disturbance (e.g., burning, cutting and harvesting of non-timber forest products). We ranked forest patches along a continuum representing deviations from a historical proxy (least disturbed) swamp forest to those with dramatically altered structural and floristic attributes (=novel swamp forests). Only one fragment overrun with A. allughas was classified as novel. If effective conservation and management does not come to the BRLM, the remaining swamp forest fragments appear doomed to further degradation and will soon disappear altogether.

  13. Characterizing the Status (Disturbed, Hybrid or Novel) of Swamp Forest Fragments in a Caribbean Ramsar Wetland: The Impact of Anthropogenic Degradation and Invasive Plant Species.

    PubMed

    Prospere, Kurt; McLaren, Kurt P; Wilson, Byron

    2016-10-01

    The last remaining Amazonian-type swamp forest fragments in Black River Lower Morass, Jamaica, have been subjected to a myriad of anthropogenic disturbances, compounded by the establishment and spread of several invasive plant species. We established 44 permanent sample plots (covering 3.92 ha) across 10 of these swamp forest fragments and sampled all non-woody plants and all trees ≥2 cm DBH found in the plots. These data were used to (1) identify thresholds of hybridity and novelty, (2) derive several diversity and structural descriptors used to characterize the swamp forest fragments and (3) identify possible indicators of anthropogenic degradation. These were incorporated into a framework and used to determine the status of the swamp forest fragments so that appropriate management and conservation measures can be implemented. We recorded 43 woody plant species (9 endemic, 28 native and 4 non-native) and 21 non-tree species. The composition and structure of all the patches differed significantly due to the impact of the herbaceous invasive plant Alpinia allughas, the presence and diversity of other non-native plants, and differing intensities of anthropogenic disturbance (e.g., burning, cutting and harvesting of non-timber forest products). We ranked forest patches along a continuum representing deviations from a historical proxy (least disturbed) swamp forest to those with dramatically altered structural and floristic attributes (=novel swamp forests). Only one fragment overrun with A. allughas was classified as novel. If effective conservation and management does not come to the BRLM, the remaining swamp forest fragments appear doomed to further degradation and will soon disappear altogether. PMID:27364995

  14. Iranian Nurses’ Status in Policymaking for Nursing in Health System: A Qualitative Content Analysis

    PubMed Central

    Cheraghi, Mohammad Ali; Ghiyasvandian, Shahrzad; Aarabi, Akram

    2015-01-01

    Presence of nurses in policy making will result improvement of nursing practice, and increase qualification of patients’ care, but still few nurses are involved in policy debates and health reforms and their status in policy making for nursing is not clear. The aim of this study was to elucidate Iranian nurses’ status in policy making for nursing in health system. This is a qualitative study. Using purposive sampling 22 participants were interviewed to gain deep understanding from the phenomenon of status of nurses in policy making. Of these 2 were not nurses but the members of Iran’s council for health policy making. Data were analyzed by employing conventional content analysis. Nurses’ status in policy making declared base on the implications of three main themes including “the policy making framework”, “perceived status of nurses in policy making”, and “the manner of nurses’ participation in policy making”. The conclusion of the present study is that Policy making for nursing is a subcategory of Iran’s macro health policies. What made the status of nurses more efficient in policy making for nursing was their practice and rate of participation in the appointed positions and the society. Results of this study represented major points of weakness in nursing policies and some recommendations for modifications. PMID:26089996

  15. Changes in food insecurity, nutritional status, and physical health status after antiretroviral therapy initiation in rural Uganda

    PubMed Central

    Weiser, Sheri D.; Gupta, Reshma; Tsai, Alexander C.; Frongillo, Edward A.; Grede, Nils; Kumbakumba, Elias; Kawuma, Annet; Hunt, Peter W.; Martin, Jeffrey N.; Bangsberg, David R.

    2013-01-01

    Objective To investigate whether time on antiretroviral treatment (ART) is associated with improvements in food security and nutritional status, and the extent to which associations are mediated by improved physical health status (PHS). Design The Uganda AIDS Rural Treatment Outcomes study (UARTO), a prospective cohort of HIV-infected adults newly initiating ART in Mbarara, Uganda. Methods Participants initiating ART underwent quarterly structured interview and blood draws. The primary explanatory variable was time on ART, constructed as a set of binary variables for each three-month period. Outcomes were food insecurity, nutritional status and PHS. We fit multiple regression models with cluster-correlated robust estimates of variance to account for within-person dependence of observations over time, and analyses were adjusted for clinical and socio-demographic characteristics. Results 228 ART-naive participants were followed for up to 3 years, and 41% were severely food insecure at baseline. The mean food insecurity score progressively declined (test for linear trend P<0.0001), beginning with the second quarter (b=-1.6; 95% CI, -2.7 to -0.45) and ending with the final quarter (b=-6.4; 95% CI, -10.3 to -2.5). PHS and nutritional status improved in a linear fashion over study follow-up (P<0.001). Inclusion of PHS in the regression model attenuated the relationship between ART duration and food security. Conclusions Among HIV-infected individuals in Uganda, food insecurity decreased and nutritional status and PHS improved over time after initiation of ART. Changes in food insecurity were partially explained by improvements in PHS. These data support early initiation of ART in resource-poor settings prior to decline in functional status to prevent worsening food insecurity and its detrimental effects on HIV treatment outcomes. PMID:22692093

  16. Assessment of Perceived Health Status in Hypertensive and Diabetes Mellitus Patients at Primary Health Centers in Oman

    PubMed Central

    Al-Mandhari, Ahmed; Al-Zakwani, Ibrahim; Al-Hasni, Alya; Al-Sumri, Nada

    2011-01-01

    Objectives: This study aimed to assess the impact of diabetes mellitus and hypertension as well as other demographic and clinical characteristics on perceived health status in primary health centers in Oman. Methods: In a cross-sectional retrospective study, 450 patients (aged ≥ 18 years) seen at six primary health centers in Wilayat A’ Seeb in the Muscat region, Oman, were selected. Perceived health status of the physical (PSCC) and mental (MSCC) components of quality-of-life were assessed using the 12-item short form health survey (SF-12). The analyses were performed using univariate statistical techniques. Results: The mean age of the participants was 54 ± 12 years and they were mostly female (62%). The presence of both diabetes mellitus and hypertension was associated with lower physical scores compared to those with diabetes alone (p = 0.001) but only marginally lower than those with hypertension alone (p = 0.066). No significant differences were found across the disease groups in mental scores (P = 0.578). Age was negatively correlated (p < 0.001) but male gender (P < 0.001), married (p < 0.001), literate (p < 0.001) and higher income (p = 0.002) were all associated with higher physical scores. Moreover, longer disease duration was associated with lower physical scores (p < 0.001). With regards to the mental status, male (p = 0.005), marriage (P = 0.017) and higher income (p < 0.001) were associated with higher mental scores. Polypharmacy was associated with lower physical (p < 0.001) and mental (p = 0.005) scores. Conclusions: The presence of both diseases was associated with lower physical scores of perceived health status. Health status was also affected by various demographic and clinical characteristics. However, the results should be interpreted in light of the study's limitations. PMID:22174966

  17. Parents' Socioeconomic Status and Health Literacy Domains among Shokrof Preparatory School Students , Shokrof Village, Algarbia Governorate, Egypt

    ERIC Educational Resources Information Center

    Alseraty, Wafaa Hassan

    2015-01-01

    Parents' socioeconomic status is mainly impact their children health outcomes, cognitive, social and emotional development. It also had a great impact on children health-related knowledge, health-related attitudes, health-related communication, health-related behavior, and self-efficiency level. Enhancing health literacy domains are the keystone…

  18. Change in health status in COPD: a seven-year follow-up cohort study

    PubMed Central

    Sundh, Josefin; Montgomery, Scott; Hasselgren, Mikael; Kämpe, Mary; Janson, Christer; Ställberg, Björn; Lisspers, Karin

    2016-01-01

    Health status is a prognostic factor included in the assessment of chronic obstructive pulmonary disease (COPD). The aim of our study was to examine the associations of clinical factors with change in health status over a 7-year follow-up period. In 2005, 970 randomly selected primary and secondary care patients with a COPD diagnosis completed questionnaires including the Clinical COPD Questionnaire (CCQ); and in 2012, 413 completed the CCQ questionnaire again. Linear regression used difference in mean total CCQ score between 2005 and 2012 as the dependent variable. Independent variables were CCQ score at baseline 2005, sex, age, educational level, body mass index (BMI), smoking status, heart disease, diabetes, depression, number of exacerbations in the previous 6 months, dyspnoea (modified Medical Research Council (mMRC)). Health status worsened from mean total CCQ (s.d.) 2.03 (1.26) in 2005 to 2.16 (1.37) in 2012 (P=0.011). In linear regression with adjustment for baseline CCQ; older age, lower education, higher mMRC and BMI below 25 kg/m2 at baseline were associated with worsened health status in 2012. When sex, age and all statistically significant measures were included simultaneously in the analysis of the main study group, higher mMRC and BMI below 25 kg/m2 were were associated with deteriorated health status (P<0.0001). A higher level of dyspnoea and lower weight were associated with worse health status in COPD. Strategies for decreasing dyspnoea and awareness of the possible increased risk of worsening disease in under- and normal-weight COPD patients are clinically important. PMID:27763623

  19. Use of NASA Satellite Data to Improve Coastal Cypress Forest Management

    NASA Technical Reports Server (NTRS)

    Spurce, Joseph; Graham, William; Barras, John

    2010-01-01

    Problem: Information gaps exist regarding health status and location of cypress forests in coastal Louisiana (LA). Such information is needed to aid coastal forest conservation and restoration programs. Approach to Issue Mitigation: Use NASA data to revise cypress forest cover type maps. Landsat and ASTER data. Use NASA data to identify and track cypress forest change. Landsat, ASTER, and MODIS data. Work with partners and end-users to transfer useful products and technology.

  20. Human health risks due to heavy metals through consumption of wild mushrooms from Macheke forest, Rail Block forest and Muganyi communal lands in Zimbabwe.

    PubMed

    Nharingo, Tichaona; Ndumo, Tafungwa; Moyo, Mambo

    2015-12-01

    The levels and sources of toxic heavy metals in Amanita loosii (AL) and Cantharellus floridulus (CF) mushrooms and their substrates were studied in some parts of Zimbabwe, Rail Block forest (mining town), Macheke forest (commercial farming), and Muganyi communal lands. The mushrooms and their associated soils were acid digested prior to Al, Pb, and Zn determination by inductively coupled plasma optical emission spectroscopy. The transfer factors, mushrooms-soil metal correlation coefficients, daily intake rates, weekly intake rates, and target hazard quotients were calculated for each metal. The concentration of Zn, Al and Pb in mushrooms ranged from 1.045 ± 0.028 to 7.568 ± 0.322, 0.025 ± 0.001 to 0.654 ± 0.005, and a maximum of 5.78 ± 0.31 mg/kg, respectively, in all the three sampling areas. The mean heavy metal concentrations among the three sampling areas decreased as follows: Rail Block forest (mining town) > Macheke forest (commercial farming) > Muganyi communal lands for the concentrations in both mushrooms and total concentration in their substrates. C. floridulus accumulated higher concentrations of Al, Zn, and Pb than A. loosii at each site under study. Zn in both AL and CF (Muganyi communal lands) and Pb in AL (Rail Block forest) were absorbed only from the soils, while other sources of contamination were involved elsewhere. The consumption of 300 g of fresh A. loosii and C. floridulus per day by children less than 16 kg harvested from Rail Block forest would cause health problems, while mushrooms from Macheke Forest and Muganyi communal lands were found to be safe for human consumption. Due to non-biodegradability and bioaccumulation abilities of heavy metals, people are discouraged to consume A. loosii and C. floridulus from Rail Block forest for they have significant levels of heavy metals compared to those from Macheke forest and Muganyi communal lands.

  1. Human health risks due to heavy metals through consumption of wild mushrooms from Macheke forest, Rail Block forest and Muganyi communal lands in Zimbabwe.

    PubMed

    Nharingo, Tichaona; Ndumo, Tafungwa; Moyo, Mambo

    2015-12-01

    The levels and sources of toxic heavy metals in Amanita loosii (AL) and Cantharellus floridulus (CF) mushrooms and their substrates were studied in some parts of Zimbabwe, Rail Block forest (mining town), Macheke forest (commercial farming), and Muganyi communal lands. The mushrooms and their associated soils were acid digested prior to Al, Pb, and Zn determination by inductively coupled plasma optical emission spectroscopy. The transfer factors, mushrooms-soil metal correlation coefficients, daily intake rates, weekly intake rates, and target hazard quotients were calculated for each metal. The concentration of Zn, Al and Pb in mushrooms ranged from 1.045 ± 0.028 to 7.568 ± 0.322, 0.025 ± 0.001 to 0.654 ± 0.005, and a maximum of 5.78 ± 0.31 mg/kg, respectively, in all the three sampling areas. The mean heavy metal concentrations among the three sampling areas decreased as follows: Rail Block forest (mining town) > Macheke forest (commercial farming) > Muganyi communal lands for the concentrations in both mushrooms and total concentration in their substrates. C. floridulus accumulated higher concentrations of Al, Zn, and Pb than A. loosii at each site under study. Zn in both AL and CF (Muganyi communal lands) and Pb in AL (Rail Block forest) were absorbed only from the soils, while other sources of contamination were involved elsewhere. The consumption of 300 g of fresh A. loosii and C. floridulus per day by children less than 16 kg harvested from Rail Block forest would cause health problems, while mushrooms from Macheke Forest and Muganyi communal lands were found to be safe for human consumption. Due to non-biodegradability and bioaccumulation abilities of heavy metals, people are discouraged to consume A. loosii and C. floridulus from Rail Block forest for they have significant levels of heavy metals compared to those from Macheke forest and Muganyi communal lands. PMID:26555009

  2. To evaluate the comparative status of oral health practices, oral hygiene and periodontal status amongst visually impaired and sighted students.

    PubMed

    Jain, Ashish; Gupta, Jyoti; Aggarwal, Vyom; Goyal, Chinu

    2013-01-01

    The aim of this study was to evaluate the comparative status of oral health practices, oral hygiene, and periodontal status amongst visually impaired and sighted students. In this study, 142 visually impaired children from a blind school in the age group of 6-18 years were enrolled with a similar number of age and sex matched sighted students studying in different schools of Chandigarh. The outcome variables were oral hygiene practices, oral hygiene status, and periodontal status. The visually impaired had been found to have better oral hygiene practices, a nonsignificant difference of oral hygiene scores but a significantly high value for bleeding scores as compared to sighted students. Age wise comparisons showed that bleeding scores were highly significant in 9-11 years and 12-14 years age group as compared to 6-8 years and 15-18 years age group. It could be related that the increased prevalence of bleeding sites despite of better oral hygiene practices in visually impaired group might be the result of their handicap to visualize plaque. PMID:23451928

  3. Ten years of democracy in South Africa: documenting transformation in reproductive health policy and status.

    PubMed

    Cooper, Diane; Morroni, Chelsea; Orner, Phyllis; Moodley, Jennifer; Harries, Jane; Cullingworth, Lee; Hoffman, Margaret

    2004-11-01

    The advent of democracy in South Africa in 1994 created a unique opportunity for new lows and policies to be passed. Today, a decade later, South African reproductive health policies and the laws that underwrite them are among the most progressive and comprehensive in the world in terms of the recognition that they give to human rights, including sexual and reproductive rights. This paper documents the changes in health policy and services that have occurred, focusing particularly on key areas of sexual and reproductive health: contraception, maternal health, termination of pregnancy, cervical and breast cancer, gender-based and sexual violence, HIV/AIDS and sexually transmitted infections and infertility. Despite important advances, significant changes in women's reproductive health status are difficult to discern, given the relatively short period of time and the multitude of complex factors that influence health, especially inequalities in socio-economic and gender status. Gaps remain in the implementation of reproductive health policies and in service delivery that need to be addressed in order for meaningful improvements in women's reproductive health status to be achieved. Civil society has played a major role in securing these legislative and policy changes, and health activist groups continue to pressure the government to introduce further changes in policy and service delivery, especially in the area of HIV/AIDS. PMID:15626198

  4. Assessment of Acacia koa forest health across environmental gradients in Hawai'i using fine resolution remote sensing and GIS.

    PubMed

    Morales, Rodolfo Martinez; Idol, Travis; Friday, James B

    2011-01-01

    Koa (Acacia koa) forests are found across broad environmental gradients in the Hawai'ian Islands. Previous studies have identified koa forest health problems and dieback at the plot level, but landscape level patterns remain unstudied. The availability of high-resolution satellite images from the new GeoEye1 satellite offers the opportunity to conduct landscape-level assessments of forest health. The goal of this study was to develop integrated remote sensing and geographic information systems (GIS) methodologies to characterize the health of koa forests and model the spatial distribution and variability of koa forest dieback patterns across an elevation range of 600-1,000 m asl in the island of Kaua'i, which correspond to gradients of temperature and rainfall ranging from 17-20 °C mean annual temperature and 750-1,500 mm mean annual precipitation. GeoEye1 satellite imagery of koa stands was analyzed using supervised classification techniques based on the analysis of 0.5-m pixel multispectral bands. There was clear differentiation of native koa forest from areas dominated by introduced tree species and differentiation of healthy koa stands from those exhibiting dieback symptoms. The area ratio of healthy koa to koa dieback corresponded linearly to changes in temperature across the environmental gradient, with koa dieback at higher relative abundance in warmer areas. A landscape-scale map of healthy koa forest and dieback distribution demonstrated both the general trend with elevation and the small-scale heterogeneity that exists within particular elevations. The application of these classification techniques with fine spatial resolution imagery can improve the accuracy of koa forest inventory and mapping across the islands of Hawai'i. Such findings should also improve ecological restoration, conservation and silviculture of this important native tree species.

  5. Mis-reporting, previous health status and health status of family may seriously bias the association between food patterns and disease

    PubMed Central

    2010-01-01

    Background Food pattern analyses are popular tools in the study of associations between diet and health. However, there is a need for further evaluation of this methodology. The aim of the present cross-sectional study was to evaluate the relationship between food pattern groups (FPG) and existing health, and to identify factors influencing this relationship. Methods The inhabitants of Västerbotten County in northern Sweden are invited to health check-ups when they turn 30, 40, 50, and 60 years of age. The present study includes data collected from almost 60,000 individuals between 1992 and 2005. Associations between FPG (established using K-means cluster analyses) and health were analyzed separately in men and women. Results The health status of the participants and their close family and reporting accuracy differed significantly between men and women and among FPG. Crude regression analyses, with the high fat FPG as reference, showed increased risks for several health outcomes for all other FPGs in both sexes. However, when limiting analysis to individuals without previous ill-health and with adequate energy intake reports, most of the risks instead showed a trend towards protective effects. Conclusions Food pattern classifications reflect both eating habits and other own and family health related factors, a finding important to remember and to adjust for before singling out the diet as a primary cause for present and future health problems. Appropriate exclusions are suggested to avoid biases and attenuated associations in nutrition epidemiology. PMID:21034501

  6. Mapping tree health using airborne laser scans and hyperspectral imagery: a case study for a floodplain eucalypt forest

    NASA Astrophysics Data System (ADS)

    Shendryk, Iurii; Tulbure, Mirela; Broich, Mark; McGrath, Andrew; Alexandrov, Sergey; Keith, David

    2016-04-01

    Airborne laser scanning (ALS) and hyperspectral imaging (HSI) are two complementary remote sensing technologies that provide comprehensive structural and spectral characteristics of forests over large areas. In this study we developed two algorithms: one for individual tree delineation utilizing ALS and the other utilizing ALS and HSI to characterize health of delineated trees in a structurally complex floodplain eucalypt forest. We conducted experiments in the largest eucalypt, river red gum forest in the world, located in the south-east of Australia that experienced severe dieback over the past six decades. For detection of individual trees from ALS we developed a novel bottom-up approach based on Euclidean distance clustering to detect tree trunks and random walks segmentation to further delineate tree crowns. Overall, our algorithm was able to detect 67% of tree trunks with diameter larger than 13 cm. We assessed the accuracy of tree delineations in terms of crown height and width, with correct delineation of 68% of tree crowns. The increase in ALS point density from ~12 to ~24 points/m2 resulted in tree trunk detection and crown delineation increase of 11% and 13%, respectively. Trees with incorrectly delineated crowns were generally attributed to areas with high tree density along water courses. The accurate delineation of trees allowed us to classify the health of this forest using machine learning and field-measured tree crown dieback and transparency ratios, which were good predictors of tree health in this forest. ALS and HSI derived indices were used as predictor variables to train and test object-oriented random forest classifier. Returned pulse width, intensity and density related ALS indices were the most important predictors in the tree health classifications. At the forest level in terms of tree crown dieback, 77% of trees were classified as healthy, 14% as declining and 9% as dying or dead with 81% mapping accuracy. Similarly, in terms of tree

  7. Status of occupational health and safety in Iran.

    PubMed

    Vigeh, Mohsen; Mazaheri, Maria; Seyedaghamiri, Zahrabigom

    2011-12-01

    In recent decades, Iran has had a steadily growing economy with an annual rate of 6% on average. The country's economy is dominantly influenced by oil and natural gas production and related industries like petrochemicals and fertilizers. There are two million job units and sixteen million employees. The occupational health and safety (OHS) system is mainly regulated by two bodies: the Ministry of Health and Medical Education, responsible for occupational health services and legislations; and the Ministry of Labour and Social Affairs, which undertakes the enactment and enforcement of occupational safety legal issues. Inspectorates in each ministry carry out regular health and safety monitoring according to the OHS legislations. The most common occupational health disorders are musculoskeletal problems, respiratory diseases, noise induced hearing loss, and occupational injuries. Because the OHS is a complex system with overlapping responsibilities among the co-responders, its improvement needs well-organized collaboration among Iranian universities, industries, and governmental agencies, and reliable basic data. The present study takes a glance at the situation and activities of the Iranian OHS system.

  8. Status of occupational health and safety in Iran.

    PubMed

    Vigeh, Mohsen; Mazaheri, Maria; Seyedaghamiri, Zahrabigom

    2011-12-01

    In recent decades, Iran has had a steadily growing economy with an annual rate of 6% on average. The country's economy is dominantly influenced by oil and natural gas production and related industries like petrochemicals and fertilizers. There are two million job units and sixteen million employees. The occupational health and safety (OHS) system is mainly regulated by two bodies: the Ministry of Health and Medical Education, responsible for occupational health services and legislations; and the Ministry of Labour and Social Affairs, which undertakes the enactment and enforcement of occupational safety legal issues. Inspectorates in each ministry carry out regular health and safety monitoring according to the OHS legislations. The most common occupational health disorders are musculoskeletal problems, respiratory diseases, noise induced hearing loss, and occupational injuries. Because the OHS is a complex system with overlapping responsibilities among the co-responders, its improvement needs well-organized collaboration among Iranian universities, industries, and governmental agencies, and reliable basic data. The present study takes a glance at the situation and activities of the Iranian OHS system. PMID:22259833

  9. [Self-reported health status among students in Scandinavia].

    PubMed

    Due, P; Holstein, B E; Marklund, U

    1991-01-01

    The article reports data from the WHO cross-national study on health behaviour in schoolchildren. A sample of 11,774 children aged 11, 13 and 15 years in Denmark, Finland, Norway and Sweden answered a questionnaire on social situation, health, health behaviour and lifestyle. Self assessed health is reported excellent among approximately two thirds of the Swedish children, half the Danish children, one third of the Finnish children and one fifth of the Norwegian children. In Denmark, Norway and Sweden self-assessed health is better among boys than girls. The most frequent symptom reported by the children is feeling low. Approximately half the children have experienced this condition at least once during the last week. Difficulties in getting to sleep, head ache, and feeling nervous are symptoms experienced by approximately one third of the children at least once a week. Smaller proportions of the children have experienced stomach-ache, back pain, bad temper and feeling dizzy. There are minor variations between countries and between age groups, but in almost all age groups in all countries more girls than boys report these symptoms. Approximately every fourth pupil have used medication against headache, stomach-ache and coughs during the last month. More girls than boys have used these medications, less pupils in Denmark than in the other countries. Very small proportions have used medication against nervousness and difficulties to getting to sleep.

  10. Mapping tree health using airborne full-waveform laser scans and hyperspectral imagery: a case study for floodplain eucalypt forest

    NASA Astrophysics Data System (ADS)

    Shendryk, I.; Tulbure, M. G.; Broich, M.

    2014-12-01

    Barmah-Millewa Forest (BMF), the largest River Red Gum forest in the world, located in south-eastern Australia is suffering from severe dieback, thus diminishing its ecological and economical value. Previous research showed that dieback is a good predictor of the forest health and stressed the need for BMF health mapping and change monitoring. In this respect, airborne laser scanning and hyperspectral imaging offer extensive spatial and spectral coverage of measurements and represent an ideal tool for forest health mapping at individual tree scale. The aim of this project is to quantify the health of individual, structurally complex floodplain eucalypt trees by integrating airborne hyperspectral imagery, full-waveform laser scans and field measurements. An aerial survey, conducted in May 2014, was designed to provide a representative sample of BMF tree health. The positioning of 17 flight lines aimed to capture the heterogeneity of the forest health and flood frequency. Preliminary analysis of the aerial remote sensing data with regards to chlorophyll concentrations, dieback levels and canopy densities allowed us to target our field campaign (conducted in June 2014). Field measurements included accurate position measurements, LAI, visual assessment, spectral measurement and mensuration of individual trees in 30 m2 plots. For detection of individual tree trunks from airborne laser scans we used a novel approach based on Euclidean distance clustering, taking advantage of the intensity and pulse width difference between woody and leaf tree compartments. The detected trunks were used to seed a minimum cut algorithm for tree crown delineation. In situ measurements confirmed the high structural diversity of the forest and allowed the calibration of the tree detection algorithm. An overall accuracy of the tree detection of 54% and 67% was achieved for trees with circumference over 40 cm and over 100 cm respectively. As a further step, 3D point clusters representing

  11. Employment as a Social Determinant of Health: A Systematic Review of Longitudinal Studies Exploring the Relationship between Employment Status and Physical Health

    ERIC Educational Resources Information Center

    Hergenrather, Kenneth C.; Zeglin, Robert J.; McGuire-Kuletz, Maureen; Rhodes, Scott D.

    2015-01-01

    Purpose: To explore employment as a social determinant of health through examining the relationship between employment status and physical health. Method: The authors explored the causal relationship between employment status and physical health through conducting a systematic review of 22 longitudinal studies conducted in Finland, France, the…

  12. Multidimensional Profiles of Health Status: An Application of the Grade of Membership Model to the World Health Survey

    PubMed Central

    Andreotti, Alessandra; Minicuci, Nadia; Kowal, Paul; Chatterji, Somnath

    2009-01-01

    Background The World Health Organization (WHO) conducted the World Health Survey (WHS) between 2002 and 2004 in 70 countries to provide cross-population comparable data on health, health-related outcomes and risk factors. The aim of this study was to apply Grade of Membership (GoM) modelling as a means to condense extensive health information from the WHS into a set of easily understandable health profiles and to assign the degree to which an individual belongs to each profile. Principal Findings This paper described the application of the GoM models to summarize population health status using World Health Survey data. Grade of Membership analysis is a flexible, non-parametric, multivariate method, used to calculate health profiles from WHS self-reported health state and health conditions. The WHS dataset was divided into four country economic categories based on the World Bank economic groupings (high, upper-middle, lower-middle and low income economies) for separate GoM analysis. Three main health profiles were produced for each of the four areas: I. Robust; II. Intermediate; III. Frail; moreover population health, wealth and inequalities are defined for countries in each economic area as a means to put the health results into perspective. Conclusions These analyses have provided a robust method to better understand health profiles and the components which can help to identify healthy and non-healthy individuals. The obtained profiles have described concrete levels of health and have clearly delineated characteristics of healthy and non-healthy respondents. The GoM results provided both a useable way of summarising complex individual health information and a selection of intermediate determinants which can be targeted for interventions to improve health. As populations' age, and with limited budgets for additional costs for health care and social services, applying the GoM methods may assist with identifying higher risk profiles for decision-making and resource

  13. [The impact of health economics: a status report].

    PubMed

    Tunder, R

    2011-12-01

    "Health is not everything, but without health, everything is nothing" (cited from Arthur Schopenhauer, German philosopher, 1788-1860). The relationship between medicine and economics could not have been put more precisely. On the one hand there is the need for a maximum of medical care and on the other hand the necessity to economize with scarce financial resources. The compatibility of these two aspects inevitably leads to strains. How to approach this challenge? From medicine to economics or from economics to medicine? The present article intends to raise awareness to regard the "economization of medicine" not just as a threat, but also as an opportunity. Needs for economic action are pointed out, and insights as well as future perspectives for the explanatory contribution for health economics are given.

  14. Quantifying Health Status and Function in Marfan Syndrome.

    PubMed

    Rao, Sandesh S; Venuti, Kristen D; Dietz, Harry C; Sponseller, Paul D

    2016-01-01

    Two hundred thirty patients were prospectively enrolled in this study and completed various portions of the Short Form 36 and a study-specific questionnaire (visual analog scale 1 to 10, comprising three separate questionnaires) to evaluate quality of life and function in patients with Marfan syndrome. The greatest health concern was cardiac problems (high in 70% of patients), followed by spine issues and generalized fatigue (both high, in 53%). The most severe reported pain involved the back: 105 patients (46%) rated pain as 6 to 10 on the visual analog scale. Among the 72 patients who responded to work life questions, work hours were reduced because of treatment in 59 (82%) or directly because of Marfan syndrome in 29 (40%). Across all Short Form 36 domains, patients scored significantly lower than United States population norms (p<.05); physical health scores were considerably lower than mental health scores. PMID:27082886

  15. An Examination of Forest Certification Status among Logging Companies in Cameroon

    PubMed Central

    Nukpezah, Daniel; Alemagi, Dieudonne; Duguma, Lalisa; Minang, Peter; Mbosso, Charlie; Tchoundjeu, Zac

    2014-01-01

    This paper assesses the level of interest, awareness, and adoption of ISO 14001 and Forest Stewardship Council (FSC) certification schemes among logging companies in Cameroon. Eleven logging companies located in Douala in the Littoral Region of Cameroon were assessed through a structured interview using an administered questionnaire which was mostly analyzed qualitatively thereafter. The findings indicated that none of the companies was certified for ISO 14001; however 63.64% of them were already FSC-certified. Four companies (36.36%) were neither FSC- nor ISO 14001 EMS-certified. Among the factors found to influence the adoption rate was the level of awareness about ISO 14001 and FSC certification schemes. The main drivers for pursuing FSC certification were easy penetration into international markets, tax holiday benefits, and enhancement of corporate image of the logging companies through corporate social responsibility fulfillments. Poor domestic market for certified products was found to be the major impediment to get certified. To make logging activities more environmentally friendly and socially acceptable, logging companies should be encouraged to get certified through the ISO 14001 EMS scheme which is almost nonexistent so far. This requires awareness creation about the scheme, encouraging domestic markets for certified products and creating policy incentives. PMID:27355041

  16. An Examination of Forest Certification Status among Logging Companies in Cameroon.

    PubMed

    Nukpezah, Daniel; Alemagi, Dieudonne; Duguma, Lalisa; Minang, Peter; Mbosso, Charlie; Tchoundjeu, Zac

    2014-01-01

    This paper assesses the level of interest, awareness, and adoption of ISO 14001 and Forest Stewardship Council (FSC) certification schemes among logging companies in Cameroon. Eleven logging companies located in Douala in the Littoral Region of Cameroon were assessed through a structured interview using an administered questionnaire which was mostly analyzed qualitatively thereafter. The findings indicated that none of the companies was certified for ISO 14001; however 63.64% of them were already FSC-certified. Four companies (36.36%) were neither FSC- nor ISO 14001 EMS-certified. Among the factors found to influence the adoption rate was the level of awareness about ISO 14001 and FSC certification schemes. The main drivers for pursuing FSC certification were easy penetration into international markets, tax holiday benefits, and enhancement of corporate image of the logging companies through corporate social responsibility fulfillments. Poor domestic market for certified products was found to be the major impediment to get certified. To make logging activities more environmentally friendly and socially acceptable, logging companies should be encouraged to get certified through the ISO 14001 EMS scheme which is almost nonexistent so far. This requires awareness creation about the scheme, encouraging domestic markets for certified products and creating policy incentives.

  17. Current status of schistosomiasis and soil-transmitted helminthiasis in Beyla and Macenta Prefectures, Forest Guinea.

    PubMed

    Hodges, Mary; Koroma, Manso M; Baldé, Mamadou S; Turay, Hamid; Fofanah, Ibrahim; Divall, Mark J; Winkler, Mirko S; Zhang, Yaobi

    2011-11-01

    A cross-sectional survey was undertaken in children aged 9-14 years in Beyla and Macenta Prefectures, Forest Guinea. Stool samples were examined by Kato-Katz and urine samples were examined by the centrifugation method. The overall prevalence and intensity of infection was 66.2% and 462.4 eggs per gram of faeces (epg) for Schistosoma mansoni, 21.0% and 17.8 eggs per 10ml of urine for S. haematobium, 51.2% and 507.5 epg for hookworm, 8.1% and 89.1 epg for Ascaris lumbricoides and 2.4% and 16.7 epg for Trichuris trichiura. The overall prevalence of schistosomiasis (S. mansoni and/or S. haematobium) was 70.7%. The prevalence of schistosomiasis was similar to those reported in the 1990s in the region; however, the prevalence of soil-transmitted helminths has since fallen. These findings illustrate the need for schistosomiasis control in Guinea. PMID:21871646

  18. Current status of schistosomiasis and soil-transmitted helminthiasis in Beyla and Macenta Prefectures, Forest Guinea.

    PubMed

    Hodges, Mary; Koroma, Manso M; Baldé, Mamadou S; Turay, Hamid; Fofanah, Ibrahim; Divall, Mark J; Winkler, Mirko S; Zhang, Yaobi

    2011-11-01

    A cross-sectional survey was undertaken in children aged 9-14 years in Beyla and Macenta Prefectures, Forest Guinea. Stool samples were examined by Kato-Katz and urine samples were examined by the centrifugation method. The overall prevalence and intensity of infection was 66.2% and 462.4 eggs per gram of faeces (epg) for Schistosoma mansoni, 21.0% and 17.8 eggs per 10ml of urine for S. haematobium, 51.2% and 507.5 epg for hookworm, 8.1% and 89.1 epg for Ascaris lumbricoides and 2.4% and 16.7 epg for Trichuris trichiura. The overall prevalence of schistosomiasis (S. mansoni and/or S. haematobium) was 70.7%. The prevalence of schistosomiasis was similar to those reported in the 1990s in the region; however, the prevalence of soil-transmitted helminths has since fallen. These findings illustrate the need for schistosomiasis control in Guinea.

  19. An Examination of Forest Certification Status among Logging Companies in Cameroon.

    PubMed

    Nukpezah, Daniel; Alemagi, Dieudonne; Duguma, Lalisa; Minang, Peter; Mbosso, Charlie; Tchoundjeu, Zac

    2014-01-01

    This paper assesses the level of interest, awareness, and adoption of ISO 14001 and Forest Stewardship Council (FSC) certification schemes among logging companies in Cameroon. Eleven logging companies located in Douala in the Littoral Region of Cameroon were assessed through a structured interview using an administered questionnaire which was mostly analyzed qualitatively thereafter. The findings indicated that none of the companies was certified for ISO 14001; however 63.64% of them were already FSC-certified. Four companies (36.36%) were neither FSC- nor ISO 14001 EMS-certified. Among the factors found to influence the adoption rate was the level of awareness about ISO 14001 and FSC certification schemes. The main drivers for pursuing FSC certification were easy penetration into international markets, tax holiday benefits, and enhancement of corporate image of the logging companies through corporate social responsibility fulfillments. Poor domestic market for certified products was found to be the major impediment to get certified. To make logging activities more environmentally friendly and socially acceptable, logging companies should be encouraged to get certified through the ISO 14001 EMS scheme which is almost nonexistent so far. This requires awareness creation about the scheme, encouraging domestic markets for certified products and creating policy incentives. PMID:27355041

  20. Measuring Socioeconomic Status in Health Research in Developing Countries: Should We Be Focusing on Households, Communities or Both?

    ERIC Educational Resources Information Center

    Fotso, Jean-Christophe; Kuate-Defo, Barthelemy

    2005-01-01

    Research on the effects of socioeconomic well-being on health is important for policy makers in developing countries, where limited resources make it crucial to use existing health care resources to the best advantage. This paper develops and tests a set of measures of socioeconomic status indicators for predicting health status in developing…

  1. Marital status, family ties, and self-rated health among elders in South India.

    PubMed

    Sudha, S; Suchindran, Chirayath; Mutran, Elizabeth J; Rajan, S Irudaya; Sarma, P Sankara

    2006-01-01

    This article examines the impact of familial social support ties (indicated by marital status, kin availability, sources of economic support, and frequency and quality of emotional interaction) on subjective health perception among a sample of elderly men and women aged 60 and older in South India. We used 1993 survey data from three states of South India: Kerala, Tamil Nadu, and Karnataka. We hypothesized that (a) widowhood would be associated with poorer self-rated health, (b) number of kin ties would be positively associated with self-rated health, (c) economic and emotional support from kin would improve outcomes, and (d) these associations would be stronger among women than among men. Results of logistic regression techniques supported the first hypothesis and partially supported the third. With regard to the second hypothesis, the presence of specific kin rather than the number of each type of family member was important. For the fourth hypothesis, results suggest that men and women in this sample have broadly similar associations between widowhood and self-rated health. For women however, controlling for socioeconomic status did not weaken the association between widowhood and self-rated health, suggesting the symbolic/cultural importance of this status. In general, these findings suggest that theories on the importance of marital status and kin ties for older adults' self-rated health, which were developed and tested in Western societies, need to be refined for Asian societies, where the nature of marriage and widowhood are different.

  2. Adolescent socio-economic and school-based social status, health and well-being

    PubMed Central

    Sweeting, Helen; Hunt, Kate

    2014-01-01

    Studies of adults and adolescents suggest subjective socio-economic status (SES) is associated with health/well-being even after adjustment for objective SES. In adolescence, objective SES may have weaker relationships with health/well-being than at other life stages; school-based social status may be of greater relevance. We investigated the associations which objective SES (residential deprivation and family affluence), subjective SES and three school-based subjective social status dimensions (“SSS-peer”, “SSS-scholastic” and “SSS-sports”) had with physical symptoms, psychological distress and anger among 2503 Scottish 13–15 year-olds. Associations between objective SES and health/well-being were weak and inconsistent. Lower subjective SES was associated with increased physical symptoms and psychological distress, lower SSS-peer with increased psychological distress but reduced anger, lower SSS-scholastic with increased physical symptoms, psychological distress and anger, and lower SSS-sports with increased physical symptoms and psychological distress. Associations did not differ by gender. Objective and subjective SES had weaker associations with health/well-being than did school-based SSS dimensions. These findings underline the importance of school-based SSS in adolescence, and the need for future studies to include a range of school-based SSS dimensions and several health/well-being measures. They also highlight the need for a focus on school-based social status among those working to promote adolescent health/well-being. PMID:25306408

  3. Hanford-worker health study: a status report

    SciTech Connect

    Marks, S.; Tolley, H.D.; Gilbert, E.S.; Petersen, G.R.

    1983-02-01

    Analysis of the workers' health at the Hanford plant produced no startling changes. Multiple myeloma is the only cancer type that shows a statistically significant trend of mortality with increasing radiation exposure. The study populations will be augmented by the addition of a group of construction workers in the future. Methodologic studies based on this data set are continuing.

  4. Allostatic Load and Health Status of African Americans and Whites

    ERIC Educational Resources Information Center

    Deuster, Patricia A.; Kim-Dorner, Su Jong; Remaley, Alan T.; Poth, Merrily

    2011-01-01

    Objectives: To compare health risks in 84 healthy African American and 45 white men and women after calculating allostatic load (AL) from biologic, psychosocial, and behavioral measures. Methods: Participants (18-45 years) ranging in weight from normal to obese and without hypertension or diabetes. Fitness, body fat, CRP, mood, social support,…

  5. Biomass energy systems: Status of environmental, health and safety investigations

    NASA Astrophysics Data System (ADS)

    Walinchus, R. J.

    1982-05-01

    A synthesis of information and environmental data relevant to biomass energy is presented. Biomass resources and conversion processes are discussed. The environmental impacts from biomass resources are discussed. Land impact, water impact, wetlands impacts, control technology, and occupational health and safety are discussed.

  6. Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana.

    PubMed

    Gyasi, Razak Mohammed

    2015-01-01

    This paper examines the relationship between national health insurance status and the pattern of traditional medicine (TRM) use among the general population in Ghana. A retrospective cross-sectional survey of randomly sampled adults, aged ≥18 years (N = 324), was conducted. The results indicate that TRM use was high with prevalence of over 86%. The study found no statistically significant association between national health insurance status and TRM utilisation (P > 0.05). Paradoxically, major sources of TRM, frequency of TRM use, comedical administration, and disclosure of TRM use to health care professionals differed significantly between the insured and uninsured subgroups (P < 0.001). Whereas effectiveness of TRM predicted its use for both insured [odds ratio (OR) = 4.374 (confidence interval (CI): 1.753-10.913; P = 0.002)] and uninsured [OR = 3.383 CI: 0.869-13.170; P = 0.039)], work experience predicted TRM use for the insured [OR = 1.528 (95% CI: 1.309-1.900; P = 0.019)]. Cultural specific variables and health philosophies rather than health insurance status may influence health care-seeking behaviour and TRM use. The enrollment of herbal-based therapies on the national health insurance medicine plan is exigent to ensure monitoring and rational use of TRM towards intercultural health care system in Ghana. PMID:26347791

  7. Relationship between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

    PubMed Central

    Gyasi, Razak Mohammed

    2015-01-01

    This paper examines the relationship between national health insurance status and the pattern of traditional medicine (TRM) use among the general population in Ghana. A retrospective cross-sectional survey of randomly sampled adults, aged ≥18 years (N = 324), was conducted. The results indicate that TRM use was high with prevalence of over 86%. The study found no statistically significant association between national health insurance status and TRM utilisation (P > 0.05). Paradoxically, major sources of TRM, frequency of TRM use, comedical administration, and disclosure of TRM use to health care professionals differed significantly between the insured and uninsured subgroups (P < 0.001). Whereas effectiveness of TRM predicted its use for both insured [odds ratio (OR) = 4.374 (confidence interval (CI): 1.753–10.913; P = 0.002)] and uninsured [OR = 3.383 CI: 0.869–13.170; P = 0.039)], work experience predicted TRM use for the insured [OR = 1.528 (95% CI: 1.309–1.900; P = 0.019)]. Cultural specific variables and health philosophies rather than health insurance status may influence health care-seeking behaviour and TRM use. The enrollment of herbal-based therapies on the national health insurance medicine plan is exigent to ensure monitoring and rational use of TRM towards intercultural health care system in Ghana. PMID:26347791

  8. Health status of former elite athletes. The Finnish experience.

    PubMed

    Sarna, S; Kaprio, J; Kujala, U M; Koskenvuo, M

    1997-01-01

    Physical activity is an important aspect of health behavior and life-style, when considering the possibilities to prevent premature deaths and sustain functional capacity. We studied former Finnish male athletes and controls to investigate the effects of long-lasting participation in vigorous sports on health, and the main findings are reviewed here. The athletes represented Finland between the years 1920-1965 at least once in international competitions. The following sports were selected: track and field athletics, cross-country skiing, soccer, ice hockey, basketball, boxing, wrestling, weight lifting, and shooting. The full name, place and date of birth were traced for 2613 (97.7%) men. The referent subjects (N = 1712) were selected among those Finnish men who, at the age of 20, were classified completely healthy at the medical examination for induction into military service. In most analyses we grouped the sports according to the type of training needed to achieve maximal results, i.e., principally aerobic training, principally anaerobic training or mixed. In 1985, a questionnaire on physical activity, health and health habits was mailed to surviving former athletes and referents (N = 2851, 65.9% of the original cohort). Follow-up for morbidity and mortality was based on national medical registries. We found that former aerobic sports athletes (endurance and mixed sports) in particular have high total and active life expectancy and low risk for ischemic heart disease and diabetes in later years. On the other hand, they have slightly higher risk for lower-limb osteoarthritis. Overall, the benefits of physically active life-style on health were clearly higher than the adverse effects.

  9. Mental health status among Japanese medical students: a cross-sectional survey of 20 universities.

    PubMed

    Ohtsu, Tadahiro; Kaneita, Yoshitaka; Osaki, Yoneatsu; Kokaze, Akatsuki; Ochiai, Hirotaka; Shirasawa, Takako; Nanri, Hinako; Ohida, Takashi

    2014-12-01

    The purposes of this study were to evaluate the mental health status of Japanese medical students and to examine differences based on gender, as well as on university type and location, using the results of a nationwide survey. Between December 2006 and March 2007, we conducted a questionnaire survey among fourth-year medical students at 20 randomly selected medical schools in Japan. The data from 1,619 students (response rate: 90.6%; male: 1,074; female: 545) were analyzed. We used the Japanese version of the 12-item General Health Questionnaire (GHQ-12) to measure mental health status. Poor mental health status (GHQ-12 score of 4 points or higher) was observed in 36.6% and 48.8% of the male and female medical students, respectively. The ratio of the age-adjusted prevalence of poor mental health status in female versus male medical students was 1.33 (95% confidence interval: 1.10-1.62). The universities were categorized into two groups based on the university type (national/public: 15 vs. private: 5) or location (in a large city: 7 vs. in a local city: 13 cities). The prevalence of poor mental health status in both men and women differed between these groups, although not significantly. The GHQ-12 scores in men significantly differed between the categorized groups of universities. These results suggest that adequate attention must be paid to the mental health of medical students, especially females, and that a system for providing mental health care for medical students must be established in the context of actual conditions at each university.

  10. Health Canada's use of priority review status for drugs for unmet needs.

    PubMed

    Rawson, Nigel S B

    2015-10-01

    The processes for granting priority review status to new drug submissions in Canada and the United States are not exactly the same, but reasonable concordance should be expected since the selection criteria are similar in the two countries. This study compared new therapeutic drugs approved by both Health Canada and the Food and Drug Administration (FDA) between 2000 and 2014 to evaluate concordance on priority review status. New therapeutic drugs approved in both countries totalled 301; 86 (28.6%) and 136 (45.2%) were given priority review status in Canada and the United States, respectively, with 73 (24.3%) in both. Sensitivity and specificity were 53.7% and 92.1%. Overall concordance on review type was 74.8%. κ was 0.47 indicating moderate agreement. Agreement on review type was >70% for all drugs, except oncology therapies. Broad agreement exists between Health Canada and the FDA on drugs that should not have priority review status. Concordance on drugs that should have this status was generally satisfactory and, for critical drugs, was high. Agreement would improve if more oncology drugs received priority review status in Canada. Despite a higher number of drugs receiving priority review status in the United States, there is reasonable concordance between the two countries.

  11. Effects of racial/ethnic discrimination on the health status of minority veterans.

    PubMed

    Sohn, Linda; Harada, Nancy D

    2008-04-01

    As the veteran population becomes ethnically diverse, it is important to understand complex interrelationships between racism and health. This study examined the association between perceptions of discrimination and self-reported mental and physical health for Asian/Pacific Islander, African American, and Hispanic veterans. The data for this study come from the 2001 Veteran Identity Program Survey, which measured utilization of outpatient care, discrimination, and health status across three minority veteran groups. Multivariate regression methods were used to model self-reported mental and physical health on perceptions of discrimination controlling for demographic and socioeconomic characteristics. Findings revealed that racial/ethnic discrimination during military service was significantly associated with lower physical, but not mental health. Satisfaction with health care provider's sensitivity toward racial/ethnic background was significantly associated with better mental health. Findings highlight the importance of developing policies that address racial/ethnic discrimination during military service while providing health care services for veterans.

  12. Current status of cadmium as an environmental health problem

    SciTech Connect

    Jaerup, Lars Akesson, Agneta

    2009-08-01

    Cadmium is a toxic metal occurring in the environment naturally and as a pollutant emanating from industrial and agricultural sources. Food is the main source of cadmium intake in the non-smoking population. The bioavailability, retention and toxicity are affected by several factors including nutritional status such as low iron status. Cadmium is efficiently retained in the kidney (half-time 10-30 years) and the concentration is proportional to that in urine (U-Cd). Cadmium is nephrotoxic, initially causing kidney tubular damage. Cadmium can also cause bone damage, either via a direct effect on bone tissue or indirectly as a result of renal dysfunction. After prolonged and/or high exposure the tubular injury may progress to glomerular damage with decreased glomerular filtration rate, and eventually to renal failure. Furthermore, recent data also suggest increased cancer risks and increased mortality in environmentally exposed populations. Dose-response assessment using a variety of early markers of kidney damage has identified U-Cd points of departure for early kidney effects between 0.5 and 3 {mu}g Cd/g creatinine, similar to the points of departure for effects on bone. It can be anticipated that a considerable proportion of the non-smoking adult population has urinary cadmium concentrations of 0.5 {mu}g/g creatinine or higher in non-exposed areas. For smokers this proportion is considerably higher. This implies no margin of safety between the point of departure and the exposure levels in the general population. Therefore, measures should be put in place to reduce exposure to a minimum, and the tolerably daily intake should be set in accordance with recent findings.

  13. A comparison of forest and agricultural shallow groundwater chemical status a century after land use change.

    PubMed

    Kellner, Elliott; Hubbart, Jason A; Ikem, Abua

    2015-10-01

    Considering the increasing pace of global land use change and the importance of groundwater quality to humans and aquatic ecosystems, studies are needed that relate land use types to patterns of groundwater chemical composition. Piezometer grids were installed in a remnant bottomland hardwood forest (BHF) and a historic agricultural field (Ag) to compare groundwater chemical composition between sites with contrasting land use histories. Groundwater was sampled monthly from June 2011 to June 2013, and analyzed for 50 physiochemical metrics. Statistical tests indicated significant differences (p<0.05) between the study sites for 32 out of 50 parameters. Compared to the Ag site, BHF groundwater was characterized by significantly (p<0.05) lower pH, higher electrical conductivity, and higher concentrations of total dissolved solids and inorganic carbon. BHF groundwater contained significantly (p<0.05) higher concentrations of all nitrogen species except nitrate, which was higher in Ag groundwater. BHF groundwater contained significantly (p<0.05) higher concentrations of nutrients such as sulfur, potassium, magnesium, calcium, and sodium, relative to the Ag site. Ag groundwater was characterized by significantly (p<0.05) higher concentrations of trace elements such as arsenic, cadmium, cobalt, copper, molybdenum, nickel, and titanium. Comparison of shallow groundwater chemical composition with that of nearby receiving water suggests that subsurface concentration patterns are the result of contrasting site hydrology and vegetation. Results detail impacts of surface vegetation alteration on subsurface chemistry and groundwater quality, thereby illustrating land use impacts on the lithosphere and hydrosphere. This study is among the first to comprehensively characterize and compare shallow groundwater chemical composition at sites with contrasting land use histories. PMID:26005752

  14. A comparison of forest and agricultural shallow groundwater chemical status a century after land use change.

    PubMed

    Kellner, Elliott; Hubbart, Jason A; Ikem, Abua

    2015-10-01

    Considering the increasing pace of global land use change and the importance of groundwater quality to humans and aquatic ecosystems, studies are needed that relate land use types to patterns of groundwater chemical composition. Piezometer grids were installed in a remnant bottomland hardwood forest (BHF) and a historic agricultural field (Ag) to compare groundwater chemical composition between sites with contrasting land use histories. Groundwater was sampled monthly from June 2011 to June 2013, and analyzed for 50 physiochemical metrics. Statistical tests indicated significant differences (p<0.05) between the study sites for 32 out of 50 parameters. Compared to the Ag site, BHF groundwater was characterized by significantly (p<0.05) lower pH, higher electrical conductivity, and higher concentrations of total dissolved solids and inorganic carbon. BHF groundwater contained significantly (p<0.05) higher concentrations of all nitrogen species except nitrate, which was higher in Ag groundwater. BHF groundwater contained significantly (p<0.05) higher concentrations of nutrients such as sulfur, potassium, magnesium, calcium, and sodium, relative to the Ag site. Ag groundwater was characterized by significantly (p<0.05) higher concentrations of trace elements such as arsenic, cadmium, cobalt, copper, molybdenum, nickel, and titanium. Comparison of shallow groundwater chemical composition with that of nearby receiving water suggests that subsurface concentration patterns are the result of contrasting site hydrology and vegetation. Results detail impacts of surface vegetation alteration on subsurface chemistry and groundwater quality, thereby illustrating land use impacts on the lithosphere and hydrosphere. This study is among the first to comprehensively characterize and compare shallow groundwater chemical composition at sites with contrasting land use histories.

  15. Benevolent Images of God, Gratitude, and Physical Health Status.

    PubMed

    Krause, Neal; Emmons, Robert A; Ironson, Gail

    2015-08-01

    This study has two goals. The first is to assess whether a benevolent image of God is associated with better physical health. The second goal is to examine the aspects of congregational life that is associated with a benevolent image of God. Data from a new nationwide survey (N = 1774) are used to test the following core hypotheses: (1) people who attend worship services more often and individuals who receive more spiritual support from fellow church members (i.e., informal assistance that is intended to increase the religious beliefs and behaviors of the recipient) will have more benevolent images of God, (2) individuals who believe that God is benevolent will feel more grateful to God, (3) study participants who are more grateful to God will be more hopeful about the future, and (4) greater hope will be associated with better health. The data provide support for each of these relationships.

  16. Varied differences in the health status between Medicare advantage and fee-for-service enrollees.

    PubMed

    Song, Yunjie

    2014-01-01

    This article examines the differences in mortality measured health status between the Medicare Advantage (MA) program and Fee-for-Service (FFS) program from 1999 to 2007. At the national level, differences in mortality rates were associated with MA market share. In some counties, enrollees in the MA program were 40% less likely to die than their peers in the FFS program, but in other counties, they were 20% more likely to die. Cost shifting between the two programs could bias county classifications of average FFS spending, and enlarged disparities in health status could make it difficult to evaluate risk adjusters.

  17. The occupational health status of hired farm workers.

    PubMed

    Villarejo, D; Baron, S L

    1999-01-01

    The U.S. hired farm work force presently is two-thirds foreign-born: mostly young Mexican men with low educational attainment who neither read nor write English. Sixty percent earn so little that they and their families live in poverty. Four of ten migrate to find work, 33% are not authorized to work in the U.S., and 25% work for a labor market intermediary, usually a labor contractor. Few hired farm workers have health insurance of any kind and, despite low incomes, relatively few seek or receive government benefits. Government regulation of the workplace exempts agricultural employers from numerous provisions that apply to other industries; for example, agriculture is exempt from portions of the Fair Labor Standards Act, allowing children as young as age 12 to work in the fields, and employers with 10 or fewer employees are exempt from OSHA regulation. Only 12 states require farm employers to carry workers' compensation insurance. While hired farm workers face significant safety and health risks, there are major gaps in existing research covering this occupational group. An ad hoc task force convened by NIOSH developed a prioritized agenda for occupational safety research in this population: musculoskeletal disorders, pesticide-related conditions, traumatic injuries, respiratory conditions, dermatitis, infectious diseases, cancer, eye conditions, and mental health.

  18. [Health status indicators: features of the economic approach].

    PubMed

    Ghislandi, S; Bertolini, G; Garattini, L

    2000-01-01

    Quality of Life (QoL) instruments are often considered similar, since they all concern subjective health state valuations. Actually, among the set of QoL scales, it is possible to distinguish two approaches, different in terms of both goals and tools. The clinical approach elicits functional limitations as perceived by patients, the economic approach is aimed at solving allocation problems generated by scarsity of resources. The major goal of this article is to analyse the economic approach to health state subjective valuation. By using QoL questionnaires, economists attempt to set up quantitative indexes which can value any kind of health outcome. Thus the economic approach seems to be more ambitious than the clinical one. However, the results so far achieved are quite disappointing, especially if compared to those of the clinical approach. In particular, economic scales still suffer a general lack of validation, due to the scarcity of studies conducted on relevant samples. Accordingly, indexes now available seem to require substantial revision. In general, further significant efforts seem necessary to improve the methodology inside the field of HRQoL measures. Integrating the two approaches, as recently attempted, could be a sound strategy.

  19. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention.

    PubMed Central

    Clements-Nolle, K; Marx, R; Guzman, R; Katz, M

    2001-01-01

    OBJECTIVES: This study described HIV prevalence, risk behaviors, health care use, and mental health status of male-to-female and female-to-male transgender persons and determined factors associated with HIV. METHODS: We recruited transgender persons through targeted sampling, respondent-driven sampling, and agency referrals; 392 male-to-female and 123 female-to-male transgender persons were interviewed and tested for HIV. RESULTS: HIV prevalence among male-to-female transgender persons was 35%. African American race (adjusted odds ratio [OR] = 5.81; 95% confidence interval [CI] = 2.82, 11.96), a history of injection drug use (OR = 2.69; 95% CI = 1.56, 4.62), multiple sex partners (adjusted OR = 2.64; 95% CI = 1.50, 4.62), and low education (adjusted OR = 2.08; 95% CI = 1.17, 3.68) were independently associated with HIV. Among female-to-male transgender persons, HIV prevalence (2%) and risk behaviors were much lower. Most male-to-female (78%) and female-to-male (83%) transgender persons had seen a medical provider in the past 6 months. Sixty-two percent of the male-to-female and 55% of the female-to-male transgender persons were depressed; 32% of each population had attempted suicide. CONCLUSIONS: High HIV prevalence suggests an urgent need for risk reduction interventions for male-to-female transgender persons. Recent contact with medical providers was observed, suggesting that medical providers could provide an important link to needed prevention, health, and social services. PMID:11392934

  20. Age, time, and cohort effects on functional status and self-rated health in elderly men.

    PubMed Central

    Hoeymans, N; Feskens, E J; van den Bos, G A; Kromhout, D

    1997-01-01

    OBJECTIVES: This study investigated age-related changes in functional status and self-rated health in elderly men, taking into account changes over time and differences between birth cohorts. METHODS: The Zutphen Elderly Study is a longitudinal study of men born in the Netherlands between 1900 and 1920. Functional status and self-rated health were measured in 513 men in 1990, in 381 men in 1993, and in 340 men in 1995. Age, time, and cohort effects were analyzed in a mixed longitudinal model. RESULTS: Longitudinal analyses showed that during 5 years of follow-up, the proportion of men without disabilities decreased from 53% to 39%, whereas the percentage who rated themselves as healthy decreased from 50% to 35%. Cross-sectional analyses confirmed changes in functional status, suggesting an age effect. Time-series analyses confirmed changes in self-rated health, suggesting a time effect. No birth-cohort effects were found. CONCLUSIONS: Functional status deteriorates with age, whereas self-rated health is not related to age in men aged 70 years and older. The observed 5-year decline in self-rated health seemed to be due to a secular trend. PMID:9357342

  1. Cautionary tales in the clinical interpretation of trials assessing therapy-induced changes in health status.

    PubMed

    Scott, I A

    2011-05-01

    Trials assessing the effects of therapies on symptoms, functional capacity, health-related quality of life and other aspects of health status are becoming more common in an era of chronic disease management. Such trials involve instruments for measuring health status whose reliability, validity and responsiveness need to be understood by clinicians and policy-makers in interpreting trial results. Deciding whether a treatment is clinically efficacious requires prior determination, based on empirical evidence, of what constitutes a minimal important difference (MID) between active treatment and control groups in the change in health status between study start and end. This MID should be used to calculate the sample size that will confer adequate power to detect a treatment effect if it truly exists. Many trials assessing health status have major methodological flaws: use of inappropriate or psychometrically unsound measurement instruments, lack of specification of MID, assumption that statistically significant results represent clinically significant treatment effects, and statement of conclusions inconsistent with observed results. This article provides guidance to clinicians in interpreting results of such trials in regard to clinical decision-making. PMID:21489078

  2. Oral health status and the epidemiologic paradox within latino immigrant groups

    PubMed Central

    2012-01-01

    Background According to the United States census, there are 28 categories that define “Hispanic/Latinos.” This paper compares differences in oral health status between Mexican immigrants and other Latino immigrant groups. Methods Derived from a community-based sample (N = 240) in Los Angeles, this cross-sectional study uses an interview covering demographic and behavioral measures, and an intraoral examination using NIDCR epidemiologic criteria. Descriptive, bivariate analysis, and multiple regression analysis were conducted to examine the determinants that are associated with the Oral Health Status Index (OHSI). Results Mexican immigrants had a significantly higher OHSI (p < .05) compared to other Latinos. The multilinear regression showed that both age and gender (p < .05), percentage of untreated decayed teeth (p < .001), number of replaced missing teeth (p < .001), and attachment loss (p < .001) were significant. Conclusions Compared with the other Latino immigrants in our sample, Mexican immigrants have significantly better oral health status. This confirms the epidemiologic paradox previously found in comparisons of Mexicans with whites and African Americans. In this case of oral health status the paradox also occurs between Mexicans and other Latinos. Therefore, when conducting oral health studies of Latinos, more consideration needs to be given to differences within Latino subgroups, such as their country of origin and their unique ethnic and cultural characteristics. PMID:22958726

  3. Self-perceived social status and health in older Hong Kong Chinese women compared with men.

    PubMed

    Woo, J; Lynn, H; Leung, J; Wong, S Y

    2008-01-01

    Economic and social factors are determinants of health, as are psychosocial factors. The present study compared self-perceived social status and its relation to health, health related quality of life and lifestyle in older women with men, adjusting for age, education level and maximum lifetime income. A cross-sectional study was conducted of 4,000 men and women aged 65 years and over in a community in the North Eastern part of Hong Kong, a Special Administrative Region in China. Participants were asked to rate their community status, education, income and occupation, on two ladders, each with ten rungs. The distributions of the two ladder scores differed, showing that although participants may not have been ranked highly in terms of money, education and job respectability, they may have ranked their community standing highly. Women and older participants tended to rank their community standing highly in spite of lower ratings in the objective measures. A social gradient in self-perceived social status, independent of objective socioeconomic measures, was noted for physical performance and health-related quality of life, rather than related to presence of specific chronic diseases or lifestyle. However, the different ratings of the two ladders suggested that mechanisms by which the gradient operates may differ between women and men. Further studies are needed to explore the health and psychosocial consequences of the gender difference in self-rated social status. PMID:19042217

  4. Associations of grandparental schooling with adult grandchildren's health status, smoking, and obesity.

    PubMed

    Lê-Scherban, Félice; Diez Roux, Ana V; Li, Yun; Morgenstern, Hal

    2014-09-01

    Despite persistent schooling-related health disparities in the United States, little is known about the multigenerational effects of schooling on adult health. As expected lifespans increase, direct influences of grandparental schooling on grandchildren's health may become increasingly important. We used multigenerational data spanning 41 years from a national sample of US families to investigate associations of grandparents' educational attainment with global health status, smoking, and obesity in their grandchildren who were aged 25-55 years in 2009. We estimated total effects of grandparental schooling and, by using marginal structural models, we estimated controlled direct effects that were independent of parents' and participants' schooling. Among whites, lower levels of grandparental schooling were monotonically associated with poor health status, current smoking, and obesity in adult grandchildren. There was also evidence suggesting direct effects, which was stronger for poor health status among participants whose highest-educated grandparent lived in the same state. Among blacks, the only association suggesting a total or direct effect of grandparental schooling was for smoking. Despite the relative imprecision of our estimates and possible residual bias, these results suggest that higher levels of grandparental schooling may benefit the health of grandchildren in adulthood, especially among whites. Furthermore, part of those apparent effects, especially for obesity, may not be mediated by parents' and grandchildren's schooling.

  5. Measurement of outcomes of general practice: comparison of three health status measures.

    PubMed

    Hall, J; Hall, N; Fisher, E; Killer, D

    1987-06-01

    The broad range of medical problems seen in general practice means that the assessment of health outcomes shares much with the assessment of health status in the general community. The last two decades have seen considerable progress in health status measurement for this purpose. This paper reports the use of three such measures in a general practice setting. The 'Rand health insurance study battery', the 'sickness impact profile' and the 'general health questionnaire' were tested in two general practices in Sydney, Australia, to determine patient compliance, to assess the range of scores and discriminative ability of the instruments, and to compare the different instruments. There was a high degree of acceptance of the questionnaires, showing that patients visiting their general practitioners are prepared to complete such questionnaires. The range of scores obtained was less skewed for the Rand measures than for the sickness impact profile or the general health questionnaire, suggesting that the Rand measures should be the preferred general health status measure. PMID:3609549

  6. CHANGING HEALTH STATUS AND HEALTH EXPECTANCIES AMONG OLDER ADULTS IN CHINA: GENDER DIFFERENCES FROM 1992 to 2002

    PubMed Central

    Dupre, Matthew E; Warner, David F; Zeng, Yi

    2009-01-01

    Numerous studies document improvements in health status and health expectancies among older adults over time. However, most evidence is from developed nations and gender differences in health trends are often inconsistent. It remains unknown whether changes in health in developing countries resemble Western trends or whether patterns of health improvement are unique to the country’s epidemiologic transition and gender norms. Using two nationally representative samples of non-institutionalized adults in China ages 65 and older, this study investigates gender differences in the improvements in disability, chronic disease prevalence, and self-rated health from 1992 to 2002. Results from multivariate logistic regression models show that all three indicators of health improved over the 10-year period, with the largest improvement in self-rated health. With the exception of disability, the health of women improved more than men. Using Sullivan’s decomposition methods, we also show that active life expectancy, disease-free life expectancy, and healthy life expectancy increased over this decade and were patterned differently according to gender. Overall, the findings demonstrate that China experienced broad health-improvements during its early stages of the epidemiologic transition and that these changes were not uniform by gender. We discuss the public health implications of the findings in the context of China’s rapidly aging population. PMID:19394120

  7. Vegan diet, subnormal vitamin B-12 status and cardiovascular health.

    PubMed

    Woo, Kam S; Kwok, Timothy C Y; Celermajer, David S

    2014-08-19

    Vegetarian diets have been associated with atherosclerosis protection, with healthier atherosclerosis risk profiles, as well as lower prevalence of, and mortality from, ischemic heart disease and stroke. However, there are few data concerning the possible cardiovascular effects of a vegan diet (with no meat, dairy or egg products). Vitamin B-12 deficiency is highly prevalent in vegetarians; this can be partially alleviated by taking dairy/egg products in lact-ovo-vegetarians. However, metabolic vitamin B-12 deficiency is highly prevalent in vegetarians in Australia, Germany, Italy and Austria, and in vegans (80%) in Hong Kong and India, where vegans rarely take vitamin B-12 fortified food or vitamin B-12 supplements. Similar deficiencies exist in northern Chinese rural communities consuming inadequate meat, egg or dairy products due to poverty or dietary habits. Vascular studies have demonstrated impaired arterial endothelial function and increased carotid intima-media thickness as atherosclerosis surrogates in such metabolic vitamin B-12 deficient populations, but not in lactovegetarians in China. Vitamin B-12 supplementation has a favourable impact on these vascular surrogates in Hong Kong vegans and in underprivileged communities in northern rural China. Regular monitoring of vitamin B-12 status is thus potentially beneficial for early detection and treatment of metabolic vitamin B-12 deficiency in vegans, and possibly for prevention of atherosclerosis-related diseases.

  8. Vegan diet, subnormal vitamin B-12 status and cardiovascular health.

    PubMed

    Woo, Kam S; Kwok, Timothy C Y; Celermajer, David S

    2014-08-01

    Vegetarian diets have been associated with atherosclerosis protection, with healthier atherosclerosis risk profiles, as well as lower prevalence of, and mortality from, ischemic heart disease and stroke. However, there are few data concerning the possible cardiovascular effects of a vegan diet (with no meat, dairy or egg products). Vitamin B-12 deficiency is highly prevalent in vegetarians; this can be partially alleviated by taking dairy/egg products in lact-ovo-vegetarians. However, metabolic vitamin B-12 deficiency is highly prevalent in vegetarians in Australia, Germany, Italy and Austria, and in vegans (80%) in Hong Kong and India, where vegans rarely take vitamin B-12 fortified food or vitamin B-12 supplements. Similar deficiencies exist in northern Chinese rural communities consuming inadequate meat, egg or dairy products due to poverty or dietary habits. Vascular studies have demonstrated impaired arterial endothelial function and increased carotid intima-media thickness as atherosclerosis surrogates in such metabolic vitamin B-12 deficient populations, but not in lactovegetarians in China. Vitamin B-12 supplementation has a favourable impact on these vascular surrogates in Hong Kong vegans and in underprivileged communities in northern rural China. Regular monitoring of vitamin B-12 status is thus potentially beneficial for early detection and treatment of metabolic vitamin B-12 deficiency in vegans, and possibly for prevention of atherosclerosis-related diseases. PMID:25195560

  9. Status report on maternal and child health indicators.

    PubMed

    Givens, S R; Moore, M L

    1995-06-01

    The health of pregnant women and children has improved substantially since the 1960s. In the past decade, however, progress in preventing infant deaths, reducing the incidence of low-birth-weight infants, and ensuring first trimester prenatal care has slowed. African-American infants suffer a significantly higher risk of poor pregnancy outcome. Immunization rates for preschoolers remain low. Changing social conditions including a rising child poverty rate, a high teenage birth rate, an increased rate of births to unmarried women, and higher levels of unintended pregnancy may be contributing to stalled progress. PMID:7745540

  10. Primary care in Bosnia and Herzegovina. Health care and health status in general practice ambulatory care centres.

    PubMed Central

    Godwin, M.; Hodgetts, G.; Bardon, E.; Seguin, R.; Packer, D.; Geddes, J.

    2001-01-01

    OBJECTIVE: To assess the health care and health status of patients attending primary care clinics in Bosnia and Herzegovina. DESIGN: Assisted administration patient survey. SETTING: Two ambulatory care clinics (ambulantas) in each of three cities in Bosnia and Herzegovina: Tuzla, Mostar, and Banja Luka. PARTICIPANTS: Patients attending the ambulantas during a 1-week period in March 1999; 885 answered questionnaires. MAIN OUTCOME MEASURES: Each patient listed demographic characteristics and answered questions on satisfaction with health care and with the physical and financial accessibility of health care services and medications. A validated health status questionnaire (EuroQoL), previously used in parts of the former Yugoslavia, was administered. RESULTS: Only 22% of patients were employed; 57% could not pay the nominal fee to see a physician; 71% walked to the clinic; mean distance from patients' homes to the clinics was 2.3 km; 63% could not get the medications prescribed (in 85% of cases because of cost, not availability); 80% to 90% of answers to satisfaction questions suggested high satisfaction with the care patients received from their doctors; 67% of the time patients were referred to a specialist by general practitioners; 33% had problems walking; 17% had problems with self-care; 36% had problems with usual daily activities; 72% had at least some pain or discomfort; and 62% described at least some anxiety or depression. The three cities showed significant differences; patients in Tuzla generally had lower health status and more problems with health care. CONCLUSION: Unemployment and financial considerations reduced health care access in Bosnia and Herzegovina. While only one third of patients had physical difficulties, two thirds had emotional problems or pain. Satisfaction with physicians' care was high. PMID:11228029

  11. Health status indicators for the year 2000: projections for Allegheny County, Pennsylvania.

    PubMed Central

    Carson, C A; Zucconi, S L

    1993-01-01

    A consensus set of health status indicators was released in July 1991 by the Centers for Disease Control and Prevention for use by public health officials at the Federal, State, and local levels in identifying and monitoring issues of public health importance. These health status indicators have been projected for the Year 2000 in Allegheny County, PA, with linear regression analyses of historical data. Indications are that mortality rates for black infants, breast cancer mortality, suicide, lung cancer mortality, incidence of acquired immunodeficiency syndrome, and the number of measles cases likely will not meet the year 2000 targets in Allegheny County. These data will prove useful in monitoring progress towards the year 2000 objectives and provide comparative data for other geographic areas of the United States with similar demographic characteristics. PMID:8265755

  12. Income Inequality and Self-Rated Health Status: Evidence from the European Community Household Panel

    PubMed Central

    HILDEBRAND, VINCENT; VAN KERM, PHILIPPE

    2009-01-01

    We examine the effect of income inequality on individuals’ self-rated health status in a pooled sample of 11 countries, using longitudinal data from the European Community Household Panel survey. Taking advantage of the longitudinal and cross-national nature of our data, and carefully modeling the self-reported health information, we avoid several of the pitfalls suffered by earlier studies on this topic. We calculate income inequality indices measured at two standard levels of geography (NUTS-0 and NUTS-1) and find consistent evidence that income inequality is negatively related to self-rated health status in the European Union for both men and women, particularly when measured at national level. However, despite its statistical significance, the magnitude of the impact of inequality on health is very small. PMID:20084830

  13. Income inequality and self-rated health status: evidence from the European Community Household Panel.

    PubMed

    Hildebrand, Vincent; Van Kerm, Philippe

    2009-11-01

    We examine the effect of income inequality on individuals' self-rated health status in a pooled sample of 11 countries, using longitudinal data from the European Community Household Panel survey. Taking advantage of the longitudinal and cross-national nature of our data, and carefully modeling the self-reported health information, we avoid several of the pitfalls suffered by earlier studies on this topic. We calculate income inequality indices measured at two standard levels of geography (NUTS-0 and NUTS-1) and find consistent evidence that income inequality is negatively related to self-rated health status in the European Union for both men and women, particularly when measured at national level. However, despite its statistical significance, the magnitude of the impact of inequality on health is very small.

  14. Psychosocial Health Status of Persons Seeking Treatment for Exposure to Libby Amphibole Asbestos

    PubMed Central

    Weinert, Clarann; Hill, Wade G.; Winters, Charlene A.; Kuntz, Sandra W.; Rowse, Kimberly; Hernandez, Tanis; Black, Brad; Cudney, Shirley

    2011-01-01

    A cross-sectional exploratory study was conducted to describe the psychosocial health status of persons seeking health care for exposure to Libby amphibole asbestos (LAA). Health indicators including depression, stress, acceptance of illness, and satisfaction with access and financial aspects of care were obtained via electronic and paper-pencil survey. The exposure pathway and demographic data were gleaned from the health record. Of the 386 participants, more than one-third (34.5%) demonstrated significant levels of psychological distress. The oldest group of women had the lowest levels of depression and stress and the highest acceptance of illness. Gender, age, and satisfaction with financial resources were significantly related to depression, stress, and acceptance of illness. Satisfaction with access to care was significant only for stress. No differences in depression, stress, and acceptance of illness were found based on residence, exposure pathway, or insurance status. PMID:22007326

  15. Mental health status in children exposed to tsunami.

    PubMed

    Vijayakumar, L; Kannan, G K; Daniel, S J

    2006-12-01

    As a vulnerable group, children are more prone to experiencing trauma and its sequelae. After the Asian tsunami we set out to evaluate the effect of exposure to the tsunami nearly one year after the event and to explore the family history of psychopathology on the mental health of children. This community-based study of 230 children was conducted in Srinivasapuram, a coastal village in Tamil Nadu. A youth self-report form (YSR) of the Child Behaviour Checklist (CBCL), exposure to the tsunami, post-traumatic stress disorder (PTSD) and family history of psychopathology were assessed. The severity of exposure to the tsunami correlated with anxiety and somatic domains of the DSM IV and PTSD symptoms. Family history of psychopathology correlated with affective and somatic symptoms. Multiple regression analysis revealed that family psychopathology influenced affective problems (R2 = 0.071 (n = 199), F = 15.13, p = 0.00) while exposure to the tsunami influenced anxiety problems (R2 = 0.046 (n = 208), F = 9.91, p = 0.002). The findings from this study reveal that targeted specialized mental health services are needed for children with severe exposure to the tsunami and positive family history of psychopathology.

  16. Health status of cloned cattle at different ages.

    PubMed

    Chavatte-Palmer, P; Remy, D; Cordonnier, N; Richard, C; Issenman, H; Laigre, P; Heyman, Y; Mialot, J-P

    2004-01-01

    The procedure of somatic cloning is associated with important losses during pregnancy and in the perinatal period, reducing the overall efficacy to less than 5% in most cases. A mean of 30% of the cloned calves die before reaching 6 months of age with a wide range of pathologies, including, for the most common, respiratory failure, abnormal kidney development, liver steatosis. Heart and liver weight in relation to body weight are also increased. Surviving animals, although mostly clinically normal, differ from controls obtained by artificial insemination (AI) within the first 1-2 months, to become undistinguishable from them thereafter. Hemoglobin concentrations, for instance, are lower, and leptin concentrations are elevated. In response to the lack of prospective studies addressing the health of adult clones, a long-term, 3-4-year study is currently being conducted to assess the health of mature bovine clones at INRA. Preliminary results over 1 year of study do not show any statistical difference between groups for hematological parameters. PMID:15268782

  17. Sick man walking: Perception of health status from body motion.

    PubMed

    Sundelin, T; Karshikoff, B; Axelsson, E; Höglund, C Olgart; Lekander, M; Axelsson, J

    2015-08-01

    An ability to detect subtle signs of sickness in others would be highly beneficial, as it would allow for behaviors that help us avoid contagious pathogens. Recent findings suggest that both animals and humans are able to detect distinctive odor signals of individuals with activated innate immune responses. This study tested whether an innate immune response affects a person's walking speed and whether other people perceive that person as less healthy. 43 subjects watched films of persons who were experiencing experimental immune activation, and rated the walking individuals in the films with respect to health, tiredness, and sadness. Furthermore, the walking speed in the films was analyzed. After LPS injections, participants walked more slowly and were perceived as less healthy and more tired as compared to when injected with placebo. There was also a trend for the subjects to look sadder after LPS injection than after placebo. Furthermore, there were strong associations between walking speed and the appearance of health, tiredness, and sadness. These findings support the notion that walking speed is affected by an activated immune response, and that humans may be able to detect very early signs of sickness in others by merely observing their gait. This ability is likely to aid both a "behavioral immune system", by providing more opportunities for adaptive behaviors such as avoidance, and the anticipatory priming of biochemical immune responses. PMID:25801061

  18. Health and social status of elderly Asians: a community survey.

    PubMed Central

    Donaldson, L J

    1986-01-01

    A sample based on general practices was the starting point for a community survey of Asians aged 65 years and over to describe: family structure and social contact; aspects of lifestyle; language and communication; capacity for self care; and knowledge about and use of services. A total of 726 (95% of those approached) old people were interviewed in their own languages. Almost all had been born in India, mainly in Gujarat or the Punjab, but most had come to Britain via east Africa. Over half of the over 75s were not fully independent in basic activities of daily living, and a fifth were occasionally or often incontinent of urine, though these levels of incapacity were little different from those found in the indigenous elderly. Few elderly Asians were aware of social services, such as meals on wheels, home helps, social workers, and particularly chiropody. Language also excluded them: 37% of men and only 2% of women could speak English. Moreover, two thirds of elderly Asian women were illiterate in all languages. Health education initiatives directed at these people must understand these cultural and language barriers and perhaps use alternative methods, such as Asian radio programmes and home videos, in providing information on health and welfare services. PMID:3094782

  19. Influence of weight status on physical and mental health in Moroccan perimenopausal women

    PubMed Central

    Oudghiri, Dia Eddine; Ruiz-Cabello, Pilar; Camiletti-Moirón, Daniel; Fernández, María Del Mar; Aranda, Pilar; Aparicio, Virginia Ariadna

    2016-01-01

    Introduction There is a lack of information about fitness and other health indicators in women from countries such as Morocco. This study aims to explore the association of weight status with physical and mental health in Moroccan perimenopausal women. Methods 151 women (45-65 years) from the North of Morocco were analyzed by standardized field-based fitness tests to assess cardiorespiratory fitness, muscular strength, flexibility, agility and balance. Quality of life was assessed by means of the Short-Form-36 Health Survey. Resting heart rate, blood pressure and plasma fasting glucose, total cholesterol, LDL-cholesterol, HDL-cholesterol and triglycerides were also measured. Results Blood pressure (P=0.001), plasma triglycerides (P=0.041) and the prevalence of metabolic syndrome (P<0.001) increased as weight status increased. Levels of cardiorespiratory fitness, upper-body flexibility (both, P<0.001), static balance (P<0.05) and dynamic balance (P<0.01) decreased as weight status increased. Pairwise comparisons showed differences mainly between normal-weight and overweight vs. obese groups. No differences between groups were observed on quality of life. Conclusion Cardiovascular and lipid profile and fitness, important indicators of cardiovascular disease risk, worsened as weight status increased, whereas quality of life appears to be independent of weight status. Exercise and nutritional programs focus on weight management may be advisable in this under studied population. PMID:27303571

  20. Enrollee health status under Medicare risk contracts: an analysis of mortality rates.

    PubMed Central

    Riley, G; Lubitz, J; Rabey, E

    1991-01-01

    Previous studies comparing the health status of Medicare beneficiaries enrolled under HMO risk contracts to that of Medicare beneficiaries in fee-for-service (FFS) have generally focused on demonstration projects conducted before 1985. This study examines mortality rates in 1987 for approximately 1 million aged Medicare beneficiaries enrolled in 108 HMOs. We estimated adjusted mortality ratios (AMR) for each HMO and across all HMOs, by dividing the actual number of deaths among HMO enrollees by the "expected" number of deaths. The expected number of deaths was based on death rates among local FFS populations, adjusting for age, sex, Medicaid buy-in status, and institutional status. The AMR for all HMO enrollees pooled together was 0.80. For persons newly enrolled in 1987, the AMR was 0.69; in general, AMRs were higher for beneficiaries who had been enrolled for longer periods of time. Among individual HMOs, none exhibited an AMR substantially above 1.00. Regression analysis indicated lower AMRs for staff model HMOs than for either IPA or group models. Low mortality among Medicare HMO enrollees is consistent with favorable selection or with improvements in the health status of enrollees due to better access or quality of care in HMOs. In either case, health status differences between HMO enrollees and FFS beneficiaries have implications for the appropriateness of Medicare's Adjusted Average Per Capita Cost (AAPCC) payment formula for HMOs. PMID:2061054

  1. [The health status of students studying information science at a physics and mathematics school].

    PubMed

    Kuchma, V R; Bobrishcheva-Pushkina, N D; Shlenskiĭ, A A; Purgaeva, V K; Sukhinina, S P

    1998-01-01

    The sanitary conditions of information technology classes, the capacities and health status of 10-11th form pupils thoroughly studying information technology were examined. Tests revealed that in the presence of poor conditions, such as reduced illumination, higher air temperatures, increased electromagnetic radiation, noncompliance of rest and work regimens, the pupils had poor working capacities and deteriorated subjective ill health and that adolescents with myopia, poor posture, and scoliosis increased in number.

  2. Intra-population variation in anemia status and its relationship to economic status and self-perceived health in the Mexican Family Life Survey: implications for bioarchaeology.

    PubMed

    Piperata, Barbara A; Hubbe, Mark; Schmeer, Kammi K

    2014-10-01

    Recently scholars have advocated for the use of a critical biocultural approach in bioarchaeology, where osteological and dental markers of stress are used to understand the broader biosocial context of past populations. However, the ability to accomplish this task rests on the assumption that ultimate-level environmental stressors and well-being in the past can be reconstructed from the prevalence of pathologies in skeletal collections. Here we test this assumption using anemia prevalence in the Mexican Family Life Survey. Specifically we test three hypotheses: (1) that individuals sharing the same household are more likely to share anemia status; (2) anemia status is a predictor of economic status (a common proxy for broader environmental context); and (3) anemia status is related to self-rated health. Results demonstrate that: anemia status was not commonly shared between household members; there was a significant overlap in economic status between anemic and nonanemic individuals (i.e., anemia poorly predicted economic status) and; while anemia status was associated with self-perceived health, the majority of those who reported poor health were nonanemic while a significant number of those who reported very good health were anemic. We argue that these findings are likely related to variation in individual frailty, which is shaped by biological and cultural risk factors. Therefore, we advocate for greater incorporation of individual frailty into bioarchaeological investigations, and, in effort to overcome some of the difficulties associated with this task, increased use of data from living populations and greater collaboration between bioarchaeologists and human biologists.

  3. Comparing racial and immigrant health status and health care access in later life in Canada and the United States.

    PubMed

    Prus, Steven G; Tfaily, Rania; Lin, Zhiqiu

    2010-09-01

    Little comparative research exists on health experiences and conditions of minority groups in Canada and the United States, despite both countries having a racially diverse population with a significant proportion of immigrants. This article explores race and immigrant disparities in health and health care access across the two countries. The study focus was on middle and old age given the change and increasing diversity in health and health care policy, such as Medicare. Logistic regression analysis of data from the 2002-2003 Joint Canada/United States Survey of Health shows that the joint effect of race and nativity on health outcomes - health differences between native and foreign-born Whites and non-Whites - is largely insignificant in Canada but considerable in the U.S. Non-White native and foreign-born Americans within both 45-to-64 and 65-and-over age groups experience significant disadvantage in health status and access to care, irrespective of health insurance coverage, demographic, socio-economic, and lifestyle factors.

  4. Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study

    PubMed Central

    Wu, Shengwei; Xuan, Zhengzheng; Li, Fei; Xiao, Wei; Fu, Xiuqiong; Jiang, Pingping; Chen, Jieyu; Xiang, Lei; Liu, Yanyan; Nie, Xiaoli; Luo, Ren; Sun, Xiaomin; Kwan, Hiuyee; Zhao, Xiaoshan

    2016-01-01

    Suboptimal health status (SHS)—an intermediate state between health and illness—refers to functional somatic symptoms that are medically undiagnosed. Although SHS has become a great challenge for global public health, very little about its etiology and mechanisms are known. Work-recreation balance is a part of work−life balance, and is related to stress which greatly influences health status. We therefore carried out a cross-sectional investigation between 2012 and 2013 within a clustered sample of 24,475 individuals aged 15−60 years from a population in southern China. In so doing, we hoped to illuminate the associations between work-recreation balance conditions, healthy lifestyles, and SHS. Work-recreation balance conditions were categorically defined by frequency (“rarely, sometimes, or always”). Health-Promoting Lifestyle Profile (HPLP-II) was used to evaluate the level of healthy lifestyles, and the medical examination report and Sub-Health Measurement Scale V1.0 (SHMS V1.0) were both used to evaluate health status. The ratio of SHS (46.3%) is higher than health status (18.4%) or disease status (35.3%). Overall, 4.9% of respondents reported the lowest level of work-recreation balance, and they scored lower on both the HPLP-II and SHMS V1.0 compared with those who frequently maintained a work-recreation balance. Significant association was found between work-recreation balance behaviors and healthy lifestyles (p < 0.001) after demographic adjustment. In comparison with those reporting a frequent work-recreation balance, individuals whose work-recreation balance was categorically “rare” were 1.69 times as likely to develop SHS (odds ratio (OR): 1.69, 95% confidence interval (CI): 1.49–1.92), and those with infrequent work-recreation balance (“sometimes”) were 1.71 times more likely to develop SHS (OR: 1.71, 95% CI: 1.62–1.81). These findings suggest that work-recreation balance conditions are significantly associated with, and seem to be

  5. Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study.

    PubMed

    Wu, Shengwei; Xuan, Zhengzheng; Li, Fei; Xiao, Wei; Fu, Xiuqiong; Jiang, Pingping; Chen, Jieyu; Xiang, Lei; Liu, Yanyan; Nie, Xiaoli; Luo, Ren; Sun, Xiaomin; Kwan, Hiuyee; Zhao, Xiaoshan

    2016-03-19

    Suboptimal health status (SHS)-an intermediate state between health and illness--refers to functional somatic symptoms that are medically undiagnosed. Although- SHS has become a great challenge for global public health, very little about its etiology and mechanisms are known. Work-recreation balance is a part of work-life balance, and is related to stress which greatly influences health status. We therefore carried out a cross-sectional investigation between 2012 and 2013 within a clustered sample of 24,475 individuals aged 15-60 years from a population in southern China. In so doing, we hoped to illuminate the associations between work-recreation balance conditions, healthy lifestyles, and SHS. Work-recreation balance conditions were categorically defined by frequency ("rarely, sometimes, or always"). Health-Promoting Lifestyle Profile (HPLP-II) was used to evaluate the level of healthy lifestyles, and the medical examination report and Sub-Health Measurement Scale V1.0 (SHMS V1.0) were both used to evaluate health status. The ratio of SHS (46.3%) is higher than health status (18.4%) or disease status (35.3%). Overall, 4.9% of respondents reported the lowest level of work-recreation balance, and they scored lower on both the HPLP-II and SHMS V1.0 compared with those who frequently maintained a work-recreation balance. Significant association was found between work-recreation balance behaviors and healthy lifestyles (p < 0.001) after demographic adjustment. In comparison with those reporting a frequent work-recreation balance, individuals whose work-recreation balance was categorically "rare" were 1.69 times as likely to develop SHS (odds ratio (OR): 1.69, 95% confidence interval (CI): 1.49-1.92), and those with infrequent work-recreation balance ("sometimes") were 1.71 times more likely to develop SHS (OR: 1.71, 95% CI: 1.62-1.81). These findings suggest that work-recreation balance conditions are significantly associated with, and seem to be accurate behavioral

  6. Genetic Analyses in Health Laboratories: Current Status and Expectations

    NASA Astrophysics Data System (ADS)

    Finotti, Alessia; Breveglieri, Giulia; Borgatti, Monica; Gambari, Roberto

    Genetic analyses performed in health laboratories involve adult patients, newborns, embryos/fetuses, pre-implanted pre-embryos, pre-fertilized oocytes and should meet the major medical needs of hospitals and pharmaceutical companies. Recent data support the concept that, in addition to diagnosis and prognosis, genetic analyses might lead to development of personalized therapy. Novel frontiers in genetic testing involve the development of single cell analyses and non-invasive assays, including those able to predict outcome of cancer pathologies by looking at circulating tumor cells, DNA, mRNA and microRNAs. In this respect, PCR-free diagnostics appears to be one of the most interesting and appealing approaches.

  7. [Status and development prospects of radiological health in the Navy].

    PubMed

    Azarov, I I; Mosiagin, I G; Petreev, I V; Butakov, S S; Tsvetkov, S V; Shikalenko, F N

    2014-12-01

    More than 7.5 thousands of people work as military and civilian personnel and have an access to a lot of sources of ionizing radiation on ships and vessels, at coastal units and institutions of the Navy. This fact determines the importance of radiation safety and medical preventive measures on naval fleets. The article analyses the state of radiation-hygienic measures, outlines the conceptual basis for the development of radiation hygiene in the Navy. Substantiated reconstruction tasks effectiveness of health control and state sanitary and epidemiological supervision of radiation safety, provides information about the optimal set of instruments for radiation monitoring equipment radiobiological laboratories and centres of state sanitary and epidemiological supervision at various levels.

  8. Readiness for Hospital Discharge, Health Literacy, and Social Living Status.

    PubMed

    Wallace, Andrea S; Perkhounkova, Yelena; Bohr, Nicole L; Chung, Sophia Jihey

    2016-10-01

    Patient characteristics and lack of preparedness are associated with poor outcomes after hospital discharge. Our purpose was to explore the association between patient characteristics and patient- and nurse-completed Readiness for Hospital Discharge Scale (RHDS). We conducted a prospective study of 70 Veterans being discharged from medical and surgical units. Differences in RHDS knowledge subscale scores were found among literacy levels, with lower perceived knowledge reported for those with marginal or inadequate literacy (p = .03). Differences in RHDS expected support subscale scores were also found, with those who were unmarried and/or living alone (p < .001) anticipating less support upon discharge. No other differences were found. Similar differences were found for the RHDS completed by nurses. These findings suggest that the RHDS appears responsive to differences in health literacy and social environment, adding to evidence of its utility as a tool to identify, and plan interventions for, those at risk for readmission.

  9. [Status report on public health in Mauritius in 2009].

    PubMed

    D'Aoust, L; Munbodh, P; Sookram, C; Paratian, U; Gaüzère, B A; Aubry, P

    2010-06-01

    Mauritius is an island nation off the coast of Africa in the southwestern Indian Ocean. Improved socio-sanitation conditions over the past years have dramatically decreased the incidence of tropical diseases to levels comparable with those observed in developed countries. Some tropical illnesses including malaria, schistosomiasis, cysticercosis and lymphatic filariasis have been eradicated. Others such as amibiasis, typhoid fever and leprosy have become rare. However, because of the island's geographical proximity to countries with uncontrolled and suboptimal socio-sanitation conditions and its humid subtropical climate, there is a continued risk for certain vector transmitted tropical diseases such as Chikungunya and dengue. In addition, the incidence of HIV infection and AIDS has been rising rapidly since 2004 and tuberculosis remains a public health problem. Better living conditions have also been accompanied by an increase in cardiovascular and metabolic diseases that, along with cancer, are now the main causes of morbidity and mortality.

  10. Improving Nutrition and Health through Non-timber Forest Products in Ghana

    PubMed Central

    Boon, Emmanuel

    2011-01-01

    Nutrition and health are fundamental pillars of human development across the entire life-span. The potential role of non-timber forest products (NTFPs) in improving nutrition and health and reduction of poverty has been recognized in recent years. NTFPs continue to be an important source of household food security, nutrition, and health. Despite their significant contribution to food security, nutrition, and sustainable livelihoods, these tend to be overlooked by policy-makers. NTFPs have not been accorded adequate attention in development planning and in nutrition-improvement programmes in Ghana. Using exploratory and participatory research methods, this study identified the potentials of NTFPs in improving nutrition and food security in the country. Data collected from the survey were analyzed using the SPSS software (version 16.0). Pearson's correlation (p<0.05) showed that a significant association exists between NTFPs and household food security, nutrition, and income among the populations of Bibiani-Bekwai and Sefwi Wiawso districts in the western region of Ghana. NTFPs contributed significantly to nutrition and health of the poor in the two districts, especially during the lean seasons. The results of the survey also indicated that 90% of the sampled population used plant medicine to cure various ailments, including malaria, typhoid, fever, diarrhoea, arthritis, rheumatism, and snake-bite. However, a number of factors, including policy vacuum, increased overharvesting of NTFPs, destruction of natural habitats, bushfires, poor farming practices, population growth, and market demand, are hindering the use and development of NTFPs in Ghana. The study also provides relevant information that policy-makers and development actors require for improving nutrition and health in Ghana. PMID:21608423

  11. Improving nutrition and health through non-timber forest products in Ghana.

    PubMed

    Ahenkan, Albert; Boon, Emmanuel

    2011-04-01

    Nutrition and health are fundamental pillars of human development across the entire life-span. The potential role of non-timber forest products (NTFPs) in improving nutrition and health and reduction of poverty has been recognized in recent years. NTFPs continue to be an important source of household food security, nutrition, and health. Despite their significant contribution to food security, nutrition, and sustainable livelihoods, these tend to be overlooked by policy-makers. NTFPs have not been accorded adequate attention in development planning and in nutrition-improvement programmes in Ghana. Using exploratory and participatory research methods, this study identified the potentials of NTFPs in improving nutrition and food security in the country. Data collected from the survey were analyzed using the SPSS software (version 16.0). Pearson's correlation (p < 0.05) showed that a significant association exists between NTFPs and household food security, nutrition, and income among the populations of Bibiani-Bekwai and Sefwi Wiawso districts in the western region of Ghana. NTFPs contributed significantly to nutrition and health of the poor in the two districts, especially during the lean seasons. The results of the survey also indicated that 90% of the sampled population used plant medicine to cure various ailments, including malaria, typhoid, fever, diarrhoea, arthritis, rheumatism, and snake-bite. However, a number of factors, including policy vacuum, increased overharvesting of NTFPs, destruction of natural habitats, bushfires, poor farming practices, population growth, and market demand, are hindering the use and development of NTFPs in Ghana. The study also provides relevant information that policy-makers and development actors require for improving nutrition and health in Ghana.

  12. Income inequality, social cohesion and the health status of populations: the role of neo-liberalism.

    PubMed

    Coburn, D

    2000-07-01

    There has been a recent upsurge of interest in the relationship between income inequality and health within nations and between nations. On the latter topic Wilkinson and others believe that, in the advanced capitalist countries, higher income inequality leads to lowered social cohesion which in turn produces poorer health status. I argue that, despite a by-now voluminous literature, not enough attention has been paid to the social context of income inequality--health relationships or to the causes of income inequality itself. In this paper I contend that there is a particular affinity between neo-liberal (market-oriented) political doctrines, income inequality and lowered social cohesion. Neo-liberalism, it is argued, produces both higher income inequality and lowered social cohesion. Part of the negative effect of neo-liberalism on health status is due to its undermining of the welfare state. The welfare state may have direct effects on health as well as being one of the underlying structural causes of social cohesion. The rise of neo-liberalism and the decline of the welfare state are themselves tied to globalization and the changing class structures of the advanced capitalist societies. More attention should be paid to understanding the causes of income inequalities and not just to its effects because income inequalities are neither necessary nor inevitable. Moreover, understanding the contextual causes of inequality may also influence our notion of the causal pathways involved in inequality-health status relationships (and vice versa). PMID:10817476

  13. Income inequality, social cohesion and the health status of populations: the role of neo-liberalism.

    PubMed

    Coburn, D

    2000-07-01

    There has been a recent upsurge of interest in the relationship between income inequality and health within nations and between nations. On the latter topic Wilkinson and others believe that, in the advanced capitalist countries, higher income inequality leads to lowered social cohesion which in turn produces poorer health status. I argue that, despite a by-now voluminous literature, not enough attention has been paid to the social context of income inequality--health relationships or to the causes of income inequality itself. In this paper I contend that there is a particular affinity between neo-liberal (market-oriented) political doctrines, income inequality and lowered social cohesion. Neo-liberalism, it is argued, produces both higher income inequality and lowered social cohesion. Part of the negative effect of neo-liberalism on health status is due to its undermining of the welfare state. The welfare state may have direct effects on health as well as being one of the underlying structural causes of social cohesion. The rise of neo-liberalism and the decline of the welfare state are themselves tied to globalization and the changing class structures of the advanced capitalist societies. More attention should be paid to understanding the causes of income inequalities and not just to its effects because income inequalities are neither necessary nor inevitable. Moreover, understanding the contextual causes of inequality may also influence our notion of the causal pathways involved in inequality-health status relationships (and vice versa).

  14. Immigration and selected indicators of health status and healthcare utilization among the Chinese.

    PubMed

    Chou, Chiu-Fang; Johnson, Pamela Jo; Blewett, Lynn A

    2010-08-01

    We examined indicators of health status and healthcare utilization according to immigration status to assess the 'healthy immigrant effect' for Chinese adults. Data for Chinese in Taiwan (n = 15,549) were from the 2001 Taiwan National Health Interview Survey (NHIS). Data for U.S.-born Chinese (n = 964) and Chinese Immigrants in the U.S. (n = 253) were from the 1998-2004 U.S. NHIS. We used multivariate logistic regression to estimate the adjusted odds of perceived poor health, having ever smoked, and past year emergency room visits according to immigration status. For Chinese immigrants, more years in the U.S. were associated with lower odds of reporting poor health (OR = 0.4; 95% CI = 0.2-0.8) and past-year emergency room use (OR = 0.5; 95% CI = 0.3-0.9). Compared with recent Chinese immigrants (<5 years in U.S.), Chinese in Taiwan had higher odds of reporting poor health (OR = 6.2; 95% CI = 3.2-12.1) and having ever smoked (OR = 1.6; 95% CI = 1.1-2.5). Our results suggest that those who migrate have better health profiles than those who do not migrate. However, recent Chinese immigrants were not significantly different than U.S.-born Chinese.

  15. Multiple Chronic Health Conditions and Their Link with Labour Force Participation and Economic Status

    PubMed Central

    Schofield, Deborah J.; Callander, Emily J.; Shrestha, Rupendra N.; Passey, Megan E.; Percival, Richard; Kelly, Simon J.

    2013-01-01

    Aims To assess the labour force participation and quantify the economic status of older Australian workers with multiple health conditions. Background Many older people suffer from multiple health conditions. While multiple morbidities have been highlighted as an important research topic, there has been limited research in this area to date, particularly on the economic status of those with multiple morbidities. Methods Cross sectional analysis of Health&WealthMOD, a microsimulation model of Australians aged 45 to 64 years. Results People with one chronic health condition had 0.59 times the odds of being employed compared to those with no condition (OR 0.59, 95% CI: 0.49, 0.71), and those with four or more conditions had 0.14 times the odds of being employed compared to those with no condition (OR 0.14, 95% CI: 0.11, 0.18). People with one condition received a weekly income 32% lower than those with no health condition, paid 49 % less tax, and received 37% more in government transfer payments; those with four or more conditions received a weekly income 94% lower, paid 97% less in tax and received over 2,000% more in government transfer payments per week than those with no condition. Conclusion While having a chronic health condition is associated with lower labour force participation and poorer economic status, having multiple conditions compounds the affect – with these people being far less likely to be employed and having drastically lower incomes. PMID:24223887

  16. Feasibility of Automatic Extraction of Electronic Health Data to Evaluate a Status Epilepticus Clinical Protocol.

    PubMed

    Hafeez, Baria; Paolicchi, Juliann; Pon, Steven; Howell, Joy D; Grinspan, Zachary M

    2016-05-01

    Status epilepticus is a common neurologic emergency in children. Pediatric medical centers often develop protocols to standardize care. Widespread adoption of electronic health records by hospitals affords the opportunity for clinicians to rapidly, and electronically evaluate protocol adherence. We reviewed the clinical data of a small sample of 7 children with status epilepticus, in order to (1) qualitatively determine the feasibility of automated data extraction and (2) demonstrate a timeline-style visualization of each patient's first 24 hours of care. Qualitatively, our observations indicate that most clinical data are well labeled in structured fields within the electronic health record, though some important information, particularly electroencephalography (EEG) data, may require manual abstraction. We conclude that a visualization that clarifies a patient's clinical course can be automatically created using the patient's electronic clinical data, supplemented with some manually abstracted data. Future work could use this timeline to evaluate adherence to status epilepticus clinical protocols.

  17. Canada's non-status immigrants: negotiating access to health care and citizenship.

    PubMed

    Miklavcic, Alessandra

    2011-01-01

    Illegal immigration in Canada is characterized mainly by non-status immigrants who legally enter Canada and stay after their legal status expires and by failed refugee claimants. For these persons, immigration status or its absence plays an important role in determining the degree of access to Canadian health care. This article situates the clinical setting as a site of contention and negotiation of citizenship and care in social networks as well as pragmatic and discursive strategies. Drawing on the case of a patient who faced imminent deportation and became suicidal, in this article I depict how psychiatrists and other health practitioners embrace "bearing witness" as an ethical practice, which intersects the medical and legal spheres.

  18. Canada's non-status immigrants: negotiating access to health care and citizenship.

    PubMed

    Miklavcic, Alessandra

    2011-01-01

    Illegal immigration in Canada is characterized mainly by non-status immigrants who legally enter Canada and stay after their legal status expires and by failed refugee claimants. For these persons, immigration status or its absence plays an important role in determining the degree of access to Canadian health care. This article situates the clinical setting as a site of contention and negotiation of citizenship and care in social networks as well as pragmatic and discursive strategies. Drawing on the case of a patient who faced imminent deportation and became suicidal, in this article I depict how psychiatrists and other health practitioners embrace "bearing witness" as an ethical practice, which intersects the medical and legal spheres. PMID:21916682

  19. Sleeping Position and Health Status of Children at Six-, Eighteen- and Thirty-Six-Month Development

    ERIC Educational Resources Information Center

    Lung, For-Wey; Shu, Bih-Ching

    2011-01-01

    Using structural equation modeling to investigate the multiple pathways of sleeping position and children's early development at six-, eighteen- and thirty-six-month children, with parental demographics and child health status controlled. The participants consisted of 1783 six-month children, who were assessed using the Taiwan Birth Cohort Study…

  20. Trends in health insurance status of US children and their parents, 1998-2008.

    PubMed

    Angier, Heather; DeVoe, Jennifer E; Tillotson, Carrie; Wallace, Lorraine; Gold, Rachel

    2013-11-01

    In the United States (US), a parent's health insurance status affects their children's access to health care making it critically important to examine trends in coverage for both children and parents. To gain a better understanding of these health insurance trends, we assessed the coverage status for both children and their parents over an 11-year time period (1998-2008). We conducted secondary analysis of data from the nationally-representative Medical Expenditure Panel Survey. We examined frequency distributions for full-year child/parent insurance coverage status by family income, conducted Chi-square tests of association to assess significant differences over time, and explored factors associated with full-year insurance coverage status in 1998 and in 2008 using logistic regression. When considering all income groups together, the group with both child and parent insured decreased from 72.4 % in 1998 to 67.2 % in 2008. When stratified by income, the percentage of families with an insured child, but an uninsured parent increased for low-income families from 12.4 to 25.1 % and from 3.8 to 7.1 % for middle-income families when comparing 1998-2008. In regression analyses, family income remained the strongest characteristic associated with a lack of full-year health insurance. As future policy reforms take shape, it will be important to look beyond children's coverage patterns to assess whether gains have been made in overall family coverage.

  1. Oral health status, knowledge, attitude and practice of patients with heart disease

    PubMed Central

    Rasouli-Ghahroudi, Amir Alireza; Khorsand, Afshin; Yaghobee, Siamak; Rokn, Amirreza; Jalali, Mohammad; Masudi, Sima; Rahimi, Hamed; Kabir, Ali

    2016-01-01

    BACKGROUND The aim of this study was to investigate knowledge, attitude and practice (KAP) of cardiovascular disease (CVD) patients about their oral health status. METHODS In this cross-sectional study, we analyzed the data of 150 CVD patients that collected by a self-administered questionnaire consists of demographic characteristics and KAP. Oral health indicators calculated based on the results of oral examination by an expert dentist. RESULTS CVD patients had an overall moderate level of knowledge and attitude, but their practice was lower than moderate. There were important associations between knowledge scores with gender, education, residential area and financial status, between attitude scores with education and residential area, and between practice scores with education and financial status. There were no associations between KAP and age, marital status or job. Significant positive correlations were found between KAP components. Significant negative correlations were found between oral hygiene index with knowledge and practice. CONCLUSION The practice of heart disease patients about their oral health was poor, and declares that increasing awareness and attitude may not promote practice. Efficient programs are needed to promote oral health practice of adult populations in special groups. PMID:27114731

  2. Stress, Health Risk Behaviors, and Weight Status among Community College Students

    ERIC Educational Resources Information Center

    Pelletier, Jennifer E.; Lytle, Leslie A.; Laska, Melissa N.

    2016-01-01

    The objective of this study was to describe the relationship between stress, weight-related health risk behaviors (e.g., eating behaviors, physical activity, sedentary behavior, sleep, cigarette smoking, and binge drinking), and weight status using cross-sectional data on 2-year community college students enrolled in a randomized controlled weight…

  3. The Relationship of Smoking Status to Alcohol Use, Problems, and Health Behaviors in College Freshmen

    ERIC Educational Resources Information Center

    Haas, Amie L.; Smith, Shelby K.

    2012-01-01

    Differences in drinking, consequences, and perceptions were examined between alcohol-using college students by smoking status (current, past, and lifetime nonsmoker). Entering freshmen (N = 558: 45% male, 72% Caucasian, age M = 18) completed a questionnaire assessing smoking, drinking and current health perceptions. Results indicated current…

  4. Patient- versus physician-reporting of symptoms and health status in chronic myeloid leukemia

    PubMed Central

    Efficace, Fabio; Rosti, Gianantonio; Aaronson, Neil; Cottone, Francesco; Angelucci, Emanuele; Molica, Stefano; Vignetti, Marco; Mandelli, Franco; Baccarani, Michele

    2014-01-01

    The main objective of this study was to compare the reporting of health status and symptom severity, for a set of core symptoms related to imatinib therapy, between chronic myeloid leukemia patients and their treating physicians. Patients were asked to complete a questionnaire including questions on symptom severity and health status. The symptoms assessed were: abdominal discomfort, diarrhea, edema, fatigue, headache, muscle cramps, musculoskeletal pain, nausea and skin problems. The physicians were asked to complete a questionnaire for each of their patients entering the study. Four hundred twenty-two patients were included in the study. All respective paired physicians (n=29) completed the questionnaire, and thus the analyses are based on 422 patient-physician dyads. Agreement on symptom ratings ranged from 34% (for muscle cramps) to 66% (for nausea). For all symptoms, patients reported higher severity more often than their physicians. The three symptoms whose severity was most frequently underestimated by physicians were fatigue (51%), muscle cramps (49%) and musculoskeletal pain (42%). Health status was overestimated by physicians in 67% of the cases. Physicians and their patients with chronic myeloid leukemia often disagree in their ratings of the patients’ symptom severity. Most typically, physicians tend to underestimate symptom severity and overestimate the overall health status of their patients. Current findings support the use of patient-reported outcome measures as a possible means to enhance the management of patients with chronic myeloid leukemia. PMID:24241488

  5. Rising Poverty, Declining Health: The Nutritional Status of the Rural Poor.

    ERIC Educational Resources Information Center

    Public Voice for Food and Health Policy, Washington, DC.

    Using five key indicators of nutritional status (dietary intake, biochemical tests for circulating levels of nutrients or their metabolites, anthropometric measures, low birth weight and infant mortality rates, and food, health, and income assistance program participation rates and benefit levels), this 1-year research project identified national,…

  6. Energy Efficiency in Gait, Activity, Participation, and Health Status in Children with Cerebral Palsy

    ERIC Educational Resources Information Center

    Kerr, Claire; Parkes, Jackie; Stevenson, Mike; Cosgrove, Aidan P.; McDowell, Brona C.

    2008-01-01

    The aim of the study was to establish if a relationship exists between the energy efficiency of gait, and measures of activity limitation, participation restriction, and health status in a representative sample of children with cerebral palsy (CP). Secondary aims were to investigate potential differences between clinical subtypes and gross motor…

  7. Are Improvements in Child Health Due to Increasing Status of Women in Developing Nations?

    PubMed

    Heaton, Tim B

    2015-01-01

    This research tests the hypothesis that change over time in women's status leads to improvements in their children's health. Specifically, we examine whether change in resources and empowerment in mother's roles as biological mothers, caregivers, and providers and social contexts that promote the rights and representation of and investment in women are associated with better nutritional status and survival of young children. Analysis is based on a broad sample of countries (n = 28), with data at two or more points in time to enable examination of change. Key indicators of child health show improvement in the last 13 years in developing nations. Much of this improvement--90 percent of the increase in nutritional status and 47 percent of the reduction in mortality--is associated with improving status of women. Increased maternal education, control over reproduction, freedom from violence, access to health care, legislation and enforcement of women's rights, greater political representation, equality in the education system, and lower maternal mortality are improving children's health. These results imply that further advancement of women's position in society would be beneficial.

  8. Socioeconomic Status and Health: Why Is the Relationship Stronger for Older Children? NBER Working Paper.

    ERIC Educational Resources Information Center

    Currie, Janet; Stabile, Mark

    Case, Lubotsky, and Paxson (2001) show that the well-known relationship between socioeconomic status (SES) and health exists in childhood and grows more pronounced with age. However, in cross-sectional data, it is difficult to distinguish between two possible explanations. The first is that low-SES children are less able to respond to a given…

  9. Type B: Cognitive/Attitudinal Characteristics, Stress Reactivity, and Health Status.

    ERIC Educational Resources Information Center

    Thomas, Sandra P.

    Little is known about the Type B behavior pattern which is allegedly antithetical to the coronary-prone Type A pattern. The purpose of this study was to develop a descriptive profile of individuals in middle adulthood who exhibit the Type B pattern. Cognitive/attitudinal characteristics, stress reactivity, and health status were examined in 98…

  10. User Interfaces for Patient-Centered Communication of Health Status and Care Progress

    ERIC Educational Resources Information Center

    Wilcox-Patterson, Lauren

    2013-01-01

    The recent trend toward patients participating in their own healthcare has opened up numerous opportunities for computing research. This dissertation focuses on how technology can foster this participation, through user interfaces to effectively communicate personal health status and care progress to hospital patients. I first characterize the…

  11. Are Improvements in Child Health Due to Increasing Status of Women in Developing Nations?

    PubMed

    Heaton, Tim B

    2015-01-01

    This research tests the hypothesis that change over time in women's status leads to improvements in their children's health. Specifically, we examine whether change in resources and empowerment in mother's roles as biological mothers, caregivers, and providers and social contexts that promote the rights and representation of and investment in women are associated with better nutritional status and survival of young children. Analysis is based on a broad sample of countries (n = 28), with data at two or more points in time to enable examination of change. Key indicators of child health show improvement in the last 13 years in developing nations. Much of this improvement--90 percent of the increase in nutritional status and 47 percent of the reduction in mortality--is associated with improving status of women. Increased maternal education, control over reproduction, freedom from violence, access to health care, legislation and enforcement of women's rights, greater political representation, equality in the education system, and lower maternal mortality are improving children's health. These results imply that further advancement of women's position in society would be beneficial. PMID:26652680

  12. Status of Health Appraisal Services for Primary School Children in Edo State, Nigeria

    ERIC Educational Resources Information Center

    Ojugo, Augustine I.

    2005-01-01

    The purpose of this study was to determine the status of the health appraisal services provided for primary school children in Edo State, Nigeria. Using the cross-sectional survey design a total of 1506 primary school children were selected from across the state as the study participants. The analysis of data collected through a 14-item…

  13. Health care cost containment in Denmark and Norway: a question of relative professional status?

    PubMed

    Andersen, Lotte B

    2014-04-01

    The demand for publicly subsidized health care services is insatiable, but the costs can be contained in different ways: formal rules can limit access to and the number of subsidized services, demand and supply can be regulated through the price mechanism, the relevant profession can contain the costs through state-sanctioned self-regulation, and other professions can contain the costs (e.g. through referrals). The use of these cost containment measures varies between countries, depending on demand and supply factors, but the relative professional status of the health professions may help explain why different countries use cost containment measures differently for different services. This article compares cost containment measures in Denmark and Norway because these countries vary with regard to the professional status of the medical profession relative to other health care providers, while other relevant variables are approximately similar. The investigation is based on formal agreements and rules, historical documents, existing analyses and an analysis of 360 newspaper articles. It shows that high relative professional status seems to help professions to avoid user fees, steer clear of regulation from other professions and regulate the services produced by others. This implies that relative professional status should be taken into consideration in analyses of health care cost containment.

  14. Current status of yoga in mental health services.

    PubMed

    Varambally, Shivarama; Gangadhar, B N

    2016-06-01

    Yoga (derived from 'yuj' which means to yoke together or unite) has been used for millennia as a tool for self-improvement, with the ultimate goal of uniting the individual consciousness with the universal. The physical elements of yoga, although seen as necessary in the path to achieve the goal, they were not considered as the endpoint for a practitioner. Sage Patanjali, who codified the practices into an eight-limbed model (Ashtanga yoga) in the Patanjali Yoga Sutras, makes it clear that the target of yoga is primarily the mind. However, in the modern world, yoga practices have become immensely popular as aids to improve health. Yoga-based practices are being extensively used as therapeutic ingredients, alone or as adjuncts to other therapies in a variety of disorders, both physical and mental. There is now strong evidence to suggest that yoga-based interventions are beneficial in several lifestyle disorders. Recent research has also shown significant benefits in mental disorders such as depression, anxiety, and psychosis. This paper discusses the place of yoga as one of the therapeutic strategies in the holistic approach to mental disorders, and the challenges inherent to research in this area. PMID:27067548

  15. The Changing Landscape for the Elimination of Racial/Ethnic Health Status Disparities

    PubMed Central

    Walker, Bailus; Mays, Vickie M.; Warren, Rueben

    2013-01-01

    The elimination of racial/ethnic health status disparities is a compelling national health objective. It was etched in sharp relief by the 1985 report of the U.S. Department of Health and Human Services Secretary’s Task Force on Black and Minority Health and considerable attention has been devoted to the problem since that report. But the problem persists, disparities are not fully explained and effective policies to reduce them have been elusive, a situation presenting both opportunities and challenges. Important advances towards reducing racial/ethnic health disparities may be made by better understanding the complex bidirectional relationship between and among the multiple factors, biological and non-biological, influencing morbidity and mortality. The landscape in which these influences are felt is anything but static. In this paper selected components of the landscape that are critical to the elimination of racial/ethnic health status disparities are reviewed. These factors underscore the importance of adopting and maintaining a perspective on health disparities that encompasses a broad array of health determinants. PMID:15531810

  16. Race, socioeconomic status, and health. The added effects of racism and discrimination.

    PubMed

    Williams, D R

    1999-01-01

    Higher disease rates for blacks (or African Americans) compared to whites are pervasive and persistent over time, with the racial gap in mortality widening in recent years for multiple causes of death. Other racial/ethnic minority populations also have elevated disease risk for some health conditions. This paper considers the complex ways in which race and socioeconomic status (SES) combine to affect health. SES accounts for much of the observed racial disparities in health. Nonetheless, racial differences often persist even at "equivalent" levels of SES. Racism is an added burden for nondominant populations. Individual and institutional discrimination, along with the stigma of inferiority, can adversely affect health by restricting socioeconomic opportunities and mobility. Racism can also directly affect health in multiple ways. Residence in poor neighborhoods, racial bias in medical care, the stress of experiences of discrimination and the acceptance of the societal stigma of inferiority can have deleterious consequences for health.

  17. Motivation for a Health-Literate Health Care System—Does Socioeconomic Status Play a Substantial Role? Implications for an Irish Health Policymaker

    PubMed Central

    Coughlan, Diarmuid; Turner, Brian; Trujillo, Antonio

    2013-01-01

    In this article, the authors argue that the association between socioeconomic status and motivation for a health-literate health care system has implications for health policymakers. As Ireland now undergoes health care reform, the authors pose the question, “Should policymakers invest in health literacy as predominately a health inequalities or a public health issue?” Data from 2 cohorts of the Survey of Lifestyle, Attitudes and Nutrition (1998 and 2002) were used to construct a motivation for a health-literate health care system variable. Multivariate logistic regressions and concentration curves were used in the analyses of this variable. Of the 12,513 pooled respondents, 46% sought at least 1 attribute on a health-literate health care system. No discernible trend emerged from the main independent variables—social class grouping, medical card eligibility, level of education, and employment—in the regression analyses. The concentration curve, for 2002 data, graphically showed that the motivation for a health-literate health care system is spread equally across the income distribution. This analysis and more recent data suggest that health literacy in Ireland should be viewed predominately as a public health issue with a policy focus at a system level. PMID:24093353

  18. The health status and health service needs of primary caregivers of cancer survivors: a mixed methods approach.

    PubMed

    Santin, O; Treanor, C; Mills, M; Donnelly, M

    2014-05-01

    This study aimed to measure the health status and care needs of people who provide informal care to cancer survivors in the UK. Semi-structured interviews were conducted with a purposive sample of 24 cancer professionals to identify the care needs of caregivers. In addition, we conducted a postal survey measuring the health and well-being [36-item short-form health survey (SF-36)] and health service utilisation of 98 primary caregivers of a random sample of cancer survivors, 2-20 years post-treatment. Interviews indicated that caregivers' needs were largely unmet. In particular, there appeared to be a need in relation to statutory healthcare provision, information, psychological support and involvement in decision-making. There were no significant differences between survivors and caregivers in terms of mental health scores; and caregivers performed better on physical health domains compared with cancer survivors. Compared with UK norms and norms for caregivers of other chronic conditions, cancer caregivers had substantially lower scores on each SF-36 health domain. Cancer may impact negatively on an informal caregiver's health long after treatment has ended. Providing appropriate and cancer-specific information may alleviate difficulties and improve health and well-being. Specific concentration should be given to the development and delivery of information support for caregivers of post-treatment cancer survivors.

  19. Physical Activity, Health Status and Risk of Hospitalization in Patients with Severe Chronic Obstructive Pulmonary Disease

    PubMed Central

    Benzo, Roberto P.; Chang, Chung-Chou H.; Farrell, Max H.; Kaplan, Robert; Ries, Andrew; Martinez, Fernando J.; Wise, Robert; Make, Barry; Sciurba, Frank

    2010-01-01

    Background Chronic obstructive pulmonary disease (COPD) is a leading cause of death and 70% of the cost of COPD is due to hospitalizations. Self-reported daily physical activity and health status have been reported as predictors of a hospitalization in COPD but are not routinely assessed. Objectives We tested the hypothesis that self-reported daily physical activity and health status assessed by a simple question were predictors of a hospitalization in a well-characterized cohort of patients with severe emphysema. Methods Investigators gathered daily physical activity and health status data assessed by a simple question in 597 patients with severe emphysema and tested the association of those patient-reported outcomes to the occurrence of a hospitalization in the following year. Multiple logistic regression analyses were used to determine predictors of hospitalization during the first 12 months after randomization. Results The two variables tested in the hypothesis were significant predictors of a hospitalization after adjusting for all univariable significant predictors: >2 h of physical activity per week had a protective effect [odds ratio (OR) 0.60; 95% confidence interval (95% CI) 0.41–0.88] and self-reported health status as fair or poor had a deleterious effect (OR 1.57; 95% CI 1.10–2.23). In addition, two other variables became significant in the multivariate model: total lung capacity (every 10% increase) had a protective effect (OR 0.88; 95% CI 0.78–0.99) and self-reported anxiety had a deleterious effect (OR 1.75; 95% CI 1.13–2.70). Conclusion Self-reported daily physical activity and health status are independently associated with COPD hospitalizations. Our findings, assessed by simple questions, suggest the value of patient-reported outcomes in developing risk assessment tools that are easy to use. PMID:20234126

  20. Relationship between Obstructive Sleep Apnea and Self-assessed Oral Health Status: An Internet Survey.

    PubMed

    Suzuki, Seitaro; Kojima, Yuki; Takayanagi, Atsushi; Yoshino, Koichi; Ishizuka, Yoichi; Satou, Ryouichi; Takahashi, Naoko; Tazaki, Masakazu; Kamijo, Hideyuki; Sugihara, Naoki

    2016-01-01

    The purpose of this study based on a cross-sectional internet survey was to investigate the relationship between risk of obstructive sleep apnea (OSA) and self-assessed oral health status. The participants, who comprised individuals registered with an online research company, were required to complete a self-reported questionnaire. Those answering in the affirmative to both of the following two questions were placed in the OSA-risk group, while those answering in the negative were assigned to the control group: 'Have other people noticed pauses in your breathing while you are sleeping?' and 'Do you feel excessively sleepy during the daytime?'. A total of 493 were included in the OSA-risk group and 2,560 in the control group. Among the total 3,053 respondents, the highest prevalence for OSA risk in men was in the 50-59-year age range, although this tended to level off after age 60 years. No such trend was observed in women, however. Multiple logistic regression analysis was performed to identify the relationship between risk of OSA and self-assessed oral health status. Significant correlations were observed with the following parameters: difficulty in opening mouth (odds ratio [OR]: 2.66; 95% confidence interval [CI]: 1.647-4.311), dry mouth (OR: 2.11; CI: 1.544-2.876), bad breath (OR: 1.69; CI: 1.309-2.186), gingival bleeding (OR: 1.48; CI: 1.134-1.932), and gingival swelling (OR: 1.44; CI: 1.046-1.981). These results suggest a relationship between risk of OSA and self-assessed oral health status, indicating that treating OSA might improve oral health status. Further study is needed to demonstrate a causal relationship between OSA and self-assessed oral health status, however. PMID:27665695

  1. Considering the health care entity C corporation conversion to tax pass-through entity status.

    PubMed

    Reilly, Robert F

    2012-01-01

    The double taxation of C corporation income from operations and from the ultimate sale of its assets makes the C corporation an inefficient tax status for many health care entities. At the time of this writing, the changes in the federal tax law that are scheduled to take effect in 2013 will increase this level of double-taxation inefficiency. The owners of a C corporation practice can avoid the C corporation status tax inefficiency by converting the practice to either (1) S corporation status or (2) LLC status. The conversion of the health care C corporation to an S corporation may be accomplished without a current tax cost. However, the conversion of a health care C corporation to an LLC status can result in a current tax at both the corporation level and the shareholder level. Nonetheless, the current conversion tax cost may be less than the future tax cost (1) of operating the practice as a C corporation and incurring double taxation at what may be higher tax rates or (2) of incurring the higher tax cost (or reduced price) on the ultimate disposition of the practice assets and the attendant double taxation of the appreciation in the value of the practice assets. Since individual income tax rates on qualifying dividends from C corporations and on capital gains are currently at very low rates, this may be a good time for C corporation practice owners to consider the costs and benefits of a conversion to either S corporation status or LLC status. The practice owners should consult with their accounting, legal, and valuation advisors in order to consider all of the costs and benefits of a possible corporate tax status conversion. An estimation of both the costs and benefits of the corporate tax status conversion depends on the concluded fair market values of the medical practice, dental practice, or other health care entity assets. And, that practice asset appraisal should encompass all of the practice assets, both tangible assets and intangible assets. PMID

  2. Race and self assessed health status: the role of socioeconomic factors in the USA.

    PubMed Central

    Ren, X S; Amick, B C

    1996-01-01

    STUDY OBJECTIVE: To estimate relative odds ratios and to ascertain the relative contribution of each socioeconomic covariate in explaining racial disparities in self assessed health status (for example, global health perceptions and functional limitations of daily activities). DESIGN: National representative data from the 1987-88 national survey of families and households, a multistage, stratified probability sample of non-institutionalised American adults age 19 and older, were used. Logistic regression models enabled a multistage building strategy to be used in the analyses. PARTICIPANTS AND SETTING: The study included three racial groups: whites (n = 9419), blacks (n = 2391), and Hispanics (n = 1004). While face to face interviews were carried out with each respondent, some portions of the interview were self administered to collect sensitive information. MAIN RESULTS: Compared with whites, blacks and Hispanics were more likely to assess health as poor and report having functional limitations of daily activities. Socioeconomic factors tended to play a different role in explaining racial disparities in self assessed health status. In global health, education tended to play a significant role in accounting for health disparities between whites and Hispanics. In functional limitations, none of the covariates explained racial differences for blacks, whereas for Hispanics, education and marital status explained racial differences. CONCLUSIONS: The debate over whether race is a proxy for socioeconomic conditions or race influences health independent of socioeconomic factors depends on the measure of health and racial group included in the study. Future studies should examine separately the differential impacts of various socioeconomic factors on varying domains of health. Images PMID:8935457

  3. Influence of weaning method on health status and rumen development in dairy calves.

    PubMed

    Roth, B A; Keil, N M; Gygax, L; Hillmann, E

    2009-02-01

    In the artificial rearing of dairy calves, the same feeding plan is applied to all animals during the milk-feeding period, with individual differences attributable to development or health status rarely considered. The aim of this study was 1) to analyze whether the parameters of feeding behavior automatically recorded by a feeding computer and weight gain are suitable for predicting the health status and rumen development of male dairy calves, and 2) to compare a conventional weaning method (end of milk provision at 12 wk of age, n = 23 calves) with a concentrate-dependent weaning method (with reduction in the milk amount depending on the consumption of concentrate, n = 24). The health status of each animal was evaluated daily by a scoring list (health score), and body temperature was measured automatically during each milk intake. In addition, the number of veterinary treatments per calf was recorded. Rumen development was assessed by measuring rumen papillae in 8 rumen areas after slaughter (n = 24, half of each treatment group). During the milk-feeding period, body temperature was elevated (>/=39.5 degrees C) on 40.8 and 43.2% of all days for calves on the concentrate-dependent weaning method and the conventional weaning method, respectively. Hay and concentrate intake (but not milk intake) and weight gain were clearly affected by health status. In addition, health score and the probability of being treated by a veterinarian were significantly related to decreases in concentrate consumption. During the milk-feeding period, increased body temperature, an increased number of veterinary treatments, and decreases in milk consumption were all associated with reduced weight gain. Calves on the concentrate-dependent weaning method were weaned at an average age of 76 d, which was significantly shorter than the age at the end of milk provision for conventionally fed calves (84 d). Weight gain and health status did not differ between treatment groups. Weight gain was

  4. Implementation Status of Accrual Accounting System in Health Sector

    PubMed Central

    Mehrolhassani, Mohammad Hossien; Khayatzadeh-Mahani, Akram; Emami, Mozhgan

    2015-01-01

    Introduction: Management of financial resources in health systems is one of the major issues of concern for policy makers globally. As a sub-set of financial management, accounting system is of paramount importance. In this paper, which presents part of the results of a wider research project on transition process from a cash accounting system to an accrual accounting system, we look at the impact of components of change on implementation of the new system. Implementing changes is fraught with many obstacles and surveying these challenges will help policy makers to better overcome them. Methods: The study applied a quantitative manner in 2012 at Kerman University of Medical Science in Iran. For the evaluation, a teacher made valid questionnaire with Likert scale was used (Cranach’s alpha of 0.89) which included 7 change components in accounting system. The study population was 32 subordinate units of Kerman University of Medical Sciences and for data analysis, descriptive and inferential statistics and correlation coefficient in SPSS version 19 were used. Results: Level of effect of all components on the implementation was average downward (5.06±1.86), except for the component “management & leadership (3.46±2.25)” (undesirable from external evaluators’ viewpoint) and “technology (6.61±1.92) and work processes (6.35±2.19)” (middle to high from internal evaluators’ viewpoint). Conclusions: Results showed that the establishment of accrual accounting system faces infrastructural challenges, especially the components of leadership and management and followers. As such, developing effective measures to overcome implementation obstacles should target these components. PMID:25560337

  5. Relationships between Culture and Health Status: A Multi-Site Study of the Older Chinese in Canada

    ERIC Educational Resources Information Center

    Lai, Daniel W. L.; Tsang, Ka Tat; Chappell, Neena; Lai, David C. Y.; Chau, Shirley B. Y.

    2007-01-01

    This study examined the relationships between culture and the health status of older Chinese in Canada. Data were collected through face-to-face interviews with a cross-sectional, randomly selected sample of 2,272 older Chinese between 55 and 101 years of age in seven Canadian cities. Health status was assessed by the number of chronic illnesses,…

  6. Health Status and Social Networks as Predictors of Resilience in Older Adults Residing in Rural and Remote Environments

    PubMed Central

    Lee, Aaron; Carrico, Catherine; Bourassa, Katelynn; Slosser, Andrea

    2016-01-01

    Purpose. Health status and social networks are associated with resilience among older adults. Each of these factors may be important to the ability of adults to remain in rural and remote communities as they age. We examined the association of health status and social networks and resilience among older adults dwelling in a rural and remote county in the Western United States. Methods. We selected a random sample of 198 registered voters aged 65 years or older from a frontier Wyoming county. Hierarchical linear regression was used to examine the association of health status as well as social networks and resilience. We also examined health status as a moderator of the relationship between social networks and resilience. Results. Family networks (p = 0.024) and mental health status (p < 0.001) significantly predicted resilience. Mental health status moderated the relationship of family (p = 0.004) and friend (p = 0.021) networks with resilience. Smaller family and friend networks were associated with greater resilience when mental health status was low, but not when it was high. Conclusion. Efforts to increase mental health status may improve resilience among older adults in rural environments, particularly for those with smaller family and friends networks. PMID:27478639

  7. The status of health communication: education and employment outlook for a growing field.

    PubMed

    McKeever, Brooke Weberling

    2014-12-01

    Using an online survey of health communication practitioners and academics (N = 372), this study investigates the educational background (degrees, knowledge, skills, and coursework) perceived to be important for employment in health communication. It provides an update on what may be needed in terms of graduate education, as well as which areas may be emerging as most important in the field. The purpose is to inform students, educators, administrators, and practitioners about the current status and possible future trends in health communication education and practice.

  8. Can decision biases improve insurance outcomes? An experiment on status quo bias in health insurance choice.

    PubMed

    Krieger, Miriam; Felder, Stefan

    2013-06-01

    Rather than conforming to the assumption of perfect rationality in neoclassical economic theory, decision behavior has been shown to display a host of systematic biases. Properly understood, these patterns can be instrumentalized to improve outcomes in the public realm. We conducted a laboratory experiment to study whether decisions over health insurance policies are subject to status quo bias and, if so, whether experience mitigates this framing effect. Choices in two treatment groups with status quo defaults are compared to choices in a neutrally framed control group. A two-step design features sorting of subjects into the groups, allowing us to control for selection effects due to risk preferences. The results confirm the presence of a status quo bias in consumer choices over health insurance policies. However, this effect of the default framing does not persist as subjects repeat this decision in later periods of the experiment. Our results have implications for health care policy, for example suggesting that the use of non-binding defaults in health insurance can facilitate the spread of co-insurance policies and thereby help contain health care expenditure. PMID:23783222

  9. Can decision biases improve insurance outcomes? An experiment on status quo bias in health insurance choice.

    PubMed

    Krieger, Miriam; Felder, Stefan

    2013-06-19

    Rather than conforming to the assumption of perfect rationality in neoclassical economic theory, decision behavior has been shown to display a host of systematic biases. Properly understood, these patterns can be instrumentalized to improve outcomes in the public realm. We conducted a laboratory experiment to study whether decisions over health insurance policies are subject to status quo bias and, if so, whether experience mitigates this framing effect. Choices in two treatment groups with status quo defaults are compared to choices in a neutrally framed control group. A two-step design features sorting of subjects into the groups, allowing us to control for selection effects due to risk preferences. The results confirm the presence of a status quo bias in consumer choices over health insurance policies. However, this effect of the default framing does not persist as subjects repeat this decision in later periods of the experiment. Our results have implications for health care policy, for example suggesting that the use of non-binding defaults in health insurance can facilitate the spread of co-insurance policies and thereby help contain health care expenditure.

  10. Differences in mental health outcomes by acculturation status following a major urban disaster.

    PubMed

    Adams, Richard E; Boscarino, Joseph A

    2013-01-01

    A number of studies have assessed the association between acculturation and psychological outcomes following a traumatic event. Some suggest that low acculturation is associated with poorer health outcomes, while others show no differences or that low acculturation is associated with better outcomes. One year after the terrorist attacks on the World Trade Center, we surveyed a multi-ethnic population of New York City adults (N= 2,368). We assessed posttraumatic stress disorder (PTSD), major depression, panic attack, anxiety symptoms, and general physical and mental health status. We classified study respondents into "low," "moderate," or "high" acculturation, based on survey responses. Bivariate results indicated that low acculturation individuals were more likely to experience negative life events, have low social support, and less likely to have pre-disaster mental health disorders. Those in the low acculturation group were also more likely to experience post-disaster perievent panic attacks, have higher anxiety, and have poorer mental health status. However, using logistic regression to control for confounding, and adjusting for multiple comparisons, we found that none of these outcomes were associated with acculturation status. Thus, our study suggests that acculturation was not associated with mental health outcomes following a major traumatic event.

  11. Differences in mental health outcomes by acculturation status following a major urban disaster.

    PubMed

    Adams, Richard E; Boscarino, Joseph A

    2013-01-01

    A number of studies have assessed the association between acculturation and psychological outcomes following a traumatic event. Some suggest that low acculturation is associated with poorer health outcomes, while others show no differences or that low acculturation is associated with better outcomes. One year after the terrorist attacks on the World Trade Center, we surveyed a multi-ethnic population of New York City adults (N= 2,368). We assessed posttraumatic stress disorder (PTSD), major depression, panic attack, anxiety symptoms, and general physical and mental health status. We classified study respondents into "low," "moderate," or "high" acculturation, based on survey responses. Bivariate results indicated that low acculturation individuals were more likely to experience negative life events, have low social support, and less likely to have pre-disaster mental health disorders. Those in the low acculturation group were also more likely to experience post-disaster perievent panic attacks, have higher anxiety, and have poorer mental health status. However, using logistic regression to control for confounding, and adjusting for multiple comparisons, we found that none of these outcomes were associated with acculturation status. Thus, our study suggests that acculturation was not associated with mental health outcomes following a major traumatic event. PMID:24558696

  12. Can Decision Biases Improve Insurance Outcomes? An Experiment on Status Quo Bias in Health Insurance Choice

    PubMed Central

    Krieger, Miriam; Felder, Stefan

    2013-01-01

    Rather than conforming to the assumption of perfect rationality in neoclassical economic theory, decision behavior has been shown to display a host of systematic biases. Properly understood, these patterns can be instrumentalized to improve outcomes in the public realm. We conducted a laboratory experiment to study whether decisions over health insurance policies are subject to status quo bias and, if so, whether experience mitigates this framing effect. Choices in two treatment groups with status quo defaults are compared to choices in a neutrally framed control group. A two-step design features sorting of subjects into the groups, allowing us to control for selection effects due to risk preferences. The results confirm the presence of a status quo bias in consumer choices over health insurance policies. However, this effect of the default framing does not persist as subjects repeat this decision in later periods of the experiment. Our results have implications for health care policy, for example suggesting that the use of non-binding defaults in health insurance can facilitate the spread of co-insurance policies and thereby help contain health care expenditure. PMID:23783222

  13. Construction of Multi-dimensional Arterial Health Status Map based on Molecular and Clinical Measurements, Fuzzy System and Data Cubes

    PubMed Central

    Chan, Lawrence W.C.; Benzie, Iris F.F.; Lau, Thomas Y.H.; Zheng, Yongping; Wong, Alex K.S.; Liu, Y.; Chan, Phoebe S.T.

    2008-01-01

    Atherosclerosis results from inflammatory processes involving biomarkers, such as lipid profile, haemoglobin A1C, oxidative stress, coronary artery calcium score and flow-mediated endothelial response through nitric oxide. This paper proposes a health status coefficient, which comprehends molecular and clinical measurements concerning atherosclerosis to provide a measure of arterial health. An arterial health status map is produced to map the multi-dimensional measurements to the health status coefficient. The mapping is modeled by a fuzzy system embedded with the health domain expert knowledge. The measurements obtained from the pilot study are used to tune the fuzzy system. The inferred arterial health coefficients are stored into the data cubes of a multi-dimensional database. Due to this adaptability and transparency of fuzzy system, the health status map can be easily updated when the refinement of fuzzy rule base is needed or new measurements are obtained. PMID:21347120

  14. A Study on Perception and Usage Status on Health Functional Foods in Women according to Menopause Status

    PubMed Central

    Lim, Heesook; Lee, Hae-Hyeog

    2016-01-01

    Objectives This study was performed to provide a reference base for suggesting proper guidelines for the health of the people by analyzing perception and intake pattern on health functional foods and by identifying needs in pre- and postmenopausal women. Methods We conducted a self-administered survey in women admitted to the Department of Obstetrics and Gynecology at a university hospital between July and August, 2014. The survey questionnaire consisted of 8 items on general characteristics, 4 items on awareness on health functional foods, and 16 items on usage status. Results Of all 133 women with ages ranging between 19 to 67 years, postmenopausal women were 57 accounting for 42.9% of all subjects. Mean age was 55.4 ± 6.2 and menopausal age was 49.6 ± 4.3 in the postmenopause group. Mean age was 38.7 ± 9.0 in the postmenopause group. With respect to components of health functional foods, 76.3% of women answered "important" in the postmenopause group, significantly higher than 49.1% in the postmenopause group (P < 0.01). In regard to price, those who answered "important" accounted for the largest percentage in the premenopausal group at 56.6%, and those who answered "moderately important" accounted for 57.9% in the postmenopausal women. A significant difference was found between the two groups (P < 0.05). Conclusion Development of products reflecting consumer needs can be considered. It is important to foster an environment allowing individuals to choose right health functional foods and further studies are warranted. PMID:27152310

  15. Diatom-based reconstruction of the Lake Czechowskie trophy status in the last 2000 years (Tuchola Forest, Northern Poland)

    NASA Astrophysics Data System (ADS)

    Rzodkiewicz, Monika; Hübener, Thomas; Ott, Florian; Kramkowski, Mateusz; Obremska, Milena; Słowiński, Michał; Zawiska, Izabela; Błaszkiewicz, Mirosław; Brauer, Achim

    2015-04-01

    Lakes ecosystems are very sensitive to climate and environment fluctuation. In lake sediments there are preserved remains of plant and animals that lived in the lake and its surroundings in the past. In paleolimnological research we analyse the species composition of the assemblages preserved in the sediments and on this base reconstruct past environment changes (climate changes). One of the most commonly used bio-proxy for reconstruction of lake development are subfossil diatoms. Diatoms are commonly used to reconstruct such environment parameters as: pH, nutrient status, salinity or temperature. In our study we analysed the sediments of Lake Czechowskie, which is located in the northern part of the Tuchola Forest region (Northern Poland). Lacustrine sediments of this lake are laminated and therefore are unique archive to reconstruct climate and environmental changes in Northern Polish Lowland. In this research we focused on the last 2000 years and with high resolution analyzed diatoms, pollen and sediment geochemistry. The core chronology is based varve counting, 14C AMS dating of terrestrial macro remains, 137Cs activity measurement. Diatoms communities during the last 2000 years were rich and mostly very well preserved. A characteristic feature of those communities is the dominance of typically planktonic species of the spring phytoplankton, as the oligo to mesotraphent Cyclotella comensis but also the eutraphent Stephanodiscus parvus. We also aimed at quantitative reconstruction of the pH and eutrophication(TP) using diatom-based transfer functions in order to identify reference conditions for the Lake Czechowskie. Transfer function are based on the assumption that the modern biological proxies, which ecological requirements are known, can be used to quantitative reconstructions of the past changes. This study is a contribution to the Virtual Institute ICLEA (Integrated Climate and Landscape Evolution Analysis) funded by the Helmholtz Association. The research

  16. Health status recovery at one year in children injured in a road accident: a cohort study.

    PubMed

    Batailler, Pierre; Hours, Martine; Maza, Maud; Charnay, Pierrette; Tardy, Hélène; Tournier, Charlène; Javouhey, Etienne

    2014-10-01

    Despite the frequency of traumatic injuries due to road accidents and potential importance of identifying children at risk of impaired recovery one year after a road accident, there is a lack of data on long-term recovery of health status, except in children with severe traumatic brain injury. The aim of the present study was to evaluate predictive factors of recovery in children one year after road traffic injuries. The prospective cohort study was composed of children aged <16 years, admitted to public or private sector hospitals in the Rhône administrative area of France following a road accident. Recovery of health status one year after the accident and information concerning quality of life and the consequences of the accident for the child or family 1 year after the accident were collected by questionnaire, usually completed by the parents. Victims were in majority male (64.6%) and had mild or moderate injuries (81.9% with Maximum Abbreviated Injury Scale (M-AIS) <3). One year after the accident, 75.0% of the mild-to-moderate and 34.8% of the severe cases estimated health status as fully recovered. After adjustment, severity score (M-AIS≥3) and lower limb injury (AIS>1) were associated with incomplete recovery of health status: weighted odds ratio (ORw), 4.3 [95% confidence interval (95% CI), 1.3-14.6] and ORw, 6.5 [95% CI, 1.9-21.7], respectively. Recovery status correlated significantly with quality of life physical scores (r=0.46), especially body pain (r=0.48) and role/social-physical (r=0.50) and, to a lesser extent, quality of life psychosocial scores (r=0.21). In a cohort of children injured in a road accident, those with high injury severity score and those with lower limb injuries are less likely to recover full health status by 1 year. Impaired health status was associated with a lower physical quality of life score at 1 year.

  17. [Modem information technologies for analysis of health status of military personnel].

    PubMed

    Sivashchenko, P P; Kushnirchuk, I I; Sorokin, S I

    2014-03-01

    Analysis of health status of military personnel is carried out in the interests of optimizing medical support personnel, maintaining a high level of health of servicemen, reducing morbidity. To perform this analysis it is necessary to compile materials about health status and morbidity in servicemen received from medical records. Selected data from medical records produced by mechanical summation of homogeneous diagnoses and time consuming. Today we have an opportunity to use common software for registration and result indices. So, by using the Excel program of Microsoft Office 2010, it is possible to implement the procedure for obtaining summary data from the electronic versions of documents medical records. By using the proposed algorithms allow authors to link the troop significantly optimize the process of accumulation, storage and use for analysis of the military - medical information, make the whole process of analysis of morbidity faster and more efficiently.

  18. Racial and Ethnic Health Disparities and the Affordable Care Act: a Status Update.

    PubMed

    Sealy-Jefferson, Shawnita; Vickers, Jasmine; Elam, Angela; Wilson, M Roy

    2015-12-01

    Persistent racial and ethnic health disparities exist in the USA, despite decades of research and public health initiatives. Several factors contribute to health disparities, including (but not limited to) implicit provider bias, access to health care, social determinants, and biological factors. Disparities in health by race/ethnicity are unacceptable and correctable. The Patient Protection and Affordable Care Act is a comprehensive legislation that is focused on improving health care access, quality, and cost control. This health care reform includes specific provisions which focus on preventive care, the standardized collection of data on race, ethnicity, primary language and disability status, and health information technology. Although some provisions of the Patient Protection and Affordable Care Act have not been implemented, such as funding for the U.S. Public Health Sciences track, which would have addressed the shortage of medical professionals in the USA who are trained to use patient-centered, interdisciplinary, and care coordination approaches, this legislation is still poised to make great strides toward eliminating health disparities. The purpose of this manuscript is to highlight the unprecedented opportunities that exist for the Patient Protection and Affordable Care Act to reduce racial and ethnic disparities in health in the USA. PMID:26668787

  19. Racial and Ethnic Health Disparities and the Affordable Care Act: a Status Update.

    PubMed

    Sealy-Jefferson, Shawnita; Vickers, Jasmine; Elam, Angela; Wilson, M Roy

    2015-12-01

    Persistent racial and ethnic health disparities exist in the USA, despite decades of research and public health initiatives. Several factors contribute to health disparities, including (but not limited to) implicit provider bias, access to health care, social determinants, and biological factors. Disparities in health by race/ethnicity are unacceptable and correctable. The Patient Protection and Affordable Care Act is a comprehensive legislation that is focused on improving health care access, quality, and cost control. This health care reform includes specific provisions which focus on preventive care, the standardized collection of data on race, ethnicity, primary language and disability status, and health information technology. Although some provisions of the Patient Protection and Affordable Care Act have not been implemented, such as funding for the U.S. Public Health Sciences track, which would have addressed the shortage of medical professionals in the USA who are trained to use patient-centered, interdisciplinary, and care coordination approaches, this legislation is still poised to make great strides toward eliminating health disparities. The purpose of this manuscript is to highlight the unprecedented opportunities that exist for the Patient Protection and Affordable Care Act to reduce racial and ethnic disparities in health in the USA.

  20. Toward clinical applications of health status measures: sensitivity of scales to clinically important changes.

    PubMed

    Deyo, R A; Inui, T S

    1984-08-01

    While the validity and reliability of many newer health status instruments have been reported, few data are available regarding the sensitivity of these instruments to clinically discernible changes in patient status. We studied this feature of the Sickness Impact Profile (SIP) in a group of patients with rheumatoid arthritis, comparing it with more traditional measures of functional status (the American Rheumatism Association (ARA) functional classification and a patient self-rating scale). Four different approaches were devised to measure "sensitivity to clinical change." These involved comparisons of functional score changes with clinical changes in patient status which were independently agreed upon by both clinician and patient, and also comparisons with several clinical disease severity indicators. When applied to groups of patients, the SIP and the patient self-rating scale were modestly superior to the ARA scale, but neither the SIP nor the self-rating scale was clearly superior to the other. For considering individual patients, all of the scales were relatively insensitive, and predictive accuracy for clinically estimated change was low. New strategies for assessing sensitivity to small changes should be developed and applied to health status and functional scales. Attention to this characteristic should allow refinement of existing scales and may enhance their clinical usefulness.