scholarly journals To like or not to like: Negotiating food assessments of children from families with a low socioeconomic position

Appetite ◽  
2021 ◽  
pp. 105853
Author(s):  
Amy van der Heijden ◽  
Hedwig te Molder ◽  
Bogdana Huma ◽  
Gerry Jager
Keyword(s):  
Socioeconomic Position ◽  
Low Socioeconomic

scholarly journals The silent burden of stigmatisation: a qualitative study among Dutch people with a low socioeconomic position

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Audrey M. W. Simons ◽  
Inge Houkes ◽  
Annemarie Koster ◽  
Daniëlle A. I. Groffen ◽  
Hans Bosma
Keyword(s):  
Qualitative Study ◽  
Socioeconomic Position ◽  
Low Socioeconomic ◽  
Dutch People

GPs' views on how low socioeconomic position affects diabetes management: an exploratory study

2004 ◽  
Vol 10 (3) ◽  
pp. 120 ◽  
Author(s):  
Vanessa Rose ◽  
Mark Harris ◽  
Maria Theresa Ho
Keyword(s):  
Socioeconomic Position ◽  
Diabetes Management ◽  
Financial Incentive ◽  
Educational Materials ◽  
Negative Attitudes ◽  
Low Socioeconomic ◽  
Low Health Literacy ◽  
Patient Barriers

Little is known about general practitioners? (GP) capacity to effectively manage diabetes among patients of low socioeconomic position (SEP), despite the high burden of type 2 diabetes in this group. Nine GPs involved in a diabetes program and practising in an area of socioeconomic disadvantage participated in a focus group on low-SEP patient barriers to diabetes management, GP problems in managing diabetes among this group, and strategies for improving diabetes management with low-SEP patients. GPs perceived that low health literacy, poverty and psychosocial issues, and negative attitudes towards health were barriers to diabetes management among low-SEP patients. Difficulties in providing care to low-SEP patients were related to the availability of allied health services and GP perceptions of increased stress in providing care to this group. Suggestions for improvements in diabetes management were focussed on providing educational materials to low-SEP patients that matched literacy levels, and initiating patient financial incentive schemes to assist diabetes management and attendance at follow-up consultations.

scholarly journals Reduced prevalence of small-for-gestational-age and preterm birth for women of low socioeconomic position: a population-based cohort study comparing antenatal midwifery and physician models of care

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022220 ◽  
Author(s):  
Daphne N McRae ◽  
Patricia A Janssen ◽  
Saraswathi Vedam ◽  
Maureen Mayhew ◽  
Deborah Mpofu ◽  
...  
Keyword(s):  
British Columbia ◽  
Cohort Study ◽  
Preterm Birth ◽  
Gestational Age ◽  
Socioeconomic Position ◽  
Small For Gestational Age ◽  
Models Of Care ◽  
Midwifery Care ◽  
Low Socioeconomic ◽  
Lower Odds

ObjectiveOur aim was to investigate if antenatal midwifery care was associated with lower odds of small-for-gestational-age (SGA) birth, preterm birth (PTB) or low birth weight (LBW) compared with general practitioner (GP) or obstetrician (OB) models of care for women of low socioeconomic position.SettingThis population-level, retrospective cohort study used province-wide maternity, medical billing and demographic data from British Columbia, Canada.ParticipantsOur study included 57 872 pregnant women, with low socioeconomic position, who: were residents of British Columbia, Canada, carried a singleton fetus, had low to moderate medical/obstetric risk, delivered between 2005 and 2012 and received medical insurance premium assistance.Primary and secondary outcome measuresWe report rates, adjusted ORs (aOR), and 95% CIs for the primary outcome, SGA birth (<the 10th percentile), and secondary outcomes, PTB (<37 weeks’ completed gestation) and LBW (<2500 g).ResultsOur sample included 4705 midwifery patients, 45 114 GP patients and 8053 OB patients. Odds of SGA birth were reduced for patients receiving antenatal midwifery versus GP (aOR 0.71, 95% CI 0.62 to 0.82) or OB care (aOR 0.59, 95% CI 0.50 to 0.69). Odds of PTB were lower for antenatal midwifery versus GP (aOR 0.74, 95% CI 0.63 to 0.86) or OB patients (aOR 0.53, 95% CI 0.45 to 0.62). Odds of LBW were reduced for midwifery versus GP (aOR 0.66, 95% CI 0.53 to 0.82) or OB patients (aOR 0.43, 95% CI 0.34 to 0.54).ConclusionAntenatal midwifery care in British Columbia, Canada, was associated with lower odds of SGA birth, PTB and LBW, for women of low socioeconomic position, compared with physician models of care. Results support the development of policy to ensure antenatal midwifery care is available and accessible for women of low socioeconomic position. Future research is needed to determine the underlying mechanisms linking midwifery care to better birth outcomes for women of low socioeconomic position.

Cigarette graphic health warning labels and information avoidance among individuals from low socioeconomic position in the U.S.

2017 ◽  
Vol 28 (4) ◽  
pp. 351-360 ◽  
Author(s):  
Rachel Faulkenberry McCloud ◽  
Cassandra Okechukwu ◽  
Glorian Sorensen ◽  
K. Viswanath
Keyword(s):  
Socioeconomic Position ◽  
Warning Labels ◽  
Low Socioeconomic ◽  
Health Warning ◽  
Information Avoidance ◽  
The U.S

Socioeconomic position and alcohol-related harm in Danish adolescents

2019 ◽  
Vol 73 (9) ◽  
pp. 839-845 ◽  
Author(s):  
Sanne Pagh Møller ◽  
Veronica Sofie Clara Pisinger ◽  
Anne Illemann Christensen ◽  
Janne S Tolstrup
Keyword(s):  
Binge Drinking ◽  
Socioeconomic Position ◽  
Family Income ◽  
Self Report ◽  
Financial Strain ◽  
Low Socioeconomic ◽  
The Family ◽  
Youth Study ◽  
Alcohol Related Harm ◽  
Related Harm

BackgroundIn adults, it has consistently been observed that with equal alcohol consumption levels, alcohol harms individuals with low socioeconomic position (SEP) more than individuals with high SEP. It is unknown if this so-called alcohol harm paradox is also present in adolescents. We aim to test the hypothesis that low SEP is associated with more alcohol-related harm as compared with higher SEP in Danish adolescents.MethodsWe used survey data from the Danish National Youth Study 2014 including 70 566 students from 119 high schools. Alcohol-related harm was measured by self-report as having been in a fight, involved in an accident, had problems with parents or friends, had sex that was regretted afterwards and done drugs that was regretted afterwards, because of alcohol. Further, a combined measure was constructed defined as having experienced any harm more than once within the last year. SEP was measured as parents’ educational level, family income, parents’ employment status and experiencing financial strain in the family. Analyses were adjusted by age, sex, perceived ethnicity, class type and binge drinking.ResultsLower SEP was associated with higher odds of experiencing alcohol-related harm more than once as compared with highest SEP, and lower SEP was associated with higher odds of having been in a fight, problems with parents or friends, sex and regretting afterwards or drugs and regretting afterwards, as compared with highest SEP. These associations were statistically significant. Adjustment for the frequency of binge drinking did not change results.ConclusionThe alcohol harm paradox exists in Danish adolescents, and this should be addressed in future prevention strategies to reduce the risk of alcohol-related harm among adolescents.

scholarly journals Does Two-Year Stability for Scale Scores of Psychosocial Factors Differ by Socioeconomic Position?

2009 ◽  
Vol 105 (3_suppl) ◽  
pp. 1009-1022 ◽  
Author(s):  
Johanna Lundberg ◽  
Nadine Karlsson ◽  
Margareta Kristenson
Keyword(s):  
Longitudinal Studies ◽  
Psychosocial Factors ◽  
Socioeconomic Position ◽  
Men And Women ◽  
Low Socioeconomic ◽  
Psychometric Scales ◽  
Scale Scores ◽  
The Stability ◽  
Attenuation Bias

Previous longitudinal studies have demonstrated the importance of measuring stability of risk factors over time to correct for attenuation bias. The present aim was to assess the stability of scores for eight psychometric scales over a 2-yr. period and whether stability differed by socioeconomic position. Baseline data were collected during 2003–2004 from 1,007 men and women ages 45 to 69 years. Follow-up data were collected in 2006 from a total of 795 men and women. Analysis showed that stability over 2 yr. was moderate and tended to be lower in groups of low socioeconomic position. It is suggested that correction of attenuation bias is relevant in longitudinal studies for psychosocial factors, especially for groups of low socioeconomic position.

scholarly journals “Tough Times Have Become Good Times”: Resilience in Older Adults With a Low Socioeconomic Position

2018 ◽  
Vol 58 (5) ◽  
pp. 843-852 ◽  
Author(s):  
Almar A L Kok ◽  
Fenna van Nes ◽  
Dorly J H Deeg ◽  
Guy Widdershoven ◽  
Martijn Huisman
Keyword(s):  
Older Adults ◽  
Socioeconomic Position ◽  
Low Socioeconomic

scholarly journals Evaluation Design of EFFICHRONIC: The Chronic Disease Self-Management Programme (CDSMP) Intervention for Citizens with a Low Socioeconomic Position

2019 ◽  
Vol 16 (11) ◽  
pp. 1883 ◽  
Author(s):  
Siok Swan Tan ◽  
Marta M Pisano ◽  
An LD Boone ◽  
Graham Baker ◽  
Yves-Marie Pers ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Socioeconomic Position ◽  
Chronic Condition ◽  
Healthy Lifestyle ◽  
Target Population ◽  
Management Programme ◽  
Self Management ◽  
Design Data ◽  
Study Objective ◽  
Low Socioeconomic

Background/rationale: The Chronic Disease Self-Management Programme (CDSMP) intervention is an evidence-based program that aims to encourage citizens with a chronic condition, as well as their caregivers, to better manage and maintain their own health. CDSMP intervention is expected to achieve greater health gains in citizens with a low socioeconomic position (SEP), because citizens with a low SEP have fewer opportunities to adhere to a healthy lifestyle, more adverse chronic conditions and a poorer overall health compared to citizens with a higher SEP. In the EFFICHRONIC project, CDSMP intervention is offered specifically to adults with a chronic condition and a low SEP, as well as to their caregivers (target population). Study objective: The objective of our study is to evaluate the benefits of offering CDSMP intervention to the target population. Methods: A total of 2500 participants (500 in each study site) are recruited to receive the CDSMP intervention. The evaluation study has a pre-post design. Data will be collected from participants before the start of the intervention (baseline) and six months later (follow up). Benefits of the intervention include self-management in healthy lifestyle, depression, sleep and fatigue, medication adherence and health-related quality of life, health literacy, communication with healthcare professionals, prevalence of perceived medical errors and satisfaction with the intervention. The study further includes a preliminary cost-effectiveness analysis with a time horizon of six months. Conclusion: The EFFICHRONIC project will measure the effects of the CDSMP intervention on the target population and the societal cost savings in five European settings.

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