The Dubai Community Psychiatric Survey: acculturation and the prevalence of psychiatric disorder

1994 ◽  
Vol 24 (1) ◽  
pp. 121-131 ◽  
Author(s):  
R. Ghubash ◽  
E. Hamdi ◽  
P. Bebbington

SynopsisDubai, an Emirate in the Gulf region, has experienced spectacular social change as a result of the exploitation of its oil reserves. The Dubai Community Psychiatric Survey was designed to study the effects of this social change on the mental health of female nationals.In this paper, we approach the problem by quantifying social change in two main ways: the first focused on social change at the individual level as measured by the Socio-cultural Change Questionnaire (Bebbington et al. 1993). The second examined the effect of social change at the community level by identifying areas of residence at different levels of development. We hypothesized that attitudes and behaviours markedly at odds with traditional prescriptions would be associated with high rates of psychiatric morbidity.On the individual level, the association between psychiatric morbidity and the amount of social change reflected in the behaviours and views of the subjects was not significant. However, there was a significant association between morbidity and between social attitudes and behaviours. At the community level, in contrast, the relationship between psychiatric morbidity and social change was significant: there was more psychiatric morbidity in areas at the extremes of the social change continuum. The hypothesis put forward in this study must be modified accordingly.

2021 ◽  
pp. 104973232098474
Author(s):  
Heather R. Walker ◽  
Michelle L. Litchman

Historically, diabetes identity has been examined at the individual level as it relates to clinical outcomes and self-management practices. Yet, identity is not experienced as an individually isolated phenomenon. The purpose of this study is twofold: (a) examine the social meaning of diabetes identity and (b) formulate a theoretical model of diabetes identity through a sociopolitical lens. Adults living with diabetes engaged in a diabetes online community ( N = 20) participated in a 60-minute semi-structured interview focused on social diabetes experiences and diabetes identity. Seven themes emerged related to illness, individuation, and culture, resulting in a novel theoretical model of diabetes identity: willingness to identify, tales of the un-sick, legends of the responsible, a tradition of change-making, sense of sameness, mystification of difference, and diabetes as a unifying social category. Our study extends previous literature focused on self-management practices and compliance, resulting in a theoretical model of diabetes identity centered around social change.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Demiss Mulatu Geberu ◽  
Asmamaw Atnafu

Abstract Background The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF practices in Ethiopia is low, the practices in the pastoral communities, in particular, are significantly low and affected by individual and community-level factors. Besides, its adverse outcomes are mostly unrecognised. Therefore, this study aimed to assess the individual and community-level factors of low coverage of EBF practices in the emerging regions of Ethiopia. Methods In this analysis, data from 2016 Ethiopian Demographic and Health Survey (EDHS) were used. A two-stage stratified sampling technique was used to identify 1406 children aged 0 to 23 months in the emerging regions of Ethiopia. A multilevel mixed-effect binary logistic regression analysis was used to determine the individual and community level factors associated with exclusive breastfeeding practices. In the final model, variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were found to be statistically significant factors that affect exclusive breastfeeding practices. Results Overall, 17.6% (95% CI: 15.6–19.6) of the children aged 0 to 23 months have received exclusive breastfeeding. Employed mothers (AOR: 0.33, 95% CI: 0.21–0.53), richer household wealth status (AOR: 0.39, 95% CI: 0.16–0.96), mothers undecided to have more children (AOR: 2.29, 95% CI: 1.21–4.29), a child with a history of diarrhoea (AOR: 0.31, 95% CI: 0.16–0.61) were the individual-level factors, whereas Benishangul region (AOR: 2.63, 95% CI: 1.44–4.82) was the community-level factors associated with the exclusive breastfeeding practices. Conclusions Less than one-fifth of the mothers have practised exclusive breastfeeding in the emerging regions of Ethiopia. The individual-level factors such as mother’s employment status, household wealth status, desire for more children, presence of diarrhoea and community-level factors such as region have contributed to the low coverage of exclusive breastfeeding. Therefore, the federal and regional health bureaus and other implementers should emphasise to those emerging regions by creating awareness and strengthening the existing community-based health extension program to enhance exclusive breastfeeding practices.


2020 ◽  
Author(s):  
Fredrik Jansson ◽  
Elliot Aguilar ◽  
Alberto Acerbi ◽  
Magnus Enquist

A specific goal of the field of cultural evolution is to understand how processes of transmission and selection at the individual level lead to population-wide patterns of cultural diversity and change. Models of cultural evolution have typically assumed that traits are independent of one another and essentially exchangeable. But culture has a structure: traits bear relationships to one another that affect the transmission and selection process itself. Here we introduce a modelling framework to explore the effect of cultural structure on the process of learning. Through simulations, we find that introducing this simple structure changes the cultural dynamics. Based on a basic filtering mechanism for parsing these relationships, more elaborate cultural filters emerge. In a mostly incompatible cultural domain of traits, these filters organise culture into mostly (but not fully) consistent and stable systems. Incompatible domains produce small homogeneous cultures, while more compatibility increases size, diversity, and group divergence. When individuals copy based on a trait's features (here, its compatibility relationships) they produce more homogeneous cultures than when they copy based on the agent carrying the cultural trait. We discuss the implications of considering cultural systems and filters in the dynamics of cultural change.


1997 ◽  
Vol 11 (1) ◽  
pp. 107-119 ◽  
Author(s):  
Robert J. Brustad ◽  
Michelle Ritter-Taylor

Psychological processes in sport are inextricably linked to the social contexts within which they occur. However, research and practice in applied sport psychology have shown only marginal concern for the social dimensions of participation. As a consequence of stronger ties to clinical and counseling psychology than to social psychology, the prevailing model of intervention in applied sport psychology has been individually centered. Focus at the individual level has been further bolstered by cognitive emphases in modem psychology. The purpose of this paper is to highlight the need for a balanced consideration of social and personal influences. Four social psychological dimensions of interest will be explored, including athletic subculture membership; athletic identity concerns; social networks of influence; and leadership processes. The relevance of these forms of influence will be examined in relation to applied concerns in the areas of athlete academic performance, overtraining and burnout, and disordered eating patterns. At minimum, consultants need to address contextual and relational correlates of psychological and performance issues.


2017 ◽  
Vol 7 (2) ◽  
pp. 156-171 ◽  
Author(s):  
Fiona Spotswood ◽  
Tim Chatterton ◽  
Yvette Morey ◽  
Sara Spear

Purpose This paper aims to introduce key concepts from practice theory (PT) to the social change agenda and draw on the unique contributions of the social marketing field. PT has underpinned a growing stream of research in pro-environmental studies seeking to reduce impacts of particular behaviours, but it remains theoretical. By drawing on social marketing’s applied roots, this paper introduces a practice-theoretical intervention planning process (P-TIPP) which frames the unique contribution of social marketing in behaviour change and foregrounds practice- not individual-level change. Design/methodology/approach The P-TIPP draws on the total process planning model, introducing the concept of “practice as entity” and “practice as performance” to frame intervention planning tasks. The process locates the contribution of social marketing within a transdisciplinary framework which emphasises transforming collective conventions. Findings This is a conceptual paper, but the possibility for PT to make a significant contribution to the world of social marketing is outlined. Research limitations/implications P-TIPP is untested. Also, practices can be difficult to identify and somewhat abstract. Finally, it can be challenging to introduce the approach to policy, funding and practitioner procedures. Practical implications The implications of P-TIPP are that social change interventions are devised, underpinned and planned using insights from PT, such as the way behavioural patterns fit into broader understandings of practice. The subsequent social change agenda will be inherently transdisciplinary, sustainable and reduce focus on individual power to change. Originality/value This paper is a first attempt at exploring what PT, and social marketing can learn from each other for the future effectiveness of social change activity.


MEDIASI ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 100-107
Author(s):  
Shania Shaufa ◽  
Thalitha Sacharissa Rosyidiani

This article explains about online media iNews.id in implementing gatekeeping function. This study aims to find out how gatekeeping efforts iNews.id in the production process on the issue of preaching restrictions on worship in mosques during Ramadan in 2020. During the Covid-19 pandemic, the current media situation, especially in the midst of a crisis, encourages the public to become heavily dependent on media coverage. With a qualitative approach, researchers analyzed five levels of influence on the gatekeeping process in online media iNews.id. The results of this study show that factors that influence the way iNews.id in the production process of preaching restrictions on worship in mosques due to the Covid-19 pandemic are the individual level of media workers, the level of media routine, the organizational level, the extramedia level, and the social system level. The conclusions of this study state the most dominant levels is the organization level and the media routine level in the iNews.id.


Author(s):  
Farah Ahmad ◽  
Jamie Jianmin Wang ◽  
Christo El Morr

The current chapter systematically reviewed literature on online mindfulness interventions. Electronic databases were searched from 2005 to July 2016. The aim was to examine the nature of online mindfulness interventions, design features, and their effectiveness in improving symptoms of depression, anxiety, and stress. The review of selected studies shows that online delivery of mindfulness psycho-education and practice is an area in its infancy. There is evidence that online mindfulness interventions can have a positive impact on mental health in terms of stress, depression, and anxiety; however, large sample studies are needed in order to have conclusive results. Moreover, the extension of online mindfulness interventions beyond the individual level to include a community dimension, such as virtual community features, and a focus on the social determinants of health, needs to be explored in future. The online mindfulness intervention could be a cost-effective way to scale up the promotion of mental wellbeing.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036519 ◽  
Author(s):  
Mussie Alemayehu ◽  
Araya Abrha Medhanyie ◽  
Elizabeth Reed ◽  
Afework Mulugeta

ObjectiveThe study aimed to identify the effects of the individual-level and community-level factors on the use of family planning (FP) among married women in the pastoralist community of Ethiopia.DesignA community-based cross-sectional study was conducted in September 2018. Data were analysed using R software. To determine the fixed effect of individual-level and community-level factors of FP use, a two-level mixed-effects logistic regression was used. The result was described using the Adjusted OR (AOR), and the variance partition coefficient.Setting and participantsAfar, Ethiopia (2018; n=891) married women of reproductive age (15–49) years.Primary outcome measuresFP use or non-use.ResultsThe current use of FP was 18.7% (16.31%–21.43%). Women who need to walk 1 hour and more to the nearest health facility (AOR 0.14, 95% CI 0.05 to 0.3), have ANC visit of 4 and above (AOR 6.02, 95% CI 1.74 to 20.8), had their last birth at a health facility (AOR 2.71 95% CI 1.27 to 5.81), have five and more children (AOR 4.71, 95% CI 1.86 to 11.9), have high knowledge on FP (AOR 2.74, 95% CI 1.11 to 6.74) and had high intentions to use FP (AOR 10.3, 95% CI 3.85 to 27.6) were more likely to report FP use. The magnitude of the effect of for FP use was smaller than that of 9 of the 13 individual factors. Apart from this 19.4% of the total variance in the odds of using FP attributed to between community difference (intraclass correlation coefficient=0.194). Regarding the community-level characteristics, clusters of having higher electronic media possession (AOR 2.84, 95% CI 1.2 to 6.72) and higher women decision making on FP (AOR 8.35, 95% CI 2.7 to 27.1) were significantly associated with increased FP use compared with clusters with lower reports of these aspects.ConclusionFP use among the pastoralist community is influenced by both individual cluster/community-level characteristics or factors. Even though the effect of clustering in FP use was large in comparison with the unexplained between-cluster variation, it was lower than the individual-level factors.Trail registrtion numberNCT03450564


1993 ◽  
Vol 15 (1) ◽  
pp. 145 ◽  
Author(s):  
SR Morton

Attitudes to conservation in the rangelands are shifting rapidly as cultural change alters the ways in which Australians view their history and environment. In earlier times, pastoralists of the outback were seen as admirable pioneers; today, not all Australians hold such a view. In an effort to predict how trends in social change might affect conservation issues I review recent events in the forest and fishing industries, which like the rangeland industries are to some extent based upon public land or resources. The forest industries have been under sustained attack from conservationists, whereas pressure on the fishing industry has emanated from scientists and governments worried about sustainability. Both industries are changing in response to these pressures, and it is possible that animal production in the rangelands will eventually experience similar forces. I suggest that in the long run the rangeland industries will be unable to ignore change, and that in fact the social currents may provide new opportunities.


2019 ◽  
Vol 30 (4) ◽  
pp. 335-346
Author(s):  
Nour Seblini

This article analyses the cultural crisis of beur youth by calling attention, in Faïza Guène’s novel, Kiffe kiffe demain (2004), to how Maghrebi immigrants as well as the French state attempt to manipulate young bodies and minds. The struggle that underlies the narrative is an exploitation of Islam within France’s Moroccan immigrant community to preserve honneur at the immigrant community level, while enjoying bonheur at the individual level. As religion is used to subjugate the younger generation, Islam loses credibility in the eyes of beurs. I also seek to explore how la laïcité of French culture marginalises individuals who do not accept assimilation into a superior racist system that is based on an exclusionary notion of citizenship. Who falls victim in the end? It is the young beur, who cannot tolerate the extremism of either French Orientalist views or their parents’ Occidentalist views.


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