Theoretical Perspectives on Gender and Gender-Related Processes in Adjustment to Cancer (DRAFT)

Author(s):  
Emma E. Bright ◽  
Annette L. Stanton

Chronic diseases are the leading causes of mortality worldwide. Their prevalence and disruptive potential warrant an understanding of the factors that influence adjustment to chronic illness. Gender and gender-related processes play an important role in psychosocial and physical adjustment to chronic disease. In this chapter, the authors summarize theoretical frameworks relevant to the role of gender in adjustment to chronic illness, with a particular focus on the experience of cancer. Although theoretically guided research is limited, theoretical frameworks suggest promising avenues of inquiry for characterizing the role of gender and adjustment to cancer and the development of associated interventions.

2021 ◽  
pp. 089976402110297
Author(s):  
Shawn Teresa Flanigan

The field of nonprofit studies often assumes that efforts of actors in the nonprofit landscape are beneficial, especially when considering nonprofit human service organizations. However, there are both theoretical and empirical reasons for scholars to adopt a more critical lens when examining these organizations. Taking nonprofit human services organizations as a common setting, the article uses a critical lens to apply classic, “mainstream” theories of the role of heterogeneity in nonprofit sector formation and illuminate risks often neglected in nonprofit human services research. In this way, the article demonstrates that classic social science theories of heterogeneity already offer us the tools we need to critically question dominant assumptions about nonprofit human services provision and challenges the reader to consider why we so rarely use these well-known theoretical frameworks in a critical manner. The article concludes by inviting scholars to utilize additional critical theoretical perspectives in future studies of nonprofit human services.


2018 ◽  
Vol 1 (1) ◽  
pp. 24-34
Author(s):  
Bahtiar Bahtiar ◽  
Sahar Sahar ◽  
Junaiti Junaiti ◽  
Wiarsih Wiarsih ◽  
Wiwin Wiwin

Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family


2000 ◽  
Vol 56 (4) ◽  
pp. 10-16 ◽  
Author(s):  
C. J. Eales ◽  
A. V. Stewart ◽  
T. D. Noakes

The major objective of medical care is to preserve life. If patients cannot be cured and are left with residual chronic diseases then the aim is to provide them with the means to lead a life of quality within the confines of their disease. Rehabilitation in chronic disease means restoring or creating a life of acceptable quality. This is achieved by restoring the patient to optimal physiological and psychological health compatible with the extent of the disease and in doing so improve the quality of life. Improved quality of life is the best indicator of successful rehabilitation. Patients with chronic diseases are increasingly expected to become partners when decisions are made regarding their therapy and therefor their evaluation of the outcome is of great importance. There are a number of shortcomings with quality of life evaluations and the most important one is that it does not seem to be adequately defined. Another major problem is that this evaluation usually focuses on aspects of physical function and few studies include subjective indicators. It is generally felt that the opinion of the spouse or caregiver should be included.


Author(s):  
Emilio Casariego ◽  
Ana Cebrián-Cuenca ◽  
José Llisterri ◽  
Rafael Micó-Pérez ◽  
Domingo Orozco-Beltran ◽  
...  

Background: Chronic diseases are currently the main cause of morbidity and mortality and represent a major challenge to healthcare systems. The objective of this study is to know Spanish public opinion about chronic disease and how it affects their daily lives. Methods: Through a telephone or online survey of 24 questions, data was gathered on the characteristics of the respondents and their knowledge and experiences of chronic diseases. Results: Of the 2522 survey respondents, 325 had a chronic disease and were carers, 1088 had a chronic disease and were not carers, 140 did not have a chronic disease but were carers, and 969 did not have chronic disease and were not carers. The degree of knowledge on these diseases was good or very good for 69.4%, 56.0%, 62.2%, and 46.7%, respectively, for each group. All the groups agreed that chronic diseases mainly affect mood, quality of life and having to make sacrifices. Conclusions: Knowledge about chronic diseases is relatively good, although it can be improved among the Spanish population, especially among patients who report having a chronic disease and play the role of carers. However, it is important to continue maintaining the level of information and training concerning these diseases.


1973 ◽  
Vol 3 (3) ◽  
pp. 357-368 ◽  
Author(s):  
Patrick W. Conover

This paper traces a three-stage history of theorization on the causal relationship between social class and chronic illness, focusing in particular on the contributions of Kadushin and Mechanic. Five areas of agreement between Kadushin and Mechanic are presented as a basis for further analysis: (1) the importance of data from the National Health Survey; (2) the necessity for controlling for age as an important variable; (3) the more severe measures of chronic diseases, as shown by criteria of activity limitation or work loss, are clearly class related, with the greatest magnitude of change between the lowest income category and the next highest category; (4) there are no data from other studies that can be counted as opposing the above evidence; (5) there is agreement that it is more likely that persons will accurately report more severe episodes of chronic illness than less severe episodes. Two central research questions are then addressed: What is the true shape of the relationship between socioeconomic status and chronic disease? What are the most reasonable of the possible causes of this relationship? Analysis of new material from the National Health Survey is presented in answer to these questions. The utility of these data for this purpose is defended. Certain relationships are noted: For whites and non-whites, with age adjusted or not adjusted, there is a strong relationship between income and measures of chronic disease. With a threefold division of the income category, the magnitude of the differences between income levels is large. These relationships hold over a wide range of specific chronic diseases. The conclusion is drawn that Kadushin's hypothesis of overreaction to illness by the lower classes is of little significance. More study is needed of the downwardly mobile effects of chronic illness. The effects of poor health and low socioeconomic status are presumed to be circular.


2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Yawen Zeng ◽  
Yuping Li ◽  
Jiazhen Yang ◽  
Xiaoying Pu ◽  
Juan Du ◽  
...  

Objectives. Functional components in alliums have long been maintained to play a key role in modifying the major risk factors for chronic disease. To obtain a better understanding of alliums for chronic disease prevention, we conducted a systematic review for risk factors and prevention strategies for chronic disease of functional components in alliums, based on a comprehensive English literature search that was conducted using various electronic search databases, especially the PubMed, ISI Web of Science, and CNKI for the period 2007–2016.Alliumgenus especially garlic, onion, and Chinese chive is rich in organosulfur compounds, quercetin, flavonoids, saponins, and others, which have anticancer, preventive cardiovascular and heart diseases, anti-inflammation, antiobesity, antidiabetes, antioxidants, antimicrobial activity, neuroprotective and immunological effects, and so on. These results supportAlliumgenus; garlic and onion especially may be the promising dietotherapeutic vegetables and organopolysulfides as well as quercetin mechanism in the treatment of chronic diseases. This review may be used as scientific basis for the development of functional food, nutraceuticals, and alternative drugs to improve the chronic diseases.


2013 ◽  
Vol 7 (7) ◽  
pp. 309
Author(s):  
Giri Widakdo ◽  
Besral Besral

Hasil Riset Kesehatan Dasar tahun 2007 menunjukkan 11,6% penduduk Indonesia berumur 15 tahun ke atas mengalami gangguan mental emosional. Penelitian ini bertujuan untuk mengetahui efek penyakit kronis terhadap gangguan mental emosional. Desain penelitian ini adalah potong lintang mengggunakan data Riskesdas tahun 2007. Sebanyak 660.452 responden berusia di atas 15 tahun yang tidak mengalami gangguan jiwa dijadikan sampel. Gangguan mental emosional dinyatakan ada jika responden mem-punyai paling tidak enam dari 20 gangguan. Penyakit kronis seperti tuberculosis (TB) paru, hepatitis, jantung, diabetes, kanker, dan stroke diukur melalui wawancara yang didasarkan pada diagnosis petugas kesehatan. Hasil penelitian menunjukkan bahwa dari sepuluh penderita penyakit kronis, dua sampai lima penderita akan mengalami gangguan mental emosional. Analisis regresi logistik multivariat memperlihatkan bahwa risiko gangguan mental emosional semakin tinggi bersamaan dengan semakin banyak jumlah penyakit kronis yang diderita oleh responden. Responden yang menderita satu penyakit kronis berisiko 2,6 kali lebih besar untuk mengalami gangguan mental emosional, yang menderita dua penyakit kronis berisiko 4,6 kali, yang menderita tiga penyakit kronis atau lebih berisiko 11 kali. Kementerian Kesehatan disarankan untuk mengembangkan standar pelayanan penyakit kronis terkait dengan pengurangan dampak pada gangguan mental emosional dan dibentuknya tim bimbingan teknis pelayanan penyakit kronis.Basic Health Research (Riskesdas) year 2007 showed that 11.6 percent of Indonesia’s population aged 15 years and above suffering from mental emotional disorder. This study aimed to examine the effects of chronic illness to the mental emotional disorders. A cross-sectional study was performed that used Riskesdas 2007 data. Atotal of 660,452 respondents aged 15 years and over who are mentally health become sample of this study. Mental emotional disorders exist if they have at least six of the 20 disorder. Chronic diseases such as pulmonary tuberculosis, hepatitis, heart disease, diabetes, cancer, and stroke were measured based on diagnosis by health pro-fesional. The results showed that out of ten respondents with chronic illness, aproximately two to five will suffering from mental emotional disorder. Multivariat logistic regression analysis shows that the risk of developing mental emotional disorders higher as more number of chronic illnesses suffered by the respondent. Respondents suffering from one chronic disease were 2.6 times greater risk for emotional mental disorder, suffering from two chronic dis-ease have risk 4.6 times, which had three or more chronic disease risk have risk 11 times. It is suggested that the Ministry of Health to develop a standard of care of chronic diseases associated with reducing impact on the mental emotional disorders and establishment of teams for technical guidance chronic disease care.


2009 ◽  
Vol 29 (4) ◽  
pp. 153-161
Author(s):  
R Geneau ◽  
B Legowski ◽  
S Stachenko

Chronic Diseases (CDs) are the leading causes of death and disability worldwide. CD experts have long promoted the use of integrated and intersectoral approaches to strengthen CD prevention efforts. This qualitative case study examined the perceived benefits and challenges associated with implementing an intersectoral network dedicated to CD prevention. Through interviewing key members of the Alberta Healthy Living Network (AHLN, or the Network), two overarching themes emerged from the data. The first relates to contrasting views on the role of the AHLN in relation to its actions and outcomes, especially concerning policy advocacy. The second focuses on the benefits and contributions of the AHLN and the challenge of demonstrating non-quantifiable outcomes. While the respondents agreed that the AHLN has contributed to intersectoral work in CD prevention in Alberta and to collaboration among Network members, several did not view this achievement as an end in itself and appealed to the Network to engage more in change-oriented activities. Managing contrasting expectations has had a significant impact on the functioning of the Network.


2004 ◽  
Vol 14 (4) ◽  
pp. 317-325
Author(s):  
Peter Hobson ◽  
Jolyon Meara

In 2002 the World Health Organisation (WHO) reported that worldwide, deaths due to chronic diseases were accountable for around 30 million people. An earlier report by the WHO revealed that the leading causes of deaths due to chronic disease were cardiovascular disease (17 million), cancers (7 million), chronic lung diseases (4 million) and diabetes (approximately 1 million). In developed nations, the most frequently reported risk factors associated with chronic diseases are exposure to tobacco products (12.2%), hypertension (10.9%), alcohol consumption (9.2%), elevated cholesterol (7.6%), and obesity (7.4%), unhealthy diets that include high saturated fat and sugar content (3.9%) and sedentary lifestyle (3.3%). In view of the demographic shifts, and the strong association with aging and chronic disease, it is estimated that worldwide, within the next two decades, the predicted number of deaths due to chronic illness will rise to around 50 million people per year. Amongst elderly populations in particular, circulatory diseases, respiratory diseases, mental health problems, and musculoskeletal diseases are frequently cited as causes of chronic illness. Population estimates in the UK suggest that around 70% of people by the age of 80 report some type of health-related disability. Patients with chronic conditions will often have multiple co-morbidities with complicated disease management which will necessitate considerable contributions from their caregivers. The caregivers of the chronically ill are often unpaid family members who are frequently placed under considerable stress, and as a result can themselves suffer from functional decline, depression, isolation and loneliness.


Author(s):  
Alex G. Stewart ◽  
Sam Ghebrehewet ◽  
Richard Jarvis

Clusters of disease are often reported to health protection and a finger pointed at a nearby environmental hazard that is thought to be the cause. There is an expectation that the causal linkage will be clarified and action taken to alleviate the resulting anxiety and stop further ill health. Not all reported clusters are real, but all are worth some level of investigation to alleviate anxiety. However, investigating such clusters is not easy. Neither is investigating causal linkages to environmental issues. Using an example of childhood cancer and contaminated land, this chapter takes a stepwise, structured approach to the investigation, defining realistic outcomes and clear criteria to stop such an investigation. The vital role of a multi-agency incident team to integrate health studies and environmental investigations is explored. Readers will be able to undertake such investigations for themselves across a wide range of putative clusters of chronic diseases.


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