scholarly journals Economic precarity, social isolation, and suicidal ideation during the COVID-19 pandemic

2020 ◽  
Author(s):  
Julia Raifman ◽  
Catherine K. Ettman ◽  
Lorraine Dean ◽  
Colleen Barry ◽  
Sandro Galea
Keyword(s):  
Suicidal Ideation ◽  
Social Isolation ◽  
Low Income ◽  
Job Loss ◽  
Well Being ◽  
Health And Nutrition ◽  
The Us ◽  
Nationally Representative ◽  
Policies And Programs ◽  
The Relationship

AbstractImportanceThe US population faces stressors associated with suicide brought on by the COVID-19 pandemic. Understanding the relationship between stressors and suicidal ideation may inform policies and programs to prevent suicide.ObjectiveTo evaluate the relationship between stressors and suicidal ideation during the COVID-19 pandemic.DesignWe compared suicidal ideation in 2017-2018 to suicidal ideation in 2020. We estimated the association between stressors and suicidal ideation in bivariable and multivariable Poisson regression models with robust variance.SettingUnited StatesParticipantsParticipants were from two, nationally representative surveys of US adults: The 2017-2017 National Health and Nutrition Examination Survey and the 2020 COVID-19 and Life Stressors Impact on Mental Health and Well-being study (conducted March 31 to April 13), analyzed April 28 to September 30, 2020.ExposuresEconomic precarity as measured through job loss or difficulty paying rent and social isolation based on reporting “feeling alone.”Main outcome measureSuicidal ideation based on reporting “Thoughts that you would be better off dead or of hurting yourself in some way” over the past two weeks.ResultsSuicidal ideation increased more than fourfold, from 3.4% in the 2017-2018 NHANES to 16.3% in the 2020 CLIMB survey, and from 5.8% to 26.4% among participants in low-income households. Suicidal ideation was more prevalent among people facing difficulty paying rent (31.5%), job loss (24.1%), and loneliness (25.1%), with each stressor associated with suicidal ideation in bivariable models. In the multivariable model, difficulty paying rent was associated with suicidal ideation (aPR: 1.5, 95% CI: 1.2 to 2.1), while losing a job was not (aPR: 0.9, 95% CI: 0.6 to 1.2). Feeling alone was associated with suicidal ideation (aPR: 1.9, 95% CI: 1.5 to 2.4).Conclusions and relevanceSuicidal ideation increased more than fourfold during the COVID-19 pandemic. Difficulty paying rent and loneliness were most associated with suicidal ideation. Policies and programs to support people experiencing economic precarity and loneliness may contribute to suicide prevention.

scholarly journals Income, inflammation and cancer mortality: a study of U.S. National Health and Nutrition Examination Survey mortality follow-up cohorts

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joshua E. Chan ◽  
Amandeep K. Mann ◽  
Daniel S. Kapp ◽  
David H. Rehkopf
Keyword(s):  
National Health ◽  
Low Income ◽  
Cancer Mortality ◽  
Inflammatory Biomarkers ◽  
Nutrition Examination Survey ◽  
Complete Control ◽  
Health And Nutrition ◽  
Nationally Representative ◽  
The Relationship ◽  
The U.S

Abstract Background To estimate the relationship between inflammatory biomarkers and cancer mortality in a nationally representative sample of the U.S. population while controlling for education, occupation, and income. Methods Data were obtained from the U.S. National Health and Nutrition Examination Survey from 1988 to 1994 (N = 7817) and 1999–2002 (N = 2344). We fit Cox proportional hazard models to examine the relationship between C-reactive protein (CRP) and fibrinogen with cancer mortality. Results In the full Cox multivariate model, clinically raised CRP was associated with cancer mortality in NHANES 1988–1994 (> 0.99 mg/dL: 95%CI: 1.04–2.13). However, across two inflammatory biomarkers (CRP and Fibrinogen), two NHANES time periods (1998–1994 and 1999–2002) and three income levels (12 strata in total), Hazard ratio confidence intervals did not include the null only for one association: CRP and cancer mortality among low income participants from 1988 to 1994 (HR = 1.83, 95% CI: 1.10–3.04). Conclusions We find evidence that only in one unique stratum is earlier life CRP, and not fibrinogen, associated with prospective cancer mortality. After more complete control for socioeconomic confounding, CRP and fibrinogen do not predict cancer mortality in most subpopulations.

scholarly journals Cannabis use, sedentary behavior, and physical activity in a nationally representative sample of US adults

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lydia Q. Ong ◽  
John Bellettiere ◽  
Citlali Alvarado ◽  
Paul Chavez ◽  
Vincent Berardi
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Vigorous Physical Activity ◽  
Health Impact ◽  
Cannabis Use ◽  
Objective Measures ◽  
Health And Nutrition ◽  
Nationally Representative ◽  
The Relationship ◽  
Potential Public Health

Abstract Background Prior research examining the relationship between cannabis use, sedentary behavior, and physical activity has generated conflicting findings, potentially due to biases in the self-reported measures used to assess physical activity. This study aimed to more precisely explore the relationship between cannabis use and sedentary behavior/physical activity using objective measures. Methods Data were obtained from the 2005–2006 National Health and Nutrition Examination Survey. A total of 2,092 participants (ages 20–59; 48.8% female) had accelerometer-measured sedentary behavior, light physical activity, and moderate-to-vigorous physical activity. Participants were classified as light, moderate, frequent, or non-current cannabis users depending on how often they used cannabis in the previous 30 days. Multivariable linear regression estimated minutes in sedentary behavior/physical activity by cannabis use status. Logistic regression modeled self-reported moderate-to-vigorous physical activity in relation to current cannabis use. Results Fully adjusted regression models indicated that current cannabis users’ accelerometer-measured sedentary behavior did not significantly differ from non-current users. Frequent cannabis users engaged in more physical activity than non-current users. Light cannabis users had greater odds of self-reporting physical activity compared to non-current users. Conclusions This study is the first to evaluate the relationship between cannabis use and accelerometer-measured sedentary behavior and physical activity. Such objective measures should be used in other cohorts to replicate our findings that cannabis use is associated with greater physical activity and not associated with sedentary behavior in order to fully assess the potential public health impact of increases in cannabis use.

Understanding Social Isolation Among Urban Aging Adults: Informing Occupation-Based Approaches

2017 ◽  
Vol 37 (4) ◽  
pp. 188-198 ◽  
Author(s):  
Carri Hand ◽  
Jessica Retrum ◽  
George Ware ◽  
Patricia Iwasaki ◽  
Gabe Moaalii ◽  
...  
Keyword(s):  
Social Isolation ◽  
Low Income ◽  
Social Engagement ◽  
Information Access ◽  
Community Based Participatory Research ◽  
Well Being ◽  
Poor Health ◽  
Policy And Practice ◽  
Related Factors ◽  
Aging Adults

Socially isolated aging adults are at risk of poor health and well-being. Occupational therapy can help address this issue; however, information is needed to guide such work. National surveys characterize social isolation in populations of aging adults but fail to provide meaningful information at a community level. The objective of this study is to describe multiple dimensions of social isolation and related factors among aging adults in diverse urban neighborhoods. Community-based participatory research involving a door-to-door survey of adults 50 years and older was used. Participants ( N = 161) reported social isolation in terms of small social networks (24%) and wanting more social engagement (43%). Participants aged 50 to 64 years reported the highest levels of isolation in most dimensions. Low income, poor health, lack of transportation, and infrequent information access appeared linked to social isolation. Occupational therapists can address social isolation in similar urban communities through policy and practice that facilitate social engagement and network building.

Abstract P315: Tomato Consumption by Form and Its Relationship to Total Vegetable Intake in the US: Implications for Healthier Dietary Patterns

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Kristin J Reimers ◽  
Debra R Keast
Keyword(s):  
Public Health ◽  
Dietary Patterns ◽  
Vegetable Intake ◽  
Nutrition Examination Survey ◽  
Health And Nutrition ◽  
Food Pattern ◽  
The Us ◽  
Tomato Products ◽  
Raw Foods ◽  
The Relationship

Despite public health efforts to decrease risk of cardiovascular disease by promoting healthier dietary patterns, Americans persistently under-consume vegetables. Discovering feasible, achievable strategies to increase vegetable intake can contribute to improved dietary patterns and health outcomes. Tomatoes are the most consumed non-starchy vegetable in the US and also contribute the greatest porportion of vegetables to the USDA Food Pattern (MyPlate). Despite tomatoes’ dietary importance, little is known about tomato consumption by form. Tomato forms and amounts consumed in the US were determined by examining the intakes of adults 19 years and older (n = 16,252) in the National Health and Nutrition Examination Survey, 2005-06, 2007-08, and 2009-10. The forms of tomatoes in foods participants reported were divided into two categories: tomato products and raw. Foods containing tomato products were further divided into four subgroups: 1) canned tomatoes as main ingredients, 2) canned tomatoes as minor ingredients, 3) juice and 4) condiments. Tomato products comprised approximately 63% of total tomato consumption, primarily as main ingredients (33%) of foods such as pasta with tomato sauce, with smaller amounts contributed from minor ingredients (12%), condiments (10%) and juice (7%). Raw tomatoes accounted for the remaining 37%. Participants who consumed the most tomatoes, defined as those who met or exceeded the MyPlate tomato target amount (0.65 cup equivalents/d), consumed 67% of their tomatoes as tomato products and 33% as raw. These heavy tomato consumers’ total vegetable intake was 2.48 cup equivalents/d, which approximated the 2.5 cup equivalent MyPlate total vegetable target amount. Increasing the awareness and importance of the contribution of tomato intake by form, and the relationship between tomato intake and total vegetable intake targets can inform future strategies to achieve greater vegetable intake and thus improve dietary patterns for Americans.

The relationship between burnout and suicidal ideations among Jamaican police officers

2019 ◽  
Vol 21 (3) ◽  
pp. 181-189 ◽  
Author(s):  
Candice A. Wray ◽  
Sharlene Beckford Jarrett
Keyword(s):  
Suicidal Ideation ◽  
Emotional Exhaustion ◽  
Police Officers ◽  
Well Being ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Self Report ◽  
Cross Sectional ◽  
High Crime ◽  
The Relationship

Jamaican police officers often encounter organizational and societal stressors through their work in high-crime and low-resource settings. Repeated exposure to stressors, with limited opportunities for support, can compromise emotional well-being and increase the risk of experiencing burnout and suicidal ideation. This cross-sectional study examines the relationship between burnout (emotional exhaustion, depersonalization and personal accomplishment) and suicidal ideations among Jamaican police officers surveyed in 2017. Jamaican police officers ( N = 305) from five major urban divisions completed two self-report questionnaires. The results revealed significant relationships between emotional exhaustion and suicidal ideations ( r = .17, p < .01) and depersonalization and suicidal ideations ( r = .18, p < .01). However, there was no significant relationship between personal accomplishment and suicidal ideations ( p > .01). Implementing programmes that offer access to adaptive coping or stress management skills and social support systems may reduce burnout and decrease risk for suicidal ideation.

scholarly journals Replacing the nutrients in dairy foods with non-dairy foods will increase cost, energy intake and require large amounts of food: National Health and Nutrition Examination Survey 2011–2014

2020 ◽  
pp. 1-12
Author(s):  
Christopher J Cifelli ◽  
Nancy Auestad ◽  
Victor L Fulgoni
Keyword(s):  
National Health ◽  
Tap Water ◽  
Phase 1 ◽  
Dietary Guidelines ◽  
Nutrition Examination Survey ◽  
Dairy Foods ◽  
Health And Nutrition ◽  
The Us ◽  
Dietary Guidelines For Americans ◽  
Nationally Representative

Abstract Objective: The US Dietary Guidelines for Americans recommends increased consumption of the dairy group to three daily servings for ages 9+ years to help achieve adequate intakes of prominent shortfall nutrients. Identifying affordable, consumer-acceptable foods to replace dairy’s shortfall nutrients is important especially for people who avoid dairy. Design: Linear programming identified food combinations to replace dairy’s protein and shortfall nutrients. We examined cost, energy and dietary implications of replacing dairy with food combinations optimised for lowest cost, fewest kJ or the smallest amount of food by weight. Setting: National Health and Nutrition Examination Survey (2011–2014). Participants: Nationally representative sample of US population; 2 years and older (n 15 830). Results: Phase 1 (only dairy foods excluded): when optimised for lowest cost or fewest kJ, all non-dairy food replacements required large amounts (2·5–10 cups) of bottled/tap water. Phase 2 (dairy and unreasonable non-dairy foods excluded (e.g. baby foods; tap/bottled water): when intake of non-dairy foods was constrained to <90th percentile of current intake, the lowest cost food combination replacements for dairy cost 0·5 times more and provide 5·7 times more energy; the lowest energy food combinations cost 5·9 times more, provide 2·5 times more energy and require twice the amount of food by weight; and food combinations providing the smallest amount of food by weight cost 3·5 times more and provide five times more energy than dairy. Conclusions: Identifying affordable, consumer-acceptable foods that can replace dairy’s shortfall nutrients at both current and recommended dairy intakes remains a challenge.

scholarly journals Sense of coherence: A distinct perspective on financial well-being

2016 ◽  
Vol 19 (4) ◽  
pp. 647-660 ◽  
Author(s):  
Antoni Barnard
Keyword(s):  
Sense Of Coherence ◽  
Low Income ◽  
Well Being ◽  
Income Level ◽  
Future Research ◽  
Reference Frequency ◽  
Relationship Dynamics ◽  
Psychological Well Being ◽  
Sample Distribution ◽  
The Relationship

With the ongoing financial challenges being faced in the economic environment, research exploring financial and psychological well-being is of significant value because employees’ socio-economic behaviour affects productivity. Research emphasises mainly the effect of income level on psychological well-being, and its orientation to psychological well-being is narrowly derived from a focus on subjective well-being constructs. This study addresses the research gap by exploring the relationship dynamics between sense of coherence, income level and financial well-being. Secondary data were obtained from a cross-sectional online employee-wellness survey (n=7 185). The sample distribution included 66 per cent females and 34 per cent males from various age groups, with 46 per cent of the sample comprising single-household earners and 54 per cent sharing household income. Analysis of variance was conducted to examine the relationship dynamics between sense of coherence, level of income and financial well-being. Demographic variables that formed part of the survey results were included in the analysis. The relationships between sense of coherence and identified significant income level, financial well-being and demographic effects were further explored in Bonferroni multiple comparisons of means test and cross reference frequency tables that included Pearson’s chi-square and/or Cochran–Armitage trend tests. Detail results indicate that high-income employees exhibit a significantly stronger sense of coherence than low-income employees, and that, despite level of income, financial wellbeing is nevertheless positively related to sense of coherence. Results indicate important implications for managing a financially healthy workforce. Limitations are discussed and recommendations for future research are highlighted.

scholarly journals Inequality and Social Rank: Income Increases Buy More Life Satisfaction in More Equal Countries

2020 ◽  
pp. 014616722092385
Author(s):  
Edika G. Quispe-Torreblanca ◽  
Gordon D. A. Brown ◽  
Christopher J. Boyce ◽  
Alex M. Wood ◽  
Jan-Emmanuel De Neve
Keyword(s):  
Life Satisfaction ◽  
Income Inequality ◽  
Low Income ◽  
Social Rank ◽  
Well Being ◽  
Subjective Well Being ◽  
Income Distributions ◽  
Equal Income ◽  
The Relationship ◽  
Positive Effect

How do income and income inequality combine to influence subjective well-being? We examined the relation between income and life satisfaction in different societies, and found large effects of income inequality within a society on the relationship between individuals’ incomes and their life satisfaction. The income–satisfaction gradient is steeper in countries with more equal income distributions, such that the positive effect of a 10% increase in income on life satisfaction is more than twice as large in a country with low income inequality as it is in a country with high income inequality. These findings are predicted by an income rank hypothesis according to which life satisfaction is derived from social rank. A fixed increment in income confers a greater increment in social position in a more equal society. Income inequality may influence people’s preferences, such that in unequal countries people’s life satisfaction is determined more strongly by their income.

scholarly journals Does employees’ subjective well-being affect workplace performance?

2017 ◽  
Vol 70 (8) ◽  
pp. 1017-1037 ◽  
Author(s):  
Alex Bryson ◽  
John Forth ◽  
Lucy Stokes
Keyword(s):  
Job Satisfaction ◽  
Well Being ◽  
Prima Facie ◽  
Estimation Methods ◽  
Subjective Well Being ◽  
Workplace Performance ◽  
Cross Sectional ◽  
Prima Facie Case ◽  
Nationally Representative ◽  
The Relationship

This article uses linked employer–employee data to investigate the relationship between employees’ subjective well-being and workplace performance in Britain. The analyses show a clear, positive and statistically significant relationship between the average level of job satisfaction at the workplace and workplace performance. The relationship is present in both cross-sectional and panel analyses and is robust to various estimation methods and model specifications. In contrast, we find no association between levels of job-related affect and workplace performance. Ours is the first study of its kind for Britain to use nationally representative data and it provides novel findings regarding the importance of worker job satisfaction in explaining workplace performance. The findings suggest that there is a prima facie case for employers to maintain and raise levels of job satisfaction among their employees. They also indicate that initiatives to raise aggregate job satisfaction should feature in policy discussions around how to improve levels of productivity and growth.

Promoting Mental Health and Well-Being in Public Health Law and Practice

2017 ◽  
Vol 45 (S1) ◽  
pp. 37-40 ◽  
Author(s):  
Jill Krueger ◽  
Nathaniel Counts ◽  
Brigid Riley
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Physical Health ◽  
Cultural Context ◽  
Well Being ◽  
Collective Impact ◽  
Health Law ◽  
Policies And Programs ◽  
The Relationship ◽  
Health And Well Being

This article discusses the relationship between stress, physical health, and well-being in cultural context, offers examples of laws, policies, and programs to promote mental health and well-being, and examines how collective impact supports mental health and well-being.

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