scholarly journals Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort

Author(s):  
Jens Hoebel ◽  
Markus M Grabka ◽  
Carsten Schroeder ◽  
Sebastian Haller ◽  
Hannelore Neuhauser ◽  
...  

Background: Evidence on the relationship between socioeconomic position (SEP) and infections with the SARS-CoV-2 coronavirus is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level. Methods: The 'CORONA-MONITORING bundesweit' (RKI-SOEP) study is a seroepidemiological survey among a dynamic cohort of the German adult population (n=15,122; October 2020 to February 2021). Dried blood samples were tested for SARS-CoV-2 antibodies and oral-nasal swabs for viral RNA. SEP was measured by education and income. Robust logistic regression was used to examine adjusted associations of SARS-CoV-2 infections with SEP. Results: 288 participants were seropositive, PCR-positive, or self-reported a previous laboratory-confirmed SARS-CoV-2 infection. The adjusted odds of SARS-CoV-2 infection were 1.87-fold (95% confidence interval [CI]=1.06–3.29) higher among low-educated than highly educated adults. Evidence was weaker for income differences in infections (odds ratio=1.65; 95% CI=0.89–3.05). Highly educated adults had lower odds of undetected infection. Conclusions: The results indicate an increased risk of SARS-CoV-2 infection in low-educated groups. To promote health equity in the pandemic and beyond, social determinants should be addressed more in infection protection and pandemic planning.

2021 ◽  
pp. jech-2021-217653
Author(s):  
Jens Hoebel ◽  
Markus M Grabka ◽  
Carsten Schröder ◽  
Sebastian Haller ◽  
Hannelore Neuhauser ◽  
...  

BackgroundEvidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level.MethodsThe ‘CORONA-MONITORING bundesweit’ (RKI-SOEP) study is a seroepidemiological survey among a dynamic cohort of the German adult population (n=15 122; October 2020–February 2021). Dried blood samples were tested for SARS-CoV-2 antibodies and oral-nasal swabs for viral RNA. SEP was measured by education and income. Robust logistic regression was used to examine adjusted associations of SARS-CoV-2 infections with SEP.Results288 participants were seropositive, PCR positive or self-reported a previous laboratory-confirmed SARS-CoV-2 infection. The adjusted odds of SARS-CoV-2 infection were 1.87-fold (95% CI 1.06 to 3.29) higher among low-educated than highly educated adults. Evidence was weaker for income differences in infections (OR=1.65; 95% CI 0.89 to 3.05). Highly educated adults had lower odds of undetected infection.ConclusionThe results indicate an increased risk of SARS-CoV-2 infection in low-educated groups. To promote health equity in the pandemic and beyond, social determinants should be addressed more in infection protection and pandemic planning.


2020 ◽  
Vol 69 (5) ◽  
pp. 349-374
Author(s):  
Frank Micheel

Zusammenfassung Aus der Literatur ist bekannt, dass der Zugang zum Freiwilligenbereich in der „Lebensphase Alter“ durch Bildungsnachteile systematisch erschwert wird. Dieser Beitrag diskutiert, welche Faktoren ein freiwilliges Engagement von älteren Niedriggebildeten begünstigen und wie stark sie im Vergleich zu Hochgebildeten wirken. Auf Basis des Freiwilligensurveys aus dem Jahr 2014 wird nach differenzierenden Merkmalen (demografische Merkmale, Ressourcen, persönliche Werte sowie kontextuelle Aspekte) zur Erklärung freiwilliger Aktivitäten innerhalb der beiden Bildungsgruppen untersucht. Aus den multivariaten Analysen lassen sich folgende politische Implikationen ableiten: Strukturelle Verbesserungen in der gesundheitlichen Versorgung, in den ostdeutschen Regionen sowie in der Stadt- und Sozialplanung erhöhen die Chancen für Niedriggebildete zur sozialen Teilhabe im Freiwilligenbereich. Auf der individuellen Ebene ist die Stärkung der wahrgenommenen Erwartungskompetenz ein vielversprechender Ansatz. Abstract: Volunteering in Old Age: A Comparison Between Low and Highly Educated Individuals Aged 50+ It is known from literature that access to volunteering in old age is systematically restricted by educational disadvantages. This article discusses which factors enable older people with low education to volunteering compared to highly educated people. Based on the German Survey on Volunteering from 2014, empirical investigations explore differentiated characteristics (demographics, resources, individual values and social aspects) explaining volunteering within both educational groups. The following political implications are derived from multivariate analyses: Structural improvements in the areas of healthcare provision, in Eastern Germany, as well as urban and social planning raise the odds for volunteering among the low educated. On the individual level, improving perceived self-efficacy is a promising approach.


2021 ◽  
pp. 170-195
Author(s):  
Elena I. Rasskazova ◽  
Galina V. Soldatova ◽  
Yulia Y. Neyaskina ◽  
Olga S. Shiriaeva

Relevance. The modern society creates the image of a successful person as actively interacting with different information flows, including an impressive stream of news content. This paper assumes that there is a personal need for tracking and spreading news that develops in the interaction between person and digital world. The individual level of this need could explain the interaction with information (its critical and uncritical dissemination) and the subjective experience of its redundancy and inaccuracy, including those experiences and actions in a pandemic situation. The aim of the study was to reveal the relationship of the subjective need for news with personal values, beliefs about technologies (“technophilia”) and the dissemination of news about the pandemic. Method. 270 people (aged 18 to 61) filled out The short (Schwartz) Portrait Values Questionnaire (PVQ), Beliefs about New Technologies Questionnaire, Monitoring of Information about Coronavirus Scale as well as items on the subjective need for receiving and disseminating news, readiness for critical and non-critical dissemination of news about pandemics, subjective experiences of redundancy and distrust of pandemic-related information. Results. According to the results, the Need for News Scale allows assessing the subjective importance of receiving news and discussing them with other people and is characterized by sufficient consistency and factor validity. The need for regular news is more pronounced among men, older people, people with higher education, married people, people who have children, while the need to discuss news is not related to sociodemographic factors. For people, who are more prone to technophilia, it is more important to regularly receive and discuss news information with others, which, in turn, mediates the relationship between technophilia and monitoring news about coronavirus. The need for news dissemination mediates the relationship between technophilia and readiness for critical and non-critical dissemination of information about the pandemic.


Stroke ◽  
2021 ◽  
Author(s):  
Shahram Oveisgharan ◽  
Lei Yu ◽  
Ana Capuano ◽  
Zoe Arvanitakis ◽  
Lisa L. Barnes ◽  
...  

Background and Purpose: The general cardiovascular Framingham risk score (FRS) identifies adults at increased risk for stroke. We tested the hypothesis that baseline FRS is associated with the presence of postmortem cerebrovascular disease (CVD) pathologies. Methods: We studied the brains of 1672 older decedents with baseline FRS and measured CVD pathologies including macroinfarcts, microinfarcts, atherosclerosis, arteriolosclerosis, and cerebral amyloid angiopathy. We employed a series of logistic regressions to examine the association of baseline FRS with each of the 5 CVD pathologies. Results: Average age at baseline was 80.5±7.0 years and average age at death was 89.2±6.7 years. A higher baseline FRS was associated with higher odds of macroinfarcts (odds ratio, 1.10 [95% CI, 1.07–1.13], P <0.001), microinfarcts (odds ratio, 1.04 [95% CI, 1.01–1.07], P =0.009), atherosclerosis (odds ratio, 1.07 [95% CI, 1.04–1.11], P <0.001), and arteriolosclerosis (odds ratio, 1.04 [95% CI, 1.01–1.07], P =0.005). C statistics for these models ranged from 0.537 to 0.595 indicating low accuracy for predicting CVD pathologies. FRS was not associated with the presence of cerebral amyloid angiopathy. Conclusions: A higher FRS score in older adults is associated with higher odds of some, but not all, CVD pathologies, with low discrimination at the individual level. Further work is needed to develop a more robust risk score to identify adults at risk for accumulating CVD pathologies.


2017 ◽  
Vol 8 (7) ◽  
pp. 816-826 ◽  
Author(s):  
Gilad Feldman ◽  
Huiwen Lian ◽  
Michal Kosinski ◽  
David Stillwell

There are two conflicting perspectives regarding the relationship between profanity and dishonesty. These two forms of norm-violating behavior share common causes and are often considered to be positively related. On the other hand, however, profanity is often used to express one’s genuine feelings and could therefore be negatively related to dishonesty. In three studies, we explored the relationship between profanity and honesty. We examined profanity and honesty first with profanity behavior and lying on a scale in the lab (Study 1; N = 276), then with a linguistic analysis of real-life social interactions on Facebook (Study 2; N = 73,789), and finally with profanity and integrity indexes for the aggregate level of U.S. states (Study 3; N = 50 states). We found a consistent positive relationship between profanity and honesty; profanity was associated with less lying and deception at the individual level and with higher integrity at the society level.


2018 ◽  
Vol 15 (138) ◽  
pp. 20170696 ◽  
Author(s):  
Olga Morozova ◽  
Ted Cohen ◽  
Forrest W. Crawford

Epidemiologists commonly use the risk ratio to summarize the relationship between a binary covariate and outcome, even when outcomes may be dependent. Investigations of transmissible diseases in clusters—households, villages or small groups—often report risk ratios. Epidemiologists have warned that risk ratios may be misleading when outcomes are contagious, but the nature of this error is poorly understood. In this study, we assess the meaning of the risk ratio when outcomes are contagious. We provide a mathematical definition of infectious disease transmission within clusters, based on the canonical stochastic susceptible–infective model. From this characterization, we define the individual-level ratio of instantaneous infection risks as the inferential target, and evaluate the properties of the risk ratio as an approximation of this quantity. We exhibit analytically and by simulation the circumstances under which the risk ratio implies an effect whose direction is opposite that of the true effect of the covariate. In particular, the risk ratio can be greater than one even when the covariate reduces both individual-level susceptibility to infection, and transmissibility once infected. We explain these findings in the epidemiologic language of confounding and Simpson's paradox, underscoring the pitfalls of failing to account for transmission when outcomes are contagious.


2021 ◽  
pp. 073428292110576
Author(s):  
Gordon L. Flett

While the importance of having self-esteem is widely recognized and has been studied extensively, another core component of the self-concept has been relatively neglected—a sense of mattering to other people. In the current article, it is argued that mattering is an entirely unique and complex psychological construct with great public appeal and applied significance. The various ways of assessing mattering are reviewed and evidence is summarized, indicating that mattering is a vital construct in that deficits in mattering are linked with consequential outcomes at the individual level (i.e., depression and suicidal tendencies), the relationship level (i.e., relationship discord and dissolution), and the societal level (i.e., delinquency and violence). Contemporary research is described which shows that mattering typically predicts unique variance in key outcomes beyond other predictor variables. Mattering is discussed as double-edged in that mattering is highly protective but feelings of not mattering are deleterious, especially among people who have been marginalized and mistreated. The article concludes with an extended discussion of key directions for future research and an overview of the articles in this special issue. It is argued that a complete view of the self and personal identity will only emerge after we significantly expand the scope of inquiry on the psychology of mattering.


2019 ◽  
Vol 41 (3) ◽  
pp. 592-613 ◽  
Author(s):  
Andrés Salas Vallina ◽  
Maria D. Moreno-Luzon ◽  
Anna Ferrer-Franco

PurposeThe purpose of this paper is twofold: first, to examine whether inspirational leadership of heads of specialized medical units is related to individual ambidexterity of their dependent physicians; and second, to study the possible mediating role of organizational learning capability (OLC) in the relationship between inspirational leadership and individual ambidexterity.Design/methodology/approachStructural equation modeling was used on a sample of 194 medical specialists from Spanish public hospitals.FindingsResults show that inspirational leadership is positively related to individual ambidexterity among healthcare physicians. In addition, the results of the study revealed that the relationship between inspirational leadership and individual ambidexterity is mediated by conditions that facilitate learning, namely, OLC.Research limitations/implicationsThis study uses cross-sectional data, which do not guarantee causality relationships among the examined variables.Practical implicationsThe results of this paper suggest first that heads of healthcare units should inspire followers to achieve both exploration and exploitation. Second, it is also necessary to consider that inspirational leaders promote those conditions that facilitate learning, which should be particularly taken into account to enhance both physician’s exploration and exploitation.Originality/valueIn stressing an evident gap in the relationship between leadership and ambidexterity at the individual level, this paper attempts to advance in the leadership literature by revealing how the action or power of moving the intellect or emotions, and enhancing enthusiasm and confidence, empowers physicians to both explore and exploit knowledge. The results also indicate that the inspiration transmitted by the heads of medical services, facilitate physician’s perceived learning conditions which, in turn, fosters their individual ambidexterity.


2019 ◽  
Vol 36 (11-12) ◽  
pp. 3471-3491
Author(s):  
Anthony E. Coy ◽  
Jody L. Davis ◽  
Jeffrey D. Green ◽  
Paul E. Etcheverry

A dyadic approach to studying relationship dynamics yields considerably more insights than examining each partner separately. Yet relatively little research has examined dyadic models of commitment, despite commitment being essential to relationship persistence. Accordingly, we tested a dyadic version of the investment model of commitment. In two cross-sectional studies of couples and one experiment, we tested the role of partner investments and perceived partner investments as novel antecedents of commitment. Studies 1 and 2 demonstrated that greater partner investments were related to greater levels of individuals’ commitment, while controlling for individuals’ own satisfaction with, investments in, and alternatives to the relationship. Study 3 revealed that partner-reported investments predicted commitment independent of perceived partner investments. The findings advance the investment model beyond the individual level, emphasizing the need to examine dyadic elements of relationships.


Author(s):  
Octavio Álvarez ◽  
Isabel Castillo ◽  
Vladimir Molina-García ◽  
Inés Tomás

Despite the well-known positive consequences of transformational coaches in sport, there is still little research exploring the mechanisms through which coaches’ transformational leadership exerts its impact on athletes. Multilevel SEM was used to examine the relationship between coaches’ transformational leadership style, a task-involving climate, and leadership effectiveness outcome criteria (i.e., players’ extra effort, coach effectiveness, and satisfaction with their coach), separately estimating between and within effects. A representative sample of 625 Spanish male soccer players ranging from 16 to 18 years old and nested in 50 teams completed a questionnaire package tapping the variables of interest. Results confirmed that at the team level, team perceptions of transformational leadership positively predicted teams’ perceptions of task climate, which in turn positively predicted the three outcome criteria. At the individual level, players’ perceptions of transformational leadership positively predicted teams’ perceptions of task climate, which in turn positively predicted teams’ extra effort and coach effectiveness. Mediation effects appeared at the team level for all the outcome criteria, and at the individual only for extra effort. Transformational leadership is recommended to enhance task climate, in order to increase players’ extra effort, their perceptions of the effectiveness of their coach, and their satisfaction with his/her leadership style.


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