Mediating role of multimorbidity in inequality in mortality: a register study on the Danish population

2021 ◽  
pp. jech-2021-218211
Author(s):  
Finn Diderichsen ◽  
Anne Mette Bender ◽  
Alice Clark Lyth ◽  
Ingelise Andersen ◽  
Jacob Pedersen ◽  
...  
Keyword(s):  
Social Inequality ◽  
Educational Status ◽  
Risk Difference ◽  
Danish Population ◽  
Differential Survival ◽  
Mediating Role ◽  
The Social ◽  
Additive Hazard Model ◽  
Low Educated ◽  
Multimorbid Patients

BackgroundThe social inequality in mortality is due to differential incidence of several disorders and injury types, as well as differential survival. The resulting clustering and possible interaction in disadvantaged groups of several disorders make multimorbidity a potentially important component in the health divide. This study decomposes the effect of education on mortality into a direct effect, a pure indirect effect mediated by multimorbidity and a mediated interaction between education and multimorbidity.MethodsThe study uses the Danish population registers on the total Danish population aged 45–69 years. A multimorbidity index based on all somatic and psychiatric hospital contacts as well as prescribed medicines includes 22 diagnostic groups weighted together by their 5 years mortality risk as weight. The Aalen additive hazard model is used to estimate and decompose the 5 years risk difference in absolute numbers of deaths according to educational status.ResultsMost (69%–79%) of the effect is direct not involving multimorbidity, and the mediated effect is for low educated women 155 per 100 000 of which 87 is an effect of mediated interaction. For low educated men, the mediated effect is 250 per 100 000 of which 93 is mediated interaction.ConclusionMultimorbidity plays an important role in the social inequality in mortality among middle aged in Denmark and mediated interaction represents 5%–17%. As multimorbidity is a growing challenge in specialised health systems, the mediated interaction might be a relevant indicator of inequities in care of multimorbid patients.

Mediasi Kepuasan Kerja dan Stres Kerja pada Hubungan antara Program Jamsostek dan Kinerja Karyawan Studi Kasus pada Perusahaan Swasta di DIY dan Solo

2013 ◽  
Vol 3 (1) ◽  
pp. 75
Author(s):  
Eny Sulistyowati ◽  
Totok Danangdjojo
Keyword(s):  
Job Satisfaction ◽  
Social Security ◽  
Job Stress ◽  
Work Stress ◽  
Program Performance ◽  
Social Security Program ◽  
Mediating Role ◽  
The Social ◽  
The Relationship

<span><em>This study aims to explain the influence of the Social Security </em><span><em>program on performance and job satisfaction and job stress as a mediating </em><span><em>variable. In addition, this study also describes the effect of job satisfaction on </em><span><em>the performance and the effect of work stress on performance. The relationship of </em><span><em>each variable in this research is to be measured by conducting a survey on 145 </em><span><em>employees of private companies that included in Social Security program on </em><span><em>DIY and Solo. Then the path analisys used to test the effect of social security </em><span><em>program performance in mediation by job satisfaction, performance and job stress</em><span><em>, job satisfaction, and examines the effect on the performance and the effect of </em><span><em>work stress on performance. The results showed that the social security program </em><span><em>significant positively affects job satisfaction and performance. Job satisfaction was </em><span><em>also positively and significantly affect performance. Even though mediating role </em><span><em>of job satisfaction in the relationship between social security program performance </em><span><em>partial. Because merely direct relationship between social security program with </em><span><em>greater performance than the mediating role of job satisfaction. Social Security </em><span><em>program did not significantly affect the stress of work, as well as job stress did </em><span><em>not significantly affect performance. Therefore, the mediating role of work stress </em><span><em>on the relationship between social security program with the performance did not </em><span><em>occur. Individual differences and work experience may be a factor that causes no </em><span><em>significant relationship between the two variables.</em></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br /></span>

Social comparison orientation and mental health: The mediating role of psychological capital

2020 ◽  
Author(s):  
Guoliang Yang ◽  
Zhihua Wang ◽  
Weijiong Wu
Keyword(s):  
Mental Health ◽  
Social Comparison ◽  
Psychological Capital ◽  
Mediating Effect ◽  
Mediating Role ◽  
The Social ◽  
Social Comparison Orientation ◽  
Using Data ◽  
The Impact ◽  
The Relationship

Little is known about the relationship between social comparison orientation and mental health, especially in the psychological capital context. We proposed a theoretical model to examine the impact of ability- and opinion-based social comparison orientation on mental health using data from 304 undergraduates. We also examined the mediating effect of the four psychological capital components of hope, self-efficacy, resilience, and optimism in the relationship between social comparison orientation and mental health. Results show that an ability (vs. opinion) social comparison orientation was negatively (vs. positively) related to the psychological capital components. Further, the resilience and optimism components of psychological capital fully mediated the social comparison orientation–mental health relationship. Our findings indicate that psychological capital should be considered in the promotion of mental health, and that the two social comparison orientation types have opposite effects on psychological capital.

Conclusion: Rethinking Punishment

2018 ◽  
Author(s):  
Didier Fassin
Keyword(s):  
Social Inequality ◽  
Political Violence ◽  
Social Order ◽  
Social Groups ◽  
The Social ◽  
Ideal Language ◽  
The Status ◽  
The Ideal

If punishment is not what we say it is, if it is not justified by the reasons we invoke, if it facilitates repeat offenses instead of preventing them, if it punishes in excess of the seriousness of the act, if it sanctions according to the status of the offender rather than to the gravity of the offense, if it targets social groups defined beforehand as punishable, and if it contributes to producing and reproducing disparities, then does it not itself precisely undermine the social order? And must we not start to rethink punishment, not only in the ideal language of philosophy and law but also in the uncomfortable reality of social inequality and political violence?

The path of support-to-sales: mediating role of seller collaborative information exchange in social commerce

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Li Chen ◽  
Fengxia Zhu ◽  
Murali Mantrala
Keyword(s):  
Information Exchange ◽  
Instrumental Support ◽  
Trade Volume ◽  
Social Commerce ◽  
Content Type ◽  
Mediating Role ◽  
The Social ◽  
Source Data ◽  
Negative Effect

Purpose This paper aims to systematically investigate the direct and indirect effects of four types of support – peer instrumental support, peer emotional support, platform business support and platform communication support – on seller trade volume in social commerce. It also aims to uncover the path of support-to-sales of the seller from a platform perspective and provides a more complete picture of the social commerce phenomenon. Design/methodology/approach This paper uses multi-source data including primary survey data and secondary data on trade volume to test the hypotheses. PROCESS mediation model is used to analyze the multi-source data set. Findings This study finds that the positive effects of peer instrumental support, platform business support and platform communication support on seller trade volume are fully mediated by seller collaborative information exchange. Also, peer emotional support has a significant negative effect on seller trade volume and collaborative information exchange can serve as a buffer to mitigate the negative effect. Research limitations/implications The authors provide new insights into what types of support are or are not conducive to improving transaction volume of individual sellers and highlight the mediating role of seller information exchange in this value generation process in social commerce. These findings advance current knowledge of how seller interactions increase value in social commerce. The chosen research setting may limit the generalizability of the findings of this study. Practical implications This paper offers valuable implications for social commerce platforms on how to better serve their sellers to achieve high growth. Specifically, the findings suggest that platforms should encourage instrumental support and information exchange among peer sellers. In addition, platforms should expand seller support from a single-focus on sellers’ business to a dual-focus on both sellers’ business and socialization in social commerce. Originality/value This paper fulfills an identified need to study how sellers can better derive value from the social interactions and how social commerce platforms can effectively influence transactions, support sales and serve as a selling platform.

scholarly journals The Relevance of Inequality Research in Sociology for Inequality Reduction

2021 ◽  
Vol 7 ◽  
pp. 237802312110201
Author(s):  
Thomas A. DiPrete ◽  
Brittany N. Fox-Williams
Keyword(s):  
Social Sciences ◽  
Social Policy ◽  
Social Inequality ◽  
Large Scale ◽  
Sociological Research ◽  
Life Chances ◽  
The Past ◽  
The Social ◽  
Large Scale Change ◽  
The Subject

Social inequality is a central topic of research in the social sciences. Decades of research have deepened our understanding of the characteristics and causes of social inequality. At the same time, social inequality has markedly increased during the past 40 years, and progress on reducing poverty and improving the life chances of Americans in the bottom half of the distribution has been frustratingly slow. How useful has sociological research been to the task of reducing inequality? The authors analyze the stance taken by sociological research on the subject of reducing inequality. They identify an imbalance in the literature between the discipline’s continual efforts to motivate the plausibility of large-scale change and its lesser efforts to identify feasible strategies of change either through social policy or by enhancing individual and local agency with the potential to cumulate into meaningful progress on inequality reduction.

scholarly journals COVID-19 Pandemic in Rio de Janeiro, Brazil: A Social Inequality Report

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 596
Author(s):  
Yago Bernardo ◽  
Denes do Rosario ◽  
Carlos Conte-Junior
Keyword(s):  
Observational Study ◽  
Social Inequality ◽  
Rio De Janeiro ◽  
Case Fatality Rate ◽  
Case Fatality ◽  
Mitigation Measures ◽  
Fatality Rate ◽  
Retrospective Report ◽  
The Social ◽  
The City

Background and Objectives: To perform a retrospective report on the lethality of COVID-19 in different realities in the city of Rio de Janeiro (RJ). Materials and Methods: We accomplished an observational study by collecting the data about total confirmed cases and deaths due to COVID-19 in the top 10 high social developed neighborhoods and top 10 most populous favelas in RJ to determine the case-fatality rate (CFR) and compare these two different realities. Results: CFR was significatively higher in poverty areas of RJ, reaching a mean of 9.08% in the most populous favelas and a mean of 4.87% in the socially developed neighborhoods. Conclusions: The social mitigation measures adopted in RJ have benefited only smaller portions of the population, excluding needy communities.

scholarly journals The Relationship Between Social Support and Postpartum Depression in Mothers with Premature Babies

2018 ◽  
Author(s):  
Mohammad Shafie ◽  
Hamideh Davoodizadeh Jolgeh ◽  
Maryam Dabirifard ◽  
Sara Dabirifard ◽  
Milad Shafiee
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Neonatal Intensive Care ◽  
Economic Status ◽  
Educational Status ◽  
P Value ◽  
Significance Level ◽  
Premature Newborns ◽  
Premature Babies ◽  
The Social

Introduction: Failure in social support is one of the important factors in developing postpartum depression. Since mothers with premature or sick babies have higher levels of anxiety during postpartum period in comparison with other members, they need more social support. So, in this study we decided to evaluate the relation between postpartum depression and the level of social support in mothers who have premature newborns. Methods: This descriptive-correlative study was conducted on 100 mothers who had premature newborns and were  discharged from the Neonatal Intensive Care Unit of Shahid Sadoughi Hospital in 2016. The sampling was conducted using the available sampling method. Mothers were asked to complete the social support and postpartum depression questionnaire. . All collected data were entered to the SPSS v.17 and analyzed by the analytic and descriptive statistical indices. The significance level was set at p-value<0.05. Results: The final results revealed that social support had a significant association (p-value<0.05) with the number of mother’s child, her husband’s job,  and family economic status . Furthermore, the findings revealed that postpartum depression had a significant association with the father's job, the educational status of father, and the economic status of family. Conclusion: It can be concluded that the more social support leds to the less incidence of postpartum depression.

scholarly journals Intersektionalitet som sociologisk begreb

2011 ◽  
Vol 22 (4) ◽  
pp. 71-88 ◽  
Author(s):  
Sune Qvotrup Jensen ◽  
Ann-Dorte Christensen
Keyword(s):  
Social Sciences ◽  
Everyday Life ◽  
Social Inequality ◽  
Key Words ◽  
Social Structures ◽  
Black American ◽  
Social Differentiation ◽  
Social Forms ◽  
The Social ◽  
Different Types

Intersektionalitetsbegrebet indebærer, at sociale differentieringsformer som køn, klasse, etnicitet og ”race” er gensidigt konstituerende både på et identitetsmæssigt og strukturelt niveau. Begrebet har haft stor gennemslagskraft og bidraget positivt til fornyelse af dansk og international kønsforskning. Da begrebet rummer potentialer til analyser af komplekse sociale differentieringer, er det imidlertid også relevant for en bredere sociologi. Nutidige højt differentierede samfund fordrer således begreber og metodologier, som er egnede til at gribe kompleksitet. Intersektionalitetstænkningen har teorihistoriske rødder i amerikansk sort standpunktsfeminisme. I Danmark blev begrebet først anvendt af poststrukturalistiske socialpsykologer, som gentænkte det og gjorde det velegnet til at analysere, hvordan komplekse identiteter skabes i hverdagslivet. Senere er begrebet blevet anvendt af kønsforskere med andre faglige og videnskabsteoretiske udgangspunkter. I artiklen fremhæves det, at intersektionalitetsbegrebet kan anvendes til at producere forskellige typer sociologisk viden. I den forbindelse præsenteres en typologi over forskellige tilgange til intersektionalitetsanalyser, som bruges som afsæt til at skitsere tre eksempler på analyser af social ulighed og eksklusion. ENGELSK ABSTRACT: Sune Qvotrup Jensen and Ann-Dorte Christensen: Inter-sectionality as a Sociological Concept Contemporary highly differentiated societies require concepts and methodologies which are suited for grasping complexity. Intersectionality is a fruitful approach to analyze this complexity because social forms of differentiation such as gender, class, ethnicity and “race” are understood as mutually co-constructing at the level of individual identities and at the level of social structures. Intersectionality is a travelling concept which is theoretically rooted in black American feminism. In Denmark, the concept was first used by post-structuralist social psychologists, who adapted it to analyzing how complex identities were created in everyday life. Later on the concept was later taken up by gender researchers within the social sciences. This article analyses how the concept of intersectionality can be used to produce different types of sociological knowledge. It introduces a typology of approaches to intersectionality analyses, which serves as the backdrop for three examples of analyses of social inequality and exclusion. Key words: Intersectionality, complexity, social differentiation, gender, class, ethnicity.

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