The Role of Sociodemographic Factors and Chronic Illness in Functional Disability of Older Kuwaitis

2010 ◽  
Vol 30 (5) ◽  
pp. 607-628 ◽  
Author(s):  
Nasra M. Shah ◽  
Hanan E. Badr ◽  
Makhdoom A. Shah
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S14-S14
Author(s):  
Danielle L Beatty Moody ◽  
Rao P Gullapalli ◽  
Christos Davatzikos ◽  
Shuyan Sun ◽  
Lesile Katzel ◽  
...  

Abstract Emerging evidence demonstrates that exposure to race-related adversity, specifically, individual-level discrimination, in middle-age is adversely linked with white matter lesion volume, a prospective marker of future cerebrovascular disease as indicated on Magnetic Resonance Imaging (MRI). It remains unclear whether exposure to indices of neighborhood-level structural discrimination (e.g., residential segregation, % of population employed & with high school diploma/equivalency), are linked to MRI-assessed brain pathology and how these linkages may be patterned by key sociodemographic characteristics (e.g., race, age, sex, class). Knowledge of this linkage may help us further understand well-documented racial disparities in multiple clinical brain health endpoints including stroke, dementia, cognitive decline, functional disability, and subclinical brain pathology in adulthood. Thusly, this talk will focus on work that examines whether neighborhood-level structural discrimination is associated with MRI-brain assessed indicators of subclinical brain pathology and the role of key sociodemographic factors, with emphasis on the role of race.


1999 ◽  
Author(s):  
Joshua M. Smyth ◽  
Jill Hockemeyer ◽  
Adam Hurewitz ◽  
Arthur A. Stone

Author(s):  
José Aparecido Soares Lopes ◽  
Luana Giatti ◽  
Rosane Harter Griep ◽  
Antonio Alberto da Silva Lopes ◽  
Sheila Maria Alvim Matos ◽  
...  

Abstract Background Life course epidemiology is a powerful framework to unravel the role of socioeconomic position (SEP) disparities in hypertension (HTN). This study investigated whether life course SEP is associated with HTN incidence. Specifically, to test whether cumulative low SEP throughout life and unfavorable intergenerational social mobility increased HTN incidence. METHODS Longitudinal analysis of 8,754 ELSA-Brasil participants without HTN or cardiovascular in visit 1 (2008–2010). The response variable was the incidence of HTN between visits 1 and 2 (2012–2014). The explanatory variables were childhood, youth, and adulthood SEP, cumulative low SEP, and intergenerational social mobility. Associations were estimated by incidence rate ratios (IRRs) obtained by generalized linear models, with Poisson distribution and logarithmic link function, after adjustment for sociodemographic, behavioral, and health factors. RESULTS The incidence of HTN was 43.2/1,000 person-years, being higher in males, elderly (70–74 years), self-declared black, and low SEP individuals. After considering sociodemographic factors, low SEP in childhood, youth, and adulthood remained statistically associated with increased HTN incidence. Individuals in the third (IRR: 1.26; 95% confidence interval (CI): 1.11–1.44) and fourth top quartiles (IRR: 1.29; 95% CI: 1.11–1.49) of cumulative low SEP, vs. first, as well as those with low stable intergenerational trajectory (IRR: 1.29; 95% CI: 1.16–1.43), vs. high stable, also had increased HTN incidence rates. Conclusions Socioeconomic disparities at all phases of the life cycle appear to raise HTN incidence rates, being the individuals with greater accumulation of exposure to low SEP and with more unfavorable intergenerational mobility at greatest risk, even in a short follow-up time.


2006 ◽  
Vol 32 (3) ◽  
pp. 235-253 ◽  
Author(s):  
Jennifer L. Barsky ◽  
Michael A. Friedman ◽  
Raymond C. Rosen

2017 ◽  
Vol 4 (3) ◽  
Author(s):  
Jim Varghese ◽  
Sahana Madhyastha ◽  
Vijay Kumar

Introduction: Pain is primarily a psychological experience. Based on social learning theory, studies have examined association between parental behaviours and child’s functioning in various pain situations. Objectives: 1) to examine relationship of parental responses to pain catastrophization, functional disability and pain intensity in children with functional pain complaints. 2) to explore psychosocial problems associated with functional pain. Methodology: Participants were 43 children diagnosed with functional pain, referred from Paediatric units of Kasturba Hospital, Manipal. Measures examining parental responses to pain, pain catastrophization, pain intensity, functional limitations and psychosocial problems were administered. Results: Analyses revealed significant associations between pain catastrophization and some of its types and functional disability. On the whole, statistically significant relationship between parental responses and pain catastrophization was not observed. But, on gender based analysis, solicitous parental response predicted pain rumination aspect of pain catastrophization in females. Among psychosocial problems, school and family problems were predominant. Conclusions: This study highlighted the role of pain catastrophization in predicting functional limitations in children and role of parental attention in increasing pain rumination in females. Hence, intervention should target the exaggerated pain perceptions, parental attention and psychosocial problems to ameliorate the functional limitations.


2021 ◽  
Vol 12 (1) ◽  
pp. 166-170
Author(s):  
Anagha S Hirapure ◽  
Saurabh Deshmukh ◽  
Trupti Thakre

Background: Palmo-plantar psoriasis in a non-inflammatory skin condition in which it is capable to produce functional disability. It is the type of psoriasis which occurs in palms and soles together with features like scaling, erythema and itching, pustules cracked & pain, and is limited. Palmo-plantar is the disease which does not have a specific line of treatment, but can be assessed and treated with classical line of Ayurvedic management. This Palmo-plantar not only affects physically but also disturbs the mental health of patient In Ayurveda all the skin diseases are described under single topic; Kushtha (Skin disorders). As Palmo-Plantar psoriasis is compared with Vipadika Kshudra Kushta (cracked bilateral soles & palms) in Ayurveda, the predominant Dosha’s (fundamental bodily bio-elements) are Vata (governs movement of body & mind) & Kapha (controls immune system) in which Vaman Karma (Emesis) is useful. Aim: To evaluate the role of Ayurveda treatment modalities in Vipadika Kshudra Kushta. Materials & Methods: A case report of 56 year old male patient suffering from scaling of both palms and soles with severe pain since 16 years is presented in this article where the patient got satisfactory relief by adopting Shodhan Karma (purification treatment) followed by Shaman Chikitsa (pacifying treatment) with dietary and behavioral lifestyle modification. The symptoms were reduced by Vaman procedure. Result: Patient got about 80% relief after the treatment by which one can say that the palmo-plantar psoriasis can be treated by Ayurveda Medicine.


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