Social Factors and Life Events as Predictors for Children's Health

1982 ◽  
Vol 10 (3) ◽  
pp. 87-93 ◽  
Author(s):  
Jørgen Aagaard
Keyword(s):  
Life Events ◽  
Present State ◽  
Social Factors ◽  
Family Background ◽  
Social Background ◽  
State Of Health ◽  
Index Hospitalization ◽  
Paediatric Department ◽  
One Year

During a period of one year information concerning social background, life events and diseases of children (aged 1—14) admitted to a paediatric department had been obtained. One year after this index hospitalization, information concerning the children's present state of health was obtained. Forty (13%) had been readmitted to hospital during the follow-up year, and the parents of 72 children (23%) reported that their child's present state of health was poor. A multivariate predictor analysis was performed. The associations discovered suggest 1) that the selected social or psycho-social factors do not appear to be of considerable importance for prediction of readmission to hospital, 2) that “poor health” in the children has a very complex prediction pattern, partly due to disease variables, partly due to indices of unfavourable family background.

The Prognosis of Depression in Old Age

1983 ◽  
Vol 142 (2) ◽  
pp. 111-119 ◽  
Author(s):  
Elaine Murphy
Keyword(s):  
Life Events ◽  
Life Stress ◽  
Intimate Relationship ◽  
Class Differences ◽  
Poor Outcome ◽  
Physical Health Problems ◽  
The Face ◽  
One Year ◽  
Severe Life Events

SummaryThe paper describes a one year prospective study of 124 elderly depressed patients. Only one third of the group had a good outcome. Poor outcome was associated with severity of initial illness, those with depressive delusions having a particularly poor outcome. Outcome was also influenced by physical health problems and severe life events in the follow-up year. Social class differences in outcome were thought to be due to class differences in the experience of severe life events. There was no evidence that an intimate relationship protected against relapse in the face of continuing life stress.

Abstract 284: Length Of Stay In Index Hospitalization Of Decompensated Heart Failure With Preserved Ejection Fraction As A Factor For 30-day Readmission And 1-year Mortality

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Sunil Saith ◽  
Ciril Khorolsky ◽  
Anuragh Trikha ◽  
Tamta Chkhikvadze ◽  
Jung-eun Ha ◽  
...  
Keyword(s):  
Heart Failure ◽  
Length Of Stay ◽  
Ejection Fraction ◽  
Primary Care Physicians ◽  
The United States ◽  
P Value ◽  
Preserved Ejection Fraction ◽  
Index Hospitalization ◽  
One Year

Introduction: Heart Failure is one of the leading causes of readmission in the United States. Heart Failure with preserved Ejection Fraction (HFpEF) accounts for a growing proportion of heart failure hospitalizations and accounts for approximately half of hospitalizations today. Unlike Heart Failure with reduced Ejection Fraction (HFrEF), there are no consensus-driven guidelines for the management of HFpEF. Methods: We collected demographic data, co-morbidities, laboratory and echocardiographic data on patients hospitalized with HFpEF throughout our health care system between August 2016 to August 2017. We assessed length of stay (LOS), whether the patient was re-admitted for any cause within 30 days and whether the patient died within 1 year of index hospitalization. We performed a Wilcoxon rank-sum test comparing patients who were both readmitted within 30 days for any reason and died within 1 year, against patients who were readmitted but were verified alive at one-year follow-up. Results: There were 366 patients hospitalized for HFpEF during the study period. Overall 30-day readmission rate was 24.3%, with a one-year mortality of 19.9%. One-year outcomes was verifiable for 359 patients. There were 27 patients who were readmitted within 30 days and died within one year of follow-up. Median LOS was significantly greater in patients during index hospitalization who died within 1 year of follow-up (Median LOS: 8 days, IQR 5-10 days), compared to patients who were readmitted within 30 days, but were alive at 1-year follow-up (Median LOS: 5 days, IQR: 3-8 days; p-value = 0.001). Conclusions: Among patients who were re-hospitalized within 30 days of an index hospitalization for HFpEF, LOS was significantly greater than patients who died within one year, compared to patients who remained alive at one-year follow-up. This may help identify a high-risk subset on index hospitalization and assist care transition teams and primary care physicians at follow-up in regarding discussions on goals of care and life sustaining treatments.

scholarly journals A class act? Social background and body modifications in Australia

2018 ◽  
Vol 54 (3) ◽  
pp. 412-428 ◽  
Author(s):  
Bruce Tranter ◽  
Ruby Grant
Keyword(s):  
Working Class ◽  
Survey Data ◽  
Life Events ◽  
Young Women ◽  
Social Factors ◽  
State Level ◽  
Social Background ◽  
Body Modification ◽  
Body Modifications

Are we witnessing the democratisation of body modification in Australia? The prevalence and social background of body modifications is examined using national and state-level survey data from Australia. We find body modifications to be more prevalent among younger, less educated, working-class, non-conservative Australians. Women are far more likely than men are to have body piercings, although in Queensland, young women are more likely than young men to be tattooed. Important life events such as pregnancy, separating from a long-term partner or experiencing violence are also associated with body modifications. While body modifications may be on the rise, social factors still influence the uptake of body modification practices in Australia, suggesting these are socially circumscribed taste-based practices, and should not yet be described as normative.

scholarly journals Identifying People with Depression: The role of ‘Self Rated Health’

2019 ◽  
Vol 8 (1) ◽  
pp. 10-16
Author(s):  
Nafisa Huq ◽  
Tarzia Choudhury ◽  
Samia Aziz ◽  
SM Yasir Arafat ◽  
M Omar Rahman
Keyword(s):  
Chronic Diseases ◽  
Life Events ◽  
Health Workers ◽  
Demographic Variables ◽  
Community Based ◽  
Self Rated Health ◽  
One Year ◽  
Independent University

Depression is the leading cause of disability worldwide. However, it is under recognized and undertreated. Self-rated health is a one-item question that has been used for population health monitoring. It was aimed to examine the prospect of using ‘self-rated health’ (SRH) in identifying people with depression among adult community-based population in Bangladesh over a one-year period controlling for socio-demographic, chronic diseases and symptoms, physical disability, smoking, and life events. We examined data from 3455 participants aged 18 years and above who participated in the 2015 January and 2016 January Health and Socio-Economic Survey of Independent University, Bangladesh. Using multiple logistic regressions, depression at baseline was examined to predict self-rated health at one-year follow-up adjusting for socio-demographic variables, chronic diseases, risk behaviors, and life events. Respondents with depression at baseline had 35% higher odds of reporting poor SRH in the follow-up round compared to those with no depression (OR=1.35, 95% CI=1.03 1.78, P<0.03). SRH may be used by community health workers as a preliminary indicator to identify people who may have depression followed by further screening and management for depression. South East Asia Journal of Public Health Vol.8(1) 2018: 10-16

Social Influences on the Course of Anxious and Depressive Disorders in School-Age Children

1991 ◽  
Vol 158 (5) ◽  
pp. 676-684 ◽  
Author(s):  
Ian Goodyer ◽  
Elizabeth Germany ◽  
Jaya Gowrusankur ◽  
Patricia Altham
Keyword(s):  
Life Events ◽  
Social Factors ◽  
Depressive Disorders ◽  
Social Influences ◽  
School Age Children ◽  
School Age ◽  
Follow Up Study ◽  
Trained Personnel ◽  
Mental Symptoms

In a follow-up study of 49 children and adolescents with anxious or depressive disorders up to 50% had not recovered. In the 12 months preceding onset there were no social factors which predicted recovery at follow-up. Between onset and follow-up the children were less likely to be exposed to undesirable life events, and significant improvements in maternal confiding relationships were reported. Neither of these improvements predicted the level of recovery at follow-up. Poor recovery is best predicted by moderate to poor friendships after the onset of disorder, particularly for those with a diagnosis of depression. Further confirmation is provided that direct interviewing of children by trained personnel using semistructured schedules is a valid method for determining mental symptoms and perception of recent friendships.

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