scholarly journals Cross-Canada Forum – How we identify and count Aboriginal people—does it make a difference in estimating their disease burden?

2013 ◽  
Vol 33 (4) ◽  
pp. 277-280 ◽  
Author(s):  
WW Chan ◽  
C Ng ◽  
TK Young

Introduction We examined the concordance between the Canadian Community Health Survey (CCHS) ''identity'' and ''ancestry'' questions used to estimate the size of the Aboriginal population in Canada and whether the different definitions affect the prevalence of selected chronic diseases. Methods Based on responses to the ''identity'' and ''ancestry'' questions in the CCHS combined 2009–2010 microdata file, Aboriginal participants were divided into 4 groups: identity only; ancestry only; either ancestry or identity; and both ancestry and identity. Prevalence of diabetes, arthritis and hypertension was estimated based on participants reporting that a health professional had told them that they have the condition(s). Results Of participants who identified themselves as Aboriginal, only 63% reported having an Aboriginal ancestor; of those who claimed Aboriginal ancestry, only 57% identified themselves as Aboriginal. The lack of concordance also differs according to whether the individual was First Nation, Métis or Inuit. The different method of estimating the Aboriginal population, however, does not significantly affect the prevalence of the three selected chronic diseases. Conclusion The lack of concordance requires further investigation by combining more cycles of CCHS to compare discrepancy across regions, genders and socio-economic status. Its impact on a broader list of health conditions should be examined.

2020 ◽  
pp. 172-178
Author(s):  
I. Yu. Aleksandrova

The socio-psychological phenomenon “consumer mood”, which is interpreted as an emotional and evaluative summary of the subjective understanding of the individual of various information elements that form the semantic structure of his implicit theory of consumption, has been investigated. A hypothesis has been put forward that the formation of the semantic field of the implicit theory of consumption of an individual is based on two system-forming factors: 1) the real purchasing power of the consumer, 2) the dynamics of his socio-economic status. In the event that both factors have negative actual indicators, the mood of consumer will be characterized by a negative emotional tone and high stability over time. The proposed hypothesis is confirmed by the revealing and analysis of the main determinants of the current mood of Russian consumers, and their subsequent comparison with the consumer sentiment index, identificated empirically.


2019 ◽  
Vol 52 (Suppl 2) ◽  
pp. 15s ◽  
Author(s):  
Eli Iola Gurgel Andrade ◽  
Mariângela Leal Cherchiglia ◽  
Paulo Roberto Borges de Souza Junior ◽  
Fabíola Bof de Andrade ◽  
Juliana Vaz de Melo Mambrini ◽  
...  

OBJECTIVE: To describe the prevalence of receipt of pensions and associated factors in a nationally representative sample of the Brazilian population aged 50 years and over. METHODS: We used data from 9,130 participants from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) baseline survey. The outcome variable was receipt of pensions from any source. The exploratory variables were age, gender, residence by region and by urban/rural area, household arrangements, schooling, household assets, perception of income sufficiency, age when started working, number of chronic diseases, and functional limitation. The analyses were based on the Poisson and binary logistic regressions. RESULTS: The prevalence of the receipt of pension was 54.3%. In the multivariate analysis, the following factors showed statistically significant (p < 0.05) associations with the outcome: age [Prevalence Ratio (PR) = 2.59 and 3.24 for 60–69 and 70 years], rural residence (PR = 1.23 ), residence in the Northeast, South and Southeast compared to the North (PR ranging from 1.18 to 1.23), living arrangements (PR = 1.07 and 1.15 for living with one person and living alone), perception of income sufficiency (PR = 1.08 and 1.15 for sometimes and always), functional limitation (PR = 1.13) and having 1 and ≥ 2 chronic diseases (PR = 1,09 and 1,17). Negative association was observed for 5-8 years of education. No association between age when the individual started working and the outcome was observed. Younger participants (50–59 years old) with ≥ 2 diseases or functional limitation were 31% and 63% more likely to receive pensions, respectively; the strength of these associations declined with age. CONCLUSIONS: The results suggest that health conditions are important determinants of early retirement. Discussions to increase age to the retirement cannot be separated from those on improvements in the health conditions of the Brazilian population.


Author(s):  
Varun Vijay Gaiki ◽  
Venkartamana K. Sonkar ◽  
Ramesh Butta

Background: Nutrition plays important tole in the health, and specially in chronic diseases.  It plays important role in all levels if prevention. Thus awareness of patients, suffering from chronic diseases is important in view of secondary and tertiary levels of prevention.Methods: The present cross sections study was carried out with 20 question predesigned and tested questionnaire, in patients admitted to hospital for chronic diases with stay more than 15 days. Scores were calculated from the questionnaire administered and results compared.Results: it was observed that awareness of patients about diet in chronic conditions was not adequate. Average scores on the 40-point questionnaire scale was 13.34, with SD±2.23. It was observed that awareness increased as education, socio economic status increases.Conclusions: It is recommended to have special nutritional counselling sessions for patients. 


2019 ◽  
Vol 10 (1) ◽  
pp. 174-193
Author(s):  
Ulrike Stange

This paper explores the discursive use of selected emotive interjections (Ow!, Ouch!; Ugh!, Yuck!; Whoops!, Whoopsadaisy!) in spoken British English. The data (drawn from the Spoken BNC2014) are coded for age, gender, social grade and type of dyad to identify potential factors governing the discursive use of these interjections. Based on 140 relevant tokens, the results suggest that: 1) The individual interjections vary significantly regarding how frequently they are found in discursive uses (p<0.001***). 2) Whoopsadaisy! is not attested in discursive uses. 3) Young female speakers behave differently from the other speaker groups in that they use emotive interjections discursively significantly more frequently (p=0.006***). 4) Female speakers in general use a wider range of interjections discursively: Ow! and Whoops! in discursive uses were absent from male speech. 5) Socio-economic status is irrelevant, as is 6) type of speaker dyad. Thus, the social life of emotive interjections is mainly influenced by speaker gender, and if the speakers are female, also by their age.


2004 ◽  
Vol 185 (3) ◽  
pp. 227-232 ◽  
Author(s):  
Nicholas W. J. Wainwright ◽  
Paul G. Surtees

BackgroundAssociations have been demonstrated between contextual (area level) factors and a range of physical health outcomes, but their relationship with mental health outcomes is less well understood.AimsTo investigate the relative strength of association between individual and area-level demographic and socioeconomic factors and mood disorder prevalence in the UK.MethodCross-sectional data from 19 687 participants from the European Prospective Investigation into Cancer and Nutrition in Norfolk.ResultsArea deprivation was associated with current (12-month) mood disorders after adjusting for individual-level socio-economic status (OR for top v. bottom quartile of deprivation scores 1.29, 95% C11.1–1.5, P < 0.001). However, this association was small relative to those observed for individual marital and employment status. Significant residual area-level variation in current mood disorders (representing 3.6% of total variation, P=0.04) was largely accounted for by individual-level factors.ConclusionsThe magnitude of the association between socio-economic status and mood disorders is greater at the individual level than at the area level.


2019 ◽  
Vol 10 (3) ◽  
pp. 118-136
Author(s):  
M.V. Efremova ◽  
O.V. Poluektova

In this paper examines the effects of low socioeconomic status in adulthood and in childhood on psychological characteristics, such as individual values, self-efficacy, self-esteem, psychological well-being and trust. The sample included people with low socio-economic status (namely poors) (N=162) and non-poor (N=188). Measurement of children’s socio-economic status was carried out by retrospective assessment. The results showed that values and self-esteem differ depending on the adult SES. The results revealed the significant effect of adult and childhood SES for trust and life satisfaction. The analysis revealed that adult status had a significant impact on trust only in the groups of those who did not experience poverty in childhood, i.e. the group with average levels of wealth in childhood, and the wealthy group. In conclusion, our study revealed the impact of childhood and adult SES on various individual psychological characteristics.


2021 ◽  
Vol 77 (1) ◽  
Author(s):  
Sonti Pilusa ◽  
Hellen Myezwa ◽  
Joanne Potterton

Background: Across the lifespan, people with spinal cord injury (SCI) may experience preventable secondary health conditions (SHCs) such as pressures sores, muscle spasms and urinary tract infections (UTIs). Some factors influencing prevention of SHCs include social support, poor access to care and the prevention style of individuals. There is limited research on these factors.Objective: To explore personal factors influencing the prevention of SHCs in people with SCI.Method: An explorative qualitative study included participants recruited in an outpatient department at a rehabilitation hospital. Semi-structured interviews were conducted with patients with SCI. Interviews were transcribed verbatim. Data analysis was conducted using content analysis.Results: Seventeen individuals with SCI were interviewed. From the interview analysis, six personal factors were identified, namely, socio-economic status; mental well-being (forgetfulness, beliefs, attitude); lack of knowledge of SHCs and prevention; lifestyle choices and practising prevention care; patient activation (self-management, problem-solving, resilience, self-awareness, help-seeking behaviour) and owning an appropriate assistive device.Conclusion: Socio-economic status, mental well-being, knowledge of SHCs and prevention care, behaviour patterns, patient activation and owning an appropriate assistive device can influence prevention of SHCs. To enhance patient-oriented care, a model of care for people with SCI should consider these factors when developing prevention strategies. Future research could look into identifying environmental factors that influence the prevention of SHCs in people with SCI.Clinical implications: Tailored prevention strategies need to be developed, health professionals must ask patients about individual factors that may be barriers or facilitators to preventing secondary health conditions.


2015 ◽  
Vol 35 (6) ◽  
pp. 87-94 ◽  
Author(s):  
K. C. Roberts ◽  
D. P. Rao ◽  
T. L. Bennett ◽  
L. Loukine ◽  
G. C. Jayaraman

Introduction Multimorbidity is increasingly recognized as a key issue in the prevention and management of chronic diseases. We examined the prevalence and correlates of chronic disease multimorbidity in the general adult Canadian population in relation to age and other key determinants. Methods We extracted data from the Canadian Community Health Survey 2011/12 on 105 416 Canadians adults. We analysed the data according to the number of multimorbidities (defined as 2+ or 3+ diseases from a list of 9) and examined the determinants of multimorbidity using regression analyses. Results Our findings show that 12.9% of Canadians report 2+ chronic diseases and 3.9% report 3+ chronic diseases. Those reporting 3 or more chronic diseases were more likely to be female, older, living in the lowest income quintile and to have not completed high school. In the overall population, social deprivation is associated with a 3.7 odds of multimorbidity, but when examined across age groups, the odds of multimorbidity were notably higher in middle age, 7.5 for those aged 35 to 49 years and 5.4 for those aged 50 to 64 years. Conclusion As the proportion of Canadians living with multiple chronic diseases increases, we need to assess chronic disease from a holistic perspective that captures multimorbidity and upstream factors, to facilitate broader and more context-appropriate associations with healthy living, quality of life, health care costs and mortality. Special consideration should be given to the role that social deprivation plays in the development of multimorbidity. Canadians living in the lowest socioeconomic group are not only more likely to develop multimorbidity, but the onset of multimorbidity is also likely to be significantly earlier.


2009 ◽  
pp. 58-78
Author(s):  
Giuseppe Costa ◽  
Nicola Caranci

- Measuring the relative socio-economic disadvantages has been representing a useful tool to study the relationship between socioeconomic factors and health conditions for at least 25 years. In the last years the possibility to develop epidemiological studies in large populations increased thanks to the availability of databases containing health information and databases containing information on socio-economic status (SES). In epidemiological literature we often find multidimensional measures of SES: deprivation indexes. They usually refer to geographical aggregations and are used as proxy of personal conditions; indexes allow to identify and estimate the existing relationship with different health outcomes. Keywords: indexes, socioeconomic status, deprivation, small areas, national census, epidemiology. Parole chiave: indici, stato socioeconomico, deprivazione, piccole aree, censimento, epidemiologia.


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