Fitting a linear model to survey data when the long-term average daily intake of a dietary component is an explanatory variable
Titelübersetzung:Verbesserung eines linearen Modells von Längsschnittdaten zur Nahrungsmittelaufnahme von diätetischen Komponenten als erklärende Variable von Gesundheit
Autor/in:
Kott, Phillip S.; Guenther, Patricia M.; Wagstaff, David A.; Juan, WenYen; Kranz, Sibylle
Quelle: Survey Research Methods, 3 (2009) 3, S 157-165
Inhalt: "The National Health and Nutrition Examination Survey (NHANES) collects information on both dietary intake and health conditions from a complex sample of individuals in the US. Instrumental-variable regression can be used to model an individual's health-related attribute as a linear function of explanatory variables including the average daily intake of dietary components. This overcomes the apparent limitation of the NHANES collecting dietary intake data on only two days per sampled individual because the averages of two days per individual exhibit considerable intra-individual variability. Readily available software routines can perform survey-sensitive instrumental-variable regression with data like that collected by the NHANES, but the relevant quantitative literature is not clear about what parameters these routines are actually estimating. The authors fit the long-term (usual) serum beta-carotene level of a population of women aged 20-64 to a linear function of each woman's long-term average (usual) daily beta-carotene intake from food and other explanatory variables using survey-sensitive instrumental regression and provide two interpretations of the results." (author's abstract)
Schlagwörter:nutrition; Gesundheit; North America; regression analysis; Nahrungsmittel; ernährungsbedingte Krankheit; health consequences; nutrition-related illness; Nordamerika; remuneration for members of parliament; Lebensalter; United States of America; Verhalten; food; Lebenserwartung; behavior; Regressionsanalyse; life expectancy; Lebensmittel; Mittelwert; USA; woman; Ernährung; gesundheitliche Folgen; mean; Diäten; age; health
SSOAR Kategorie:Forschungsarten der Sozialforschung, Erhebungstechniken und Analysetechniken der Sozialwissenschaften, Gesundheitspolitik
Adapted Traditions: The Case of Traditional Palestinian Women Healers in Israel
Titelübersetzung:Adaptierte Tradition: Traditionelle palästinensische Heilerinnen in Israel
Autor/in:
Popper-Giveon, Ariela
Quelle: Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 10 (2009) 2, 24 S
Inhalt: Dieser Beitrag beschäftigt sich mit traditionellen palästinensischen Heilerinnen in Israel und mit den Wandlungsprozessen, denen ihre Rollen und Praktiken unterworfen sind. Verglichen werden biografische Erzählungen von Heilerinnen, die in Städten mit jüdisch-arabischer Bevölkerung in Zentral-Israel leben mit denen in Beduinen-Gemeinschaften in der Wüste Negev. Dabei wird deutlich, dass traditionelles Heilen im Zuge von Modernisierungsprozessen nicht einfach verschwunden ist, sondern spezifische Transformationen vollzogen hat. So befassen sich städtische Heilerinnen z.B. weniger mit "physischen" Problemen, für die eine "natürliche" Ursache und Behandlung angenommen wird, sondern eher mit allgemeinen Lebensproblemen bzw. mit Problemen, die als "übernatürlich" verursacht erachtet und die mit magischen und religiösen Mitteln behandelt werden. Auf diese Weise bleiben die Heilerinnen trotz erkennbarer Wandlungsprozesse Agentinnen des Bewahrens von Tradition und von Konservatismus, eine Rolle, die ihre zentrale Position in ihren Gemeinschaften fortschreibt.
Inhalt: This article examines transformations in the roles and treatment practices of traditional Palestinian women healers in Israel. Comparing narratives of women healers residing in Jewish-Arab mixed cities in central Israel with those of their counterparts in the Bedouin community of the Negev reveals that traditional healing has not disappeared as a result of modernization but rather has transformed. Urban women healers are abandoning treatment of physical problems in favor of addressing life hardships; they distance themselves from problems whose cause and treatment are considered natural and prefer those perceived as derived from supernatural causes and treated through supernatural, magical and religious means. Despite these transformations, traditional Palestinian women healers appear as agents of preservation and conservatism, a role that imbues them with a central position in their community. Hence, their place is currently secured and expected to remain so as processes of modernization and acculturation increase in intensity.
Schlagwörter:Gesundheit; female profession; modernization; role; cure; Transformation; Frauenberuf; conservatism; Heilung; Israel; Palästinenser; Konservatismus; transformation; Tradition; Israel; comparison; Palestinian; woman; sozialer Wandel; traditionelle Kultur; traditional culture; Rolle; Religion; religion; social change; tradition; health; Vergleich; Modernisierung; traditionelle Heilerinnen; Palästinenser/innen in Israel; Beduinen; Anthropoloyg, Medical Anthropology; traditional healing; women healers; social change; Palestinians in Israel; Bedouin
SSOAR Kategorie:Frauen- und Geschlechterforschung, Gesundheitspolitik
Predictors of work ability in occupations with psychological stress
Titelübersetzung:Vorhersage der Arbeitsfähigkeit in Berufen mit psychologischem Stress
Autor/in:
Seibt, Reingard; Spitzer, Silvia; Blank, Matthes; Scheuch, Klaus
Quelle: Journal of Public Health, 17 (2008) 1, S 9-18
Inhalt: Aim: This study aimed to detect health- and work-related predictors of poor and good work ability in teachers (TE) and office workers (OW). Method: Work ability and its influence factors were analyzed in 100 female TE and 60 female OW aged between 25 and 60 years. The work ability was evaluated with the work ability index questionnaire and the health status with the vitality measurement system®. In addition, cardiac risk factors, burnout risk, as well as the working demands and effort-reward ratio were taken into account. Predictors of work ability were analyzed by using a CHAID analysis. The number of complaints represents the best predictor to divide both occupational groups into subgroups with different work abilities (criterion variable). Results: Poor work ability is caused by many complaints and cardiovascular risk factors. By contrast, excellent work ability is associated with few complaints, the occupation “office workers,” a younger vital functional age, and the absence of burnout symptoms, which means in comparison with OW, TE have a 1.6 times higher risk for impaired work ability. Furthermore, the absence of burnout symptoms is a resource of TE, whereas OWs tend to have a younger vital functional age compared to their calendrical age. Although this analysis is able to explain 61.2% of the influence on impaired work ability, research for further causes must be undertaken. Conclusion: The results reflect the positive effect of a high educational level and a challenging job on the preservation of good work ability. Moreover, they draw the attention to the psychological and psychosocial strains of TE. TEs are exposed more frequently to feeling overstrained; this probably effects a higher retirement rate due to illness.
Changes in secondary pharmacological prevention of acute coronary syndromes and stroke after hospital discharge: a 6-month follow-up study of German primary care patients
Quelle: Journal of Public Health, 17 (2008) 1, S 3-7
Inhalt: Aim: This study examined modifications in secondary preventive medication between the time of hospital discharge (HD) and during a 6-month follow-up treatment of outpatients with acute coronary syndromes (ACS) and stroke. Subjects and methods: During a 6-month period, a health diary was completed on a weekly basis by 98 patients who were initially hospitalised with ACS and 29 patients with strokes in the Cologne area (Germany). Changes in medication between the time of HD and follow-up treatment (weeks 2, 12, and 24) were recorded. Results: On average, patients with ACS took six medications, whereas patients with stroke took five medications per day. ACS patients received beta-blockers (96%), lipid-lowering agents (80%), and angiotensin-converting enzyme (ACE) inhibitors (64%) at HD, and no changes in medication were made during follow-up treatment. However, there was a significant decrease in prescriptions of clopidogrel among ACS patients within 6 months, and about 13% of ACS patients did not receive an antiplatelet agent at any time. Stroke patients received beta-blockers (50%), lipid-lowering agents (67%), and antiplatelet agents, such as acetylsalicylic acid (57%) or clopidogrel (27%), at the time of HD, and no significant changes in medication were instituted during follow-up treatment. Conclusion: Treatment of ACS patients with the combination of acetylsalicylic acid and clopidogrel was insufficient, although it has been shown that this combination is highly effective in secondary prevention of ACS. Besides medical reasons, the cost-containment restrictions (“medication budget”) for German physicians might explain the observed failure of guideline-oriented medication. Furthermore, no changes in medications occurred regarding blood-pressure- and lipid-lowering agents.