Patterns of changes in men's health from demographic indicators and epidemiologic
Titelübersetzung:Patrones de cambios en la salud de los hombres de indicadores demográfica y epidemiológica
Autor/in:
Santos, Vanessa Cruz; Santos, Mayra Gomes; Vilela, Alba Benemérita Alves; Nery, Adriana Alves; Casotti, Cezar Augusto; Boery, Eduardo Nagib
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 2, S 2569-2581
Inhalt: Objective: to analyze patterns of change on human health in the period 2006 to 2010 through demographic and epidemiological indicators. Method: an epidemiological study, descriptive subsidized on data from the Department of Computer Science of SUS (DATASUS) of the Ministry of Health, Brazilian Institute of Geography and Statistics and Integrated System of Penitentiary Information, in the period 2006 to 2010. For the tables and data analysis tools developed by DATASUS were used - TabWin and TabNet, besides the program Microsoft Office Excel 2007. Results: among the indicators of morbidity and mortality, the result from external causes in all kinds were growing in the studied years and higher in males population compared to female. Conclusion: the health problems most prevalent in the male population are preventable, then, health education can contribute in changing the behavioral and cultural profile of this population, which has negative consequences to their health.
Schlagwörter:Gesundheit; health; Epidemiologie; epidemiology; demographische Faktoren; demographic factors; Gesundheitspolitik; health policy; gender; woman; Mann; man; Vergleich; comparison; Sterblichkeit; mortality; Krankheit; illness; Gesundheitserziehung; health education; Gesundheitsverhalten; health behavior; kulturelle Faktoren; cultural factors
SSOAR Kategorie:Jugendsoziologie, Soziologie der Kindheit, Frauen- und Geschlechterforschung, Gesundheitspolitik
Quelle: Statistisches Monatsheft Baden-Württemberg, (2013) 7, S 21-26
Schlagwörter:Federal Republic of Germany; Baden-Württemberg; Baden-Württemberg; Altersgruppe; age group; gender; Einkommen; income; Gesundheit; health; Krankheit; illness; Schmerz; pain; Gesundheitsförderung; health promotion; soziale Ungleichheit; social inequality; Arbeitswelt; world of work; chronische Krankheit; chronic illness; Einfluss; influence
SSOAR Kategorie:Gesundheitspolitik, Einkommenspolitik, Lohnpolitik, Tarifpolitik, Vermögenspolitik, Allgemeine Soziologie, Makrosoziologie, spezielle Theorien und Schulen, Entwicklung und Geschichte der Soziologie
"Life in brackets": biographical uncertainties of HIV-positive women in South Africa
Titelübersetzung:Leben auf Zeit: biografische Unsicherheiten HIV-positiver Frauen in Südafrika
Autor/in:
Burchardt, Marian
Quelle: Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11 (2010) 1, 23 S
Inhalt: In dem Maße, wie die südafrikanische AIDS-Epidemie voranschreitet und der Zugang zu Medikamenten die Überlebenschancen verbessert, bilden die Erfahrungen und Auswirkungen der Krankheit einen immer wichtigeren Bestandteil biografischer Selbst-Konstruktionen der Infizierten. Der Artikel widmet sich der Untersuchung von typischen Strategien des Umgangs mit biografischer Unsicherheit im Kontext von AIDS, die sich aus neuen Herausforderungen ergeben, nachdem der mit der Diagnose verbundene Schock ontologischer Unsicherheit überwunden wurde. Die Untersuchung basiert auf der kontrastierenden Interpretation problemzentrierter biografischer Interviews, in deren Verlauf Ergebnisse in Hypothesen zum Zusammenhang von biografischer Situationstypik und Handlungsstrategie überführt und im Fallvergleich validiert wurden. Im Mittelpunkt des Beitrags steht die empirisch begründete These, dass "persönliche Transformation", "soziale Unterstützung" und die Auseinandersetzung mit "Normalitätsfolien" Schlüsselkategorien für das Verständnis dieser Strategien darstellen. Darüber hinaus zeigt der Beitrag, anhand welcher sozialen Prozesse diese Kategorien in den Sphären von Religion, AIDS-Aktivismus und Jugendkultur ihre konkrete empirische Gestalt erhalten.
Inhalt: As South Africa is witnessing a maturing AIDS epidemic, the experience and impact of the disease are written ever more firmly into the biographical self-constructions of the infected. In this article, I explore typical strategies of dealing with uncertainties arising from new challenges, after the shock of ontological insecurity ensuing from the diagnosis, has been overcome. The analysis is based on contrasting interpretations of problem-centered biographical interviews with HIV-positive South African women. In the process, results have been formulated in terms of hypotheses regarding links between biographical situatedness and strategies of action. The hypotheses have been validated through case comparisons. The article highlights personal transformation, social support and the search for normality as key aspects for understanding these strategies and spells out how these are enabled, constrained and shaped within the social domains of religion, AIDS activism and township youth culture.
Schlagwörter:Jugendkultur; AIDS; social support; AIDS; cure; junger Erwachsener; Transformation; security; risk; Afrika südlich der Sahara; Africa; Handlungsorientierung; Biographie; Heilung; Southern Africa; Strategie; Republik Südafrika; Afrika; Verhalten; transformation; südliches Afrika; behavior; Auswirkung; youth culture; Risiko; young adult; identity; Krankheit; woman; Identität; soziale Unterstützung; strategy; impact; Entwicklungsland; Sicherheit; Republic of South Africa; Religion; religion; action orientation; biography; Africa South of the Sahara; illness; developing country; Unsicherheit; biography; uncertainty; South Africa; healing; identity
SSOAR Kategorie:Entwicklungsländersoziologie, Entwicklungssoziologie, Frauen- und Geschlechterforschung, Gesundheitspolitik
Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis
Titelübersetzung:Einstellung und soziostrukturelle Determinanten zu Gebärmutterkrebs-Screening und HP-Virus-Schutzimpfung: eine quantitativ-multivariate Analyse
Quelle: Journal of Public Health, 18 (2010) 2, S 179-188
Inhalt: Aim: The introduction of the human papillomavirus (HPV) vaccine enables for the first time in the history of cancer prevention the possibility of combating the major cause of a cancer even before its onset. The secondary prevention measure of cervical cancer screening has thus been complemented by a primary prevention measure. The aim of this study is to analyse the determinants of uptake of preventive measures against cervical cancer as a basis for comparing the determinants of screening attendance with those of HPV vaccination attendance. Subject and methods: A population-based representative survey comprising 760 randomly selected women aged 14 to 65 was performed in the German federal state of Mecklenburg-Western Pomerania. Prevention behaviour, attitudes towards cervical cancer screening and HPV vaccination, and knowledge about cervical cancer and HPV were investigated by means of a structured questionnaire. Descriptive analyses and multivariate logistic regression analyses were conducted to identify the determinants of screening and HPV vaccine uptake. Results: Attendance both at screening and at HPV vaccination was best predicted by attitudinal factors. Positive connotations of cancer prevention measures and utility expectations, fear of cancer and high subjective risk perception were conducive to attendance at screening and HPV vaccination. Screening attendance was less regular among women of lower socioeconomic status. In contrast, HPV vaccination uptake was higher for young women with lower educational attainment and lower social class. Knowledge did not impact prevention behaviour significantly. There is no trade-off between screening and vaccination attendance; the vast majority of respondents was aware of the necessity of regular screening attendance even when vaccinated against HPV. Conclusions: Uptake rates for existing primary and secondary prevention measures against cervical cancer can be enhanced by fostering perceptions of utility and positive connotations of regular screening and becoming vaccinated against HPV. Elderly women in particular should be encouraged to attend screening by means of a recall system. Given the low overall level of knowledge about cervical cancer and its risk factors, there is a need for education about the necessity and utility of prevention to reach women of all social classes.
Schlagwörter:Gesundheit; vaccination; Prävention; risk; cancer; determinants; preventive medical examination; prevention; sozioökonomische Faktoren; Federal Republic of Germany; Vorsorgeuntersuchung; Mecklenburg-Western Pomerania; Gesundheitsvorsorge; Gesundheitsverhalten; knowledge; attitude; Risiko; health care; Krankheit; socioeconomic factors; woman; Mecklenburg-Vorpommern; Krebs; Impfung; Determinanten; health behavior; Risikoabschätzung; health; illness; Wissen; risk assessment; Einstellung; Cervical cancer prevention; Cervical screening; HPV vaccination; Attitudes; Socio-structural determinants; soziostrukturelle Faktoren
Quelle: Journal of Public Health, 18 (2010) 5, S 489-496
Inhalt: Aim: This study aimed to describe perceptions and experiences related to access and utilization of health care services of African and Brazilian immigrant women in Portugal. Subjects and methods: Six focus groups were conducted with 35 African and Brazilian women with low income and living in Lisbon, chosen through purposive sampling. Content analysis was undertaken through identification of themes and categories. Results: African and Brazilian women expressed different perceptions and patterns of use of health care services. Most participants pointed out several barriers to access and utilization of services related to legal issues, economic constraints or health professionals' attitudes. Conclusion: These results highlight the challenges to providing health care within a multicultural setting and the need to assure the provision of integrated and comprehensive health care services. Improving access to general health care is essential in order to minimize disadvantages from vulnerable subgroups, like immigrant women. Supporting better integration into the health system may lead to improved health outcomes.
Schlagwörter:perception; Afrikaner; Gesundheit; discrimination; health care delivery system; Wahrnehmung; Gesundheitswesen; African; Erfahrung; Diskriminierung; Migrant; Benchmarking; sozioökonomische Faktoren; Einwanderung; attitude; benchmarking; migrant; Krankheit; socioeconomic factors; comparison; woman; Portugal; Portugal; sociocultural factors; soziokulturelle Faktoren; immigration; health; Vergleich; illness; Einstellung; experience; Immigrant women; Perceptions; Experiences; Access and utilization of health care services
Quelle: Journal of Public Health, 19 (2010) 3, S 269-280
Inhalt: Aim: The aim of this study was to analyse the health-related quality of life (HRQOL) of primary family caregivers in comparison to the reference values of the average population. Subjects and methods: Data collection took place in the Werra-Meißner district in 2009 with a response rate of 102 primary family caregivers of frail elderly people. The health-related quality of life was measured with the Short Form 36 health survey (SF 36) and compared with the German reference values. Results: Compared to the health values of the normative sample, primary caregivers show significantly lower rates in all dimensions of health-related quality of life. In particular, caregivers between the ages of 53 to 61 report extremely low health values. Caregiving women compared to non-caregiving women have highly significant differences in all subscales of the SF 36. Caregiving men also report highly significant differences to non-caregiving men in all dimensions of the SF 36 except for Physical Functioning and General Health (p < 0.01). Caregivers in general and especially caregiving women aged 53 to 61 (midlife) were identified as at-risk groups for poor health. The latter report lower vitality and well-being, which may be a consequence of both social isolation and social impacts from multiple role demands. Conclusion: The identified high-risk groups of family caregivers, caregivers in midlife and especially caregiving women in midlife, should be supported by social measures, e.g., training courses for family caregivers, particularly in their home setting, and various types of respite care in order to sustain their health.
Schlagwörter:psychische Belastung; Gesundheit; alter Mensch; family member; Lebensqualität; Hessen; risk; health consequences; Federal Republic of Germany; häusliche Pflege; nursing care for the elderly; psychological stress; quality of life; Auswirkung; Risiko; home care; Krankheit; Altenpflege; Hesse; impact; elderly; gesundheitliche Folgen; gender-specific factors; health; Familienangehöriger; illness; family caregiver; health-related quality of life; SF 36; gender differences
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.