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"Epidemiology Social aspects."
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Health Transitions and the Double Disease Burden in Asia and the Pacific
by
Milton J. Lewis
,
Kerrie L. MacPherson
in
Asia Pacific Studies
,
Asian Studies (General)
,
Chronic diseases
2013,2012
Chronic diseases-cardiovascular disease, cancer, chronic respiratory disease and diabetes-are not only the principal cause of world-wide mortality but also are now responsible for a striking increase in the percentage of sickness in developing countries still grappling with the acute problems of infectious diseases. This \"double disease burden\" poses demanding questions concerning the organisation of health care, allocation of scarce resources and strategies for disease prevention, control and treatment; and it threatens not only improvement in health status but economic development in the many poorer countries of the Asia Pacific region.
This book presents an historical account of the development of the double disease burden in Asia and the Pacific, a region which has experienced great economic, social, demographic and political change. With in-depth analysis of more than fifteen countries, this volume examines the impact of the double disease burden on health care regimes, resource allocation, strategies for prevention and control on the wealthiest nations in the region, as well as the smallest Pacific islands. In doing so, the contributors to this book elaborate on the notion of the double disease burden as discussed by epidemiologists, and present real policy responses, whilst demonstrating how vital health is to economic development.
Health Transitions and the Double Disease Burden in Asia and the Pacific will be of great value to both scholars and policy makers in the fields of public health, the history of medicine, as well as to those with a wider interest in the Asia-Pacific region.
Social epidemiology
by
Berkman, Lisa F.
,
河内, 一郎
in
Associations, institutions, etc
,
Computer network resources
,
Directories
2000
The authors of this excellent text define social epidemiology as the epidemiologic study of the social distribution and social determinants of states of health, implying that the aim is to identify socio-environmental exposures which may be related to a broad range of physical and mental health outcomes. In the first systematic account of this field, they focus on methodological approaches but draw widely from related disciplines such as sociology, psychology, physiology, and medicine in the effort to develop and evaluate testable hypotheses about the pathways between social conditions and health. The persistent patterns of social inequalities in health make this a timely publication.
Socio-ecological predictors of mental health outcomes among healthcare workers during the COVID-19 pandemic in the United States
by
Mew, Emma J.
,
Lowe, Sarah R.
,
Hennein, Rachel
in
Adult
,
Alcohol use
,
Alcoholism - epidemiology
2021
Healthcare workers are at increased risk of adverse mental health outcomes during the COVID-19 pandemic. Studies are warranted that examine socio-ecological factors associated with these outcomes to inform interventions that support healthcare workers during future disease outbreaks.
We conducted an online cross-sectional study of healthcare workers during May 2020 to assess the socio-ecological predictors of mental health outcomes during the COVID-19 pandemic. We assessed factors at four socio-ecological levels: individual (e.g., gender), interpersonal (e.g., social support), institutional (e.g., personal protective equipment availability), and community (e.g., healthcare worker stigma). The Personal Health Questionnaire-9, Generalized Anxiety Disorder-7, Primary Care Post-Traumatic Stress Disorder, and Alcohol Use Disorders Identification Test-Concise scales assessed probable major depression (MD), generalized anxiety disorder (GAD), posttraumatic stress disorder (PTSD), and alcohol use disorder (AUD), respectively. Multivariable logistic regression models were used to assess unadjusted and adjusted associations between socio-ecological factors and mental health outcomes.
Of the 1,092 participants, 72.0% were female, 51.9% were frontline workers, and the mean age was 40.4 years (standard deviation = 11.5). Based on cut-off scores, 13.9%, 15.6%, 22.8%, and 42.8% had probable MD, GAD, PTSD, and AUD, respectively. In the multivariable adjusted models, needing more social support was associated with significantly higher odds of probable MD, GAD, PTSD, and AUD. The significance of other factors varied across the outcomes. For example, at the individual level, female gender was associated with probable PTSD. At the institutional level, lower team cohesion was associated with probable PTSD, and difficulty following hospital policies with probable MD. At the community level, higher healthcare worker stigma was associated with probable PTSD and AUD, decreased satisfaction with the national government response with probable GAD, and higher media exposure with probable GAD and PTSD.
These findings can inform targeted interventions that promote healthcare workers' psychological resilience during disease outbreaks.
Journal Article
Gender differences of depression and anxiety among social media users during the COVID-19 outbreak in China:a cross-sectional study
2020
Background
Studies have shown that the outbreak of infectious diseases would result in mental health problems. Females are in greater risk for psychological problems than males. The present study investigated gender differences of depression and anxiety and explored associated factors during the COVID-19 epidemic among Chinese social media users.
Methods
We recruited 3088 participants through social media cross China. Participants completed sociodemographic and the COVID-19 epidemic related questions, the 2-item Patient Health Questionnaire (PHQ-2), and the 2-item Generalized Anxiety Disorder Scale (GAD-2), the Chinese version of the 10-item Connor-Davidson Resilience Scale. We applied Chi-square test and ANOVA for data description and linear regression analysis for exploring factors associated with depression and anxiety.
Results
Of 3063 participants eligible for analysis, the total prevalence of depression and anxiety was 14.14 and 13.25%. Females were experiencing more severe stress and anxiety symptoms, while males showed better resilience to stress. The severity of depression symptoms would decrease with the increase of age resilience, and it would increase if being unemployed, feeling less adapted, being more stressed. The severity of anxiety symptoms would decrease with higher education and better resilience, and it would increase if being female, spending over 60 min on COVID-19 related information, less adapted, and being more stressed.
Conclusion
The findings show the increased prevalence of depression and anxiety in Chinese population during the COVID-19 epidemic, and females are experiencing more severe anxiety symptoms than males. As social media is the current main resource of information related to COVID-19, interventions should be implemented to help users to limit the time they spend on social media and to get key information related to the epidemic from authoritative and authentic resource to avoid infodemic and prevent mental health problems.
Journal Article
Get well soon : history's worst plagues and the heroes who fought them
Examines \"the gruesome, morbid details of some of the worst plagues in human history, as well as stories of the heroic figures who fought to ease their suffering. With her signature mix of ... research and ... storytelling, and not a little dark humor, Jennifer Wright explores history's most gripping and deadly outbreaks\"-- Provided by publisher.
Impact of remote social interaction during the COVID-19 pandemic on the cognitive and psychological status of older adults with and without cognitive impairment: A randomized controlled study
2024
Social isolation and loneliness have both been associated with psychological health and cognitive decline in older adults. This study investigated the impact of social interaction through remote communication technologies during the COVID-19 pandemic on the cognitive and psychological status of older adults with and without cognitive impairment.
Participants were recruited from Boston (USA) and Chieti (Italy). The study used a randomized single-blinded controlled crossover design with an intervention (remote social conversations with research staff over 20-minute video or telephone calls three times per week) and a passive control condition, each one of 4-weeks duration. The primary outcome was a composite cognitive score change from baseline to week 4. Secondary outcomes included scales for mood, anxiety, and loneliness.
Out of 196 participants recruited from April 2020 to April 2021, 17% dropped out. Based on the blind MoCA, 52% had cognitive impairment, and 25% were at risk of social isolation according to the Lubben social network scale. We observed that larger social networks were linked to better cognitive status and lower depression and anxiety levels, while loneliness was directly associated to depression severity. Older adults with cognitive impairment exhibited higher levels of depression and anxiety and were at greater risk for social isolation. In terms of the intervention, 91% preferred telephone over video calls. The intervention did not lead to improvements in cognitive or psychological scores.
More work is needed to assess the utility of this intervention for the support of a heterogenous cross-cultural sample of older adults at-risk for social isolation, including individuals with cognitive impairment. Future research should explore longer intervention periods, categorize participants by call type, and target those meeting social isolation criteria.
ClinicalTrials.gov NCT04480112.
Journal Article