Little is known about the association between structural gender inequality and health in patriarchal China.This study employed a sample from the Chinese Women’s Social Status,consisting of 26,139 participants aged 18...Little is known about the association between structural gender inequality and health in patriarchal China.This study employed a sample from the Chinese Women’s Social Status,consisting of 26,139 participants aged 18 and 70 years(13,494 women and 12,645 men).Structural gender inequality was assessed at the macro-,meso-,and micro-levels.Mental health was measured by the summed scores of eight questions on depressive symptoms.Multilevel linear regression was applied for analysis.Results showed that total sex ratio at birth was associated with poorer mental health among women and men but sex ratio at birth of the second-born child predicted better mental health.Gender inequality at meso-level resulted in poorer mental health and gender inequality at micro-level was associated with poorer mental health both for men and women.Eliminating structural gender inequality promotes populations’mental health in China.展开更多
Diabetes is the sixth leading cause of death in the United States. To date, most research and resulting clinical strategies have focused on the individual with shortterm health improvements that have not been maintain...Diabetes is the sixth leading cause of death in the United States. To date, most research and resulting clinical strategies have focused on the individual with shortterm health improvements that have not been maintained over time. Researchers more recently have recognized the need to consider the social determinants of diabetes and health along with individual factors. The purpose of this literature review is to examine current understanding of the social determinants affecting diabetes and health. A search of medical and nursing literature was conducted using PubMed, PsychInfo, CINAHL and MEDLINE databases, selecting articles published between 2000 and 2013. Search terms included: type 2 diabetes, social determinants, and health determinants. Inclusion criteria were: English language, human studies, social determinants of diabetes and health, and research in the United States. Additional search methods included reference chaining of the literature. Twenty research articles met the inclusion criteria for the review and analysis and included quantitative and qualitative methods. All studies selected for this review were descriptive in nature(n = 20). Fifteen studies were quantitative studies and five were qualitative studies. No intervention studies met inclusion criteria. Each study is summarized and critiqued. Study findings indicate that external or upstream factors consistentlyaffect individuals diagnosed with diabetes, influencing self-management. Significant methodological limitations result directly from small sample sizes, convenience or nonprobability sampling, and low statistical power.展开更多
Depressive symptoms in adolescents are an increasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural determinants are associated with depressiv...Depressive symptoms in adolescents are an increasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural determinants are associated with depressive symptoms in Swedish adolescents. Methods: A web-based questionnaire was answered by 1193 13- to 16-year-old boys (n = 566) and girls (n = 627). Stepwise logistic regressions were employed to analyse the association between depressive symptoms and various determinants at the individual level (self-efficacy), the psychosocial level (parental, peer, and teacher support, school demands, sexual harassment, and bullying) and the structural level (family affluence, having less money than friends, and parental foreign background). Results: Determinants at the individual, psychosocial, and structural levels were independently associated with high levels of depressive symptoms in both boys and girls. The full model explained a high proportion of the variance in depressive symptoms in both genders;34.1% in boys and 36.8% in girls. The psychosocial level contributed the most to explaining the variance in depressive symptoms in boys. In girls, when harassment variables were separated from psychosocial variables, the harassment variables contributed as much to the full model as the rest of the psychosocial variables combined. Conclusions: Addressing psychosocial determinants provides the greatest benefits for preventing depressive symptoms in adolescents. Acknowledging the association between sexual harassment and depressive symptoms for girls and having less money than their friends for boys and girls are particularly important.展开更多
This paper presents the results of a 2010 survey exploring the determinants of rural mental health in two farming groups in Waterloo, Ontario, Canada: Old Order Mennonites (OOMs) and non-OOM farmers. Comparing these t...This paper presents the results of a 2010 survey exploring the determinants of rural mental health in two farming groups in Waterloo, Ontario, Canada: Old Order Mennonites (OOMs) and non-OOM farmers. Comparing these two groups reduces the likely impact of many contextual features impacting both groups, such as local economic conditions. We explore a comprehensive list of health determinants to assess their relative importance and thus enable policy action to focus on those having the greatest impact. The mental component summary (MCS) of the short- form health survey (SF-12) was used to measure mental health. We compare mental health in the two populations and use multiple regression to determine the relative importance of the determinants in explaining mental health. The results show that OOMs experience better mental health than non-OOMs, in part due to the strong mental health of OOM women. Coping, stress and social interaction shape mental health in both groups, reflecting the broader determinants literature and suggesting these are important across many populations with different life circumstances. Other determinants are important for one group but not the other, underscoring the diversity of rural populations. For example, different social capital measures shape mental health in the two groups, and sense-of-place is associated with mental health in only one group (OOMs). The results are discussed in terms of their implications for future health determinants research and policy action to address rural mental health.展开更多
为了使绿色空间更好地服务于公共健康,对促进人群压力缓解的绿色空间领域的研究文献进行归纳与分析。利用Citespace软件,对Web of Science和中国知网数据库中2002—2022年间关于绿色空间和压力缓解的文献进行可视化分析,梳理其研究热点...为了使绿色空间更好地服务于公共健康,对促进人群压力缓解的绿色空间领域的研究文献进行归纳与分析。利用Citespace软件,对Web of Science和中国知网数据库中2002—2022年间关于绿色空间和压力缓解的文献进行可视化分析,梳理其研究热点与趋势。分析绿色空间类型与特征、人群属性及特征、研究方法及压力测度,归纳总结绿色空间促进人群压力缓解研究的进展,并从拓展与细化绿色空间研究、完善研究方法与体系、提升实验的科学性、增加对特殊人群的关注、促进多领域和多学科合作等5个方面提出未来进一步研究的展望。展开更多
Neglected Tropical Diseases(NTDs)are both drivers and manifestations of poverty and social inequality.Increased advocacy efforts since the mid-2000s have led to ambitious new control and elimination targets set for 20...Neglected Tropical Diseases(NTDs)are both drivers and manifestations of poverty and social inequality.Increased advocacy efforts since the mid-2000s have led to ambitious new control and elimination targets set for 2020 by the World Health Organisation.While these global aspirations represent significant policy momentum,there are multifaceted challenges in controlling infectious diseases in resource-poor local contexts that need to be acknowledged,understood and engaged.However a number of recent publications have emphasised the“neglected”status of applied social science research on NTDs.In light of the 2020 targets,this paper explores the social science/NTD literature and unpacks some of the ways in which social inquiry can help support effective and sustainable interventions.Five priority areas are discussed,including on policy processes,health systems capacity,compliance and resistance to interventions,education and behaviour change,and community participation.The paper shows that despite the multifaceted value of having anthropological and sociological perspectives integrated into NTD programmes,contemporary efforts underutilise this potential.This is reflective of the dominance of top-down information flows and technocratic approaches in global health.To counter this tendency,social research needs to be more than an afterthought;integrating social inquiry into the planning,monitoring and evaluating process will help ensure that flexibility and adaptability to local realities are built into interventions.More emphasis on social science perspectives can also help link NTD control to broader social determinants of health,especially important given the major social and economic inequalities that continue to underpin transmission in endemic countries.展开更多
增进公众心理健康与福祉是人类面临的重要公共卫生课题,以促进心理健康为目标的绿色空间规划设计是健康城市建设的关键。基于Web of Science(WoS)数据库核心合集的英文文献,从绿色空间对心理健康的影响因素、影响机制与测度方法3个方面...增进公众心理健康与福祉是人类面临的重要公共卫生课题,以促进心理健康为目标的绿色空间规划设计是健康城市建设的关键。基于Web of Science(WoS)数据库核心合集的英文文献,从绿色空间对心理健康的影响因素、影响机制与测度方法3个方面,梳理绿色空间与公众心理健康关联性研究的进展。既有研究表明:绿色空间与心理健康之间存在多因素混合、多机制协同作用;绿地自身特征与暴露特征主要通过3种间接途径产生心理健康效益,并受到个人与社会因素的调节。考虑既有研究在指标阈值与因果权重中的争议,以及在学科融合、指标选取及数据获取与分析方面的局限,建议未来研究在加强跨领域学科融合、细化绿地属性特征、关注个体属性与行为、进行纵向与实验研究、引入智能新技术等方面予以完善。展开更多
文摘Little is known about the association between structural gender inequality and health in patriarchal China.This study employed a sample from the Chinese Women’s Social Status,consisting of 26,139 participants aged 18 and 70 years(13,494 women and 12,645 men).Structural gender inequality was assessed at the macro-,meso-,and micro-levels.Mental health was measured by the summed scores of eight questions on depressive symptoms.Multilevel linear regression was applied for analysis.Results showed that total sex ratio at birth was associated with poorer mental health among women and men but sex ratio at birth of the second-born child predicted better mental health.Gender inequality at meso-level resulted in poorer mental health and gender inequality at micro-level was associated with poorer mental health both for men and women.Eliminating structural gender inequality promotes populations’mental health in China.
文摘Diabetes is the sixth leading cause of death in the United States. To date, most research and resulting clinical strategies have focused on the individual with shortterm health improvements that have not been maintained over time. Researchers more recently have recognized the need to consider the social determinants of diabetes and health along with individual factors. The purpose of this literature review is to examine current understanding of the social determinants affecting diabetes and health. A search of medical and nursing literature was conducted using PubMed, PsychInfo, CINAHL and MEDLINE databases, selecting articles published between 2000 and 2013. Search terms included: type 2 diabetes, social determinants, and health determinants. Inclusion criteria were: English language, human studies, social determinants of diabetes and health, and research in the United States. Additional search methods included reference chaining of the literature. Twenty research articles met the inclusion criteria for the review and analysis and included quantitative and qualitative methods. All studies selected for this review were descriptive in nature(n = 20). Fifteen studies were quantitative studies and five were qualitative studies. No intervention studies met inclusion criteria. Each study is summarized and critiqued. Study findings indicate that external or upstream factors consistentlyaffect individuals diagnosed with diabetes, influencing self-management. Significant methodological limitations result directly from small sample sizes, convenience or nonprobability sampling, and low statistical power.
文摘Depressive symptoms in adolescents are an increasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural determinants are associated with depressive symptoms in Swedish adolescents. Methods: A web-based questionnaire was answered by 1193 13- to 16-year-old boys (n = 566) and girls (n = 627). Stepwise logistic regressions were employed to analyse the association between depressive symptoms and various determinants at the individual level (self-efficacy), the psychosocial level (parental, peer, and teacher support, school demands, sexual harassment, and bullying) and the structural level (family affluence, having less money than friends, and parental foreign background). Results: Determinants at the individual, psychosocial, and structural levels were independently associated with high levels of depressive symptoms in both boys and girls. The full model explained a high proportion of the variance in depressive symptoms in both genders;34.1% in boys and 36.8% in girls. The psychosocial level contributed the most to explaining the variance in depressive symptoms in boys. In girls, when harassment variables were separated from psychosocial variables, the harassment variables contributed as much to the full model as the rest of the psychosocial variables combined. Conclusions: Addressing psychosocial determinants provides the greatest benefits for preventing depressive symptoms in adolescents. Acknowledging the association between sexual harassment and depressive symptoms for girls and having less money than their friends for boys and girls are particularly important.
文摘This paper presents the results of a 2010 survey exploring the determinants of rural mental health in two farming groups in Waterloo, Ontario, Canada: Old Order Mennonites (OOMs) and non-OOM farmers. Comparing these two groups reduces the likely impact of many contextual features impacting both groups, such as local economic conditions. We explore a comprehensive list of health determinants to assess their relative importance and thus enable policy action to focus on those having the greatest impact. The mental component summary (MCS) of the short- form health survey (SF-12) was used to measure mental health. We compare mental health in the two populations and use multiple regression to determine the relative importance of the determinants in explaining mental health. The results show that OOMs experience better mental health than non-OOMs, in part due to the strong mental health of OOM women. Coping, stress and social interaction shape mental health in both groups, reflecting the broader determinants literature and suggesting these are important across many populations with different life circumstances. Other determinants are important for one group but not the other, underscoring the diversity of rural populations. For example, different social capital measures shape mental health in the two groups, and sense-of-place is associated with mental health in only one group (OOMs). The results are discussed in terms of their implications for future health determinants research and policy action to address rural mental health.
文摘为了使绿色空间更好地服务于公共健康,对促进人群压力缓解的绿色空间领域的研究文献进行归纳与分析。利用Citespace软件,对Web of Science和中国知网数据库中2002—2022年间关于绿色空间和压力缓解的文献进行可视化分析,梳理其研究热点与趋势。分析绿色空间类型与特征、人群属性及特征、研究方法及压力测度,归纳总结绿色空间促进人群压力缓解研究的进展,并从拓展与细化绿色空间研究、完善研究方法与体系、提升实验的科学性、增加对特殊人群的关注、促进多领域和多学科合作等5个方面提出未来进一步研究的展望。
基金This research was supported by a European Union Seventh Framework Program (FP7/2007-2013) under grant agreement n°221948 Integrated Control of Neglected Zoonoses (ICONZ)The University of Edinburgh Principal’s Career Development PhD ScholarshipSchool of Social and Political Science Graduate School Scholarship.
文摘Neglected Tropical Diseases(NTDs)are both drivers and manifestations of poverty and social inequality.Increased advocacy efforts since the mid-2000s have led to ambitious new control and elimination targets set for 2020 by the World Health Organisation.While these global aspirations represent significant policy momentum,there are multifaceted challenges in controlling infectious diseases in resource-poor local contexts that need to be acknowledged,understood and engaged.However a number of recent publications have emphasised the“neglected”status of applied social science research on NTDs.In light of the 2020 targets,this paper explores the social science/NTD literature and unpacks some of the ways in which social inquiry can help support effective and sustainable interventions.Five priority areas are discussed,including on policy processes,health systems capacity,compliance and resistance to interventions,education and behaviour change,and community participation.The paper shows that despite the multifaceted value of having anthropological and sociological perspectives integrated into NTD programmes,contemporary efforts underutilise this potential.This is reflective of the dominance of top-down information flows and technocratic approaches in global health.To counter this tendency,social research needs to be more than an afterthought;integrating social inquiry into the planning,monitoring and evaluating process will help ensure that flexibility and adaptability to local realities are built into interventions.More emphasis on social science perspectives can also help link NTD control to broader social determinants of health,especially important given the major social and economic inequalities that continue to underpin transmission in endemic countries.
文摘增进公众心理健康与福祉是人类面临的重要公共卫生课题,以促进心理健康为目标的绿色空间规划设计是健康城市建设的关键。基于Web of Science(WoS)数据库核心合集的英文文献,从绿色空间对心理健康的影响因素、影响机制与测度方法3个方面,梳理绿色空间与公众心理健康关联性研究的进展。既有研究表明:绿色空间与心理健康之间存在多因素混合、多机制协同作用;绿地自身特征与暴露特征主要通过3种间接途径产生心理健康效益,并受到个人与社会因素的调节。考虑既有研究在指标阈值与因果权重中的争议,以及在学科融合、指标选取及数据获取与分析方面的局限,建议未来研究在加强跨领域学科融合、细化绿地属性特征、关注个体属性与行为、进行纵向与实验研究、引入智能新技术等方面予以完善。