Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 8 de 8
Filtrar
Mais filtros

Bases de dados
País/Região como assunto
Tipo de documento
País de afiliação
Intervalo de ano de publicação
1.
Cancer ; 121(8): 1257-64, 2015 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-25564986

RESUMO

BACKGROUND: Current literature suggests that racial/ethnic minority survivors may be more likely than whites to experience economic hardship after a cancer diagnosis; however, little is known about such hardship. METHODS: Patients with lung cancer (LC) and colorectal cancer (CRC) participating in the Cancer Care Outcomes Research and Surveillance (CanCORS) Consortium were surveyed approximately 4 months (baseline) and 12 months (follow-up) after diagnosis. Economic hardship at follow-up was present if participants 1) indicated difficulty living on household income; and/or 2) for the following 2 months, anticipated experiencing hardships (inadequate housing, food, or medical attention) or reducing living standards to the bare necessities of life. The authors tested whether African Americans (AAs) and Hispanics were more likely than whites to experience economic hardship controlling for sex, age, education, marital status, cancer stage, treatment, and economic status at baseline (income, prescription drug coverage). RESULTS: Of 3432 survivors (39.7% with LC, 60.3% with CRC), 14% were AA, 7% were Hispanic, and 79% were white. AAs and Hispanics had lower education and income than whites. Approximately 68% of AAs, 58% of Hispanics, and 44.5% of whites reported economic hardship. In LC survivors, the Hispanic-white disparity was not significant in unadjusted or adjusted analyses, and the AA-white disparity was explained by baseline economic status. In CRC survivors, the Hispanic-white disparity was explained by baseline economic status, and the AA-white disparity was not explained by the variables that were included in the model. CONCLUSIONS: Economic hardship was evident in almost 1 in 2 cancer survivors 1 year after diagnosis, especially AAs. Research should evaluate and address risk factors and their impact on survival and survivorship outcomes.


Assuntos
Neoplasias Colorretais/economia , Neoplasias Colorretais/etnologia , Disparidades em Assistência à Saúde/etnologia , Neoplasias Pulmonares/economia , Neoplasias Pulmonares/etnologia , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Neoplasias Colorretais/diagnóstico , Disparidades em Assistência à Saúde/economia , Hispânico ou Latino/estatística & dados numéricos , Humanos , Neoplasias Pulmonares/diagnóstico , Pessoa de Meia-Idade , Grupos Minoritários/estatística & dados numéricos , Qualidade de Vida , Fatores de Risco , Sobreviventes/estatística & dados numéricos
2.
Aging Ment Health ; 19(1): 55-62, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24866207

RESUMO

OBJECTIVES: Depression is a leading mental health issue affecting elderly individuals worldwide. Previous research widely neglects caregiver emotional stress as a probable contributing factor of depression in the elderly. This study investigated caregiver emotional stress as a chronic life stressor of an elderly care recipient using the life stress paradigm as the theoretical foundation. METHODS: The relationships between caregiver emotional stress and care receiver depressive symptoms, as well as other social and psychological mediation factors, were investigated using the 2004 wave of the National Long-Term Care Study (NLTCS). The NLTCS is a nationally representative longitudinal study used to identify frail and disabled elderly Medicare recipients living in the United States. The analytic sample of this study included 1340 caregiver-care receiver dyads who were asked a series of questions concerning their mental health (i.e. emotional stress and depressive symptoms), as well as the availability of social and psychological resources. RESULTS: Overall, the results showed that high levels of emotional stress reported by the caregiver were associated with a higher likelihood of the disabled care receiver reporting depressive symptoms. CONCLUSION: The findings of this investigation point to the importance of studying caregivers and care receivers as dyads as the stress associated with the caregiving role affects each member.


Assuntos
Cuidadores/psicologia , Efeitos Psicossociais da Doença , Depressão/psicologia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/psicologia , Estresse Psicológico/psicologia , Atividades Cotidianas/psicologia , Idoso , Depressão/etiologia , Transtorno Depressivo/epidemiologia , Feminino , Idoso Fragilizado , Humanos , Assistência de Longa Duração , Masculino , Saúde Mental , Pessoa de Meia-Idade , Análise Multivariada , Qualidade de Vida , Apoio Social , Estresse Psicológico/complicações
3.
J Health Commun ; 18(10): 1235-55, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23886026

RESUMO

This study examines how rurality and gender are related to online health activities. Rural women face greater health risks and yet have access to a weaker health system infrastructure, which has resulted in a health disadvantage. New health information technologies may ameliorate some of these disparities; thus, the authors examine the relevance of gender and place in going online to search for health information, buy medicines, participate in health-related support groups, communicate with physicians, or maintain a personal health record. Analyzing data from the National Cancer Institute's 2007 Health Information National Trends Survey, the authors found that the relations between rurality and gender vary, depending on the specific type of online health activity, and that gender may be a more salient factor than rurality in determining whether individuals engage in particular types of online health activities. This study contributes to the literature by examining how gender and place are related to online health activities, a combined area neglected in past research, and advancing research on gender and technology. This research highlights the importance of expanding high-speed access in rural locations, increasing technological and health literacy, and tailoring the Internet to specific populations.


Assuntos
Informação de Saúde ao Consumidor/estatística & dados numéricos , Comportamento de Busca de Informação , Internet/estatística & dados numéricos , População Rural , Adolescente , Adulto , Idoso , Feminino , Necessidades e Demandas de Serviços de Saúde , Disparidades nos Níveis de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Saúde da População Rural , População Rural/estatística & dados numéricos , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
4.
Gerontologist ; 53(4): 641-53, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23034471

RESUMO

OBJECTIVES: Aging adults face an increased risk of adverse health events as well as risk for a decrease in personal competencies across multiple domains. These factors may inhibit the ability of an older adult to age in place and may result in a nursing home admission (NHA). This study combines insights from Lawton's environmental press theory with the neighborhood disadvantage (ND) literature to examine the interaction of the neighborhood environment and individual characteristics on NHA. METHODS: Characteristics associated with the likelihood of NHA for community-dwelling older adults were examined using data collected for 8.5 years from the UAB Study of Aging. Logistic regression models were used to test direct effects of ND on NHA for all participants. The sample was then stratified into 3 tiers of ND to examine differences in individual-level factors by level of ND. RESULTS: There was no direct link between living in a disadvantaged neighborhood environment and likelihood of NHA, but physical impairment was associated with NHA for older adults living highly disadvantaged neighborhood environments in contrast to older adults living in less disadvantaged neighborhood environments, where no association was observed. DISCUSSION: These outcomes highlight (a) the usefulness of linking Lawton's theories of the environment with the ND literature to assess health-related outcomes and (b) the importance of neighborhood environment for older adults' ability to age in place.


Assuntos
Envelhecimento , Nível de Saúde , Casas de Saúde , Admissão do Paciente , Características de Residência , Meio Social , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Modelos Logísticos , Assistência de Longa Duração , Masculino , Pessoa de Meia-Idade , Apoio Social , Fatores Socioeconômicos , Populações Vulneráveis
5.
J Aging Health ; 24(4): 673-95, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22330730

RESUMO

OBJECTIVE: This study examines the impact of indebtedness on depressive symptomatology, anxiety, and anger. METHOD: We use data from a two-wave panel study of adults in Miami-Dade County. The analytic sample consists of 1,463 mostly older respondents with valid data on all study measures, including education, income, occupational status, wealth, and debt. RESULTS: We find that indebtedness is common and is associated with more symptoms of depression, anxiety, and anger. It is weakly associated with other aspects of socioeconomic status (SES), and thus not redundant with them. In fact, in this sample, debtor status is more consistently associated with mental health than any other single traditional indicator of SES, its effect does not vary across income or other aspects of SES, and fears of never paying off debt account for its negative impact on mental health. DISCUSSION: These findings affirm health scholars' calls for more complete measures of SES.


Assuntos
Ira , Ansiedade/epidemiologia , Depressão/epidemiologia , Classe Social , Feminino , Florida/epidemiologia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade
6.
Sociol Health Illn ; 32(6): 880-97, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20633241

RESUMO

For those of little or no means, leaving one's mark through financial assets, social connections, and human investment is difficult. Using secondary analysis of transcripts from face-to-face interviews with 33 terminally-ill patients from an outpatient clinic at a public hospital serving the disadvantaged in the southern United States, we examine the legacy participants wish to leave behind. As part of this process, participants assess life circumstances to try and generate a legacy allowing them to remain personally relevant to loved ones after death. For the low-SES terminally ill persons in this study, the desire to leave a material legacy and the means to do so are not congruous. In the absence of economic resources to bequeath loved ones, participants describe their desire to leave loved ones some form of ethical currency to facilitate interactions with others and protect them against social marginalisation. We call this concept ethical capital. We then argue ethical capital is a way for disadvantaged people to find dignity and to affirm their lives.


Assuntos
Atitude Frente a Morte , Ética Médica , Relação entre Gerações , Pobreza/psicologia , Estresse Psicológico , Testamentos/ética , Adaptação Psicológica , Adulto , Idoso , Feminino , Hospitais Públicos , Humanos , Entrevista Psicológica , Masculino , Pessoa de Meia-Idade , Pacientes Ambulatoriais , Psicometria , Fatores Socioeconômicos , Gravação em Fita , Fatores de Tempo , Estados Unidos , Adulto Jovem
7.
Ethn Health ; 11(1): 41-57, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16338754

RESUMO

OBJECTIVE: This research examines the conditions that determine whether Blacks experience lower or higher levels of depression while caregiving outside of the home, as compared to Whites. Some prior literature has found that African Americans report a lesser caregiver burden despite an increased likelihood that they will acquire this role, and decreased resources to do so. Others have found that African Americans experience the same caregiver burden and distress as Whites. Given these mixed findings, we use the stress process model to examine whether African American caregivers experience lower or higher levels of depression when they provide care outside of the home. DESIGN: A sample of care workers who provide care to others outside of the home was drawn from the 1992-4 National Survey of Families and Households. The final sample included 275 (11%) Blacks, and 2,218 (89%) Whites (not of Hispanic origin). The primary statistical method for predicting differences in caregivers' depressive symptomatology was OLS regression analysis with progressive adjustment. RESULTS: We examined sociodemographics, family structure, resources, and stressors and found that African Americans, those with lower socioeconomic status, the unmarried, spending more weeks caregiving, having a physical impairment, and surprisingly receiving more help from parents are associated with higher depressive symptomatology. Stronger religious beliefs decreased depressive symptomatology for Blacks. The race effect was, in part, explained by family structure, amount of caregiving, and impairment of care worker. CONCLUSION: Contrary to prior literature, we found that Blacks are more depressed than White caregivers in large part because of lower socioeconomic status and greater stressors, and higher levels of physical impairment. Yet, strength in religious belief has a stress-buffering effect for African Americans. We suggest that policies that attempt to eliminate racial disparities in socioeconomic status and health could benefit these caregivers.


Assuntos
Negro ou Afro-Americano/psicologia , Cuidadores/psicologia , Depressão/etnologia , População Branca/psicologia , Adulto , Feminino , Humanos , Análise dos Mínimos Quadrados , Masculino , Pessoa de Meia-Idade , Classe Social , Estados Unidos
8.
Suicide Life Threat Behav ; 33(4): 412-29, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-14695056

RESUMO

Traditionally, African Americans have registered lower rates of suicide than other ethnic groups. In the last 20 years this pattern has changed, particularly among young African Americans. To date, the research conducted regarding this phenomenon has been limited for a variety of reasons and previous research has been inconclusive in determining risk factors of African American suicide. The purpose of this paper is to identify risk and protective factors specific to African American suicide. To determine the factors, the 1993 National Mortality Follow-back Survey was analyzed. The risk factors identified include being under age 35, southern and northeastern residence, cocaine use, firearm presence in home, and threatening others with violence. Some of the protective factors associated with African American suicide include rural residence and educational attainment. These results provide valuable information about completed African American suicides in relation to Whites. Several of these factors are unique to African Americans.


Assuntos
Negro ou Afro-Americano/psicologia , Suicídio/etnologia , Adolescente , Adulto , Idoso , Feminino , Armas de Fogo , Humanos , Modelos Logísticos , Masculino , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Fatores de Risco , Apoio Social , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Estados Unidos/epidemiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA