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Unhealthy Lifestyle (unhealthy + lifestyle)
Selected AbstractsHealthy babies for mothers with serious mental illness: A case management framework for mental health cliniciansINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 6 2008Yvonne Hauck ABSTRACT Women with a serious mental illness (SMI), notably schizophrenia, bipolar disorder, and personality disorders are considered high risk for adverse pregnancy and birth outcomes, which in turn, are associated with poor neurodevelopment in the child. Failure to access antenatal care, poor adherence with folate supplementation, an unhealthy lifestyle, and inappropriate health decisions can contribute to poor outcomes. Many women with SMI continue contact with mental health services while pregnant. This primary prevention project aimed to develop a framework for community mental health clinicians to improve the reproductive health outcomes for women with SMI. The consultation process involved discussions with key stakeholders, an environmental scan to determine current service delivery issues, a literature review, and individual and group interviews with community mental health clinicians, consumers, general practitioners, and midwives. Three key elements underpin the framework: early detection and monitoring of pregnancy, providing reproductive choices, and implementing a ,small known team approach' in the management of the pregnant client. Specific modules within the framework focus upon establishing a professional support network, assessing the risk of pregnancy, the early detection of pregnancy, monitoring during pregnancy, preparing for birth, and planning for the postnatal period. Implementation of the framework has the potential to significantly improve obstetric and neonatal outcomes for this high-risk group. [source] Prisons and the tuberculosis epidemic in RussiaJOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 5 2003A. J. Mercer A resurgence of tuberculosis (TB) occurred in Russia in the 1990s, in a period of general health crisis following the break-up of the Soviet Union. Inter-related increases in poverty, unemployment and unhealthy lifestyle probably contributed to increased incidence and mortality from TB among the civilian population. The number of prisoners increased dramatically in the 1990s and many come from socially marginalized groups at high risk of TB. There is a high prevalence of TB in prisons in Russia, with inadequate TB control measures, overcrowding and poor nutrition contributing to the problem. Many prisoners are released before completion of treatment, often into a social milieu that fosters transmission of TB. Prisoners and ex-prisoners account for a very high proportion of TB cases in Russia and without adequate treatment for them the epidemic is unlikely to be brought under control. © 2003 John Wiley & Sons, Ltd. [source] Smoking and Risk of Premature Death among Middle-aged Japanese: Ten-year Follow-up of the Japan Public Health Center-based Prospective Study on Cancer and Cardiovascular Diseases (JPHC Study) Cohort ICANCER SCIENCE, Issue 1 2002Megumi Hara To update the evidence on the association between smoking and mortality, we analyzed data from a population-based prospective study in Japan. In total, 19 950 men and 21 534 women aged 40,59 who reported their smoking history and had no serious disease at baseline survey were followed. During 1990,1999, 1014 men and 500 women died. Smokers were associated with an unhealthy life-style. Relative risks (RRs) for selected cause of death due to smoking were slightly attenuated by adjusting for possible confounding factors. Age- and area-adjusted RRs of male current smokers compared with never smokers were 1.66 (95% confidence intervals (CI): 1.40, 1.95) for all causes, 1.69 (1.31, 2.18) for all cancers, 1.67 (1.20, 2.34) for all circulatory system disease, and 1.63 (1.24, 2.15) for other causes, while those of females were 2.03 (1.52, 2.73), 2.06 (1.35, 3.15), 2.99 (1.75, 5.11), 1.31 (0.69, 2.51), respectively. After adjusting for multivariate variables, the corresponding RRs of male smokers were 1.55 (1.29, 1.86), 1.61 (1.20, 2.15), 1.41 (0.97, 2.03), and 1.61 (1.17, 2.19), against 1.89 (1.36, 2.62), 1.83 (1.14, 2.95), 2.72 (1.45, 5.07), and 1.39 (0.71, 2.73) for females. Twenty-two percent of death from all causes, 25% of all cancer, and 17% of all circulatory system disease deaths, could be attributed to cigarette smoking in males, and 5%, 4%, and 11% in females, respectively. Cumulative dose as indicated by pack-years was clearly associated with cancer death. These findings provided information as to the quantitative risk for premature death due to smoking among middle-aged Japanese men and women, and showed that the elevated risk was not explained by the unhealthy lifestyle of smokers. [source] Serum concentrations of 17,-E2 and 25-hydroxycholecalciferol (25OHD) in relation to all-cause mortality in older men , the MINOS studyCLINICAL ENDOCRINOLOGY, Issue 4 2009Pawel Szulc Summary Objective, To examine the association of serum hormone levels with all-cause mortality in older community-dwelling men. Design, Single centre cohort study. Subjects, Men aged 50 and older, insured by Société de Secours Minière de Bourgogne (Montceau les Mines, France). Among 3400 men invited to participate, 782 volunteers had serum hormone measurements and were followed up for 10 years. No exclusion criteria were used. Results, Nonsurvivors (n = 182) were older, had more comorbidities and lower physical performance. The lowest quartile of 25-hydroxycholecalciferol (25OHD) level predicted mortality [HR = 1·44, 95% confidence interval (CI): 1·03,2·03, P < 0·05] regardless of age, BMI, smoking, physical activity, vitamin D supplementation, and health status; mainly for the first 3 years. The 17,-E2 level predicted mortality independent of confounders after the third year (HR = 1·21 per 1 SD increase, 95% CI: 1·09,1·35, P < 0·001). In the fully adjusted models, risk of death increased per quartiles of 17,-E2 (trend ,P < 0·001) and was higher in the third and the fourth quartiles compared with the lowest quartile (HR = 1·80, 95% CI: 1·09,2·98, P < 0·05 and HR = 2·83, 95% CI: 1·71,4·67, P < 0·001). Concentrations of testosterone and PTH did not predict mortality independent of the model. Conclusions, In older men, increased 17,-E2 level predicted mortality after 3 years of follow-up. Thus, high 17,-E2 level may reflect presence of risk factors precipitating development of diseases. Low 25OHD level predicted mortality more weakly, mainly for the first 3 years of the follow-up, and was strongly influenced by the confounding variables. Thus, low 25OHD level may reflect poor current health status and unhealthy lifestyle. [source] Predictive factors of self-medicated drug use among the Spanish adult populationPHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 2 2008P. Carrasco-Garrido PhD Abstract Purpose Our study aimed at describing the prevalence of self-medicated drug use among the Spanish adult population and to identify the predictive factors of such self-medication in Spain. Methods Descriptive, cross-sectional study covering the Spanish adult population, using data drawn from the 2003 Spanish National Health Survey (ENSS). A total of 19,514 subjects were analysed. The independent variables were socio-demographic and health-related, and the dependent variable was self-medicated drug use. Using logistic multivariate regression models we have estimated the independent effect of each of these variables on the self-medicated consumption. Results The 18.1% of all Spaniards indulge in self-medication. Our study shows that 45% of all cold and influenza medication and 39.4% of analgesics consumed by the population involve self-medication. It should be stressed here that 17.7% of persons who took antibiotics did so in the form of self-medication. The variables that were independently and significantly associated with a greater probability of self-medicated consumption were: sex; lower age; higher educational level; consumption of alcohol; smoking habit; use of alternative medical products; absence of chronic disease and a positive perception of health. Conclusions In Spain, the prevalence of self-medicated drug use is higher in women than men. In our population, the influence of unhealthy lifestyles, such as alcohol and tobacco consumption, is related to a higher likelihood of self-medication. Copyright © 2007 John Wiley & Sons, Ltd. [source] | ||||||||||