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Socioeconomic Position (socioeconomic + position)
Selected AbstractsAssociation of Race and Socioeconomic Position with Outcomes in Pediatric Heart Transplant RecipientsAMERICAN JOURNAL OF TRANSPLANTATION, Issue 9 2010T. P. Singh We assessed the association of socioeconomic (SE) position with graft loss in a multicenter cohort of pediatric heart transplant (HT) recipients. We extracted six SE variables from the US Census 2000 database for the neighborhood of residence of 490 children who underwent their primary HT at participating transplant centers. A composite SE score was derived for each child and four groups (quartiles) compared for graft loss (death or retransplant). Graft loss occurred in 152 children (122 deaths, 30 retransplant). In adjusted analysis, graft loss during the first posttransplant year had a borderline association with the highest SE quartile (HR 1.94, p = 0.05) but not with race. Among 1-year survivors, both black race (HR 1.81, p = 0.02) and the lowest SE quartile (HR 1.77, p = 0.01) predicted subsequent graft loss in adjusted analysis. Among subgroups, the lowest SE quartile was associated with graft loss in white but not in black children. Thus, we found a complex relationship between SE position and graft loss in pediatric HT recipients. The finding of increased risk in the highest SE quartile children during the first year requires further confirmation. Black children and low SE position white children are at increased risk of graft loss after the first year. [source] Investing time in health: do socioeconomically disadvantaged patients spend more or less extra time on diabetes self-care?HEALTH ECONOMICS, Issue 6 2009Susan L. Ettner Abstract Background: Research on self-care for chronic disease has not examined time requirements. Translating Research into Action for Diabetes (TRIAD), a multi-site study of managed care patients with diabetes, is among the first to assess self-care time. Objective: To examine associations between socioeconomic position and extra time patients spend on foot care, shopping/cooking, and exercise due to diabetes. Data: Eleven thousand nine hundred and twenty-seven patient surveys from 2000 to 2001. Methods: Bayesian two-part models were used to estimate associations of self-reported extra time spent on self-care with race/ethnicity, education, and income, controlling for demographic and clinical characteristics. Results: Proportions of patients spending no extra time on foot care, shopping/cooking, and exercise were, respectively, 37, 52, and 31%. Extra time spent on foot care and shopping/cooking was greater among racial/ethnic minorities, less-educated and lower-income patients. For example, African-Americans were about 10 percentage points more likely to report spending extra time on foot care than whites and extra time spent was about 3,min more per day. Discussion: Extra time spent on self-care was greater for socioeconomically disadvantaged patients than for advantaged patients, perhaps because their perceived opportunity cost of time is lower or they cannot afford substitutes. Our findings suggest that poorly controlled diabetes risk factors among disadvantaged populations may not be attributable to self-care practices. Copyright © 2008 John Wiley & Sons, Ltd. [source] Young People of Migrant Origin in SwedenINTERNATIONAL MIGRATION REVIEW, Issue 4 2003Charles Westin This article surveys immigration during the second part of the twentieth century with the aim of determining the origins of the immigrant population and the socioeconomic position of the second generation. It focuses on migration from Turkey from the 1960s onward. Originally, migration from Turkey was within the framework of labor recruitment. These migrants were predominantly ethnic Turks of rural origin. A second wave of migrants from Turkey was composed of Syriani/Assyrians, a Christian minority from eastern Turkey seeking asylum in the 1970s on the grounds of religious persecution. Since the 1980s, the main intake of migrants from Turkey has been Kurds seeking protection on the grounds of political persecution. Immigration of ethnic Turks and Syriani/Assyrians is restricted to family reunification and family formation; the numbers are low. Kurds, on the other hand, are accepted both on the grounds of refugee claims and family reunification/family formation. The article looks at conditions of growing up in Sweden, with a particular focus on education, mother-tongue classes and instruction in Swedish. Second-generation youth distinguish themselves by an overrepresentation among dropouts from school, but also by an overrepresentation among those who do well academically in comparison with native Swedes. This applies to second-generation youth with family roots in Turkey. Though very few under the age of 18 hold regular employment, the article also discusses the prospects of entering the labor market, based on information from the regular labor market surveys. Unemployment rates are consistently higher for second-generation migrants than for native-born Swedish youth. The article closes with a discussion about the developing multicultural society in Sweden and the niches that second-generation youth tend to occupy. [source] The Second Generation in Germany: Between School and Labor Market,INTERNATIONAL MIGRATION REVIEW, Issue 4 2003Susanne Worbs The German "mode of integration" after World War II has been to include migrants and their offspring into general societal institutions. This can be stated despite differences between federal states in some aspects of migrant integration (e.g., the educational sector). Migrant children normally attend the same schools and classes as their German age peers, they participate in the dual system of vocational training, and there are only a few limitations in labor market access. The second generation in Germany consists mainly of children of the "guestworkers" recruited in southern and southeastern European countries from the 1950s onwards. It is not easy to obtain information about their numbers and their socioeconomic position, as most statistical data distinguish only between foreigners and Germans. The achieved integration status of the second generation varies between areas: obvious problems in the educational system go along with considerable progress in the vocational training system and in the labor market. Children of Turkish migrants are the most disadvantaged group among the second generation. [source] Intellectual Disabilities and Socioeconomic Inequalities in Health: An Overview of ResearchJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 2 2005Hilary Graham Background, There is an enduring association between socioeconomic position and health, both over time and across major causes of death. Children and adults with intellectual disabilities are disproportionately represented among the poorer and less healthy sections of the population. But research on health inequalities, and on the broader societal influences on health, has yet to be integrated into perspectives and policy for people with intellectual disabilities. Methods, The paper reviews evidence on the patterns and causes of socioeconomic inequalities in health. Results, It points to evidence that socioeconomic position is the fundamental determinant of health, drawing on longitudinal studies to highlight how it exerts its influence on health from before birth and across the lifecourse. The factors shaping an individual's socioeconomic position are also discussed. Conclusions, The paper concludes by identifying research and policy challenges. [source] Contesting meaning: Newfie and the politics of ethnic labellingJOURNAL OF SOCIOLINGUISTICS, Issue 4 2002Ruth King The ethnic label Newfie is a site of ideological dispute: for some, it is simply an informal term for residents and expatriates of the Canadian province of Newfoundland, for others it may function as an in,group term of solidarity which takes on negative connotations when used by non,Newfoundlanders, and for still others it is the equivalent of a racial slur. In this study we first trace the history of the term, a fairly recent innovation. We then examine present,day attitudes as expressed in (provincial and national) media discourse and in self,report data. We argue that debate over Newfie is part of a larger ideological struggle concerning the commodification of an ,invented' Newfoundland culture, which itself must be understood in terms of Newfoundland's socioeconomic position as Canada's poorest province. Finally, we compare the Newfie case to other instances of contested group labelling. [source] Childhood conditions and education as determinants of adult height and obesity among Greenland InuitAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 3 2010P. Bjerregaard Height and obesity are risk factors for cardiovascular disease and other physical and mental health conditions. Their association with childhood socioeconomic position has been demonstrated in studies among European and a few third world populations. In a random sample of adult Greenland Inuit (N = 2302) we studied the association between childhood socioeconomic conditions and height as well as prevalence of obesity (BMI , 30) in a cross sectional design. In block recursive graphical independence models, height was associated with mother's place of birth, birth cohort, childhood residence, alcohol problems in childhood home, and education among both men and women. Obesity was associated with mother's place of birth (for men) and with alcohol problems (for women). In General Linear Models, men with an all rural background and no education beyond primary school measured on average 165.1 cm compared with 172.1 cm for men with an all urban background (P < 0.001); women measured 153.9 and 161.1 cm (P < 0.001). Rural-urban differences in prevalence of obesity were not statistically significant. The height differences were considerably larger than between educational groups in European countries and of the same order of magnitude as those reported between men from the 17th century and men from 400 BC in the European and Mediterranean region. The rural-urban gradient in height follows the socioeconomic gradient and may negatively affect cardiovascular risk among the rural Greenlanders, while their physically active lifestyle and high consumption of n-3 fatty acids may counteract this. Am. J. Hum. Biol., 2010. © 2009 Wiley-Liss, Inc. [source] Assessing the contribution of working conditions to socioeconomic disparities in health: A commentaryAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2010Paul A. Landsbergis PhD Abstract Introduction Occupational health researchers can play a pivotal role in increasing our understanding of the role of physical and psychosocial working conditions in producing socioeconomic health disparities and trends of increasing socioeconomic health disparities, contributing to interventions to reduce such disparities, and helping to improve public education materials on this subject. However, a number of methodological challenges in this field need to be considered. Methods Commentary, including a review of selected studies. Results/Conclusion Research needs to be guided by models of the associations between social (socioeconomic position (SEP), race/ethnicity, immigration status, and gender) and occupational variables and health, to avoid inappropriate control for confounding, and to specify causal pathways (mediation) and interaction effects. Different approaches to the theory and measurement of SEP also need to be tested. Am. J. Ind. Med. 53:95,103 2010. © 2009 Wiley-Liss, Inc. [source] Workers are people too: Societal aspects of occupational health disparities,an ecosocial perspectiveAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 2 2010Nancy Krieger PhD Abstract Workers are people too. What else is new? This seemingly self-evident proposition, however, takes on new meaning when considering the challenging and deeply important issue of occupational health disparities,the topic that is the focus of 12 articles in this special issue of the American Journal of Industrial Medicine. In this commentary, I highlight some of the myriad ways that societal determinants of health intertwine with each and every aspect of occupation-related health inequities, as analyzed from an ecosocial perspective. The engagement extends from basic surveillance to etiologic research, from conceptualization and measurement of variables to analysis and interpretation of data, from causal inference to preventive action, and from the political economy of work to the political economy of health. A basic point is that who is employed (or not) in what kinds of jobs, with what kinds of exposures, what kinds of treatment, and what kinds of job stability, benefits, and pay,as well as what evidence exists about these conditions and what action is taken to address them,depends on societal context. At issue are diverse aspects of people's social location within their societies, in relation to their jointly experienced,and embodied,realities of socioeconomic position, race/ethnicity, nationality, nativity, immigration and citizen status, age, gender, and sexuality, among others. Reviewing the papers' findings, I discuss the scientific and real-world action challenges they pose. Recommendations include better conceptualization and measurement of socioeconomic position and race/ethnicity and also use of the health and human rights framework to further the public health mission of ensuring the conditions that enable people,including workers,to live healthy and dignified lives. Am. J. Ind. Med. 53:104,115 2010. © 2009 Wiley-Liss, Inc. [source] | |||||||||||||