BACKGROUND: Increased lung cancer risks for low socioeconomic status (SES) groups are only partially attributable to smoking habits. Little effort has been made to investigate the persistent risks related to low SES by quantification of potential biases. METHODS: Based on 12 case-control studies, including 18 centers of the international SYNERGY project (16,550 cases, 20,147 controls), we estimated controlled direct effects (CDE) of SES on lung cancer via multiple logistic regression, adjusted for age, study center, and smoking habits and stratified by sex. We conducted mediation analysis by inverse odds ratio weighting to estimate natural direct effects and natural indirect effects via smoking habits. We considered misclassification of smoking status, selection bias, and unmeasured mediator-outcome confounding by genetic risk, both separately and by multiple quantitative bias analyses, using bootstrap to create 95% simulation intervals (SI). RESULTS: Mediation analysis of lung cancer risks for SES estimated mean proportions of 43% in men and 33% in women attributable to smoking. Bias analyses decreased the direct effects of SES on lung cancer, with selection bias showing the strongest reduction in lung cancer risk in the multiple bias analysis. Lung cancer risks remained increased for lower SES groups, with higher risks in men (fourth vs. first [highest] SES quartile: CDE, 1.50 [SI, 1.32, 1.69]) than women (CDE: 1.20 [SI: 1.01, 1.45]). Natural direct effects were similar to CDE, particularly in men. CONCLUSIONS: Bias adjustment lowered direct lung cancer risk estimates of lower SES groups. However, risks for low SES remained elevated, likely attributable to occupational hazards or other environmental exposures.
- MeSH
- analýza mediace * MeSH
- dospělí MeSH
- kouření * epidemiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- logistické modely MeSH
- nádory plic * epidemiologie MeSH
- odds ratio MeSH
- rizikové faktory MeSH
- senioři MeSH
- společenská třída * MeSH
- studie případů a kontrol MeSH
- zkreslení výsledků (epidemiologie) * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
We tested links between social status and emotion recognition accuracy (ERA) with participants from a diverse array of cultures and a new model and method of ERA, the Assessment of Contextualized Emotion (ACE), which incorporates social context and is linked to different types of social interaction across cultures. Participants from the Czech Republic (Study 1) and from 12 cultural groups in Europe, North America, and Asia (Study 2) completed a short version of the ACE, a self-construal scale, and the MacArthur Subjective Social Status (SSS) scale. In both studies, higher SSS was associated with more accuracy. In Study 2, this relationship was mediated by higher independent self-construal and moderated by countries' long-term orientation and relational mobility. The findings suggest that the positive association between higher social class and emotion recognition accuracy is due to the use of agentic modes of socio-cognitive reasoning by higher status individuals. This raises new questions regarding the socio-cultural ecologies that afford this relationship.
- MeSH
- dospělí MeSH
- emoce * fyziologie MeSH
- kultura * MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- rozpoznávání (psychologie) * MeSH
- společenská třída * MeSH
- srovnání kultur MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Asie MeSH
- Česká republika MeSH
- Evropa MeSH
- Severní Amerika MeSH
OBJECTIVES: Having adequate level of health literacy is a very powerful tool of improving health. "Emerging adulthood" is described as a period between age of 18-25 years, characterized by changing life circumstances, developing personality and exploring possibilities. The aim of this study was to establish the relationship between health literacy and socioeconomic status of young adults in Serbia and their individual influence on the reproductive health and sexual behaviour. METHODS: This research was conducted as observational, cross-sectional study. We used STOFHLA to assess the health literacy level of young people and general information questionnaire for demographic, social and economic characteristics of respondents, health knowledge and behaviour in the area of reproductive health. Chi-square test was performed to assess the existence of association between categorical variables using the Statistical Package for the Social Sciences (SPSS). RESULTS: Results of our research found significant connection between levels of health literacy and age groups, marital status, but also connection with living in rural place. Socio-demographic factors and health literacy levels had significant impact on various aspects of sexual behaviour and reproductive health knowledge. CONCLUSION: The importance of this research is reflected in its contribution to a clearer understanding of the impact of health literacy and socioeconomic status on the reproductive health of young people in Serbia, with the aim of improving public policies, health interventions and educational programmes, which would contribute to reducing health inequalities, improving health outcomes, and developing targeted educational initiatives.
- MeSH
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- reprodukční zdraví * statistika a číselné údaje MeSH
- sexuální chování * statistika a číselné údaje MeSH
- socioekonomické faktory MeSH
- společenská třída * MeSH
- zdraví - znalosti, postoje, praxe MeSH
- zdravotní gramotnost * statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- Geografické názvy
- Srbsko MeSH
Even in the most egalitarian societies, hierarchies of power and status shape social life. However, power and received status are not synonymous-individuals in positions of power may or may not be accorded the respect corresponding to their role. Using a cooperatively collected dataset from 18,096 participants across 70 cultures, we investigate, through a survey-based correlational design, when perceived position-based power (operationalized as influence and control) of various powerholders is associated with their elevated social status (operationalized as perceived respect and instrumental social value). We document that the positive link between power and status characterizes most cultural regions, except for WEIRD (Western, Educated, Industrialized, Rich, Democratic) and Post-Soviet regions. The strength of this association depends on individual and cultural factors. First, the perceived other-orientation of powerholders amplifies the positive link between perceived power and status. The perceived self-orientation of powerholders weakens this relationship. Second, among cultures characterized by low Self-Expression versus Harmony (e.g., South Korea, Taiwan), high Embeddedness (e.g., Senegal), and high Cultural Tightness (e.g., Malaysia), the association between power and status tends to be particularly strong. The results underline the importance of both individual perceptions and societal values in how position-based power relates to social status.
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- moc (psychologie) * MeSH
- sociální hodnoty MeSH
- společenská třída MeSH
- srovnání kultur * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Fertility centre websites are a key sources of information on medically assisted reproduction (MAR) for both infertile people and the general public. As part of a global fertility market, they are also a window to attract potential future patients. They give formal and practical information but in the way the information is displayed, they also convey social representations, and in particular, gender representation in its intersectional dimension. The objective is to analyse the sex, class and race representations regarding reproduction and parenthood that are embedded in the content of fertility centre websites in eight European countries. METHODS: The 5 most visible fertility centres that appeared in the first places on Internet search were selected for each country under study, except for one country which has only three fertility centres. In total, 38 fertility centre websites were considered for a thematic analysis using an iterative approach and a comprehensive perspective. RESULTS: Each centre details its services and techniques according to the legal provisions in force in its country. However, on all the websites studied, the fertility centres demonstrate a strong gendered representation. The logos generally depict women or parts of their bodies, as do the photos, which mainly show white women with light eyes. The description of the causes of infertility and the techniques offered by the centres also highlights gender differences. Sperm donation, where MAR is reserved for heterosexual couples, is included among the techniques for women with the comment that it will enable them to fulfil their dream of becoming mothers. CONCLUSIONS: MAR, and through it the project of having a child and procreative work, is presented as a matter for white, cisgender and heterosexual women, thus fueling stratified reproduction and limiting reproductive justice. The research team formulated guidelines for fertility centres to encourage them to adopt a more inclusive approach in terms of sex, social class and race, so that the diversity of infertile people feel involved and welcome in these centres, to avoid misperceptions about infertility in the general population and to reinforce autonomy and justice in reproductive matters.
- MeSH
- asistovaná reprodukce * MeSH
- infertilita psychologie MeSH
- internet MeSH
- kliniky reprodukční medicíny MeSH
- lidé MeSH
- rozmnožování MeSH
- socioekonomické faktory MeSH
- společenská třída MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Despite concerns about worsening pregnancy outcomes resulting from healthcare restrictions, economic difficulties and increased stress during the COVID-19 pandemic, preterm birth (PTB) rates declined in some countries in 2020, while stillbirth rates appeared stable. Like other shocks, the pandemic may have exacerbated existing socioeconomic disparities in pregnancy, but this remains to be established. Our objective was to investigate changes in PTB and stillbirth by socioeconomic status (SES) in European countries. METHODS: The Euro-Peristat network implemented this study within the Population Health Information Research Infrastructure (PHIRI) project. A common data model was developed to collect aggregated tables from routine birth data for 2015-2020. SES was based on mother's educational level or area-level deprivation/maternal occupation if education was unavailable and harmonized into low, medium and high SES. Country-specific relative risks (RRs) of PTB and stillbirth for March to December 2020, adjusted for linear trends from 2015 to 2019, by SES group were pooled using random effects meta-analysis. RESULTS: Twenty-one countries provided data on perinatal outcomes by SES. PTB declined by an average 4% in 2020 {pooled RR: 0.96 [95% confidence intervals (CIs): 0.94-0.97]} with similar estimates across all SES groups. Stillbirths rose by 5% [RR: 1.05 (95% CI: 0.99-1.10)], with increases of between 3 and 6% across the three SES groups, with overlapping confidence limits. CONCLUSIONS: PTB decreases were similar regardless of SES group, while stillbirth rates rose without marked differences between groups.
- MeSH
- COVID-19 * epidemiologie MeSH
- disparity zdravotního stavu MeSH
- dospělí MeSH
- lidé MeSH
- narození mrtvého plodu * epidemiologie MeSH
- novorozenec MeSH
- pandemie MeSH
- předčasný porod * epidemiologie MeSH
- SARS-CoV-2 * MeSH
- socioekonomické faktory MeSH
- socioekonomické nerovnosti ve zdraví MeSH
- společenská třída MeSH
- těhotenství MeSH
- výsledek těhotenství epidemiologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
1. vydání 203 stran : barevné ilustrace ; 30 cm
Studie se zaměřuje na ekonomickou a sociální situaci českých rodin, které pobírají přídavky na dítě, zejména na podobu péče o dítěte. Určeno odborné veřejnosti.
- MeSH
- dítě MeSH
- mzdy a přídavky MeSH
- nízký socioekonomický status MeSH
- péče o dítě MeSH
- podpora z veřejných prostředků MeSH
- příjem MeSH
- rodina MeSH
- životní styl MeSH
- zpráva o sobě MeSH
- Check Tag
- dítě MeSH
- Geografické názvy
- Česká republika MeSH
- Konspekt
- Sociální problémy vyžadující podporu a pomoc. Sociální zabezpečení
- NLK Obory
- sociologie
- ekonomie, ekonomika, ekonomika zdravotnictví
- NLK Publikační typ
- studie
Age at peak height velocity (APHV) is an indicator of maturity timing which is applicable to both sexes, and which is influenced by environmental factors. The objective of this study was to assess variation in APHV associated with several indicators of socioeconomic status (SES) in a longitudinal sample of Polish adolescents. The sample included 739 boys born in 1983 and followed annually from 12 to 16 years, and 597 girls born in 1985 and followed annually from 9 to 13 years. The height records were fitted with the SITAR model to estimate APHV. SES was estimated using principal component analysis of indicators of familial status based on parental education, family size, living conditions and household possessions. Statistical analyses included analysis of variance (one-way for general SES and three-way for parental education and family size) and Tukey post-hoc tests for unequal samples. General SES (p <.001) and family size (p < .05) significantly influenced APHV among boys, while only maternal education (p < .05) significantly influenced APHV among girls. Among youth from families of higher SES, as defined by the respective indicators, APHV was attained significantly earlier, on average, than in peers from families of lower SES. Overall, the results showed a sex-dependent effect of SES on APHV, and highlighted the influence of favorable socioeconomic conditions for optimal growth and maturation during adolescence.
- MeSH
- dítě MeSH
- lidé MeSH
- longitudinální studie MeSH
- mladiství MeSH
- sexuální faktory MeSH
- socioekonomické faktory * MeSH
- společenská třída MeSH
- tělesná výška * MeSH
- vývoj mladistvých MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Polsko MeSH
OBJECTIVES: This study aims to compare selected early childhood health risks and health outcomes of children from marginalized Roma communities (MRCs) in Slovakia with those of the majority. METHODS: We obtained cross-sectional data from mother-child dyads from the majority (N = 109) and MRCs (N = 143) via questionnaires and from medical records. Socioeconomic status, health risks and health outcomes were compared using chi-square and Mann-Whitney U tests in SPSS. RESULTS: Mothers from MRCs reported significantly worse socioeconomic status. Air quality in the households in MRCs was significantly worse, affected by heating with stoves, burning fresh wood and indoor smoking. The diet composition of children from MRCs was characterized by shorter breastfeeding and unhealthy diet composition less fresh fruits and vegetables, more processed meat products, and sweet and salty snacks. Children from MRCs more often suffered from respiratory and diarrheal diseases, used antibiotics and were hospitalized. CONCLUSION: The health and healthy development of children living in MRCs is endangered by various poverty-related factors. Persistent differences in exposures and health in early childhood should be a priority goal of the state's social and health policies.
- MeSH
- dieta MeSH
- hodnocení výsledků zdravotní péče MeSH
- lidé MeSH
- předškolní dítě MeSH
- průřezové studie MeSH
- Romové * MeSH
- společenská třída MeSH
- Check Tag
- lidé MeSH
- předškolní dítě MeSH
- Publikační typ
- časopisecké články MeSH
Introduction: The main objective of our research was to measure the impact on health of isolation and online education due to the Covid-19 pandemic, and particularly risk behaviours and mental health in adolescents with low socioeconomic status. Methods: We used an online questionnaire before (Q1) and after (Q2) the introduction of digital education, which was completed by a total of 212 Hungarian secondary school students. We measured the prevalence of risk behaviours and psychosomatic symptoms: subjective well-being, life satisfaction, self-esteem, sense of coherence, and changes in coping mechanisms among the students. Results: Stable smoking (p = 0.316), alcohol consumption habits (p = 0.573), and cannabis use (p = 0.607) did not change significantly between the two data sets. Psychosomatic symptoms (p = 0.111), life satisfaction (p = 0.727), self-esteem (p = 0.053) and sense of coherence (p = 0.602) also showed no significant change. However, there was an increase in the level of subjective well-being (p = 0.017) and in the proportion of those who used cognitive restructuring (p = 0.035) or problem-focused coping (p = 0.012) as coping mechanisms. Conclusion: Digital education had no negative impact on the health indicators of the students with low socioeconomic status. There were no significant changes in risk behaviours between the two surveys, while the students' mental health changed in a positive direction in several aspects.
- MeSH
- COVID-19 * psychologie MeSH
- distanční studium MeSH
- duševní zdraví statistika a číselné údaje MeSH
- korelace dat MeSH
- lidé MeSH
- mladiství MeSH
- nízký socioekonomický status MeSH
- průzkumy a dotazníky MeSH
- psychologie adolescentů MeSH
- psychosomatické poruchy epidemiologie etiologie MeSH
- sociální izolace * psychologie MeSH
- statistika jako téma MeSH
- zdravotně rizikové chování MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH