Satisfaction, stability and wellbeing inside marriage.
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Qurʾān
القرآن6 shownVerses named for this subject by hand come first. The rest are found by the subject’s own Arabic and English senses and are shown as lexical matches, not as anchors anyone has confirmed.
Qur'ān 4:19named: named for theme_bridge theme best-to-family
يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُواْ لَا يَحِلُّ لَكُمۡ أَن تَرِثُواْ ٱلنِّسَآءَ كَرۡهࣰ اۖ وَلَا تَعۡضُلُوهُنَّ لِتَذۡهَبُواْ بِبَعۡضِ مَآ ءَاتَيۡتُمُوهُنَّ إِلَّآ أَن يَأۡتِينَ بِفَٰحِشَةࣲ مُّبَيِّنَةࣲۚ وَعَاشِرُوهُنَّ بِٱلۡمَعۡرُوفِۚ فَإِن كَرِهۡتُمُوهُنَّ فَعَسَىٰٓ أَن تَكۡرَهُواْ شَيۡـࣰٔ ا وَيَجۡعَلَ ٱللَّهُ فِيهِ خَيۡرࣰ ا كَثِيرࣰ ا
You who believe, it is not lawful for you to inherit women against their will, nor should you treat your wives harshly, hoping to take back some of the bride-gift you gave them, unless they are guilty of something clearly outrageous. Live with them in accordance with what is fair and kind: if you dislike them, it may well be that you dislike something in which God has put much good
Qur'ān 30:21English sense: spouses, tranquillity | Arabic sense: سكن, موده
وَمِنۡ ءَايَٰتِهِۦٓ أَنۡ خَلَقَ لَكُم مِّنۡ أَنفُسِكُمۡ أَزۡوَٰجࣰ ا لِّتَسۡكُنُوٓاْ إِلَيۡهَا وَجَعَلَ بَيۡنَكُم مَّوَدَّةࣰ وَرَحۡمَةًۚ إِنَّ فِي ذَٰلِكَ لَأٓيَٰتࣲ لِّقَوۡمࣲ يَتَفَكَّرُونَ
Another of His signs is that He created spouses from among yourselves for you to live with in tranquillity: He ordained love and kindness between you. There truly are signs in this for those who reflect
Qur'ān 4:73English sense: affection | Arabic sense: موده
وَلَئِنۡ أَصَٰبَكُمۡ فَضۡلࣱ مِّنَ ٱللَّهِ لَيَقُولَنَّ كَأَن لَّمۡ تَكُنۢ بَيۡنَكُمۡ وَبَيۡنَهُۥ مَوَدَّةࣱ يَٰلَيۡتَنِي كُنتُ مَعَهُمۡ فَأَفُوزَ فَوۡزًا عَظِيمࣰ ا
yet he is sure to say, if you are favoured by God, ‘If only I had been with them, I could have made great gains,’ as if there had been no ties of affection between you and him
Qur'ān 42:23English sense: affection | Arabic sense: موده
ذَٰلِكَ ٱلَّذِي يُبَشِّرُ ٱللَّهُ عِبَادَهُ ٱلَّذِينَ ءَامَنُواْ وَعَمِلُواْ ٱلصَّٰلِحَٰتِۗ قُل لَّآ أَسۡـَٔلُكُمۡ عَلَيۡهِ أَجۡرًا إِلَّا ٱلۡمَوَدَّةَ فِي ٱلۡقُرۡبَىٰۗ وَمَن يَقۡتَرِفۡ حَسَنَةࣰ نَّزِدۡ لَهُۥ فِيهَا حُسۡنًاۚ إِنَّ ٱللَّهَ غَفُورࣱ شَكُورٌ
it is of this that God gives good news to His servants who believe and do good deeds. Say [Prophet], ‘I ask no reward from you for this, only the affection due to kin.’ If anyone does good, We shall increase it for him; God is most forgiving and most appreciative
Qur'ān 5:82English sense: affection | Arabic sense: موده
۞لَتَجِدَنَّ أَشَدَّ ٱلنَّاسِ عَدَٰوَةࣰ لِّلَّذِينَ ءَامَنُواْ ٱلۡيَهُودَ وَٱلَّذِينَ أَشۡرَكُواْۖ وَلَتَجِدَنَّ أَقۡرَبَهُم مَّوَدَّةࣰ لِّلَّذِينَ ءَامَنُواْ ٱلَّذِينَ قَالُوٓاْ إِنَّا نَصَٰرَىٰۚ ذَٰلِكَ بِأَنَّ مِنۡهُمۡ قِسِّيسِينَ وَرُهۡبَانࣰ ا وَأَنَّهُمۡ لَا يَسۡتَكۡبِرُونَ
You [Prophet] are sure to find that the most hostile to the believers are the Jews and those who associate other deities with God; you are sure to find that the closest in affection towards the believers are those who say, ‘We are Christians,’ for there are among them people devoted to learning and ascetics. These people are not given to arrogance
Qur'ān 60:7Arabic sense: موده | English sense: affection
۞عَسَى ٱللَّهُ أَن يَجۡعَلَ بَيۡنَكُمۡ وَبَيۡنَ ٱلَّذِينَ عَادَيۡتُم مِّنۡهُم مَّوَدَّةࣰۚ وَٱللَّهُ قَدِيرࣱۚ وَٱللَّهُ غَفُورࣱ رَّحِيمࣱ
God may still bring about affection between you and your present enemies- God is all powerful, God is most forgiving and merciful
Tafsīr
التفسير6 shownCommentary on the verses above, at most two editions per verse.
en-asbab-al-nuzul-by-al-wahidi on 4:19en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
O you who have faith, it is not lawful for you to inherit women against their will, neither debar them from marriage that you may go off with part of what you have given them, unless they commit a flagrant indecency. Consort with them honorably. For, if you are averse to them, it may be that you are averse to something within which God has placed much good. This is a call, an admonishment, an allusion, a bearing witness, and a ruling. O is the call, you is the admonishment, who is the allusion, have faith is the bearing witness. It is not lawful for you to inherit women against their will is the ruling. The explanation of the ruling is that women are considered weak, and they are imprisoned beneath your severity. Beware of tormenting them, and do not rule over them by way of scheming and deceit. Do not be severe, and do not ask of them what the Shariah does not approve. On the contrary,
en-al-jalalayn on 4:19en-al-jalalayncommentary on an ayah this subject surfaced
O you who believe it is not lawful for you to inherit women against their will read either karhan or kurhan as alternative forms that is to say coercing them into this. In pre-Islamic times they used to inherit women from their kin and if they so wished they could marry a woman without a dowry or marry her off and take the dowry for themselves or prevent her from marriage until she gave up what she had inherited or until she died and they could inherit from her. They were thus forbidden such practices; neither debar them your former wives from marrying others by retaining them while you have no desire for them yourselves only to harm them; so that you may go off with part of what you have given them of the dowry except when they commit flagrant read mubayyina ‘making it clear’ or mubayyana ‘clear’ lewdness such as adultery or rebellion then you have the right to coerce them until they re
en-al-jalalayn on 30:21en-al-jalalayncommentary on an ayah this subject surfaced
And of His signs is that He created for you from yourselves mates — Eve was created from Adam’s rib and the remainder of mankind from the reproductive fluids of men and women — that you might find peace by their side and become intimate with them and He ordained between you all affection and mercy. Surely in that mentioned there are signs for a people who reflect upon God’s handiwork exalted be He.
en-tafisr-ibn-kathir on 30:21en-tafisr-ibn-kathircommentary on an ayah this subject surfaced
And among His signs is this that He created you from dust, and then – behold you are human beings scattered (20)And among His signs is this that He created for you wives from among yourselves, that you may find repose in them, and He has put between you affection and mercy. Verily, in that are indeed signs for a people who reflect (21)
Among the Signs of Allah
Allah says:
وَمِنْ آيَاتِهِ
(And among His signs) – which speak of His might and power, is the fact that He created your father Adam out of dust.
ثُمَّ إِذَا أَنْتُمْ بَشَرٌ تَنْتَشِرُونَ
(and then – behold you are human beings scattered!) So man's origins lie in dust, then in a despised liquid, then he is formed and becomes a clot, then a lump of flesh, then bones in the form of a human being. Then Allah clothes the bones with flesh. Then the soul is breathed into him and he can hear and see. Then he comes forth from his mot
en-asbab-al-nuzul-by-al-wahidi on 42:23en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
(Say (O Muhammad, unto mankind): I ask of you no fee therefor, save loving kindness among kinsfolk�) [42:23]. Said Ibn �Abbas: �When the Messenger of Allah, Allah bless him and give him peace, migrated to Medina, he went through periods of time when he faced needs and rights which he had to address but did not have the means to do so. The Helpers said: �Allah, exalted is He, has guided you through this man who is the son of your sister. He faces life�s vicissitudes and has rights but does not have the means to fulfil them. Collect for him from your wealth that which will not hurt you and give it to him so that he uses it to help himself with the ups and downs of life�. They collected some wealth and took it to him. They said: �O Messenger of Allah, you are the son of our sister, and Allah, exalted is He, has guided us through you. Sometimes you go through ups and downs in life and you al
en-asbab-al-nuzul-by-al-wahidi on 5:82en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced
(Thou wilt find the most vehement of mankind in hostility to those who believe (to be) the Jews) up to His words (But those who disbelieve and deny Our revelations, they are owners of hell-fire) [5:82-86]. These verses were revealed about the Negus and his followers. Said Ibn �Abbas: �When he was in Mecca, the Messenger of Allah, Allah bless him and give him peace, used to fear the idolaters� persecution of his Companions. He therefore sent Ja�far ibn Abi Talib and �Abd Allah ibn Mas�ud, at the head of a group of his Companions, to the Negus. He said: �The Negus is a righteous man; he is not an oppressor and none is oppressed in his dominion. So head toward him and remain there until Allah creates relief for the Muslims�. When they went to him, the Negus honoured them and then asked them: �Do you memorise anything of that which was revealed to you?� They answered in the affirmative and t
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801 to 825 of 859Janson C, Leisenring W, Cox C, Termuhlen AM, Mertens AC, Whitton JA, Goodman P, Zeltzer L, Robison LL, Krull KR, Kadan-Lottick NS (2009)MEDLINE-indexed journal, not yet read by usCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology75 citations Predictors of marriage and divorce in adult survivors of childhood cancers: a report from the Childhood Cancer Survivor Study.
Background/objective: Adult survivors of childhood cancer can have altered social functioning. We sought to identify factors that predict marriage and divorce outcomes in this growing population.
Methods: This was a retrospective cohort study of 8,928 > or = 5-year adult survivors of childhood malignancy and 2,879 random sibling controls participating in the Childhood Cancer Survivor Study. Marital status, current health, psychological status, and neurocognitive functioning were determined from surveys and validated instruments.
Results: Survivors were more likely to be never-married than siblings [relative risk (RR), 1.21; 95% confidence interval (95% CI), 1.15-1.26] and the U.S. population (RR, 1.25; 95% CI, 1.21-1.29), after adjusting for age, gender, and race. Patients with central nervous system tumors were at greatest risk of not marrying (RR, 1.50; 95% CI, 1.41-1.59). Married surv…
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Lindström M (2009)MEDLINE-indexed journal, not yet read by usHealth policy (Amsterdam, Netherlands)65 citations Marital status, social capital, material conditions and self-rated health: a population-based study.
Aims: Associations between marital status and self-rated health were investigated, adjusting for material conditions and trust (social capital).
Methods: The 2004 public-health survey in Skåne is a cross-sectional study. A total of 27,757 persons aged 18-80 years answered a postal questionnaire, which represents 59% of the random sample. A logistic regression model was used to investigate associations between marital status and self-rated health, adjusting for economic problems and trust.
Results: The prevalence of poor self-rated health was 28.7% among men and 33.2% among women. Older respondents, respondents born abroad, with medium/low education, low emotional support, low instrumental support, economic problems, low trust, never married and divorced had significantly higher odds ratios of poor self-rated health than their respective reference group. Low trust was significantly higher…
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DeCaro JA, Worthman CM (2008)MEDLINE-indexed journal, not yet read by usAmerican journal of human biology : the official journal of the Human Biology Council8 citations Culture and the socialization of child cardiovascular regulation at school entry in the US.
The measurement of cardiovascular functioning targets an important bridge between social conditions and differential well-being. Nevertheless, the biocultural, psychosocial processes that link human ecology to cardiovascular function in children remain inadequately characterized. Childrearing practices shaped by parents' cultural beliefs should moderate children's affective responses to daily experience, and hence their psychophysiology. The present study concerns interactions among family ecology, the normative social challenge of entry into kindergarten, and parasympathetic (vagal) cardiac regulation in US middle-class children (N = 30). Although parents believed children must be protected from overscheduling to reduce stress and improve socio-emotional adaptation, maternal rather than child schedules predicted parasympathetic regulation during a nonthreatening social engagement task f…
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For better or worse: relationship status and body mass index.
Recent increases in the incidence of obesity and declines in marriage have prompted policymakers to implement policies to mitigate these trends. This paper examines the link between these two outcomes. There are four hypotheses (selection, protection, social obligation and marriage market) that might explain the relationship between marital status transitions and changes in Body Mass Index (BMI). The selection hypothesis suggests that those with a lower BMI are more likely to be selected into marriage. The protection hypothesis states that married adults will have better physical health as a result of the increased social support and reduced incidence of risky behavior among married individuals. The social obligation hypothesis states that those in relationships may eat more regular meals and/or richer and denser foods due to social obligations which may arise because of marriage. Finall…
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Kirk DS (2008)MEDLINE-indexed journal, not yet read by usDemography41 citations The neighborhood context of racial and ethnic disparities in arrest.
This study assesses the role of social context in explaining racial and ethnic disparities in arrest, with afocus on how distinct neighborhood contexts in which different racial and ethnic groups reside explain variations in criminal outcomes. To do so, I utilize a multilevel, longitudinal research design, combining individual-level data with contextual data from the Project on Human Development in Chicago Neighborhoods (PHDCN). Findings reveal that black youths face multiple layers of disadvantage relative to other racial and ethnic groups, and these layers work to create differences in arrest. At the family level, results show that disadvantages in the form of unstable family structures explain much of the disparities in arrest across race and ethnicity. At the neighborhood level, black youths tend to reside in areas with both significantly higher levels of concentrated poverty than ot…
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The times they are a changin': marital status and health differentials from 1972 to 2003.
Although the meanings and rates of being married, divorced, separated, never-married, and widowed have changed significantly over the past several decades, we know very little about historical trends in the relationship between marital status and health. Our analysis of pooled data from the National Health Interview Survey from 1972 to 2003 shows that the self-rated health of the never-married has improved over the past three decades. Moreover, the gap between the married and the never married has steadily converged over time for men but not for women. In contrast, the self-rated health of the widowed, divorced, and separated worsened over time relative to the married, and the adverse effects of marital dissolution have increased more for women than for men. Our findings highlight the importance of social change in shaping the impact of marital status on self-reported health and challeng…
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A longitudinal study of variations in and predictors of fatigue in multiple sclerosis.
Objectives: To describe variations in fatigue over the course of 2 years in a sample of persons with multiple sclerosis (MS), and to investigate the predictive value of the following variables on variations in fatigue: sex, age, sense of coherence, living with a partner, living with children, work status, immunomodulatory treatment, mood, disease severity, disease course, time since diagnosis and time.
Methods: Every 6 months, 219 outpatients at an MS specialist clinic were assessed using the Fatigue Severity Scale (FSS). Predictive values were explored with Generalised Estimating Equation employing proportional odds models; FSS scores were categorised as non-fatigue, borderline fatigue or fatigue.
Results: FSS scores varied significantly (p = 0.02); 54% changed FSS category one or several times, 27% were persistently fatigued and 19% persistently non-fatigued. Independent predictors of …
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Protective factors and the development of resilience in the context of neighborhood disadvantage.
The purpose of the present study was to examine relations among multiple child and family protective factors, neighborhood disadvantage, and positive social adjustment in a sample of 226 urban, low SES boys followed from infancy to early adolescence. The results indicated that child IQ, nurturant parenting, and parent-child relationship quality, measured in early childhood, were all significantly associated with a composite measure tapping low levels of antisocial behavior and high levels of social skills at ages 11 and 12. Parental romantic partner relationship quality (RPRQ) was only significantly related to positive social adjustment in the context of low levels of neighborhood disadvantage. Results suggest that with the exception of RPRQ, these protective factors operate in a comparable manner with respect to positive social adjustment for this predominantly low-income urban sample o…
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Avci IA (2008)MEDLINE-indexed journal, not yet read by usEuropean journal of oncology nursing : the official journal of European Oncology Nursing Society52 citations Factors associated with breast self-examination practices and beliefs in female workers at a Muslim community.
The purpose of this descriptive correlational study was to identify knowledge levels and performance frequency of breast self-examination (BSE) and to examine variables related to breast cancer screening behaviors in a sample of Turkish women. Data were collected from a convenience sample of 103 Muslim female workers at a hazelnut factory in Ordu city, Turkey, using an adapted version of Champion's revised Health Belief Model Scale. Results showed that 26.2% of the women reported knowledge of BSE and 4.3% reported that they perform BSE. Higher health motivation, higher perceived self-efficacy of BSE, marital status, and familial breast cancer history were significantly associated with BSE performance. Higher levels of health motivation and higher perceived self-efficacy of BSE were also significantly associated with knowledge of BSE.
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Dietary intake of folate, other B vitamins, and omega-3 polyunsaturated fatty acids in relation to depressive symptoms in Japanese adults.
Objective: Although a favorable effect of dietary folate and omega-3 polyunsaturated fatty acids (PUFAs) on depression is suggested from epidemiologic studies in Western countries, evidence from non-Western populations is lacking. We examined cross-sectional associations between the intake of folate, other B vitamins, and omega-3 PUFAs and depressive symptoms in Japanese adults.
Methods: Subjects were 309 Japanese men and 208 Japanese women 21-67 y of age. Dietary intake was assessed with a validated, brief, self-administered diet history questionnaire. Depressive symptoms were defined as present when subjects had a Center for Epidemiologic Studies Depression scale score > or =16. Adjustment was made for age, body mass index, work place, marital status, occupational physical activity, leisure-time physical activity, current smoking, current alcohol drinking, and job stress score.
Results…
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Uthman OA (2008)MEDLINE-indexed journal, not yet read by usInternational journal of health geographics25 citations Geographical variations and contextual effects on age of initiation of sexual intercourse among women in Nigeria: a multilevel and spatial analysis.
Background: The age of initiation of sexual intercourse is an increasingly important issue to study given that sexually active young women are at risk of multiple outcomes including early pregnancies, vesico-vaginal fistula, and sexually transmitted infections. Much research has focused on the demographic, familial, and social factors associated with sexual initiation and reasons adolescents begin having consensual intercourse. Less is known, however, about the geographical and contextual factors associated with age of initiation of sexual intercourse. Therefore, the purpose of this study was to examine the extent of regional and state disparities in age of initiation of sexual intercourse and to examine individual- and community-level predictors of early sexual debut.
Methods: Multilevel logistic regression models were applied to data on 5531 ever or currently married women who had part…
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Muirhead V, Locker D (2008)MEDLINE-indexed journal, not yet read by usEuropean journal of dental education : official journal of the Association for Dental Education in Europe39 citations Canadian dental students' perceptions of stress and social support.
This study explored the relationship between dental school stress and social support reported by undergraduate students in a Canadian dental school. Students completed questionnaires comprised of Dental Environment Scale stress items, social support measures evaluating perceived contact and two proxy measures of social support (marital status and living arrangement). Sixty-two per cent of undergraduate students in all four academic years participated in the study conducted in March--April 2005. Second-year students living with parents had significantly higher adjusted total stress scores (P < 0.001), whilst fourth-year students living with roommates had significantly lower total adjusted stress scores (P = 0.008). Social support systems utilised by students included teacher, parental, student and relationship support. Students who received more support from teachers and from students ins…
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Women of the 1950s and the "normative" life course: the implications of childlessness, fertility timing, and marital status for psychological well-being in late midlife.
We explore women's psychological well-being in late midlife in relation to childlessness and timing of entry into motherhood. Using two U.S. surveys, Health and Retirement Study (HRS) (1992) and National Survey of Families and Households (NSFH) (Sweet, Bumpass, & Call, 1988), we assess the well-being of childless women in their 50s compared to mothers with early, delayed, or normatively timed first births. We focus on the cohorts born between 1928 and 1941, who experienced strong normative pressures during the baby boom with regard to marriage and child-bearing. We find few differences among childless women but lower well-being among early mothers, related to singlehood and poorer socioeconomic status. Unmarried mothers are significantly disadvantaged regardless of maternal timing, controlling for socioeconomic status. Current maternal demands are independently related to well-being and …
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Leisure and religious activity participation and mental health: gender analysis of older adults in Nepal.
Background: Involvement in activities has been found to be beneficial for improving quality of life and successful aging for older adults. Little is known, however, about the involvement in activities and depression of older adults in Asian developing countries. This study explores whether participation in leisure social and religious activities are related to depression and satisfaction with life in older adults of Nepal. Gender differences are also explored.
Methods: The study sample was derived from a survey which aimed to determine the intergenerational relationships between older adults and their married sons. A cross-sectional quantitative study of older adults sixty years and over in Nepal was conducted with face-to-face interviews using structured instruments. A convenience sample of 489 community dwelling older adults, 247 men and 242 women, were included in the study. The depen…
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Changes of life satisfaction in the transition to retirement: a latent-class approach.
Contradictory positions have been advanced as to whether retirement has negative, positive, or no effects on subjective well-being. The authors investigated changes in life satisfaction in 1,456 German retirees. Using latent growth mixture modeling, the authors found 3 groups of people who experienced retirement differently. In Group 1, satisfaction declined at retirement but continued on a stable or increasing trajectory thereafter. Group 2 demonstrated a large increase in satisfaction at retirement but overall declining satisfaction. In Group 3, satisfaction showed a temporary very small increase at retirement. Groups differed by retirement age, gender, socioeconomic status, marital status, health, unemployment before retiring, and region. Thus, retirement is not a uniform transition, and resource-rich individuals are less likely to experience retirement-related change in satisfaction.
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The effect of social relationships on survival in elderly residents of a Southern European community: a cohort study.
Background: Comparative evidence regarding the effects of social relationships on mortality in Mediterranean communities will increase our knowledge of their strengths and the ways in which they influence longevity across cultures. Men and women may benefit differently from social relationships because of cultural differences in gender roles. Psychosocial mechanisms such as social support, which may explain the effects of social networks, may also vary by culture.
Methods: Detailed information on the social relationships of a representative sample of 1,174 community-dwelling older adults was collected in Leganés, a city in central Spain. Mortality over a 6-year follow-up period was ascertained. Information on socio-demographic, health and disability variables was also collected. Cox proportional hazards models were fitted separately for men and women and for the combined sample.
Results:…
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Religious and spiritual involvement among older african americans, Caribbean blacks, and non-Hispanic whites: findings from the national survey of american life.
Objectives: The purpose of this study was to examine similarities and differences in religious involvement among three groups of older adults-African Americans, Caribbean Blacks, and non-Hispanic Whites.
Methods: We used data from the National Survey of American Life, a nationally representative household study of African Americans and Caribbean Blacks with a national sample of non-Hispanic Whites who reside in areas (census tracks and block groups) at least 10% African American. We examined demographic correlates of 16 measures of organizational, nonorganizational, subjective religiosity, as well as religious coping and spirituality.
Results: The findings indicated that older African Americans and Caribbean Blacks reported higher levels of religious participation, religious coping, and spirituality than older Whites. We observed few significant differences between older African American…
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Sociodemographic status, stress, and risk of prostate cancer. A prospective cohort study.
Purpose: The social gradient in prostate cancer incidence observed in several studies may be a result of differential access to prostate cancer screening. We aim to assess if socioeconomic status, stress, and marital status are associated with prostate cancer risk in a population with free access to health care.
Methods: The 5,496 men who participated in the Copenhagen City Heart Study were asked about their income, educational level, stress level, and marital status during 1981-1983. These men were prospectively followed up in the Danish Cancer Registry until the end of 2002 and fewer than 0.1 % were lost to follow-up.
Results: During follow-up, 157 men were diagnosed with prostate cancer. Neither high income (HR = 1.17, 95% confidence interval [CI]: 0.78-1.76) nor high education (HR = 1.22; 95% CI: 0.76-1.96) were associated with risk of prostate cancer. There were also no differences …
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Carr D, Khodyakov D (2007)MEDLINE-indexed journal, not yet read by usThe journals of gerontology. Series B, Psychological sciences and social sciences114 citations End-of-life health care planning among young-old adults: an assessment of psychosocial influences.
Objectives: End-of-life planning among healthy older adults may protect them from unwanted medical treatments in later life, in the event that they become incapable of making health care decisions for themselves. We explore two formal and one informal components of end-of-life planning (living will, durable power of attorney for health care, and discussions) and assess whether one's health and health care encounters, personal beliefs, and experience with others' deaths affect these practices.
Methods: Using two waves of data (1992-1993 and 2004) from the Wisconsin Longitudinal Study, we estimated binary and multinomial logistic regression models to predict end-of-life preparations among a sample of community-dwelling persons aged 64-65 (N=3,838).
Results: Recent hospitalizations, personal beliefs (Death Avoidance and the belief that doctors should control health care decisions), and rece…
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Alcohol treatment utilization: findings from the National Epidemiologic Survey on Alcohol and Related Conditions.
Background: Epidemiological studies consistently show low rates of alcohol treatment utilization among individuals with an alcohol use disorder (AUD). However, there is not as great consistency in the characteristics that predict alcohol treatment utilization.
Methods: Using data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we examined attributes associated with treatment utilization among individuals with an AUD. We used stepwise backward selection logistic regression analysis to examine demographic and clinical predictors of treatment utilization, in order to identify opportunities to improve the delivery of services to this population.
Results: Only 14.6% of individuals who met lifetime criteria for an AUD reported ever having received alcohol treatment (including self-help group participation). A greater proportion of respondents with both alcoho…
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Brown SL (2006)MEDLINE-indexed journal, not yet read by usDemography70 citations Family structure transitions and adolescent well-being.
Using data from Waves 1 and 2 of the National Longitudinal Study of Adolescent Health, I extend prior research on family transitions and adolescent well-being by examining the influence of parental marital and cohabitation transitions on adolescent delinquency, depression, and school engagement. Adolescents who experienced a family transition reported decreased well-being, on average, relative to those in stable, two-biological-parent families. Specific comparisons of various types of family stability and change revealed that cohabitation is often associated with poorer outcomes. Moving out of a cohabiting stepfamily into a single-mother family was not harmful and was actually associated with improvements in school engagement. Moving into a cohabiting stepfamily from a single-mother family decreased adolescent well-being, and this impact was greater than that experienced by those who mov…
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Measuring participation in a prevention trial with parents of young children.
This paper describes parent participation in a clinical trial of preventive parent training (PT) targeting low-income parents of young children. Participation encompassed enrollment, attendance, and engagement. Average enrollment rate was 34.9%, although enrollment rates were significantly higher in the control (39.1%) than in the intervention (30.6%) centers. Parents attended an average of 39% of the PT sessions. Higher attendance was associated with lower parenting self-efficacy, more parent-reported child behavior problems, and attending the first PT session. Level of engagement in the PT sessions was related to improvements in parent and child outcomes. Findings suggest that attendance is linked to parent perceived need for help and that resources should be focused on ensuring parent attendance at the first intervention session.
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Deliberate self-harm in people aged 60 years and over: characteristics and outcome of a 20-year cohort.
Background: Little information is available about older deliberate self-harm (DSH) patients and their outcome.
Methods: This study is a prospective investigation and follow-up of 730 consecutive patients (459 females and 271 males) aged 60 years and over who presented to a general hospital following DSH over a 20-year period, 1978-1997. Outcome has been examined in terms of repetition of DSH, and deaths by the end of 2000 identified through official death registers.
Results: DSH involved self-poisoning in 88.6% of cases, 49.3% of the overdoses including paracetamol (acetaminophen), 24.0% minor tranquillizers, and 15.9% antidepressants. Nearly three-quarters of episodes involved high suicidal intent. Common problems preceding DSH were physical illness (46.1%), social isolation (33.5%), relationship problems with family (29.4%) or partner (25.9%), and bereavement or loss (16.7%). Repetitio…
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Congestive heart failure patients report conflict with their physicians.
Background: Given the importance of the doctor-patient relationship, we examined the prevalence and nature of patients' perceived conflicts with the physicians caring for their congestive heart failure (CHF).
Methods and results: This cross-sectional study recruited patients with CHF in the outpatient and inpatient service of a tertiary referral hospital. Patients completed demographics, semistructured interviews, and surveys of emotional and health status. CHF physiologic measures and comorbidities were abstracted from the medical record. A team of 2 blinded coders analyzed the interviews. Thirty-one percent of the 289 patients reported difficulties with physicians. In the bivariate analysis, only marital status was significantly associated with conflict. Major problems included the providers' poor communication skills (20%), trust in the physicians' competence (18%), and insufficient m…
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Marital status, family ties, and self-rated health among elders in South India.
This article examines the impact of familial social support ties (indicated by marital status, kin availability, sources of economic support, and frequency and quality of emotional interaction) on subjective health perception among a sample of elderly men and women aged 60 and older in South India. We used 1993 survey data from three states of South India: Kerala, Tamil Nadu, and Karnataka. We hypothesized that (a) widowhood would be associated with poorer self-rated health, (b) number of kin ties would be positively associated with self-rated health, (c) economic and emotional support from kin would improve outcomes, and (d) these associations would be stronger among women than among men. Results of logistic regression techniques supported the first hypothesis and partially supported the third. With regard to the second hypothesis, the presence of specific kin rather than the number of …
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