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Social support and belonging

Being held by a network of people.

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Qurʾān

القرآن6 shown

Verses 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 10:10English sense: greet, greeting

دَعۡوَىٰهُمۡ فِيهَا سُبۡحَٰنَكَ ٱللَّهُمَّ وَتَحِيَّتُهُمۡ فِيهَا سَلَٰمࣱۚ وَءَاخِرُ دَعۡوَىٰهُمۡ أَنِ ٱلۡحَمۡدُ لِلَّهِ رَبِّ ٱلۡعَٰلَمِينَ

Their prayer in them will be, ‘Glory be to You, God!’ their greeting, ‘Peace,’ and the last part of their prayer, ‘Praise be to God, Lord of the Worlds.’

Qur'ān 14:23English sense: greet, greeting

وَأُدۡخِلَ ٱلَّذِينَ ءَامَنُواْ وَعَمِلُواْ ٱلصَّٰلِحَٰتِ جَنَّٰتࣲ تَجۡرِي مِن تَحۡتِهَا ٱلۡأَنۡهَٰرُ خَٰلِدِينَ فِيهَا بِإِذۡنِ رَبِّهِمۡۖ تَحِيَّتُهُمۡ فِيهَا سَلَٰمٌ

but those who believed and did good deeds will be brought into Gardens graced with flowing streams, there to remain with their Lord’s permission: their greeting there is ‘Peace’

Qur'ān 24:27English sense: greet, greeting

يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُواْ لَا تَدۡخُلُواْ بُيُوتًا غَيۡرَ بُيُوتِكُمۡ حَتَّىٰ تَسۡتَأۡنِسُواْ وَتُسَلِّمُواْ عَلَىٰٓ أَهۡلِهَاۚ ذَٰلِكُمۡ خَيۡرࣱ لَّكُمۡ لَعَلَّكُمۡ تَذَكَّرُونَ

Believers, do not enter other people’s houses until you have asked permission to do so and greeted those inside- that is best for you: perhaps you will bear this in mind

Qur'ān 24:61English sense: greet, greeting

لَّيۡسَ عَلَى ٱلۡأَعۡمَىٰ حَرَجࣱ وَلَا عَلَى ٱلۡأَعۡرَجِ حَرَجࣱ وَلَا عَلَى ٱلۡمَرِيضِ حَرَجࣱ وَلَا عَلَىٰٓ أَنفُسِكُمۡ أَن تَأۡكُلُواْ مِنۢ بُيُوتِكُمۡ أَوۡ بُيُوتِ ءَابَآئِكُمۡ أَوۡ بُيُوتِ أُمَّهَٰتِكُمۡ أَوۡ بُيُوتِ إِخۡوَٰنِكُمۡ أَوۡ بُيُوتِ أَخَوَٰتِكُمۡ أَوۡ بُيُوتِ أَعۡمَٰمِكُمۡ أَوۡ بُيُوتِ عَمَّٰتِكُمۡ أَوۡ بُيُوتِ أَخۡوَٰلِكُمۡ أَوۡ بُيُوتِ خَٰلَٰتِكُمۡ أَوۡ مَا مَلَكۡتُم مَّفَاتِحَهُۥٓ أَوۡ صَدِيقِكُمۡۚ لَيۡسَ عَلَيۡكُمۡ جُنَاحٌ أَن تَأۡكُلُواْ جَمِيعًا أَوۡ أَشۡتَاتࣰ اۚ فَإِذَا دَخَلۡتُم بُيُوتࣰ ا فَسَلِّمُواْ عَلَىٰٓ أَنفُسِكُمۡ تَحِيَّةࣰ مِّنۡ عِندِ ٱللَّهِ مُبَٰرَكَةࣰ طَيِّبَةࣰۚ كَذَٰلِكَ يُبَيِّنُ ٱللَّهُ لَكُمُ ٱلۡأٓيَٰتِ لَعَلَّكُمۡ تَعۡقِلُونَ

No blame will be attached to the blind, the lame, the sick.Whether you eat in your own houses, or those of your fathers, your mothers, your brothers, your sisters, your paternal uncles, your paternal aunts, your maternal uncles, your maternal aunts, houses you have the keys for, or any of your friends’ houses, you will not be blamed: you will not be blamed whether you eat in company or separately. When you enter any house, greet one another with a greeting of blessing and goodness as enjoined by God. This is how God makes His messages clear to you so that you may understand

Qur'ān 4:86English sense: greet, greeting

وَإِذَا حُيِّيتُم بِتَحِيَّةࣲ فَحَيُّواْ بِأَحۡسَنَ مِنۡهَآ أَوۡ رُدُّوهَآۗ إِنَّ ٱللَّهَ كَانَ عَلَىٰ كُلِّ شَيۡءٍ حَسِيبًا

But [even in battle] when you [believers] are offered a greeting, respond with a better one, or at least return it: God keeps account of everything

Qur'ān 4:94English sense: greet, greeting

يَٰٓأَيُّهَا ٱلَّذِينَ ءَامَنُوٓاْ إِذَا ضَرَبۡتُمۡ فِي سَبِيلِ ٱللَّهِ فَتَبَيَّنُواْ وَلَا تَقُولُواْ لِمَنۡ أَلۡقَىٰٓ إِلَيۡكُمُ ٱلسَّلَٰمَ لَسۡتَ مُؤۡمِنࣰ ا تَبۡتَغُونَ عَرَضَ ٱلۡحَيَوٰةِ ٱلدُّنۡيَا فَعِندَ ٱللَّهِ مَغَانِمُ كَثِيرَةࣱۚ كَذَٰلِكَ كُنتُم مِّن قَبۡلُ فَمَنَّ ٱللَّهُ عَلَيۡكُمۡ فَتَبَيَّنُوٓاْۚ إِنَّ ٱللَّهَ كَانَ بِمَا تَعۡمَلُونَ خَبِيرࣰ ا

So, you who believe, be careful when you go to fight in God’s way, and do not say to someone who offers you a greeting of peace, ‘You are not a believer,’ out of desire for the chance gains of this life- God has plenty of gains for you. You yourself were in the same position [once], but God was gracious to you, so be careful: God is fully aware of what you do

Tafsīr

التفسير6 shown

Commentary on the verses above, at most two editions per verse.

en-asbab-al-nuzul-by-al-wahidi on 10:10en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

And their greeting therein will be " Peace!, " and the last of their supplication will be " Praise belongs to God, the Lord of the Worlds. " On that desert of the Mustering and station of the Resurrection, the disobedient of AḤmad's com- munity will be kept back at the place of the exposure of the reckoning. The preceders will have gone on ahead with the light of obedience, and the disobedient will stay there alone with the heavy burden of disobedience. In the end, God's mercy will take them by the hand. He will have pity on their aloneness and helplessness. With the call of generosity, He will say, " My servants! " When this address of exaltedness and call of generosity in the attribute of mercy reaches their ears, it will put their spirits at ease and open up their hearts to repose and ease [56:89]. He will say, " My servants, surely the companions of the Garden are today busy rejoicin

en-asbab-al-nuzul-by-al-wahidi on 14:23en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

Those who have faith and do wholesome deeds were given entry into the Garden....Their greeting therein is “Peace!” The meaning is that tomorrow the faithful and the friends will be brought into paradise, the house of victory, subsistent bliss, and everlasting kingship. The outward meaning of the word were given entry is that this decree was issued on the first day at the Beginningless Covenant and that the faithful were brought into paradise on the day when the decree was issued. It is not a new want that He puts into effect; it is a beginningless deed that He makes appear. He does not caress them today, for He caressed them in the Beginningless and finished the work. The worshipper is always looking toward the Endless, fearing what will be done to him tomor- row. The recognizer is always looking toward the Beginningless, burning because of what may have been done to him then. He who loo

en-asbab-al-nuzul-by-al-wahidi on 24:27en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

(O ye who believe! Enter not houses other than your own�) [24:27-29]. Ahmad ibn Muhammad ibn Ibrahim al-Tha�labi informed us> al-Husayn ibn Muhammad ibn �Abd Allah al-Dinawari> �Abd Allah ibn Yusuf ibn Ahmad ibn Malik> al-Husayn ibn Sakhtawayh> �Umar ibn Thawr and Ibrahim ibn Abi Sufyan> Muhammad ibn Yusuf al-Firyabi> Qays> Ash�ath ibn Siwar> �Adiyy ibn Thabit who said: �A woman from the Helpers went to see the Prophet and said: �O Messenger of Allah, sometimes I am in my house in a state in which I do not like anyone to see me, neither father nor son. But then the father comes in or another man of the family comes in while I am in that state, what shall I do?� [As a response] this verse was revealed (O ye who believe! Enter not houses other than your own without first announcing your presence and invoking peace upon the folk thereof)�. The commentators of the Qur�an said: �When this ver

en-asbab-al-nuzul-by-al-wahidi on 24:61en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

(No blame is there upon the blind�) [24:61]. Said ibn �Abbas: �When Allah, glorious and exalted is He, revealed (O ye who believe! Squander not your wealth among yourselves in vanity�) [4:29], the Muslims felt vexed to eat with the sick, the old, the blind and the lame. They said: �Food is the best part of one�s wealth, and Allah, exalted is He, has warned against squandering wealth in vanity. The blind cannot see where wholesome food is, the lame cannot compete over food and the sick cannot eat properly�. As a response, Allah, exalted is He, revealed this verse�. Sa�id ibn Jubayr and al-Dahhak said: �The lame and the blind used to feel vexed at eating with healthy people because the latter found them despicable and disliked eating with them. The people of Medina did not allow the blind, lame or sick person to share their food because they considered them dirty. For this reason, Allah, e

en-asbab-al-nuzul-by-al-wahidi on 4:86en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

When you are greeted with a greeting, greet with one more beautiful than it, or return it. In this verse, the majestic compeller, the magnificent God, the lovingly kind beautiful-doer, teach- es His servants the courteous acts of social intercourse and companionship, for anyone not adorned with courtesy is not worthy of companionship. Companionship is of three sorts: the courtesy of conformity with the Real, the courtesy of sincerity with people, and the courtesy of opposition to the soul. Anyone not nurtured by these sorts of courtesy has nothing to do with the path of MuṣṬafā and has no worth in the world of No god but God. The exalted Lord first adorned MuṣṬafā with courtesy, as his come in the report: “My Lord taught me courtesy, so how beautifully I have been made courteous!” Thus on the night of the miʿrāj in that most tremendous station, he acted courteously toward the Presence, s

en-asbab-al-nuzul-by-al-wahidi on 4:94en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

O you who have faith! When you strike forth on the path of God, look clearly, and say not to him who offers you peace, “You are not of the faithful,” seeking the chance goods of this world's life. By way of allusion, He is saying that when you go on a journey, go for the sake of reaching one of the friends of God so that he may be the intimate of your days and the witness of your heart and spirit. No matter how far you go, never be at ease from seeking and do not hold back the foot of effort. The friends are the favorites of the Exalted Threshold and accepted by the Presence of Divinity. Not everyone sees them, not every eyesight perceives them. When you find them, give ear, and when you see them, cling to them, for the brightness of the heart lies in witnessing them and endless felicity in being their companion. The pir of the Tariqah Junayd was asked, “Which do you prefer? Two cycles o

Ḥadīth

الحديث6 shown

Sound narrations only, and never matched by text. A narration appears here because a compiler filed it under a chapter this subject maps to, or because someone read it and anchored it. Each row says which.

Jami' at-Tirmidhi 2688read and anchored to theme greeting-presence, pending owner approval

حَدَّثَنَا هَنَّادٌ، حَدَّثَنَا أَبُو مُعَاوِيَةَ، عَنِ الأَعْمَشِ، عَنْ أَبِي صَالِحٍ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم ‏ "‏ وَالَّذِي نَفْسِي بِيَدِهِ لاَ تَدْخُلُوا الْجَنَّةَ حَتَّى تُؤْمِنُوا وَلاَ تُؤْمِنُوا حَتَّى تَحَابُّوا أَلاَ أَدُلُّكُمْ عَلَى أَمْرٍ إِذَا أَنْتُمْ فَعَلْتُمُوهُ تَحَابَبْتُمْ أَفْشُوا السَّلاَمَ بَيْنَكُمْ ‏"‏ ‏.‏ وَفِي الْبَابِ عَنْ عَبْدِ اللَّهِ بْنِ سَلاَمٍ وَشُرَيْحِ بْنِ هَانِئٍ عَنْ أَبِيهِ وَعَبْدِ اللَّهِ بْنِ عَمْرٍو وَالْبَرَاءِ وَأَنَسٍ وَابْنِ عُمَرَ ‏.‏ قَالَ أَبُو عِيسَى هَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ ‏.‏

Narrated Abu Hurairah:that the Messenger of Allah (ﷺ) said: "By the One in Whose Hand is my soul! You will not enter Paradise until you believe, and you will not believe until you love one another. Shall I inform you about a matter which if you do it, then you will love one another? Spread the Salam among each other

Sahih al-Bukhari 6247read and anchored to theme greeting-presence, pending owner approval

حَدَّثَنَا عَلِيُّ بْنُ الْجَعْدِ، أَخْبَرَنَا شُعْبَةُ، عَنْ سَيَّارٍ، عَنْ ثَابِتٍ الْبُنَانِيِّ، عَنْ أَنَسِ بْنِ مَالِكٍ ـ رضى الله عنه أَنَّهُ مَرَّ عَلَى صِبْيَانٍ فَسَلَّمَ عَلَيْهِمْ وَقَالَ كَانَ النَّبِيُّ صلى الله عليه وسلم يَفْعَلُهُ‏.‏

Narrated Anas bin Malik:that he passed by a group of boys and greeted them and said, "The Prophet (ﷺ) used to do so

Sahih al-Bukhari 6263read and anchored to theme greeting-presence, pending owner approval

حَدَّثَنَا عَمْرُو بْنُ عَاصِمٍ، حَدَّثَنَا هَمَّامٌ، عَنْ قَتَادَةَ، قَالَ قُلْتُ لأَنَسٍ أَكَانَتِ الْمُصَافَحَةُ فِي أَصْحَابِ النَّبِيِّ صلى الله عليه وسلم قَالَ نَعَمْ‏.‏

Narrated Qatada:I asked Anas, "Was it a custom of the companions of the Prophet (ﷺ) to shake hands with one another?" He said, "Yes

Sunan Abi Dawud 5193read and anchored to theme greeting-presence, pending owner approval

حَدَّثَنَا أَحْمَدُ بْنُ أَبِي شُعَيْبٍ، حَدَّثَنَا زُهَيْرٌ، حَدَّثَنَا الأَعْمَشُ، عَنْ أَبِي صَالِحٍ، عَنْ أَبِي هُرَيْرَةَ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم ‏ "‏ وَالَّذِي نَفْسِي بِيَدِهِ لاَ تَدْخُلُوا الْجَنَّةَ حَتَّى تُؤْمِنُوا وَلاَ تُؤْمِنُوا حَتَّى تَحَابُّوا أَفَلاَ أَدُلُّكُمْ عَلَى أَمْرٍ إِذَا فَعَلْتُمُوهُ تَحَابَبْتُمْ أَفْشُوا السَّلاَمَ بَيْنَكُمْ ‏"‏ ‏.‏

Abu Hurairah reported the Messenger of Allah (May peace be upon him) as saying:By him in whose hand my soul is, you will not enter Paradise until you believe, and you will not believe until you love one another: should I not guide you to something doing which you will love one another: spread out salutation among you

Sunan Abi Dawud 5212read and anchored to theme greeting-presence, pending owner approval

حَدَّثَنَا أَبُو بَكْرِ بْنُ أَبِي شَيْبَةَ، حَدَّثَنَا أَبُو خَالِدٍ، وَابْنُ، نُمَيْرٍ عَنِ الأَجْلَحِ، عَنْ أَبِي إِسْحَاقَ، عَنِ الْبَرَاءِ، قَالَ قَالَ رَسُولُ اللَّهِ صلى الله عليه وسلم ‏ "‏ مَا مِنْ مُسْلِمَيْنِ يَلْتَقِيَانِ فَيَتَصَافَحَانِ إِلاَّ غُفِرَ لَهُمَا قَبْلَ أَنْ يَفْتَرِقَا ‏"‏ ‏.‏

Narrated Al-Bara' ibn Azib: The Prophet (ﷺ) said: Two Muslims will not meet and shake hands having their sins forgiven them before they separate

Sunan Ibn Majah 3702read and anchored to theme greeting-presence, pending owner approval

حَدَّثَنَا عَلِيُّ بْنُ مُحَمَّدٍ، حَدَّثَنَا وَكِيعٌ، عَنْ جَرِيرِ بْنِ حَازِمٍ، عَنْ حَنْظَلَةَ بْنِ عَبْدِ الرَّحْمَنِ السَّدُوسِيِّ، عَنْ أَنَسِ بْنِ مَالِكٍ، قَالَ قُلْنَا يَا رَسُولَ اللَّهِ أَيَنْحَنِي بَعْضُنَا لِبَعْضٍ قَالَ ‏"‏ لاَ ‏"‏ ‏.‏ قُلْنَا أَيُعَانِقُ بَعْضُنَا بَعْضًا قَالَ ‏"‏ لاَ وَلَكِنْ تَصَافَحُوا ‏"‏ ‏.‏

It was narrated that Anas bin Malik said:"O Messenger of Allah! Should we bow to one another?" He said: "No." We said: "Should we embrace one another?" He said: "No, but shake hands with one another

Classical works

كتب التراث6 shown

Arabic originals, reached through the subject’s Arabic senses. Interpretive sources, never proof of a ruling.

mukhtasar-minhaj §832mukhtasar-minhajArabic sense: اخوه, الاخوة, النصرة, نصره

ومن ذلك أن تشكره على صنيعه في حقك، وأن تذب عنه في غيبته إذا قصد بسوء، فحق الأخوة التشمير في الحماية والنصرة.

ihya §5660ihyaArabic sense: اخوه, الاخوة, المؤاخاة, مواخاه

و الدليل عليه أن ترك المؤاخاة و الصحبة ابتداء ليس مذموما ولا مكروها بل قال قائلون الانفراد أولى فأما قطع الأخوة عن دوامها فمنهى عنه ومذموم في نفسه ونسبته إلى تركها ابتداء كنسبة الطلاق إلى ترك النكاح و الطلاق أبغض إلى الله تعالى من ترك النكاح قال صلى الله عليه وسلم شرار عباد الله المشاءون بالنميمة المفرقون بين الأحبة + حديث شرار عباد الله المشاءون بالنميمة المفرقون بين الأحبة رواه أحمد من حديث أسماء بنت يزيد بسند ضعيف +

ihya §5606ihyaArabic sense: اخوه, الاخوة, النصرة, نصره

قال علي رضي الله عنه من لم يحمد أخاه على حسن النية لم يحمده على حسن الصنيعة وأعظم من ذلك تأثيرا في جلب المحبة الذب عنه في غيبته مهما قصد بسوء أو تعرض لعرضه بكلام صريح أو تعريض فحق الأخوة التشمير في الحماية و النصرة وتبكيت المتعنت وتغليظ القول عليه و السكوت عن ذلك موغر للصدر ومنفر للقلب وتقصير في حق الأخوة

jami-ulum §403jami-ulumArabic sense: اخوه, الاخوة, النصرة, نصره

لأبيه وأمه دون أخيه لأبيه وقال عمرو بن شعيب قضي رسول الله صلى الله عليه وسلم أن الأخ للأب والأم أولي الكلالة بالميراث ثم الأخ للأب وهذا أيضا مما يدخل في قوله عليه الصلاة والسلام فما بقي فلأولي رجل ذكر والتحقيق في ذلك أن كل ما دل عليه القرآن ولو بالتنبيه فليس هو مما أبقته الفرائض بل هو من إلحاق الفرائض المذكورة في القرآن بأهلها كتوريث الأولاد ذكورهم وإناثهم الفاضل عن الفروض للذكر مثل حظ الأنثيين وتوريث الإخوة ذكورهم وإناثهم كذلك ودل ذلك بطريق التنبيه على أن الباقي يأخذه الذكر منهم عند الانفراد بطريق الأولي ودل أيضا بالتنبيه عليه أن الأخت تأخذ الباقي مع البنت كما كانت تأخذه مع أخيها ولا يقدم عليها من هو أبعد منه كابن الأخ والعم وابنه فإن أخاها إذا لم يسقطها فكيف يسقطها من هو أبعد منه فهذا كله من باب إلحاق الفرائض بأهلها ومن باب قسمة المال بين أهل الفرائض على كتاب الله وأما من لم يذكر باسمه من العصبات في القرآن كابن الأخ والعم وابنه فإنما دخل في عمومات مثله قوله تعالى وأولوا الأرحام بعضهم أ

madarij §1000madarijArabic sense: النصرة, نصره, واعتصموا

يحتمل أن يريد بالإنخلاع عن العصمة انخلاعه عن اعتصامه بالله فإنه لو اعتصم بالله لما خرج عن هداية الطاعة قال الله تعالى @QB@ ومن يعتصم بالله فقد هدي إلى صراط مستقيم @QE@ فلو كملت عصمته بالله لم يخذله أبدا قال الله تعالى @QB@ واعتصموا بالله هو مولاكم فنعم المولى ونعم النصير @QE@ أي متى اعتصمتم به تولاكم ونصركم على أنفسكم وعلى الشيطان وهما العدوان اللذان لا يفارقان العبد وعداوتهما أضر من عداوة العدو الخارج فالنصر على هذا العدو أهم والعبد إليه أحوج وكمال النصرة على العدو بحسب كمال الإعتصام بالله

mukhtasar-minhaj §775mukhtasar-minhajArabic sense: اخوه, الاخوة

# ### | كتاب آداب الصحبة والأخوة ومعاشرة الخلق ونحو ذلك

Research library

المكتبة البحثية2,245 works held

Peer-reviewed work held with its DOI and abstract, labelled with the study design its publication types report. None of it has been read or assessed, so nothing here may be cited as showing anything. Retracted work is held for the record but never listed; a review that a later version replaced is listed under its replacement and marked.

10.1080/13607863.2017.1383971Aging & mental health (2018)MEDLINE-indexed journal, not yet read by us; matched on Social Support, Interpersonal Relations, social support

A systematic review of correlates of depression among older Chinese and Korean immigrants: what we know and do not know.: Objectives: Guided by the stress and coping theory, this study provides a systematic review of existing research on acculutration, family support, and social support related correlates of depression among older Chinese and Korean immigrants in the United States. Method: A comprehensive literature search was conducted in CINAHL Plus, Abstracts in Social Gerontology, AgeLine, Social Work Abstracts, PubMed, PsychINFO, and Social Science Citation Index databases to identify relevant articles that pr

10.2196/jmir.1270Journal of medical Internet research (2009)MEDLINE-indexed journal, not yet read by us; matched on Social Support, Interpersonal Relations, social support

Systematic review on Internet Support Groups (ISGs) and depression (1): Do ISGs reduce depressive symptoms?: Background: Internet support groups (ISGs) enable individuals with specific health problems to readily communicate online. Peer support has been postulated to improve mental health, including depression, through the provision of social support. Given the growing role of ISGs for both users with depression and those with a physical disorder, there is a need to evaluate the evidence concerning the efficacy of ISGs in reducing depressive symptoms. Objective: The objective was to systematically revi

10.3109/09638288.2013.814724Disability and rehabilitation (2014)MEDLINE-indexed journal, not yet read by us; matched on Social Support, Interpersonal Relations, social support

A systematic review of qualitative studies on adjusting after stroke: lessons for the study of resilience.: Purpose: To synthesize qualitative studies on adjusting after stroke, from stroke survivors' and carers' perspectives, and to outline their potential contribution to an understanding of resilience. Methods: A systematic review of qualitative studies in peer reviewed journals from 1990 to 2011 was undertaken. Findings from selected studies were summarized and synthesized and then considered alongside studies of resilience. Results: Forty studies were identified as suitable. These suggested that t

10.3390/ijerph17103584International journal of environmental research and public health (2020)MEDLINE-indexed journal, not yet read by us; matched on Social Support, Interpersonal Relations, social support

Are Community Gardening and Horticultural Interventions Beneficial for Psychosocial Well-Being? A Meta-Analysis.: Recent literature has revealed the positive effect of gardening on human health; however, empirical evidence on the effects of gardening-based programs on psychosocial well-being is scant. This meta-analysis aims to examine the scientific literature on the effect of community gardening or horticultural interventions on a variety of outcomes related to psychosocial well-being, such as social cohesion, networking, social support, and trust. From 383 bibliographic records retrieved (from 1975 to 20

10.1007/s10464-007-9100-9American journal of community psychology (2007)MEDLINE-indexed journal, not yet read by us; matched on Social Support, perceived support, social support

The relationship between self-reported received and perceived social support: a meta-analytic review.: Social support is broad term encompassing a variety of constructs, including support perceptions (perceived support) and receipt of supportive behaviors (received support). Of these constructs, only perceived support has been regarded as consistently linked to health, and researchers have offered differing assessments of the strength of the received-perceived support relationship. An overall estimate of the received-perceived support relationship would clearly further the dialogue on the relatio

10.1371/journal.pone.0189874PloS one (2018)MEDLINE-indexed journal, not yet read by us; matched on Social Support, perceived support, social support

Social support and subjective burden in caregivers of adults and older adults: A meta-analysis.: Background: Despite the generally accepted belief that social support improves caregiver adjustment in general and subjective burden in particular, the literature shows mixed findings, and a recent review concluded that the predictive strength of caregiver social support in determining caregiver burden is less evident, due to the conceptual diversity of this determinant. Objective: The purpose of this review is to analyse the relationship of perceived and received social support with subjective

Research library, full list

1701 to 1725 of 2,245
Santini ZI, Koyanagi A, Tyrovolas S, Haro JM (2015)MEDLINE-indexed journal, not yet read by usJournal of affective disorders63 citations

The association of relationship quality and social networks with depression, anxiety, and suicidal ideation among older married adults: Findings from a cross-sectional analysis of the Irish Longitudinal Study on Ageing (TILDA).

Background: Important associations have been found between social relationships and various mental health outcomes. However, limited data exists for these associations among older adults especially in terms of relationship quality in partnerships. This study aimed to examine the associations of positive and negative partner interactions and social networks with depression, anxiety and suicidal ideation. Methods: Nationally-representative, cross-sectional data of the Irish Longitudinal Study on Ageing (TILDA) was analyzed. The analytical sample consisted of 4988 community dwelling adults aged >50 years in spouse/partner relationships. Information on sociodemographics and social relationships were assessed using standard questions. Validated scales for depression and anxiety, and a single-item question for suicidal ideation were used to assess mental health outcomes. Multivariable logistic

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Chuang YC, Huang YL, Tseng KC, Yen CH, Yang LH (2015)MEDLINE-indexed journal, not yet read by usPloS one105 citations

Social capital and health-protective behavior intentions in an influenza pandemic.

Health-protective behaviors, such as receiving a vaccine, wearing a face mask, and washing hands frequently, can reduce the risk of contracting influenza. However, little is known about how social capital may influence health-protective behavior in the general population. This study examined whether each of the social capital dimensions (bonding, bridging, and linking) contributed to the intention to adopt any of the health-protective behaviors in an influenza pandemic. The data of this study were from the 2014 Taiwan Social Change Survey. A stratified, three-stage probability proportional-to-size sampling from across the nation, was conducted to select adults aged 20 years and older (N = 1,745). Bonding social capital was measured by the frequency of neighborly contact and support. Bridging social capital was measured based on association membership. Linking social capital was measured

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Rhee KE, Dickstein S, Jelalian E, Boutelle K, Seifer R, Wing R (2015)MEDLINE-indexed journal, not yet read by usThe international journal of behavioral nutrition and physical activity9 citations

Development of the General Parenting Observational Scale to assess parenting during family meals.

Background: There is growing interest in the relationship between general parenting and childhood obesity. However, assessing general parenting via surveys can be difficult due to issues with self-report and differences in the underlying constructs being measured. As a result, different aspects of parenting have been associated with obesity risk. We developed a more objective tool to assess general parenting by using observational methods during a mealtime interaction. Methods: The General Parenting Observational Scale (GPOS) was based on prior work of Baumrind, Maccoby and Martin, Barber, and Slater and Power. Ten dimensions of parenting were included; 4 were classified in the emotional dimension of parenting (warmth and affection, support and sensitivity, negative affect, detachment), and 6 were classified in the behavioral dimension of parenting (firm discipline and structure, demands

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Fox M, Entringer S, Buss C, DeHaene J, Wadhwa PD (2015)MEDLINE-indexed journal, not yet read by usAmerican journal of public health58 citations

Intergenerational transmission of the effects of acculturation on health in Hispanic Americans: a fetal programming perspective.

We propose a transdisciplinary, life span framework for examining the underlying cause of the observed intergenerational decline in health among Hispanic Americans. We focus on acculturation, and we posit that acculturation-related processes in first-generation Hispanic immigrant mothers may affect the intrauterine development of an unborn child, via the process of fetal programming, to produce phenotypic effects that may alter the susceptibility for noncommunicable chronic diseases. In this manner, an intergenerational cascade of perpetuation may become established. Our framework may shed light on the biological, behavioral, and social causes of intergenerational cycles of vulnerability among immigrant minority groups, with public health and policy implications for primary prevention and intervention.

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Ae-Ngibise KA, Doku VC, Asante KP, Owusu-Agyei S (2015)MEDLINE-indexed journal, not yet read by usGlobal health action74 citations

The experience of caregivers of people living with serious mental disorders: a study from rural Ghana.

Background: Families and friends who give care to people with mental disorders (MDs) are affected in a variety of ways and degrees. The interplay of caregiving consequences: poverty, discrimination and stigma, lack of support from others, diminished social relationships, depression, emotional trauma, and poor or interrupted sleep are associated caregiver burden. Objective: The burden of care on caregivers of people living with MDs was assessed in two districts located in the middle part of Ghana. Coping strategies and available support for caregivers of MDs were also assessed. Design: A qualitative study was carried out involving 75 caregivers of participants with MDs registered within the Kintampo Health and Demographic Surveillance Systems. Data were gathered from caregivers about their experiences in providing care for their relations with MDs. Results: Caregivers reported various deg

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Applebaum AJ, Kulikowski JR, Breitbart W (2015)MEDLINE-indexed journal, not yet read by usPalliative & supportive care66 citations

Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C): Rationale and Overview.

Objective: The multidimensional burden that results from providing care to a patient with cancer is well documented and a growing number of psychosocial interventions have been developed to address this burden. None, however, target existential distress, a critical, common element - and potentially driving mechanism - of caregiver burden. Meaning-Centered Psychotherapy (MCP) is a structured psychotherapeutic intervention originally developed by our group to target existential distress and spiritual well-being among patients with advanced cancer. We are currently developing Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C). The objective of this qualitative study is to describe the application of MCP to the unique experience of caregivers of patients with advanced cancer. Methods: A case study of a participant from an initial MCP-C group is presented, with a focus on the applic

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Park NS, Jang Y, Lee BS, Ko JE, Haley WE, Chiriboga DA (2015)MEDLINE-indexed journal, not yet read by usThe journals of gerontology. Series B, Psychological sciences and social sciences53 citations

An empirical typology of social networks and its association with physical and mental health: a study with older Korean immigrants.

Objectives: In the context of social convoy theory, the purposes of the study were (a) to identify an empirical typology of the social networks evident in older Korean immigrants and (b) to examine its association with self-rated health and depressive symptoms. Method: The sample consisted of 1,092 community-dwelling older Korean immigrants in Florida and New York. Latent class analyses were conducted to identify the optimal social network typology based on 8 indicators of interpersonal relationships and activities. Bivariate and multivariate analyses were conducted to examine how the identified social network typology was associated with self-rating of health and depressive symptoms. Results: Results from the latent class analysis identified 6 clusters as being most optimal, and they were named diverse, unmarried/diverse, married/coresidence, family focused, unmarried/restricted, and re

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Quinn K, Dickson-Gomez J, DiFranceisco W, Kelly JA, St Lawrence JS, Amirkhanian YA, Broaddus M (2015)MEDLINE-indexed journal, not yet read by usAIDS education and prevention : official publication of the International Society for AIDS Education39 citations

Correlates of internalized homonegativity among black men who have sex with men.

Black men who have sex with men (MSM) carry a disproportionate burden of HIV in the United States. Such disparities cannot be attributed to individual behavioral risk factors alone, prompting the exploration of social and contextual factors experienced by minority MSM. Societal homonegativity and the internalization of those attitudes by Black MSM may play an important role in understanding racial and ethnic disparities in HIV incidence and prevalence. This study explores the correlates of internalized homonegativity in a large multi-site sample of Black MSM. Findings reveal a number of significant contextual and psychosocial factors related to internalized homonegativity including religiosity, resilience, and gay community acculturation, which have important implications for HIV risk, HIV testing, and social and psychological wellbeing for Black MSM.

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Ross L, Austin J (2015)MEDLINE-indexed journal, not yet read by usJournal of nursing management51 citations

Spiritual needs and spiritual support preferences of people with end-stage heart failure and their carers: implications for nurse managers.

Background: Spiritual care is an important element of holistic care but has received little attention within palliative care in end-stage heart failure. Aims: To identify the spiritual needs and spiritual support preferences of end-stage heart failure patients/carers and to develop spiritual support guidelines locally. Method: Semi-structured interviews (totalling 47) at 3-monthly intervals up to 1 year with 16 end-stage heart failure patients/carers. Focus group/consultation with stakeholders. Results: Participants were struggling with spiritual/existential concerns alongside the physical and emotional challenges of their illness. These related to: love/belonging; hope; coping; meaning/purpose; faith/belief; and the future. As a patient's condition deteriorated, the emphasis shifted from 'fighting' the illness to making the most of the time left. Spiritual concerns could have been addre

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Norberg A, Lundman B, Gustafson Y, Norberg C, Fischer RS, Lövheim H (2015)MEDLINE-indexed journal, not yet read by usArchives of gerontology and geriatrics11 citations

Self-transcendence (ST) among very old people--its associations to social and medical factors and development over five years.

Aims and objectives: The aims of this study were to describe the associations between ST and psychological and physical wellbeing among oldest old people and to test the influence of negative life events on ST, and the predictive value of the self-transcendence scale (STS) for mortality. Background: ST has been identified as a valuable resource for transcending psychological and physical suffering and has been related to psychological wellbeing and higher quality of life. Design: The study design was correlational, prospective, and longitudinal. Settings: The participants were recruited from a medium-sized town and from an adjacent rural area in northern Sweden. Method: The sample consisted of 190 participants (123 women and 67 men) who completed the STS. At a 5-year follow-up, 55 people (29.5%) were alive and able to complete the assessments again. Results: ST was positively associated

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Minhas A, Vajaratkar V, Divan G, Hamdani SU, Leadbitter K, Taylor C, Aldred C, Tariq A, Tariq M, Cardoza P, Green J, Patel V, Rahman A (2015)MEDLINE-indexed journal, not yet read by usInternational review of psychiatry (Abingdon, England)50 citations

Parents' perspectives on care of children with autistic spectrum disorder in South Asia - Views from Pakistan and India.

Autism spectrum disorder (ASD) affects about 1.4% of the population in South Asia but very few have access to any form of health care service. The objective of this study was to explore the beliefs and practices related to the care of children with ASD to inform strategies for intervention. In Pakistan, primary data were collected through in-depth interviews of parents (N = 15), while in India a narrative review of existing studies was conducted. The results show that the burden of care is almost entirely on the mother, leading to high levels of stress. Poor awareness of the condition in both family members and front-line health-providers leads to delay in recognition and appropriate management. There is considerable stigma and discrimination affecting children with autism and their families. Specialist services are rare, concentrated in urban areas, and inaccessible to the majority. Str

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Edwards M, Wood F, Davies M, Edwards A (2015)MEDLINE-indexed journal, not yet read by usHealth expectations : an international journal of public participation in health care and health policy178 citations

'Distributed health literacy': longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition.

Background: The role of one's social network in the process of becoming health literate is not well understood. We aim to explain the 'distributed' nature of health literacy and how people living with a long-term condition draw on their social network for support with health literacy-related tasks such as managing their condition, interacting with health professionals and making decisions about their health. Design: This paper reports a longitudinal qualitative interview and observation study of the development and practice of health literacy in people with long-term health conditions, living in South Wales, UK. Participants were recruited from health education groups (n = 14) and community education venues (n = 4). The 44 interview transcripts were analysed using the 'Framework' approach. Results: Health literacy was distributed through family and social networks, and participants often

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Effectiveness of an interdisciplinary palliative care intervention for family caregivers in lung cancer.

Background: Family caregivers (FCGs) experience significant deteriorations in quality of life while caring for patients with lung cancer. In this study, the authors tested the effectiveness of an interdisciplinary palliative care intervention for FCGs of patients diagnosed with stage I through IV nonsmall cell lung cancer. Methods: FCGs who were identified by patients as their primary caregivers were enrolled in a prospective, quasi-experimental study in which the usual care group was accrued first followed by the intervention group. FCGs in the intervention group were presented at interdisciplinary care meetings, and they also received 4 educational sessions organized in the physical, psychological, social, and spiritual domains. The sessions included self-care plans to support the FCG's own needs. Caregiver burden, caregiving skills preparedness, psychological distress, and FCG quality

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Aguilar-Raab C, Grevenstein D, Schweitzer J (2015)MEDLINE-indexed journal, not yet read by usPloS one15 citations

Measuring Social Relationships in Different Social Systems: The Construction and Validation of the Evaluation of Social Systems (EVOS) Scale.

Social interactions have gained increasing importance, both as an outcome and as a possible mediator in psychotherapy research. Still, there is a lack of adequate measures capturing relational aspects in multi-person settings. We present a new measure to assess relevant dimensions of quality of relationships and collective efficacy regarding interpersonal interactions in diverse personal and professional social systems including couple partnerships, families, and working teams: the EVOS. Theoretical dimensions were derived from theories of systemic family therapy and organizational psychology. The study was divided in three parts: In Study 1 (N = 537), a short 9-item scale with two interrelated factors was constructed on the basis of exploratory factor analysis. Quality of relationship and collective efficacy emerged as the most relevant dimensions for the quality of social systems. Stud

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Attai DJ, Cowher MS, Al-Hamadani M, Schoger JM, Staley AC, Landercasper J (2015)MEDLINE-indexed journal, not yet read by usJournal of medical Internet research229 citations

Twitter Social Media is an Effective Tool for Breast Cancer Patient Education and Support: Patient-Reported Outcomes by Survey.

Background: Despite reported benefits, many women do not attend breast cancer support groups. Abundant online resources for support exist, but information regarding the effectiveness of participation is lacking. We report the results of a Twitter breast cancer support community participant survey. Objective: The aim was to determine the effectiveness of social media as a tool for breast cancer patient education and decreasing anxiety. Methods: The Breast Cancer Social Media Twitter support community (#BCSM) began in July 2011. Institutional review board approval with a waiver of informed consent was obtained for a deidentified survey that was posted for 2 weeks on Twitter and on the #BCSM blog and Facebook page. Results: There were 206 respondents to the survey. In all, 92.7% (191/206) were female. Respondents reported increased knowledge about breast cancer in the following domains: ove

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Cole SW, Levine ME, Arevalo JM, Ma J, Weir DR, Crimmins EM (2015)MEDLINE-indexed journal, not yet read by usPsychoneuroendocrinology150 citations

Loneliness, eudaimonia, and the human conserved transcriptional response to adversity.

Background: Chronic social adversity activates a conserved transcriptional response to adversity (CTRA) marked by increased expression of pro-inflammatory genes and decreased expression of antiviral- and antibody-related genes. Recent findings suggest that some psychological resilience factors may help buffer CTRA activation, but the relative impact of resilience and adversity factors remains poorly understood. Here we examined the relative strength of CTRA association for the two best-established psychological correlates of CTRA gene expression-the risk factor of perceived social isolation (loneliness) and the resilience factor of eudaimonic well-being (purpose and meaning in life). Methods: Peripheral blood samples and validated measures of loneliness and eudaimonic well-being were analyzed in 108 community-dwelling older adults participating in the longitudinal US Health and Retiremen

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Hampshire K, Porter G, Owusu SA, Mariwah S, Abane A, Robson E, Munthali A, DeLannoy A, Bango A, Gunguluza N, Milner J (2015)MEDLINE-indexed journal, not yet read by usSocial science & medicine (1982)69 citations

Informal m-health: How are young people using mobile phones to bridge healthcare gaps in Sub-Saharan Africa?

The African communications 'revolution' has generated optimism that mobile phones might help overcome infrastructural barriers to healthcare provision in resource-poor contexts. However, while formal m-health programmes remain limited in coverage and scope, young people are using mobile phones creatively and strategically in an attempt to secure effective healthcare. Drawing on qualitative and quantitative data collected in 2012-2014 from over 4500 young people (aged 8-25 y) in Ghana, Malawi and South Africa, this paper documents these practices and the new therapeutic opportunities they create, alongside the constraints, contingencies and risks. We argue that young people are endeavouring to lay claim to a digitally-mediated form of therapeutic citizenship, but that a lack of appropriate resources, social networks and skills ('digital capital'), combined with ongoing shortcomings in hea

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Ayvazoglu NR, Kozub FM, Butera G, Murray MJ (2015)MEDLINE-indexed journal, not yet read by usResearch in developmental disabilities41 citations

Determinants and challenges in physical activity participation in families with children with high functioning autism spectrum disorders from a family systems perspective.

The underlying factors affecting physical activity (PA) participation of children with high-functioning autism spectrum disorders (HFASDs) and their family members were investigated using a mixed method research design. Six families with children with HFASD aged 4 through 13 participated in the study. Findings revealed that levels of moderate to vigorous physical activity (MVPA) in children with HFASD varied between 85 min and 405 min for seven days. Parents of children with HFASD in this study were inactive (levels of MVPA varied between 6 min and 53 min) during this period. Qualitative data from parents highlighted many essential issues. Those issues are categorized under three main themes: (a) understanding PA in children with HFASD, (b) living with a child with HFASD, and (c) awareness of autism spectrum disorders (ASD) at school and community settings. Social skills, issues related

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Mawson E, Best D, Beckwith M, Dingle GA, Lubman DI (2015)MEDLINE-indexed journal, not yet read by usSubstance abuse treatment, prevention, and policy40 citations

Social identity, social networks and recovery capital in emerging adulthood: A pilot study.

Background: It has been argued that recovery from substance dependence relies on a change in identity, with past research focused on 'personal identity'. This study assessed support for a social identity model of recovery in emerging adults through examining associations between social identity, social networks, recovery capital, and quality of life. Methods: Twenty participants aged 18-21 in residential treatment for substance misuse were recruited from four specialist youth drug treatment services - three detoxification facilities and one psychosocial rehabilitation facility in Victoria, Australia. Participants completed a detailed social network interview exploring the substance use of groups in their social networks and measures of quality of life, recovery capital, and social identity. Results: Lower group substance use was associated with higher recovery capital, stronger identific

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McAneney H, Tully MA, Hunter RF, Kouvonen A, Veal P, Stevenson M, Kee F (2015)MEDLINE-indexed journal, not yet read by usBMC public health26 citations

Individual factors and perceived community characteristics in relation to mental health and mental well-being.

Background: It has been argued that though correlated with mental health, mental well-being is a distinct entity. Despite the wealth of literature on mental health, less is known about mental well-being. Mental health is something experienced by individuals, whereas mental well-being can be assessed at the population level. Accordingly it is important to differentiate the individual and population level factors (environmental and social) that could be associated with mental health and well-being, and as people living in deprived areas have a higher prevalence of poor mental health, these relationships should be compared across different levels of neighbourhood deprivation. Methods: A cross-sectional representative random sample of 1,209 adults from 62 Super Output Areas (SOAs) in Belfast, Northern Ireland (Feb 2010 - Jan 2011) were recruited in the PARC Study. Interview-administered ques

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Radtke Demirci J, Happ MB, Bogen DL, Albrecht SA, Cohen SM (2015)MEDLINE-indexed journal, not yet read by usMaternal & child nutrition21 citations

Weighing worth against uncertain work: the interplay of exhaustion, ambiguity, hope and disappointment in mothers breastfeeding late preterm infants.

Poor breastfeeding outcomes among late preterm infants (LPIs) have been attributed to inadequate breast milk transfer stemming from physiological immaturities. However, breastfeeding is more than a biological phenomenon, and it is unclear how mothers of LPIs manage other factors that may also impact the breastfeeding course. Using grounded theory methods and incorporating serial post-partum interviews with several novel data collection techniques, we examined breastfeeding establishment over a 6-8-week-period among 10 late preterm mother-infant dyads recruited from a maternity hospital in Pittsburgh, Pennsylvania, USA. We found that breastfeeding in the LPI population was a fluctuating, cascade-like progression of trial and error, influenced by a host of contextual factors and events and culminating with breastfeeding continuation (with or without future caveats for duration or exclusivi

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Bates MJ, Mijoya A (2015)MEDLINE-indexed journal, not yet read by usMalawi medical journal : the journal of Medical Association of Malawi24 citations

A review of patients with advanced cervical cancer presenting to palliative care services at Queen Elizabeth Central Hospital in Blantyre, Malawi.

Background: Cervical cancer is the commonest cancer affecting women in Malawi, which has the highest rate of this disease in the world. Most cases are diagnosed at an advanced stage. Aim: To describe the symptom burden, palliative care interventions, and outcomes of cervical cancer patients who entered care at Tiyanjane Clinic in Blantyre, Malawi, between January and December 2012. Methods: We reviewed the case files of 72 patients presenting to our hospital-based palliative care service over one year. Results: The mean age was 49.5 years. Twenty-six patients (36%) were HIV-positive and the majority of these (n = 22; 85%) were on antiretroviral medication at presentation to palliative care. Pain (n = 66; 92%), vaginal discharge (n = 44; 61%), and unpleasant odour (n = 37; 51%) were commonly reported. Over a third of patients (n = 26; 36%) reported pain in two or more sites. Fourteen pati

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Story WT (2014)MEDLINE-indexed journal, not yet read by usHealth & place71 citations

Social capital and the utilization of maternal and child health services in India: a multilevel analysis.

This study examines the association between social capital and the utilization of antenatal care, professional delivery care, and childhood immunizations using a multilevel analytic sample of 10,739 women who recently gave birth and 7403 children between one and five years of age in 2293 communities and 22 state-groups from the 2005 India Human Development Survey. Exploratory factor analysis was used to create and validate six social capital measures that were used in multilevel logistic regression models to examine whether each form of social capital had an independent, contextual effect on health care use. Results revealed that social capital operated at the community level in association with all three care-seeking behaviors; however, the results differed based on the type of health care utilized. Specifically, components of social capital that led to heterogeneous bridging ties were

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Ponce MS, Rosas RP, Lorca MB (2014)MEDLINE-indexed journal, not yet read by usRevista de saude publica40 citations

Social capital, social participation and life satisfaction among Chilean older adults.

Objective: To examine factors associated with social participation and their relationship with self-perceived well-being in older adults. Methods: This study was based on data obtained from the National Socioeconomic Characterization (CASEN) Survey conducted in Chile, in 2011, on a probability sample of households. We examined information of 31,428 older adults living in these households. Descriptive and explanatory analyses were performed using linear and multivariate logistic regression models. We assessed the respondents' participation in different types of associations: egotropic, sociotropic, and religious. Results: Social participation increased with advancing age and then declined after the age of 80. The main finding of this study was that family social capital is a major determinant of social participation of older adults. Their involvement was associated with high levels of sel

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Nuzum D, Meaney S, O'Donoghue K (2014)MEDLINE-indexed journal, not yet read by usBJOG : an international journal of obstetrics and gynaecology73 citations

The impact of stillbirth on consultant obstetrician gynaecologists: a qualitative study.

Objective: To explore the personal and professional impact of stillbirth on consultant obstetrician gynaecologists. Design: Semi-structured in-depth qualitative interviews. Setting: A tertiary university maternity hospital in Ireland with a birth rate of c. 9000 per annum and a stillbirth rate of 4.6/1000. Sample: Purposive sample of eight consultant obstetrician gynaecologists (50% of consultant obstetrician gynaecologists in the hospital). Methods: Semi-structured in-depth interviews analysed by Interpretative Phenomenological Analysis. (IPA) IPA is a methodology for exploring human experience and its meaning for the individual. Main outcome measures: The lived experiences, personal feelings and professional impact of stillbirth on consultant obstetrician gynaecologists. Results: Stillbirth was identified as amongst the most difficult experiences for consultants. Two superordinate them

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