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Biomedical subjects

J Sobal

Publications and source records attributed to J Sobal.

At least 19 recordsLinked to original sources
PubMed1992

Marital status, fatness and obesity.

Marital status is related to morbidity and mortality, with married people healthier and at lower risk of death than those who are unmarried (especially among men). However, the relationship between marital status and obesity is not well established. Role theory suggests through a marital causation model that people in the marital role are more likely to be obese, and through a marital selection model that people in the marital role are less likely to be obese because of stigmatization. The martial causation model was examined using data from the National Survey of Personal Health Practices and Consequences, a cross-sectional national telephone survey of 3025 adults age 20-64 in the United States. Sequential regression analyses revealed that married men were significantly fatter and more likely to be obese than never married or previously married men, even when demographic, social, and physical variables were controlled. By contrast, marital status was not significantly associated with fatness or obesity among women when other variables were controlled. The marital role appears to influence fatness and obesity among men, but not women.

Cross-Sectional Studies↗
PubMed1992

Reliability of Budner's intolerance of ambiguity scale in medical students.

Intolerance of ambiguity is the perception of ambiguous situations as threatening. It has often been measured using Budner's 1962 intolerance of ambiguity scale in studies of medical students and physicians. To examine the test-retest reliability of the scale among that population, we administered it to all 171 entering medical students at one medical school immediately prior to beginning classes and readministered it to them six to nine weeks later with an 81% follow-up rate. The Pearson correlation between the first and second administrations was .64, showing moderate reliability during this stressful period in medical socialization. The internal reliability of the scale remained constant; the alpha was .64 at the first administration and .63 at follow-up. These data indicate moderate reliability of Budner's intolerance of ambiguity scale when respondents are medical students.

Adult↗
PubMed1992

Dietary practices of ballet, jazz, and modern dancers.

Ballet dancers have been shown to have nutrition problems and poor dietary practices. We asked dance instructors and dance directors to distribute a questionnaire to dancers involved in three dance types. Of the 106 dancers who completed the questionnaire, 71% participated in ballet, 60% in jazz, and 74% in modern dance; 31% participated in all three types of dance. The body mass index was similar for all types of dancers. More than half (60%) of the dancers used vitamin and mineral supplements, and 18% of the females reported irregular menstruation. Wide ranges existed in intake of foods from each of four food groups, caffeine, and alcohol. Printed media (magazines and books) were the primary sources of nutrition information. Dietitians may encounter many types of dancers and should be aware that dancers involved in ballet and other types of dance may have dietary practices that could improve with nutrition education and counseling.

Adolescent↗
PubMed1992

Experiences and attitudes about faith healing among family physicians.

BACKGROUND: Recent media attention has focused on patients who use faith healers to care for their medical problems. Many people who use faith healers also consult physicians. This study was done to learn more about how often physicians see patients who are involved in faith healing, and to learn more about physicians' attitudes about, and experiences with, faith healing. METHODS: A 1-page questionnaire was mailed to 1025 family physicians in seven states; 594 participated, for a response rate of 59%. RESULTS: Approximately one half (52%) of the physicians were aware of at least one patient in their practice who had had a faith-healing experience. Most physicians came in contact with such patients no more frequently than once a year. Fifty-five percent agreed and 20% disagreed that reliance on faith healers often leads to serious medical problems. However, 44% thought that physicians and faith healers can work together to cure some patients, and 23% believed that faith healers divinely heal some people whom physicians cannot help. CONCLUSIONS: These results suggest that family physicians are infrequently aware of faith-healing beliefs and experiences among their patients. Family physicians were divided in their views about faith healing, with a majority expressing skepticism about faith healing and a sizeable minority favorable toward it.

Adult↗
PubMed1991

Obesity and socioeconomic status: a framework for examining relationships between physical and social variables.

Fatness and obesity are body characteristics which are both ascribed and achieved for adults. Socioeconomic status (SES) is the ranking of individuals within complex societies. In traditional societies a direct relationship between SES and fatness exists, while in modern societies there is an inverse association between SES and obesity for adult women but mixed patterns for other age/sex groups. A framework recognizing the difference between variables on the physical and social level of analysis needs to be used to examine the relationship between fatness (a physical variable) and SES (a social variable). Different mechanisms are involved in the causal pathways where SES influences obesity and obesity influences SES. SES influences obesity by education, income, and occupation causing variations in behaviors which change energy consumption, energy expenditure and metabolism. Obesity influences SES when the perception of obesity is interpreted through prejudiced beliefs, with subsequent stigmatization and discrimination limiting access to higher SES roles.

Age Factors↗
PubMed1991

Investigating whether medical students' intolerance of ambiguity is associated with their specialty selections.

At one medical school in 1982, 175 entering medical students indicated their medical specialty preferences, completed Budner's Intolerance of Ambiguity scale, and supplied demographic information. Most (91%) completed medical school, and their specialty choices at graduation from the National Resident Matching Program were recorded. Initial specialty preference was a poor predictor of later specialty choice (R2 = .11). The students' intolerance of ambiguity was not significantly associated with either their initial medical specialty preferences or their specialty choices at graduations. This finding supports previous studies showing that specialty preferences changed dramatically during medical school, but does not reveal any support for a relationship between students' initial intolerance of ambiguity and their specialty selections.

Attitude↗
PubMed1991

Smoking status and the practice of other unhealthy behaviors.

This study examined the relationship between smoking behavior and other unhealthy practices in the US. Data from the 1979 National Survey of Personal Health Practices and Consequences were used to compare alcohol use, sleep behavior, overweight status, physical activity, and skipping breakfast with smoking status. Compared with nonsmokers, smokers were more likely to sleep fewer than six hours per night, skip breakfast, not actively exercise, and drink heavily. Smokers were less likely to be significantly overweight than former smokers or those who never smoked. These associations were present for both men and women for sleep behavior, skipping breakfast, overweight status, and alcohol use, but not for physical activity. These findings may assist physicians in understanding the association between smoking and other practices that influence morbidity and mortality.

Adult↗
PubMed1991

Intolerance of ambiguity among family practice residents.

The art of clinical medicine involves learning to deal with varying levels of ambiguity and uncertainty. Tolerance of ambiguity was examined by giving Budner's Intolerance of Ambiguity Scale to a sample of 37 family practice residents from a university hospital residency and 22 from a community hospital residency. Residents in both the community and university programs had similar scores. No differences existed between men and women. Compared to studies of medical students, first-year family practice residents were slightly more intolerant of ambiguity. However, intolerance of ambiguity was lower among third-year residents, suggesting that as training advances, residents may become more tolerant of ambiguity. The residency training process may lead to a reduction in intolerance of ambiguity, which produces physicians who can deal with the ambiguity and uncertainty of clinical practice.

Adult↗
PubMed1991

The house call in residency training and its relationship to future practice.

The aging of the population makes education in geriatrics vital to family practice residents, including training in house calls. This study examined the relationship of house call training in residency with current house call practices of recent graduates of family practice residencies. A questionnaire mailed to a random national sample of 301 family physicians who completed residency training between 1981 and 1986 obtained a 66% response rate with three mailings. House calls were not required in the curriculum for 80% of respondents, 30% never did house calls in residency, and 55% recognized they were not well trained in house calls. Graduates of programs in which faculty made house calls and those in which residents made house calls on a longitudinal basis were significantly more likely to offer house calls in their practices. This suggests that resident education can offer positive experiences in house call training to encourage future physicians to include house calls in their practices.

Family Practice↗
PubMed1991

A survey of resident orientation in family practice residency programs.

A questionnaire about orientations was mailed to all family practice residency program directors in the United States. One hundred percent of respondents indicated their residency had an orientation, ranging from less than one day to more than two weeks. More than 85% of the residencies had limited or no patient care involvement during orientation. Important orientation goals were to meet faculty, staff, and residents and to develop camaraderie. Most residencies evaluated their orientations. There were several significant differences in orientation programs based on characteristics of the residencies.

Family Practice↗
PubMed1990

Relationships between health protective behaviors.

Health protective behaviors are receiving increasing attention for maintaining health and preventing disease. Most research has examined specific health behaviors individually, with relatively few studies of the relationships between many health protective behaviors. This investigation examined how health protective behaviors were related with each other using data from the American Family Report, a survey of a national sample of 1,247 adults in U.S. families. Eighteen health protective behaviors were not all consistently intercorrelated with each other, with only 39% of the correlations significant at p less than .001. Factor analysis using oblique rotation revealed six underlying dimensions of health protective behaviors: not smoking, planned exercise, routine exercise, moderate drinking, absence of sedative use, and general health behaviors. These dimensions were associated with sociodemographic variables, particularly with higher education being associated with healthier behavior. The multidimensional nature of health protective behaviors needs to be considered in programs for enhancing prevention and health promotion.

Adult↗
PubMed1990

Vitamin/mineral supplement use among general practice patients in the United Kingdom.

Many patients take vitamin/mineral supplements, sometimes in doses which may cause toxicity. A survey of 186 patients in one general practice showed that 44% consumed supplements; almost half of these took them daily, and over half had taken them for longer than a year. Younger patients were more likely to take vitamins than older ones. Multivitamins were the most frequently used supplement, followed by iron and vitamin C. Major reasons patients cited for supplement use were to ensure good nutrition, to prevent illness, and for tiredness/fatigue. Patients were most influenced in their decision to take vitamins by family and friends rather than by doctors. General practitioners may find it valuable to include questions about vitamin/mineral supplement use in the medical history.

Adolescent↗
PubMed1990

Vitamin/mineral supplement use by geriatric outpatients in the United Kingdom.

Many elderly people in the United States take vitamin/mineral supplements, but little is known about supplement use by the elderly in the United Kingdom. Among 203 patients referred to a geriatric outpatient clinic in Britain, 28% used supplements during the last year. Most supplement users consumed them daily and had used them for over a year. Multivitamins were the most frequent type of supplement taken, followed by Iron, B Vitamins, Vitamin C, and Vitamin E. The primary reasons for supplement use were for more energy, treating illness, and feeling stronger.

Aged↗
PubMed1989

Intolerance of ambiguity in students entering medical school.

Intolerance of ambiguity is the perception of ambiguous situations as a threat. Medical students with differing levels of intolerance of ambiguity may select medical specialties based upon the amount of ambiguity existing in the practice of each specialty. A cross-sectional survey at one state university administered Budner's Intolerance of Ambiguity Scale to all entering first-year medical students for four consecutive years (N = 609) to investigate patterns of intolerance of ambiguity in relationship with demographic variables and initial medical specialty preference. The medical students in this study were more intolerant of ambiguity than those first studied by Budner in 1962. Students entering in 1985 were slightly more intolerant of ambiguity than students in 1988. Students age 23 and older were less intolerant of ambiguity than students 18-22 years old. Men and students with natural/physical science undergraduate majors were more intolerant of ambiguity than their counterparts. However, medical specialty preference was not related to intolerance of ambiguity. Intolerance of ambiguity may be a personality trait or a learned characteristic, and needs further investigation.

Adaptation, Psychological↗
PubMed1989

Socioeconomic status and obesity: a review of the literature.

A review of 144 published studies of the relationship between socioeconomic status (SES) and obesity reveals a strong inverse relationship among women in developed societies. The relationship is inconsistent for men and children in developed societies. In developing societies, however, a strong direct relationship exists between SES and obesity among men, women, and children. A review of social attitudes toward obesity and thinness reveals values congruent with the distribution of obesity by SES in different societies. Several variables may mediate the influence of attitudes toward obesity and thinness among women in developed societies that result in the inverse relationship between SES and obesity. They include dietary restraint, physical activity, social mobility, and inheritance.

Adult↗
PubMed1989

Relation of perceived health with psychosocial variables in elderly osteoarthritis patients.

Self-perceived health is related to physical health status and frequently assessed in research on elderly persons. The association of perceived health with sociodemographic, psychological, social functioning, and physical functioning variables was examined in 86 elderly osteoarthritis patients. Psychological well-being (especially depression and anxiety), size of household, physical activity, and education were the most important predictors of self-perceived health (R = .70). Poor perceived health may suggest problems in elderly patients in several psychosocial areas, but good perceived health does not rule out psychosocial problems.

Activities of Daily Living↗