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Socio-economic influences on self-rated health in Russian men and women--a life course approach.

Socio-economic differentials in health in Russia are not well understood and the life course approach has been relatively neglected. This paper examines the influence of socio-economic risk factors over the life course on the self-rated health of older Russian men and women. A random sample (response rate 61%) of the general population of the Russian Federation in 2002 included 1004 men and 1930 women aged 50 years and over in a cross-sectional study. They provided information concerning their childhood circumstances, including going to bed hungry; education; current social conditions, including per capita household income; health behaviours and self-rated health. There was considerable tracking of adverse social conditions across the life course with men and women who reported hunger in childhood having lower educational achievements, and current household income was strongly influenced by educational attainment. The effect of these socio-economic risk factors on health accumulated with an odds ratio of poor health of 1.87 [1.07-3.28] for men with one risk factor, 3.64 [2.13-6.22] for two risk factors and 4.51 [2.57-7.91] for all three compared to men with no risk factors. For women, the odds ratios were 1.44 [1.05-2.01], 2.88 [2.10-3.93] and 4.27 [3.03-6.00] for one, two and three risk factors, respectively. Current income was the strongest individual predictor for men, and education for women. Adjustment for health behaviours reduced the odds ratios only marginally. The results suggest that self-rated health in older Russians reflects social exposures accumulated over the life course, with the differentials observed only partially explained by current social conditions. Health behaviours were not involved in mediating social differences in self-rated health. Our results indicate that a life course approach may contribute to the understanding of health in Russia.

Adolescent↗

Social housing conditions around puberty determine later changes in plasma cortisol levels and behavior.

A recent study found that male guinea pigs raised in large, mixed age/sex groups exhibited an unexpected suppression of their cortisol response at 4 mo of age. The present study examined the effect of social experience around the time of puberty on cortisol response suppression and social behavior at 4 mo of age. Males reared in large, mixed age/sex groups were either pair-housed with a female or moved to another large colony at 55 days of age. When tested at 4 mo, pair-housed males exhibited much higher levels of courtship and sexual behavior than did colony-housed males, and a shorter latency to begin courtship when with an unfamiliar adult female. In addition, pair-housed males showed much higher levels of agonistic behavior and a shorter latency to escalated aggression with an unfamiliar adult male. Pair-housed males also had lower basal cortisol concentrations and exhibited a greater increment in cortisol levels when isolated in a novel cage than did colony-housed males. Finally, pair-housed males showed a smaller increment in cortisol levels when with the stimulus female or male than when isolated, but colony-housed males did not. The findings demonstrate that social housing conditions around the time of puberty can have pervasive effects on social behavior and hypothalamic-pituitary-adrenal (HPA) activity in 4-mo-old males. Further, these findings are consistent with the notion that changes in HPA activity contribute to social behavior development beyond the time of sexual maturity.

Adaptation, Physiological↗

Social experience influences the development of a central auditory area.

Vocal communication develops under social influences that can enhance attention, an important factor in memory formation and perceptual tuning. In songbirds, social conditions can delay sensitive periods of development, overcome learning inhibitions and enable exceptional learning or induce selective learning. However, we do not know how social conditions influence auditory processing in the brain. In the present study, we raised young naive starlings under different social conditions but with the same auditory experience of adult songs, and we compared the effects of these different conditions on the development of the auditory cortex analogue. Several features appeared to be influenced by the social experience, among which the proportion of auditory neuronal sites and the neuronal selectivity. Both physical and social isolation from adult models altered the development of the auditory area in parallel to alterations in vocal development. To our knowledge, this is the first evidence that social deprivation has as much influence on neuronal responsiveness as sensory deprivation.

Animals↗

Effects of social rearing conditions on conditioned suppression in rats.

Twenty-two rats were reared in standard conditions during the first two months of their life. Then the animals were divided into two groups exposed to different rearing conditions. Twelve animals (Group SO) were housed socially, six animals per cage, and for three weeks they were subjected to sensory stimulation in an enriched environment. The other ten subjects were kept individually (Group IN); one rat per mesh cage, in conditions of relatively impoverished sensory stimulation. In both groups the training of the conditioned emotional response (CER) was performed when animals were three months old. In contrast to IN subjects, the rats subjected to permanent social contacts and reared in the enriched environment (Group SO) revealed almost equally low instrumental response rates in trials with the conditioned stimulus (CS) paired with nociceptive foot-shock (US), and in periods when no CS and/or US were applied. The results suggested that early exposure to an enriched environment caused a later decrease of the animals' capability to differentiate between the aversive CS and cues of the experimental context. This cognitive impairment was probably a secondary effect of fear generalized to the entire experimental situation.

Acoustic Stimulation↗

[Psycho-social work conditions as risk factors for premature birth and newborn hypotrophy].

On the basis of the studies carried out the authors verified a hypothesis that psychosocial work conditions and occupational stress are risk factors for premature birth and newborn hypotrophy. The following aspects were considered in the evaluation of psycho-social work conditions: (a) work-related psychological demands; (b) the extent to what an employee is able to control the situation at work; (c) occupational stress arising from the discrepancy between work-related demands and the extent of control over the work situation; and (d) interpersonal relations at work. The analysis covered 219 cases of premature births and 159 cases of newborn hypotrophy. The control group comprised 586 women sampled randomly who gave birth at term to a healthy baby with correct birth weight. The authors found that ill interpersonal relations and a low level of control over the situation at work elevate the risk of giving birth to a baby with hypotrophy, while good interpersonal relations and a high level of control over the situation at work play a protective role. The effect of these psycho-social factors applied only to hypotrophy of a newborn and it was related neither to other features of occupational work nor to biomedical factors. It seems that this kind of factors may have generally less pronounced impact on premature birth.

Adult↗

Chronic social stress conditions differentially modify vulnerability to amphetamine self-administration.

Using social instability and cohabitation with females as chronic stress, we observed that neuroendocrine systems were differentially activated according to the experimental design. We show here that amphetamine self-administration, a paradigm to study the reinforcing effects of psychostimulants, is also differentially affected by these conditions. Coexistence with females increases amphetamine self-administration and this effect is reduced when social instability is superimposed. On the other hand, locomotor response to amphetamine is not modified by either social factor, suggesting a specific involvement of a subset of dopaminergic neurons.

Amphetamine↗

Social reward among juvenile mice.

Mammalian social relationships, such as mother-offspring attachments and pair bonds, can directly affect reproductive output. However, conspecifics approach one another in a comparatively broad range of contexts, so conceivably there are motivations for social congregation other than those underlying reproduction, parental care or territoriality. Here, we show that reward mediated by social contact is a fundamental aspect of juvenile mouse sociality. Employing a novel social conditioned place preference (SCPP) procedure, we demonstrate that social proximity is rewarding for juvenile mice from three inbred strains (A/J, C57BL/6J and DBA/2J), while mice from a fourth strain (BALB/cJ) are much less responsive to social contact. Importantly, this strain-dependent difference was not related to phenotypic variability in exploratory behavior or contextual learning nor influenced by the genetic background associated with maternal care or social conditioning. Furthermore, the SCPP phenotype was expressed early in development (postnatal day 25) and did not require a specific sex composition within the conditioning group. Finally, SCPP responses resulted from an interaction between two specifiable processes: one component of the interaction facilitated approach toward environments that were associated with social salience, whereas a second component mediated avoidance of environmental cues that predicted social isolation. We have thus identified a genetically prescribed process that can attribute value onto conditions predicting a general form of social contact. To our knowledge, this is the first definitive evidence to show that genetic variation can influence a form of social valuation not directly related to a reproductive behavior.

Aging↗

Preferences towards novel foods in Cebus apella: the role of nutrients and social influences.

Information on the process of preference acquisition towards novel foods in nonhuman primates is lacking. This study aims to assess (1) whether nutrient and energy contents affect preferences towards novel foods encountered repeatedly by individuals when alone, (2) whether these preferences change after additional encounters with the novel foods, and (3) if the change is sensitive to social influences. We presented seven novel foods to 26 socially housed tufted capuchins. In Phase 1, each subject was presented individually with the 21 possible binary combinations of the seven novel foods. Afterwards, during treatment, 13 subjects received the novel foods ad libitum with their group members (social condition) and 13 subjects received the foods individually (individual condition); subjects assigned to the individual and social conditions had shown similar food preferences in Phase 1. Finally, in Phase 2, each subject was presented again with 21 binary choices between each of the novel foods. In Phases 1 and 2, the number of times each food was chosen differed among foods. In Phase 1, food preference correlated positively with glucose and fructose and negatively with total fiber content. In Phase 2, irrespective of social or individual prior experience in the treatment condition, food preference changed and became correlated with total energy content. Our results broaden the findings already available for familiar foods by demonstrating that individual experience based on the feedback obtained from novel foods guides the establishment of preferences towards them. Moreover, individual experience is sufficient to determine food preferences similar to those individuals may acquire when together with group members eating the same foods.

Aging↗

Patients in long-term maintenance therapy for drug use in Italy: analysis of some parameters of social integration and serological status for infectious diseases in a cohort of 1091 patients.

BACKGROUND: Heroin addiction often severely disrupts normal social functioning. The aims of this multi-centre study of heroin users in long-term replacement treatment were: i) to provide information on aspects of social condition such as employment, educational background, living status, partner status and any history of drug addiction for partners, comparing these data with that of the general population; ii) to assess the prevalence of hepatitis, syphilis and HIV, because serological status could be a reflection of the social conditions of patients undergoing replacement treatment for drug addiction; iii) to analyse possible relationships between social conditions and serological status. METHODS: A cross-sectional study was carried out in sixteen National Health Service Drug Addiction Units in northern Italy. The data were collected from February 1, 2002 to August 31, 2002. Recruitment eligibility was: maintenance treatment with methadone or buprenorphine, treatment for the previous six months, and at least 18 years of age. In the centres involved in the study no specific criteria or regulations were established concerning the duration of replacement therapy. Participants underwent a face-to-face interview. RESULTS: The conditions of 1091 drug treatment patients were evaluated. The mean duration of drug use was 14.5 years. Duration was shorter in females, in subjects with a higher educational background, and in stable relationships. Most (68%) had completed middle school (11-14 years of age). Seventy-nine percent were employed and 16% were unemployed. Fifty percent lived with their parents, 34% with a partner and 14% alone. Males lived more frequently with their parents (55%), and females more frequently with a partner (60%). Sixty-seven percent of male patients with a stable relationship had a partner who had never used heroin. HCV prevalence was 72%, HBV antibodies were detected in 42% of patients, while 30% had been vaccinated; 12.5% of subjects were HIV positive and 1.5% were positive for TPHA. CONCLUSION: A significant percentage of heroin users in treatment for opiate addiction in the cohort study have characteristics which indicate reasonable integration within broader society. We posit that the combination of effective treatment and a setting of economic prosperity may enhance the social integration of patients with a history of heroin use.

Adult↗

[Alternative possibilities to emergency admissions to a medical department].

On the basis of a questionnaire to general practitioners who had referred 200 patients greater than or equal to 60 years as emergencies to a non-specialized medical ward, possible alternative possibilities to the emergency hospitalization are assessed. It proved possible to obtain information and replies about 175 patients who were, therefore, included in this investigation. As a considerable proportion of the socially-conditioned admissions occurred during daytime hours and these were referred by practitioners who knew their patients well (40% described themselves as knowing these patients very well) it was found that the referring practitioners were well aware of alternatives to emergency hospitalization. The practitioners referring the patients described 36 out of the 175 patients as socially-conditioned and 2/3 of these as sociomedically-conditioned. In agreement with this, the authors found that 70% of the socially-conditioned admissions had a concurrent somatic diagnosis most frequently in the form of pulmonary of cardiac disease. Nevertheless, the referring physicians considered that 33 (93%) of the admissions could either be be entirely avoided (81%) or that admission could be postponed (12%). The requisites for this were primarily easy access to nursing homes or to emergency home nursing facilities.

Age Factors↗

Psychophysiological and subjective indicators of aversive pavlovian conditioning in generalized social phobia.

Aversive conditioning has been proposed as an important etiologic mechanism in social phobia; however, empirical evidence is scarce and has not relied on a detailed analysis of the acquisition and extinction of the conditioned emotional response. Fourteen men sustaining generalized social phobia and 19 healthy control subjects participated in differential aversive conditioning with two neutral faces as conditioned stimuli and an aversive odor as unconditioned stimulus. Subjective and peripheral physiological responses were obtained. Both groups were successfully conditioned as reflected by differential subjective (valence, arousal, subjective unconditioned stimulus expectancy) and peripheral physiological responses (skin conductance, startle response). There was no evidence for an enhanced conditionability in the social phobics; however, they showed an enhanced unconditioned stimulus expectancy, especially for the nonreinforced conditioned stimuli during acquisition, and a delayed extinction of the conditioned skin conductance response as well as a certain dissociation between subjective and physiological responses.The enhanced unconditioned stimulus expectancy during acquisition and the overall elevated subjective arousal suggest that, under threat, subjects with generalized social phobia may be more prone to associate neutral social cues and an aversive outcome. Furthermore, delayed extinction of the conditioned response seems to contribute to the etiology and maintenance of generalized social phobia.

Adult↗

Early social environment interferes with the development of NADPH-diaphorase-reactive neurons in the rodent orbital prefrontal cortex.

The influence of early parental deprivation on the development of NADPH-diaphorase-(NO-synthase) reactive neuron numbers in subregions of the orbital prefrontal cortex (ventrolateral orbital, lateral orbital, and agranular insular cortex) was quantitatively investigated in the precocious lagomorph Octodon degus. Forty-five-day-old degus from three groups were compared: (1) repeated parental separation: degus that were repeatedly separated from their parents during the first three postnatal weeks and thereafter raised in undisturbed social conditions; (2) chronic isolation: degus that were raised under undisturbed social conditions until postnatal day 21, and then were reared in chronic social isolation; and (3) control: degus that were reared undisturbed in their families. Compared to the control animals the ventrolateral orbital prefrontal cortex and agranular insular cortex of the two deprived groups displayed significantly decreased density of NADPH-diaphorase-reactive neurons (down to 62% in the ventrolateral orbital prefrontal cortex of males, 70% in the agranular insular cortex, and in the lateral orbital prefrontal cortex 80% in both genders). These results confirm that early changes of social environment interferes with the development of limbic circuits, which might determine normal or pathological behaviors in later life.

Animals↗

Alcohol intake in social housing and in isolation before puberty and its effects on voluntary alcohol consumption in adulthood.

We assessed the effects of alcohol exposure in social and isolation housing before puberty on the alcohol consumption later in adulthood. From 25 to 35 days of age, Wistar male rats were exposed to either (a) continuous isolation; (b) continuous social housing; (c) continuous isolation, but placed in social housing during 12 hr every other day; or (d) continuous social housing, but placed in isolation during 12 hr every other day (SOIS group). All males were exposed to 8% ethanol as the only available liquid 12 hr/day every other day in this prepubescent period and to continuous free-choice access to 8% ethanol or water in both social and isolation housing when adulthood was reached. Alcohol consumption before puberty was higher in the group permanently housed in isolation. Both voluntary alcohol intake and preference for alcohol in adulthood also were higher during the isolation than in the social condition in all groups, except in the SOIS group. Alcohol consumption was higher in the SOIS group than in the other groups only during social condition in adulthood. Food intake decreased during the social interaction of the groups that changed their condition from isolated to social or from social to isolated. Results support that (a) isolation facilitates alcohol consumption, and (b) rearing characteristics associated to alcohol intake at an early age can play an important role in later alcohol intake.

Alcohol Drinking↗

[The principles of protection of work and workers' health of Tbilisi metro in modern social-economic conditions].

At the present stage of development of the country, at the time of total social-economical changes, providing the employed part of the population with safe work conditions and qualified health protection system plays an important role and it needs corresponding legislative basis. In the system of these measures the most important thing is organizing a comprehensive research with the aim of studying the work conditions and the state of health of workers engaged in national economy and working out complex sanitary actions. The comprehensive research has manifested the unfavourable state of factors of work and industrial environment (mental and emotional exertion, high level of dustiness). This exerts a significant influence on the functional state of Tbilisi metro workers. Cardiovascular and nervous system pathologies are the main factors in the state of health. On the grounds of clinico-hygienic comparison they can be related to industrial conditional diseases. On the basis of conducted the complex research recommendations about the improvement of work factors and the health state of Tbilisi metro workers (particularly those of organizational character) have been developed.

Georgia (Republic)↗

Investigating the effect of bilateral amygdala lesions on fear conditioning and social interaction in the male Mongolian gerbil.

Identification of the selective neurokinin NK(1) receptor antagonist, 2-(R)-(1-(R)-3,5-Bis(trifluromethyl)phenylethoxy)-3-(S)-(4-fluoro)phenyl-4-(3-oxo-1,2,4-triazol-5yl)methylmor-phine (MK-869), as a novel therapeutic approach for anxiety/depression has led to increased use of the Mongolian gerbil in behavioural studies since the gerbil NK(1) receptor pharmacology is similar to human, but not rat or mouse. Within this species, foot tapping and immobility elicited by aversive conditioning, as well as social interaction have been shown to be sensitive to clinically used anxiolytic and antidepressant agents and also NK(1) receptor antagonists. The high levels of NK(1) receptor binding in the amygdala as well as preclinical studies demonstrating increased release of substance P and corresponding internalisation of NK(1) receptors in the basolateral amygdala in response to stressful stimuli suggest that the BLA may represent a potential site of action for NK(1) receptor antagonists in anxiety and/or depression. Therefore, in the current study, we assessed the effect of bilateral BLA lesions in male Mongolian gerbils on footshock-induced foot tapping and immobility, social interaction, and NK(1)-agonist-induced foot tapping. Lesioned gerbils exhibited reduced immobility time during fear conditioning, a non-significant reduction in immobility time when re-exposed to the conditioned stimulus (CS) 24 h later, and increased social interaction in the gerbil social interaction task. In contrast, BLA lesions had no effect on NK(1)-agonist-induced foot tapping. These data provide further support that the gerbil BLA is a potential site for NK(1) receptor antagonists to attenuate anxiety-related behaviours.

Amygdala↗

[Trend in the prevalence of mental disorders in population of big industrial center under conditions of social and economic changes].

The prevalence and incidence rates of mental disorders in outpatient contingent were analyzed during 1985-1995 years. Their dynamics was examined in terms of nosology, sex, age and social aspects. The dependence was observed between the prevalence and incidence rates and the conditions of financial support of psychiatric departments, social and economic situation in the country, pecullarities of organization and resources of psychiatric services.

Adolescent↗