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PubMed2005

The Jewish-Arab divide in life expectancy in Israel.

Life expectancy at birth in Israel in 2001 was 77.7 years for males and 81.6 years for females among Jews, and 74.5 and 77.8 years for males and females, respectively, among Israeli Arabs. In spite of vast improvements in health conditions of the two populations since Israel's statehood in 1948, persistent disparities in life expectancy between the two groups have challenged the Israeli socialized health care system. These disparities are influenced primarily by differences between the two population groups in infant and child mortality rates. This early study suggests that the distribution of life expectancy across localities in Israel reflects the distribution of those localities' socio-economic condition index (not including health and medical care), and the distribution of medical services. The positive association between life expectancy and the index is pronounced, however, only within the Jewish population but not among Arabs. While there may be no significant difference in life expectancy among Jews and Arabs living in poorer communities, there are fewer Arabs living in relatively affluent communities. Thus, persistent higher concentration of poverty among Arabs than among Jews has sufficed to maintain the gap in life expectancy between them. In addition, however, there are population-specific effects: wealth and education are more protective among Jews than among Arabs, while medical services are more protective among Arabs.

Adolescent↗

PubMed1994

Childhood tuberculosis in the Bronx, New York.

The resurgence of tuberculosis (TB) in New York City in the period 1978-92 has been closely linked to the AIDS epidemic but the increase of active TB in areas of urban poverty also implies increased community exposure. We have examined the ecological relation between community rates of AIDS and residential crowding and cases of active TB in Bronx children under age 5. Residential crowding was defined as the percent of households with more than 1 person per room. All childhood TB cases reported between 1986 and 1992 for the Bronx (n = 75) were included. Cumulative AIDS mortality rates for adult females through 1990 represented community HIV burden. All data were coded by the 64 health areas of the borough. We examined trends in these data and used Poisson regression to model the effect of HIV burden and residential crowding on TB risk. For the Bronx as a whole the two variables of TB and residential crowding showed a clear temporal correspondence for the period 1970-90. Residential crowding was associated with poverty and greater dependence on public assistance, large household size, Hispanic ethnicity, and a higher proportion of young children. The overall TB case rate increased with the proportion of crowded households, with a rise from 1.47 to over 8 cases per 10,000 children as the proportion of crowded households increased. At both the lowest and highest levels of AIDS mortality in these areas, the childhood TB risk increased as crowding increased. Children living in areas of the Bronx in which over 12 percent of homes are severely overcrowded were 5.6-fold more likely to develop active TB, even after holding constant the presumed HIV burden in each local community. While HIV infection, the newest risk factor for TB, appears to play a critical role in the resurgent epidemic, our findings show that the earliest known TB risk factors, poverty and household crowding, are still potent forces.

Acquired Immunodeficiency Syndrome↗

PubMed2005

SARS-related perceptions in Hong Kong.

To understand different aspects of community responses related to severe acute respiratory syndrome (SARS), 2 population-based, random telephone surveys were conducted in June 2003 and January 2004 in Hong Kong. More than 70% of respondents would avoid visiting hospitals or mainland China to avoid contracting SARS. Most respondents believed that SARS could be transmitted through droplets, fomites, sewage, and animals. More than 90% believed that public health measures were efficacious means of prevention; 40.4% believed that SARS would resurge in Hong Kong; and approximately equals 70% would then wear masks in public places. High percentages of respondents felt helpless, horrified, and apprehensive because of SARS. Approximately 16% showed signs of posttraumatic symptoms, and approximately equals 40% perceived increased stress in family or work settings. The general public in Hong Kong has been very vigilant about SARS but needs to be more psychologically prepared to face a resurgence of the epidemic.

Adolescent↗

PubMedDate not supplied

Focus on Trent--community. A seamless service for community care.

In an era of rapid change and development related to community care, Trent Health has been rethinking the region's approach to community nursing services. A task group set up to examine the issues led to the circulation of a consultative document: the responses revealed widespread support for the concept of a joint single service specification as the key to a 'seamless service' within the community. Work continues in Trent to clarify how nurses can contribute to achieving an effective seamless service.

Community Health Nursing↗

PubMed2002

Bodily characteristics and lifestyle of Czech children aged 7.00 to 10.99 years, incidence of childhood obesity.

In 1991-2000 in the Czech Republic a survey of the prevalence of obesity was made. The assessment was made by the transversal method in elementary schools in all regions of the Czech Republic. Children aged 7.00 to 10.99 years were investigated. The survey comprised a total of 3362 children (1668 girls and 1694 boys). A total of 12 anthropometric dimensions were recorded and questionnaires addressed to the children and parents were analyzed. From the results ensued that the ratio of obese children of both sexes in the CR (i.e. children with BMI values about the 97th percentile of the reference population) increased. This zone comprised 6.0% boys and 5.6% girls of the investigated group. An important finding was also the increase of mean values of the abdominal circumference of the children in all age groups in both sexes. The ratio of obese children in different communities is related unequivocally to the size of the community., In smaller communities there are more obese children (according to our data 6.9%) and in large towns the ratio of obese children is 2.3%. In large towns there is also a greater proportion of thin children - 12.1%, in small communities 8.6%. It was found that there is a higher percentage of obese children in families where the mother has elementary education as compared with children of mothers with secondary and university education. Mothers with elementary education have 9.6% obese children while university educated mothers have only 3.6% obese children. Analysis of the dietary questionnaires revealed that only 62.9% children in large towns eat breakfast, the position in villages is similar - 63.9%. In the group of children with excessive body weight fewer children have breakfast (only 54.1%), in the group of children with a low body weigh the majority eat breakfast (75.3%). The majority of children have a mid-morning snack at school which they bring from home. As regards school lunch the majority of children from large towns replied that they have lunch at school. the number of rural children who had school lunch was smaller. An afternoon snack is taken by less than half the children in different groups.

Body Mass Index↗

PubMed1981

Change over time in the community: findings of a longitudinal study.

The findings of this study indicated that: a) the aspects of community functioning included in this study were relatively stable over a two-year period; b) when change did occur, it tended to be toward the end of the two-year period; c) ability level (basic skills) was related to community functioning more consistently than age, gender, or the environmental variables included in these analyses; d) relationships with ability were more frequent following approximately 10 months in the community than prior to that time; and e) there is a possibility that the time period around 10 months after entry into the community is a particularly difficult time and warrants further investigation.

Adolescent↗

PubMed2000

Characterization of depth-related population variation in microbial communities of a coastal marine sediment using 16S rDNA-based approaches and quinone profiling.

Depth-related changes in whole-community structure were evaluated in a coastal marine sediment using a molecular fingerprinting method, terminal restriction fragment length polymorphism (T-RFLP) analysis, and a chemotaxonomic technique (quinone profiling). Dendrograms derived from both T-RFLP analysis and quinone profiling indicated a significant variation in microbial community structure between the 0-2 cm layer and deeper layers. This corresponded to the dramatic change in the redox potential, acid-volatile sulphide-sulphur and bacterial numbers observed at 0-2 cm and 2-4 cm depths. A significant change in the number of terminal restriction fragments (T-RFs) was also detected at this transition depth. However, the change in major T-RFs with depth was not seen in electropherograms. The population changes were primarily variations in minor ribotypes. Most quinone homologues were detected at all depths, although the quinone composition changed with depth. Therefore, quinone profiling also suggested that the depth-related variation was primarily attributable to minor bacterial groups rather than change in the major population structure. 16S rDNA clone library analysis revealed that clones belonging to the genera Vibrio and Serratia predominated as major bacterial groups at all depths. Our data suggested that the sediment community might result from sedimentation effects of sinking particles. Overall, our results demonstrated that the combined methods of T-RFLP analysis and quinone profiling were effective for assessing depth-related microbial populations.

DNA, Ribosomal↗

PubMed1994

Eastern equine encephalomyelitis virus in relation to the avian community of a coastal cedar swamp.

Eastern equine encephalomyelitis virus (EEEV) is perpetuated in eastern North America in a mosquito-wild bird maintenance cycle that involves Culiseta melanura (Coquillett) as the principal enzootic vector and passerine birds as the primary amplifying hosts. We examined the role of birds in the EEEV cycle at a site in southern New Jersey where EEEV cycles annually at high levels. Birds and mosquitoes were sampled during three epiornitics and one season of limited virus activity. We examined antibody prevalence in birds in relation to eight physical and natural history characteristics. Our goal was to compare EEEV cycling in C. melanura and the primary avian hosts better to understand the mechanisms that initiate annual epiornitics. Antibody prevalence was highest in the Blue Jay (62%), Wood Thrush (60%), and Tufted Titmouse (44%). Resident status of birds was the natural history characteristic most closely linked to participation in the EEEV cycle. Species spending the greatest amount of time at our study site (permanent residents, summer residents) had the highest antibody rates. We captured viremic birds as early as 25 May, 51 d before we first detected virus in C. melanura. We recaptured 10 after hatching year adults and one hatching year (HY) bird that seroconverted before we detected virus in C. melanura. We also found EEEV antibody in 15 HY birds up to 31 d before we isolated EEEV from C. melanura. We provide evidence that a cryptic cycle develops weeks before epiornitic cycling is detected in C. melanura by traditional laboratory techniques, indicating that the early season cycle is initiated by the recrudescence of latent virus in previously infected birds.

Animals↗

PubMed2002

[Dynamics of predatory natural enemy community in cotton fields].

The dynamics of predatory natural enemy community in cotton field along the Yangtze River in Anhu province was studied. The results showed that there were totally 19 species of predatory natural enemies, and the dominant species were Propylaea japonica, Erigonidium graminicola, Theridium octomaculatum, Misumenops tricuspidatus, Orius minutes and Geocoris ochropterus. The predatory natural enemies in the cotton fields were rather abundant in the whole growing period of cotton, except the rainy season. Among the dominant species, P. japonica, M. tricuspidatus, O. minutes and G. ochropterus were distributed mainly in the upper and middle parts of cotton plants, while E. graminicola and T. octomaculatum mainly in the middle and lower parts of cotton plants. The diversities of the community were relatively high in the early developmental period of cotton, and reached the top level in the bud and flowering period of cotton in the first 10 days of July, then declined successively hereafter. The principal factor affecting the diversity was species richness in the early developmental period of cotton (from shoot period to bud and flowering period), and species evenness in the late developmental period of cotton (from flowering and boll period to boll opening period). The characteristics of the community were relatively analogous before the second 10 days of August (from shoot period to flowering and boll period of cotton), but after this period, the characteristics changed obviously with the features of the dominant species getting more and more conspicuous.

Animals↗

PubMedDate not supplied

Early intervention screening for family caregivers of older relatives in primary care practices: establishing a community health service alliance in rural America.

The Maine Primary Partners in Caregiving project provides a prime example of how disparate community health, social service, and higher education institutions can build a successful rural service alliance for the purposes of screening for family members experiencing stress during the provision of care to impaired older relatives. Community primary care practices are featured as prime sites for the early identification of elder caregivers experiencing stress and burden. Initial project results and implementation challenges as well as recommended strategies for nurturing such community partnerships are presented.

Adult↗

PubMed1994

Influencing community leaders toward the promotion of prenatal care at the community level.

The threefold goal of this quasi-experimental study was to have an impact on knowledge, beliefs and intentions of community leaders related to promoting prenatal care for low-income women. Using a twenty-one community leaders from a selected urban community in Wisconsin participated in an educational intervention that used a pre- and post-test design. The primary goal of the intervention (based on change theory) was to increase community leaders' motivation and decrease their resistance to promoting prenatal care for low-income women in their communities. Various media were used to illustrate and emphasize important prenatal concepts. Community leaders were also given information on the status of maternal and infant statistics and health practices in their communities. This intervention significantly increased community leaders' general knowledge related to prenatal issues; positive beliefs toward the promotion of prenatal care; and intent to engage in activities to promote prenatal care for low-income women. This study reveals that community health nurses can function effectively as agents of change with community leaders.

Community Health Services↗

PubMed2005

Work-related self-efficacy among community residents with psychiatric disabilities.

A new measure of work-related self-efficacy for people with psychiatric disabilities is reported. The 37-item scale measures self-efficacy in four relevant activity domains: (1) vocational service access and career planning, (2) job acquisition, (3) work-related social skills, and (4) general work skills. The scale was developed in a 12-month longitudinal survey of urban residents diagnosed with schizophrenia or schizoaffective disorder (n=104). Results indicate validity of both a four-factor structure differentiating four core skill domains, and a single factor representing total work-related self-efficacy. The favorable psychometric properties support further research and trial applications in supported employment and psychiatric vocational rehabilitation.

Adult↗

PubMed2005

Activity, structure and dynamics of the methanogenic archaeal community in a flooded Italian rice field.

Methane production was studied in an Italian rice field over two consecutive years (1998, 1999) by measuring the rates of total and acetate-dependent methanogenesis in soil and root samples. Population dynamics of methanogens were followed by terminal restriction fragment length polymorphism and real-time PCR targeting archaeal SSU rRNA genes. Rates of total and acetate-dependent methanogenesis in soil increased during the season, reached a maximum at about 70-80 days after flooding and then decreased again. In contrast, the size of the archaeal community remained relatively constant. Therefore, the seasonal changes in the methanogenic processes were probably not caused by changes in the size of the methanogenic community but in its activity. During the 1998/1999 winter period, a slight decrease in archaeal cell numbers was found. In both years, the dominant groups were methanogens affiliated with Rice cluster I, Methanosaetaceae, Methanosarcinaceae and Methanobacteriaceae. Correspondence analysis showed, however, that the archaeal community structure was different in 1998 and 1999. Methanogens with potential acetoclastic activity made up a larger fraction of the total archaeal community in 1999 (32-53%) than in 1998 (20-32%). Furthermore, the frequency of Methanosaetaceae relative to Methanosarcinaceae was significantly higher in 1999 than in 1998. This difference could be explained by the much lower soil acetate concentrations in 1999, to which Methanosaetaceae are physiologically better adapted than Methanosarcinaceae. Over the season, however, the composition of the archaeal community remained relatively constant and thus did not reflect the observed seasonal change in CH(4) production activity. The analysis of rice root samples in 1999 showed that the archaeal community structure on the roots was similar to that in soil but with acetoclastic methanogens being relatively less common. This observation is in agreement with domination of CH(4) production by H(2)/CO(2)-dependent methanogenesis on roots. Our study provided a link between size, structure and function of the methanogenic community in an Italian rice field.

DNA, Archaeal↗

PubMed1997

An economic evaluation of thrombolysis in a remote rural community.

OBJECTIVES: To assess the cost effectiveness of community thrombolysis relative to hospital thrombolysis by investigating the extra costs and benefits of a policy of community thrombolysis, then establishing the extra cost per life saved by community thrombolysis. DESIGN: Economic evaluation based on the results of the Grampian region early anistreplase trial. SETTING: 29 rural general practices and one secondary care provider in Grampian, Scotland. SUBJECTS: 311 patients recruited to the Grampian region early anistreplase trial. INTERVENTIONS: Intravenous anistreplase given either by general practitioners or secondary care clinicians. MAIN OUTCOME MEASURES: Survival at 4 years and costs of administration of thrombolysis. RESULTS: Relative to hospital thrombolysis, community thrombolysis gives an additional probability of survival at 4 years of 11% (95% confidence interval 1% to 22%) at an additional cost of 425 pounds per patient. This gives a marginal cost of life saved at 4 years of 3,890 pounds (1,990 pounds to 42,820 pounds). CONCLUSIONS: The cost per life saved by community thrombolysis is modest compared with, for example, the cost of changing the thrombolytic drug used in hospital from streptokinase to alteplase.

Anistreplase↗

PubMed2006

What price do we pay to prevent alcohol-related harms in Aboriginal communities? The Alice Springs trial of liquor licensing restrictions.

This paper analyses the trial of alcohol restrictions that was implemented in Alice Springs in the Northern Territory from April 2002 to June 2003. The trial included a ban on alcohol in containers greater than 2 litres and reduced take-away trading hours. The history of the trial, its findings, and the different interpretations placed on trial data is discussed. Particular emphasis is placed on evidence indicating a link between alcohol price and consumption. Data from the evaluations of the Alice Springs trial are reviewed. The trials adds substantial new evidence to the strength of the relationship between alcohol price, consumption and harm as the restrictions led to a 1000% increase in the sale of the cheapest form of alcohol-2-litre port. Recent proposals for supply reduction strategies such as a tiered volumetric tax on alcohol and a trial of alcohol restrictions based on a minimum price benchmark demand further consideration by policy makers, especially in regions marked by a excessive alcohol consumption and a high burden of alcohol-related harms such as Alice Springs.

Alcoholic Beverages↗

PubMed2005

Community science: creating an alternative place to stand?

This article comments on two emerging views of community psychology's approaches to the use of research for responding to social problems in contemporary community contexts--(a) the formation of a new field of community science, or (b) the updating of community psychology research traditions. If community science is to become established as a field related to community psychology, its proponents will need to agree upon conventions of epistemology, foci of interest, methods, and standards by which its work can be judged so that it can be distinguished from other human sciences. These articles provide early sketches for what community science might be. However, as noted in this commentary, we need to heed signs of concern about community psychology's continued relevance in public discourse regarding the analysis of and responses to social problems. While this special issue offers some promising responses to the concern of what the field can contribute, the field would be well served if we broaden our dialogue about a renewal of community psychology's commitment to social justice and the need for its perspectives in the practice of research that seeks to address community-based issues in the early 21st century.

Community Mental Health Services↗

PubMed1982

Community study of spontaneous abortions: relation to occupation and air pollution by sulfur dioxide, hydrogen sulfide, and carbon disulfide.

Spontaneous abortions were analyzed in an industrial community in Finland in relation to the occupation of women and their husbands, and to the level of air pollution in the family's residential area. Information on abortions and births was obtained from the hospital discharge register; information on the women and their families was obtained from the files of the population and housing census. Women who were employed in rayon textile jobs and paper products jobs had an increased rate (P less than 0.10) of spontaneous abortions; the wives of men employed in transport and communication, in rayon textile jobs, and in chemical process jobs also had an increased rate of spontaneous abortions. In material stratified for age, parity, and socioeconomic class no evidence was found that the level of sulfur dioxide or carbon disulfide could be associated with a risk of spontaneous abortions. More spontaneous abortions were noted in all socioeconomic classes in areas where the mean annual level of hydrogen sulfide exceeded 4 micrograms m-3. However, the difference (total rates 7.6 and 9.3, respectively) was not significant statistically.

Abortion, Spontaneous↗

PubMed1996

Bulimia nervosa and substance dependence: association and family transmission.

Alcohol and drug use disorders are common among women with bulimia nervosa (BN) and their family members. However, it is not known whether there is a familial relationship between BN and substance use disorders. We compared 47 women with BN and 44 non-eating-disordered community control women, and their first-degree relatives (177 and 190, respectively). BN probands were stratified by the presence (43%) or absence (57%) of lifetime alcohol and/or drug dependence. The first-degree relatives of substance-dependent BN probands had significantly higher lifetime rates of alcohol/drug dependence (38%), compared with relatives of nonsubstance-dependent BN probands (10%) or relatives of community controls (18%). These data suggest that BN and substance dependence are transmitted independently in families.

Adult↗