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PubMed1996

Desegregating health statistics and health research in South Africa.

OBJECTIVE: This article aims: (i) to re-examine the use and usefulness of categorisation based on 'race', ethnicity and 'population group' membership in public health research; and (ii) to assess the consequences of using these categories for describing, analysing and redressing disparities in health within South Africa. The utility of categorisation based on 'race', ethnicity and 'population group'. Categorising populations and comparing patterns of disease between different groups of people can be a useful technique for identifying potential causes of disease. In this context, ethnicity is a valid social concept that could be used to investigate the consequences of self-ascribed identity on health. Likewise, 'population group', as defined during apartheid in South Africa, represents a valid political concept that could be used for assessing the impact of social discrimination on health. However, both these concepts are often seen, and used, as euphemisms for 'race', even though there are no genetically distinct human subspecies that can be identified and categorised as discrete 'races'. Indeed, 'race' as a biological concept has no validity in human biology. Nevertheless, categories based on 'race', ethnicity and 'population group; continue to be used in health research, and reinforce the perception that differences in disease between different 'racial', ethnic and 'population' groups are the result of heritable biological characteristics. In so doing, they undermine support for health interventions that would otherwise address the social and political origins of 'racial' and ethnic disparities in health. The utility of 'population group' for redressing the consequences of apartheid. Despite these problems, 'population group' classification provides important information for assessing the impact of apartheid on disparities in health within South Africa. Yet, the abolition of apartheid legislation is likely to result in extensive socio-economic and geographical migration that will weaken the sensitivity and specificity of 'population group' as an indicator for identifying inequalities in health. For this reason, targeting corrective action at specific population groups in order to tackle disparities in health, runs the risk of ignoring alternative social causes of inequalities in health, and ignoring disadvantaged individuals from elsewhere in the population. The continued use of 'population group' classification might also perpetuate the root cause of disparities in health, by maintaining the process used to formalise discrimination. CONCLUSION: If the purpose of health research is to monitor inequalities in health and to help target resources aimed at reducing these inequalities, then it should seek, in its language, concepts and methods to undermine the root cause of disadvantage. Health research aimed at monitoring and redressing the consequences of social disadvantage on health should therefore focus on non-biological determinants of social disparities in health. As a general rule, health researchers should avoid using categories based on 'race', ethnicity and 'population group' when collecting and analysing health data; journal editors should not accept articles that use these categories without justification; and health authorities should not collect data routinely segregated by 'race', ethnicity or 'population group'.

Bias↗

PubMed1995

Chronic infusion of a CRH1 receptor antisense oligodeoxynucleotide into the central nucleus of the amygdala reduced anxiety-related behavior in socially defeated rats.

We studied the role of central amygdala CRH receptors in behavioral responses to an anxiogenic stimulus. An antisense oligodeoxynucleotide corresponding to the rat CRH1 receptor mRNA was infused chronically into the central amygdaloid nucleus of male rats via osmotic minipumps (0.25 micrograms/0.5 microliters/h). Control groups received infusions of either a scrambled sequence oligodeoxynucleotide or vehicle. On the 4th day of treatment, rats were subjected to 10 min of social defeat and immediately afterwards tested on the elevated plus-maze. Antisense oligodeoxynucleotide-treated rats spent significantly more time exploring the open arms of the plus-maze than scrambled sequence- and vehicle-treated animals, both of which did not differ from each other. The social discrimination test, on the other hand, revealed no difference in juvenile recognition abilities among the treatment groups. Using in situ hybridization and receptor autoradiography, we were not able to detect clear signals of CRH1 receptor mRNA and CRH binding sites in the central amygdaloid nucleus of either group, confirming the reportedly low expression and density of CRH receptors in this brain area. The present data support the view that CRH receptors in the central nucleus of the amygdala are involved in the mediation and expression of anxiety-related behavior, but simultaneously raise questions as to the mechanisms of antisense oligodeoxynucleotide action.

Amygdala↗

PubMed2005

Pervasive social deficits, but normal parturition, in oxytocin receptor-deficient mice.

The oxytocin receptor (OXTR) and its ligand, oxytocin (OXT), regulate reproductive physiology (i.e., parturition and lactation) and sociosexual behaviors. To define the essential functions of OXTR, we generated mice with a null mutation in the Oxtr gene (Oxtr(-/-)) and compared them with OXT-deficient (Oxt(-/-)) mice. Oxtr(-/-) mice were viable and had no obvious deficits in fertility or reproductive behavior. Oxtr(-/-) dams exhibited normal parturition but demonstrated defects in lactation and maternal nurturing. Infant Oxtr(-/-) males emitted fewer ultrasonic vocalizations than wild-type littermates in response to social isolation. Adult Oxtr(-/-) males also showed deficits in social discrimination and elevated aggressive behavior. Ligand Oxt(-/-) males from Oxt(-/-) dams, but not from Oxt(+/-) dams, showed similar high levels of aggression. These data suggest a developmental role for the OXT/OXTR system in shaping adult aggressive behavior. Our studies demonstrate that OXTR plays a critical role in regulating several aspects of social behavior and may have important implications for developmental psychiatric disorders characterized by deficits in social behavior.

Aggression↗

PubMed1989

[Mutual concept formation of older and younger subjects. Stereotyping and distribution preferences].

This article analyzes the extent to which younger and older persons are apt to stereotype and discriminate age groups. Several hypotheses are tested based on a recent (1987) large scale national Dutch survey. No evidence is found for the hypothesis that positive attributes are systematically more ascribed to younger people and negative attributes systematically more to older people. Only a small minority of the Dutch population holds negative images of older people. A large majority does not discriminate between age groups or finds positive attributes more characteristic of older people. It is demonstrated, however, that older people have a more positive perception of older people - or a more negative perception of younger people - than younger people. In accordance with our hypothesis, negative stereotyping of older versus younger people is related to authoritarian attitudes and a general tendency to social discrimination. The assumption that both older and younger people favour their own age group in (hypothetical) distributions of scarce goods and tasks is in general not supported. On the contrary both age groups, especially the elderly, exhibit a surprising willingness to support the other age group.

Adolescent↗

PubMed1986

Caffeine and copulatory experience: interactive effects on social investigatory behavior.

Three experiments test the interaction of prior copulatory experience with acute caffeine exposure on social investigatory behavior of the male Norway rat. At a dosage of 20 mg/kg or greater, caffeine counteracts a decrease in social investigation attributed to copulatory experience. At a 10 mg/kg dosage, caffeine increases social investigatory behavior prior to sexual exposure but has no comparable effect after sexual exposure. The results are interpreted as confirming a long-term effect of copulatory exposure on social investigatory behavior and as describing a dose-related interaction of caffeine exposure with prior copulatory experience. Social investigation is viewed as a preliminary component of sexual behavior and the decrease in social investigation following copulatory experience as a gain in efficiency of social discrimination. Acute caffeine exposure apparently interferes with access or retrieval of reference information in long-term memory.

Animals↗

PubMed1977

Sex differences and the epidemiology of depression.

This article reviews the evidence for differing rates of depression between the sexes in the United States and elsewhere during the last 40 years, and then critically analyzes the various explanations offered. These explanations include the possibility that the trends are spurious because of artifacts produced by methods of reporting symptoms, or that they are real because of biological susceptibility (possibly genetic or female endocrine), psychosocial factors such as social discrimination, or female-learned helplessness.

Alcohol Drinking↗

PubMed1990

The role of the social condition of women in the decline of maternal and female mortality.

The objective of this article is to study the changes that have occurred in the mortality pattern of women of fertile age in Spain throughout the 20th century, the significance of maternal mortality in the development of this pattern, and the other causes of death that have contributed most to such changes. Female mortality has most often been approached from the perspective of the genetic differences from males--particularly from the sexual-biological, basically reproductive, aspect--without considering other possible (social) differences. We have studied the female mortality pattern from the double incline of date of death (period) and of date of birth (cohort). Using the mortality theory of competing risks as our basis, we excluded in turn maternal mortality and mortality due to tuberculosis from overall mortality, and analyzed the transformations produced in the mortality pattern. Our results show that maternal mortality alone cannot be held responsible for the excess female mortality of the 1910s and 1920s, or for the mortality pattern among women of fertile age during the first half of this century. We suggest that the social discrimination against females from infancy has been responsible for most of the differences observed in mortality patterns.

Adolescent↗

PubMed2005

Exploratory study on psychosocial impact of the severe acute respiratory syndrome (SARS) outbreak on Chinese students living in Japan.

The aim of this study is to explore the impact of the 2003 SARS outbreak on Chinese students living in Japan. A cross-sectional study was conducted using a semi-structured questionnaire. The participants were recruited at multiple locations at the University of Tokyo, Japan. The results showed approximately 60% (96/161) of the respondents felt an impact of SARS on college life; they had experienced SARS-related fear, worry, depression as well as social discrimination and had taken SARS prevention measures for daily protection in Japan during the epidemic. The magnitude of the impact was associated with socio-demographic factors, including their age, specialty, area of previous residence in China and length of stay in Japan. The findings suggest that the SARS outbreak had a psychosocial impact on the Chinese students living in Japan, even though none of them had SARS. Social support tailored for these foreign students should be provided during such a disease outbreak.

Adult↗

PubMed1981

The lesbian as a "single" woman.

This paper has attempted to provide information about the unique conflicts which social definitions of the "single" woman create for the lesbian woman. It has explored the stereotypes associated with being a single woman which the closeted lesbian inevitably encounters. The risks and benefits of rejecting the label "single woman" and publicly proclaiming one's lesbianism have also been discussed. The process of coming out is presented as a means of working through some of the conflicts created by social discrimination against lesbians. It is important for psychiatrists to understand the unique stresses of being a lesbian in contemporary society in order to provide more effective mental health care.

Adult↗

PubMed2001

[Counseling of socially disadvantaged families].

Poverty includes more and more families with children. In Germany nearly every fifth child is affected by poverty. Poverty is a very hard risk for the development of children. The biographies of family living in poverty are reconstructed by representative materials of an educational counseling office in Munich which is engaged with social discrimination for 23 years. Studies of resilience are especially suited to explain the psychic impacts of poverty for children. In conjunction with the community psychology they offer impulses for the arrangement of efficient help. Finally the author presents different consulting strategies of conduct and practical examples of individual help.

Adolescent↗

PubMed2003

Depressive and anxiety symptoms among housemaids.

BACKGROUND: Housemaid, the most common occupation in the female labor force in Brazil, is known to be targeted by a generalized racial and job discrimination, which can generate mental suffering such as depressive and anxiety symptoms. In this cross-sectional study, the association between being a maid and having depressive and anxiety symptoms was evaluated. METHODS: Data for this study was taken from a former survey carried out in a random sample of 470 families living in a poor area of the city of Salvador, capital of the state of Bahia, Northeast Brazil. The study population comprised all women between the ages of 14 and 69, who reported having a paid occupation (n = 335). Data was collected by trained interviewers, using questionnaires. Psychological symptoms were identified using the Questionnaire for Psychiatric Morbidity among Adults, (QMPA), from which only those related to depression and anxiety (QMPA-SAD) were analyzed. RESULTS: Logistic regression showed that being a housemaid was positively associated with "sadness/tiredness" (adjusted prevalence ratio, PR(adj) = 1.64; 95% confidence interval, CI: 1.17-2.28), "poor concentration" (PR(adj) = 1.81; 95% CI: 1.13-2.90), "palpitations" (PR(adj) = 2.22; 95% CI: 1.28-3.84), and "aggressive behavior" (PR(aj) = 1.58; 95% CI: 1.01-2.46). CONCLUSIONS: Although cross-sectional designs are limited by causal inference, these results are in accordance with those obtained in qualitative studies. Advances in the Brazilian labor legislation with respect to domestic service may help to reduce social discrimination and contribute towards minimizing a possible mental burden resulting from this occupation.

Adolescent↗

PubMed2005

A battery of olfactory-based screens for phenotyping the social and sexual behaviors of mice.

We provide a battery of screens that reflect the social and sexual behavior displayed by both captive and feral mice. Some screens focus on measuring aspects of chemical communication, providing information about whether or not mice will interact and if they do so, predict the nature of the interaction. Other screens measure direct interactions between target mice and same- and opposite-sex conspecifics, providing an indication of the social status and sexual responsiveness, respectively, of target mice. The battery of screens yields a high-throughput bioassay of a mouse's relative social status, competitive ability, social discrimination, and sexuality. These traits are essential elements of the socio-sexual behavior of mice as well as humans. Thus, by identifying phenotypic deviants for complex behaviors we will allow geneticists to map behavioral abnormalities onto specific chromosomes and increase the efficacy of genetically altered mice as models for human behavioral disorders.

Agonistic Behavior↗

PubMed2006

Albinism in Africa as a public health issue.

BACKGROUND: Oculocutaneous albinism (OCA) is a genetically inherited autosomal recessive condition and OCA2, tyrosine-positive albinism, is the most prevalent type found throughout Africa. Due to the lack of melanin, people with albinism are more susceptible to the harmful effects of ultraviolet radiation exposure. This population must deal with issues such as photophobia, decreased visual acuity, extreme sun sensitivity and skin cancer. People with albinism also face social discrimination as a result of their difference in appearance. The World Health Organization is currently investigating the issues concerning this vulnerable population. METHODS: Systematic electronic search of articles in PubMed concerning albinism in Africa. Furthermore, a World Health Organization (WHO) pilot survey of albinism was drafted in English, French and Portuguese, and distributed to African countries through WHO African Regional Offices (AFRO) in an attempt to gather further information on albinism. RESULTS: Epidemiologic data on albinism, such as prevalence, were available for South Africa, Zimbabwe, Tanzania and Nigeria. Prevalences as high as 1 in 1,000 were reported for selected populations in Zimbabwe and other specific ethnic groups in Southern Africa. An overall estimate of albinism prevalences ranges from 1/5,000-1/15,000. In addition, both the literature review and the survey underscored the medical and social issues facing people with albinism. CONCLUSION: The estimated prevalence of albinism suggests the existence of tens of thousands of people living with albinism in Africa. This finding reiterates the need for increased awareness of and public health interventions for albinism in order to better address the medical, psychological and social needs of this vulnerable population.

Africa↗

PubMed2001

Nisoxetine infusion into the olfactory bulb enhances the capacity for male rats to identify conspecifics.

In the present report, the norepinephrine uptake inhibitor nisoxetine as well as a cocktail of nisoxetine and the alpha-adrenergic receptor antagonist phentolamine were infused unilaterally into the olfactory bulb during microdialysis to assess their effects upon the capacity of male rats to identify conspecifics. A social discrimination test was conducted while simultaneously measuring olfactory bulb norepinephrine output in the dialysate before, during, and after behavioral testing. Nisoxetine significantly increased norepinephrine levels in the olfactory bulb compared with the Ringer's solution control group. Following such increases in olfactory bulb norepinephrine, identification responses were enhanced compared with that observed in the Ringer's control. In the presence of phentolamine, nisoxetine elevated olfactory bulb norepinephrine to levels similar to that obtained in the nisoxetine alone group, however, investigatory responses directed to the conspecifics indicated an absence of identification capacity similar to that observed in the Ringer's control group. These results reveal a direct link between norepinephrine transmission in the olfactory bulb and enhanced identification via its activation of postsynaptic alpha-adrenergic receptors. These results also show that inhibition of norepinephrine uptake may represent an important mechanism involved with the enhancement of social identification and suggest a possible novel effect for the antidepressant nisoxetine.

Adrenergic alpha-Antagonists↗

PubMed1993

Visual recognition of mother by young infants: facilitation by speech.

Infants recognise their mother's voice at birth but appear not to recognise visual-only presentations of her face until around 3 months. In a series of experiments visual discrimination by infants aged 1, 3, and 5 months of their mother's and a female stranger's face was investigated in visual-only and visual-plus-speech conditions. In the first experiment these infants' discrimination of mother's and female stranger's faces was measured by their visual-fixation-preference scores. Discrimination was found to be facilitated by the addition of speech information. In experiment 2 naive adults viewed silent videotapes of infants from experiment 1 and judged whether the mother had been presented on the infants' left or right. This added further information to the fixation-preference results of experiment 1: it was found that 1-month-olds discriminate mother's and stranger's face only in the presence of speech information, whereas 3-month-olds also do so in visual-only conditions. In experiments 3 and 4 the relative salience of lip movements and voice information in visual recognition of mother's face was investigated. In experiment 3, no significant differences in infants' visual-fixation-preference scores were obtained. However, in experiment 4 adults' 'where is mother?' judgments of video-tapes from experiment 3 were found to be more accurate in the voice than in the lip-movements conditions, especially for the 3-month-olds and more accurate when mother rather than stranger was talking. It is concluded that young infants' visual recognition of mother is facilitated by addition of speech information, that it is primarily the voice component of speech that causes this facilitation, and that social discrimination is best indexed by a dependent variable which is sensitive to a range of facial cues provided by infants.

Acoustic Stimulation↗

PubMed1998

Behavioural profiles of two Wistar rat lines selectively bred for high or low anxiety-related behaviour.

Over the past years, two breeding lines, derived originally from outbred Wistar rats, have been established that differ markedly and consistently in their anxiety-related behaviour in the elevated plus-maze. At the age of ten weeks, rats were tested once on the elevated plus-maze and the males and females displaying the most anxious and the least anxious behaviour were sib-mated to start a new generation of the high anxiety-related behaviour (HAB) and the low anxiety-related behaviour (LAB) lines, respectively. The resulting difference in emotionality between these two lines was also evident in an open field test and correlated with differences in the forced swim test. In the open field, the HAB rats tended to be less active and explored the central zone of the open field much less than the LAB animals. In the forced swim test, HAB rats started floating earlier, spent significantly more time in this immobile posture and struggled less than LAB rats. However, in an olfactory-cued social discrimination task there was no difference between male and female animals from either line. The overall performance in these various behavioural tests suggests that selective breeding has resulted in rat lines not only differing markedly in their innate anxiety-related behaviour in the plus-maze, but also in other stress-related behavioural performances, suggesting a close link between the emotional evaluation of a novel and stressful situation and an individual's coping strategy.

Animals↗

PubMed2004

Factors affecting the adjustment to disability for new immigrants.

Factors such as self-esteem, social support, and perceived social discrimination are associated with the acceptance of disability. A new immigrant may face unique barriers to health care, including cultural differences between the patient and provider, language/communication issues, and discrimination. However, little research is available that identifies barriers specific to new immigrants relating to disability. This is an exploratory descriptive pilot study using a phenomenological approach. The investigator interviewed two "new" immigrants with an acquired disability. A "new" immigrant is defined as an individual who was born outside of the United States, whose parents were born outside of the United States, and who relocated across international borders to live in this country. The participants reported on perceived barriers to the adjustment to a disability. Strategies to consider in the care of the immigrant patient are described.

Adaptation, Psychological↗

PubMed2003

Local variation in helminth burdens of Egyptian spiny mice (Acomys cahirinus dimidiatus) from ecologically similar sites: relationships with hormone concentrations and social behaviour.

Populations of Egyptian spiny mice (Acomys cahirinus dimidiatus) in a fragmented montane wadi system in the Sinai showed significant differences in the abundance of gut helminths. Differences in parasite load between populations were positively associated with measures of androgen activity but showed no significant relationship with glucocorticoid activity. Social discrimination tests with adult males from different wadis showed that those from sites with greater helminth abundance were less likely to investigate odours from other males and were less aggressive when subsequently interacting with the odour donors. Subjects showed markedly more investigation towards the odours of males from distant wadis compared with those from their own or immediately neighbouring wadi, but were less aggressive when confronted with odour donors from distant wadis. Despite this, there was a positive relationship between the amount of investigation towards distant male odour and subsequent aggression towards the male. While aggressiveness was positively associated with measures of androgen and glucocorticoid activity, no significant relationship emerged with individual helminth infection. Thus aggressiveness appeared to relate to overall local population levels of infection rather than individual challenge.

Adrenal Glands↗