8 results
Search Results
2. The role of energy balance related behaviors in socioeconomic inequalities in childhood body mass index: A comparative analysis of Germany, the Netherlands, the United Kingdom, and the United States.
- Author
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de la Rie, Sanneke, Washbrook, Elizabeth, Perinetti Casoni, Valentina, Waldfogel, Jane, Kwon, Sarah Jiyoon, Dräger, Jascha, Schneider, Thorsten, Olczyk, Melanie, Boinet, Césarine, and Keizer, Renske
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HEALTH policy , *POPULATION geography , *SOCIOECONOMIC factors , *COMPARATIVE studies , *PHYSICAL activity , *SCREEN time , *HEALTH behavior , *DESCRIPTIVE statistics , *HEALTH equity , *BODY mass index , *BREAKFASTS , *LONGITUDINAL method , *CHILDREN - Abstract
Socioeconomic inequalities in childhood Body Mass Index (BMI) are becoming increasingly more pronounced across the world. Although countries differ in the direction and strength of these inequalities, cross-national comparative research on this topic is rare. This paper draws on harmonized longitudinal cohort data from four wealthy countries—Germany, the Netherlands, the United Kingdom (UK), and the United States (US)—to 1) map cross-country differences in the magnitude of socioeconomic inequalities in childhood BMI, and 2) to examine cross-country differences in the role of three energy-balance-related behaviors—physical activity, screen time, and breakfast consumption—in explaining these inequalities. Children were aged 5–7 at our first timepoint and were followed up at age 8–11. We used data from the German National Educational Panel Study, the Dutch Generation R study, the UK Millennium Cohort Study and the US Early Childhood Longitudinal-Kindergarten Study. All countries revealed significant inequalities in childhood BMI. The US stood out in having the largest inequalities. Overall, inequalities between children with low versus medium educated parents were smaller than those between children with high versus medium educated parents. The role of energy-balance-related behaviors in explaining inequalities in BMI was surprisingly consistent. Across countries, physical activity did not, while screen time and breakfast consumption did play a role. The only exception was that breakfast consumption did not play a role in the US. Cross-country differences emerged in the relative contribution of each behavior in explaining inequalities in BMI: Breakfast consumption was most important in the UK, screen time explained most in Germany and the US, and breakfast consumption and screen time were equally important in the Netherlands. Our findings suggest that what constitutes the most effective policy intervention differs across countries and that these should target both children from medium as well as low educated families. • All countries showed substantial socioeconomic inequalities in childhood BMI. • In all countries, inequalities in BMI steepen over course of primary school. • Protective factors among the most advantaged seem to mainly drive inequalities. • Across most countries, underlying mechanisms for inequalities in BMI are similar. • The relative contribution of each mechanism to BMI inequalities differs per country. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
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3. Social engagement for mental health: An international survey of older populations.
- Author
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Yen, Hsin‐Yen, Chi, Mei‐Ju, and Huang, Hao‐Yun
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SOCIAL participation ,GENDER role ,STATISTICS ,CONFIDENCE ,CROSS-sectional method ,SOCIAL networks ,MENTAL health ,POPULATION geography ,SATISFACTION ,REGRESSION analysis ,SURVEYS ,COMPARATIVE studies ,PHYSICAL activity ,T-test (Statistics) ,LONELINESS ,MENTAL depression ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,PEOPLE with disabilities ,SOCIODEMOGRAPHIC factors ,DATA analysis ,DATA analysis software ,SECONDARY analysis ,EDUCATIONAL attainment ,OLD age - Abstract
Background and purpose: Social engagement is an important active aging strategy to promote older adults' mental health. The purposes of this study were to compare social engagement in older populations around the world and explore associations with mental health outcomes. Materials and methods: An international cross‐sectional survey was conducted from 2017 to 2019. Data were retrieved from The International Social Survey Programme for a secondary data analysis across 30 countries. This study applied the Taxonomy of Social Activities and its six levels as operational definitions for a consistent concept of social engagement for international comparisons. Results: In total, 9403 older adults with a mean age of 72.85 ± 6.40 years responded. The highest levels of older adults' social engagement were found in Switzerland, Thailand, and New Zealand. Older adults of a higher age, with a lower educational level, who were permanently sick or disabled, who had no partner, who were widowed or whose civil partner had died, who lived alone, and who had lower self‐placement in society had significantly lower social engagement than did their counterparts. In the regression model, older adults' social engagement positively predicted general health, self‐accomplishment, and life satisfaction, but negatively predicted loneliness and depression. Conclusions: In aging societies worldwide, encouraging older adults' social engagement would be beneficial to promote mental health. Implications for nursing practice and health policies: Community professional nurses can develop strategies of social engagement based on the needs and sociodemographic factors of older adults to improve their mental health. Developing efficient strategies and local policies by learning from successful experiences in other countries is important to promote social engagement in aging societies. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
4. Cross-national cognitive assessment in schizophrenia clinical trials: a feasibility study
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Harvey, Philip D., Artiola i Fortuny, Lidia, Vester-Blockland, Estelle, and De Smedt, Goedele
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COGNITIVE psychology , *SCHIZOPHRENIA , *CLINICAL trials , *COGNITION disorders diagnosis , *RISPERIDONE , *ANTIPSYCHOTIC agents , *HALOPERIDOL , *COGNITION disorders , *COMPARATIVE studies , *NEUROPSYCHOLOGICAL tests , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *ETHNOLOGY research , *PILOT projects , *EVALUATION research , *RANDOMIZED controlled trials , *THERAPEUTICS ,DRUG therapy for schizophrenia - Abstract
Clinical trials for the treatment of schizophrenia now often include cognitive assessments in addition to clinical ratings of symptoms. Recently, these trials have included cross-national assessments. It is not clear if translated psychological tests produce consistent results across different languages. This paper presents the results of a study of the comparability of the results of cognitive assessments in different English-speaking countries and a number of countries where tests were translated into other languages. Performance on tests of executive functioning, verbal and visuo-spatial learning and memory, language skills, psychomotor speed, and vigilance was compared across the first episode patients with schizophrenia (n=301) assessed in six different languages (English, French, Finnish, German, Hebrew, and Afrikaans), including two different countries where patients were assessed in English and other languages: Canada (French) and South Africa (Afrikaans). The variance in performance across the sites tested in English was as large as the variance between English and non-English speakers when all tests were considered. Performance differences across English and other languages were found only for executive functions, vigilance, and psychomotor speed, with executive functioning differences nonsignificant when education was considered. No differences were found between English and non-English speakers in Canada. These results suggest that the translation of tests of memory and verbal skills can lead to consistent results across translated versions of the tests. Differences between countries were greater than differences between languages, suggesting the need to consider representativeness of patient samples in terms of local educational attainment. In general, these data support the validity of cross-national neuropsychological assessments. [Copyright &y& Elsevier]
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- 2003
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5. For-Profit Hospitals Have Thrived Because of Generous Public Reimbursement Schemes, Not Greater Efficiency: A Multi-Country Case Study.
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Jeurissen, Patrick P. T., Kruse, Florien M., Busse, Reinhard, Himmelstein, David U., Mossialos, Elias, and Woolhandler, Steffie
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BUSINESS ,COMPARATIVE studies ,ENDOWMENTS ,PROPRIETARY health facilities ,HEALTH services accessibility ,PROPRIETARY hospitals ,MEDICAL care ,MEDICAL care cost control ,MEDICAL quality control ,HEALTH policy ,PRACTICAL politics ,POPULATION geography ,WORLD health ,HEALTH insurance reimbursement ,DESCRIPTIVE statistics - Abstract
For-profit hospitals' market share has increased in many nations over recent decades. Previous studies suggest that their growth is not attributable to superior performance on access, quality of care, or efficiency. We analyzed other factors that we hypothesized may contribute to the increasing role of for-profit hospitals. We studied the historical development of the for-profit hospital sector across 4 nations with contrasting trends in for-profit hospital market share: the United States, the United Kingdom, Germany, and the Netherlands. We focused on 3 factors that we believed might help explain why the role of for-profits grew in some nations but not in others: (1) the treatment of for-profits by public reimbursement plans, (2) physicians' financial interests, and (3) the effect of the political environment. We conclude that access to subsidies and reimbursement under favorable terms from public health care payors is an important factor in the rise of for-profit hospitals. Arrangements that aligned financial incentives of physicians with the interests of for-profit hospitals were important in stimulating for-profit growth in an earlier era, but they play little role at present. Remarkably, the environment for for-profit ownership seems to have been largely immune to political shifts. [ABSTRACT FROM AUTHOR]
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- 2021
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6. Overcoming Language Barriers: Assessing the Potential of Machine Translation and Topic Modeling for the Comparative Analysis of Multilingual Text Corpora.
- Author
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Reber, Ueli
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COMMUNICATION barriers ,COMPARATIVE studies ,TRANSLATIONS ,CORPORA - Abstract
This study assesses the potential of topic models coupled with machine translation for comparative communication research across language barriers. From a methodological point of view, the robustness of a combined approach is examined. For this purpose the results of different machine translation services (Google Translate vs. DeepL) as well as methods (full-text vs. term-by-term) are compared. From a substantive point of view, the integratability of the approach into comparative study designs is tested. For this, the online discourses about climate change in Germany, the United Kingdom, and the United States are compared. First, the results show that the approach is relatively robust and second, that integration in comparative study designs is not a problem. It is concluded that this as well as the relatively moderate costs in terms of time and money makes the strategy to couple topic models with machine translation a valuable addition to the toolbox of comparative communication researchers. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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7. Dietary surveys indicate vitamin intakes below recommendations are common in representative Western countries.
- Author
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Troesch, Barbara, Hoeft, Birgit, Mcburney, Michael, Eggersdorfer, Manfred, and Weber, Peter
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VITAMIN deficiency ,COMPARATIVE studies ,NUTRITION policy ,NUTRITIONAL requirements ,SURVEYS ,VITAMINS ,SECONDARY analysis ,RETROSPECTIVE studies - Abstract
Vitamins play a crucial role in health, but modern lifestyles may lead to suboptimal intakes even in affluent countries. The aim of the present study is to review vitamin intakes in Germany, the UK, The Netherlands and the USA and to compare them with respective national recommendations. Data on adults from the most recently published national dietary intake surveys for the first three countries and data for adults from the US National Health and Nutrition Examination Survey from 2003 to 2008 for the USA were used as a basis for the analysis. The proportions of the populations with intakes below recommendations were categorised as < 5, 5–25, >25–50, >50–75 and >75 % for each vitamin. The data generated are presented in a ‘traffic light display’, using colours from green to red to indicate degrees of sufficiency. The trends found were compared with the results from the European Nutrition and Health Report 2009, even though in that report, only information on mean intakes in the different countries was available. We showed that, although inter-country differences exist, intakes of several vitamins are below recommendations in a significant part of the population in all these countries. The most critical vitamin appears to be vitamin D and the least critical niacin. The variation between the countries is most probably due to differences in recommendations, levels of fortification and local dietary habits. We show that a gap exists between vitamin intakes and requirements for a significant proportion of the population, even though diverse foods are available. Ways to correct this gap need to be investigated. [ABSTRACT FROM PUBLISHER]
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- 2012
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8. The relationship between women’s work histories and incomes in later life in the UK, US and West Germany.
- Author
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Sefton, Tom, Evandrou, Maria, Falkingham, Jane, and Vlachantoni, Athina
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AMERICAN women ,ANALYSIS of variance ,COMPARATIVE studies ,STATISTICAL correlation ,EMPLOYEES ,EMPLOYMENT ,EXPERIENCE ,INCOME ,HUMAN life cycle ,LONGITUDINAL method ,MARITAL status ,MULTIVARIATE analysis ,PENSIONS ,POVERTY ,RESEARCH funding ,SOCIAL security ,SURVEYS ,SECONDARY analysis ,WOMEN ,EDUCATIONAL attainment ,RETROSPECTIVE studies - Abstract
Using data from several large-scale longitudinal surveys, this article investigates the relationship between the work histories and personal incomes (from both public and private sources) of older women in the UK, US and West Germany. By comparing three countries with different welfare regimes and pension systems, we seek to gain a better understanding of the interaction between the life course, pension system and women’s incomes in later life. The association between older women’s incomes and work histories is strongest in West Germany and weakest in the UK, where there is evidence of a ‘pensions poverty trap’ and where only predominantly full-time employment is associated with significantly higher incomes in later life. Work history matters less for widows (in all three countries) and more for recent birth cohorts and more educated women (UK only). The article concludes with a brief discussion of the treatment of women under different pension regimes assessed by the criteria of adequacy, proportionality, vertical equity and horizontal equity. [ABSTRACT FROM PUBLISHER]
- Published
- 2011
- Full Text
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