Lower Levels Of Physical Health Research Articles

Aging well in an aging society: physical health in older lesbian, gay, and bisexual adults.

Older sexual minority people meet a double stigma in our society related to their sexual identity and chronological age. The present study explores how experiences of discrimination and prejudice, coming out, and personal resiliency influence physical health of older lesbian, gay, and bisexual (LGB) adults. Respondents were recruited through online advertisements and an online-based survey. The sample included 82 Italian cisgender LGB adults over 65 years: young older adults (65-70 years; 78%) and old-old adults (over 71 years; 22%). Regarding sexual orientation, the sample was composed of sexual minority women (n = 30; 37%) and sexual minority men (n = 52; 63%). ANOVAs' findings showed that sexual minority women described lower levels of physical health compared to sexual minority men. At the same time, old-old adults reported higher experiences of discrimination and prejudice compared to young older adults. Moreover, findings from hierarchical multiple regression analysis described that coming out, higher levels of personal resiliency, and fewer experiences of discrimination were predictors of physical health, regardless of age and sexual minority categories. These findings seem to align with previous studies that underline the relevance of investigating aging well in sexual minority people. Knowledge and awareness of LGBTQ+ issues are necessary for recognizing the unique needs and resources of older LGB people for promoting a healthy aging process.

여성 노인의 사회적 관계, 건강정보 리터러시 및 신체 건강에 관한 연구

This study aims to examine the health of older women in relation to their social relationships and health literacy, utilizing the data from the ‘Korean Study of Women’s Health-Related Issues(K-Stori)’. The dataset comprises a final sample of 3,000 older women, with 683 residing in single-person households (SPH) and 2,317 in multi-person households (MPH). The key findings of the analysis are as follows: Firstly, older women in SPH exhibited lower levels of physical health compared to those in MPH. Secondly, it was observed that the overall level of social relationships among older women in SPH was inferior to that of those in MPH. Thirdly, MPH residents displayed a higher level of health literacy than their counterparts in SPH. Lastly, this study revealed that health literacy plays a mediating role in the relationship between social relationships and physical health for both SPH and MPH residents. Specifically, health literacy completely mediated the association between family relationships and health outcomes for both SPH and MPH, while it entirely mediated the connection between friend relationships and health solely for MPH residents. Drawing from these findings, policy and practice implications for enhancing the health of older women were proposed.

Research on the Application of Ultimate Frisbee in College Teaching

In recent years, college students generally have a low level of physical health, which is affected by online games, mobile game and so on to a certain extent, resulting in the gradual decrease of the time students spend in sports. Therefore, in the important period for college students to develop physical exercise habits, more fresh, interesting, and diverse sports are needed to stimulate them to participate. Ultimate Frisbee is a relatively new sports event, with the characteristics of simple skills, high spectator, high safety, co-participation of men and women, and so on. As an important supplement to the college PE curriculum, it meets the needs of college students and college PE, very suitable for application in college teaching.

The level of physical (somatic) health of 1st-year students of a higher education institution

The article defines the level of physical (somatic) health of students of the 1st year of a higher education institution. It was used the method of assessing the level of physical health G.L. Apanasenko.
 The data on the distribution of the examinees according to the level of physical health allow us to state that 14.14% of female students and 2.39% of male students have a low level of physical health, 29.31% and 21.18% - below average, 44, 37% and 45.56% are average, 12.83% and 30.87% are above average.
 The results of our research indicate that the average level of physical health prevails among first-year students. Unfortunately, among the students who took part in the study, there were not those whose level of physical health can be characterized as high.
 The obtained results prove the relevance and expediency of developing measures aimed at improving the level of physical health of students of the 1st year of a higher education institution.
 In our opinion, the prospect of further scientific research is the development of new methods of individualization of differentiated physical loads of students in the process of physical education depending on their level of health.

Level of somatic health of 16-17 year old girls

The article defines the level of physical (somatic) health of girls aged 16–17. It was used the method of assessing the level of physical health G.L. Apanasenko.
 Data on the distribution of examinees by level of physical health allow us to state that 27.34% of 16-year-old girls and 27.76% of 17-year-old girls have a low level of physical health, 54.28% and 47.32% - below average, 11.59% and 19.31% are average, 6.79% and 5.61% are above average.
 The obtained results of the experiment indicate that the majority of girls aged 16-17 have a low or below average level of somatic health.
 It is important to note that among the girls who participated in the study, 6.79% of 16-year-old girls and 5.61% of 17-year-old girls have a higher than average level of physical health. Unfortunately, among the 16–17-year-old girls who took part in the study, there were no ones whose level of physical health could be characterized as high.
 The research was conducted with the aim of improving the effectiveness of the physical education process. The obtained results will be basic in the development of favorable conditions for preserving and strengthening the physical health of girls through traditional and innovative means of physical culture and sports to meet the requests, needs and preferences of girls aged 16-17.

IMPACT OF MID-DAY MEAL PROGRAMME ON THE NUTRITIONAL STATUS OF PRIMARY SCHOOL CHILDREN

Children have the right to get the primary education, as stated in the Indian Constitution. The government has proposed an amendment to allow as children between the ages of 6 and 12 to get free and compulsory education. The Government of India has launched a multifaceted programme called the Mid-Day Meal Scheme. It addresses difficulties with access to education, inadequate nutrition, and food security. The population in this particular research study includes all children aged 6–11 and studying in Primary Schools of Utter Pradesh. 509 subjects were chosen. 263 boys and 246 girls were selected through random sampling. According to the Waterlow Classification, children are more wasted, stunted and wasted and stunted than normal students in physical health. Waterlow Classification indicates low levels of physical health of primary school children. The average weight of urban boys and girls was more than the rural boys and rural girls. The overall height of all boys and girls is considered below ICMR standards of height. There was found a significant difference in height and weight between boys and girls of urban and rural areas.

Аналіз фізичного здоров′я студентів закладу вищої медичної освіти

The purpose of the study was to analyze the level of physical health of medical students and assess the factors that affect it. Materials and methods. 230 boys and girls of the first year of the medical faculty were examined in M. I. Pirogov Vinnytsa National Medical University at the age of 17 to 22 years. According to outpatient cards and the results of the survey, all students were classified as "practically healthy" and did not go in for professional sports. Assessment of the level of physical health was carried out according to the method of quantitative express assessment of the level of somatic health (G. L. Apanasenko). The physical activity of students, the nature of their diet, the presence or absence of bad habits were determined by the method of questioning. Results and discussion. According to the results of an express assessment of the level of somatic health, it was found that out of 230 first-year students, a high level of physical health was not recorded at all, 4.3% had above average, 22.6% had an average level, 31.7% had below average and 41.3% of students had a low level of physical health. According to gender, the results of the students were divided as follows: with an above average level of physical health there were 3 (2.1%) girls and 7 (7.8%) boys; with an average level – 30 (21.4%) girls and 22 (24.4%) boys; with below average level – 44 (31.4%) girls and 29 (32.2%) boys and a low level of physical health was observed in 63 (45%) girls and 32 (35.6%) boys. Boys and girls with a level of physical health above average were excluded from the study due to the low representativeness of the sample (3 girls and 7 boys). The rest made up groups with average (30 girls and 22 boys), below average (44 girls and 29 boys) and low (63 girls and 32 boys) levels of physical health. The study of physical activity showed that only 40% of girls and 68.2% of boys with an average level of physical health were engaged in non-professional sports. With a decrease in the level of physical health, the number of girls and boys who wanted to go in for sports decreased (p<0.001). Analyzing the nutrition of young people in the first year of study, we can say that for most students it was irrational. Only 60% of girls and 59.1% of boys with an average level of physical health ate rationally. Deterioration of nutrition had a negative impact on the formation of physical health (p<0.05). 7.9% of girls and 40.6% of boys had bad habits with a low level of physical health; 6.8% of girls and 31% of boys – with below average and 6.7% of girls and 31.8% of boys – with an average level of physical health. Conclusion. The vast majority of students had average, below average and low levels of physical health. Motor activity, quality of nutrition, bad habits influenced the formation of physical health

Effects of Physical Exercise on Physical Fitness and Mental Health of Obese Students.

With the rapid development of my country's economy, the rapid improvement of national living standards, the introduction of western fast food culture, and the modern lifestyle, the detection rate of obese patients in my country has increased year by year. Obesity has gradually become an important issue of social concern, especially among students, obesity is very common, seriously affecting the physical and mental health of students, and laying a hidden danger for the development of society. As an effective method, physical exercise has an important impact on the physical and mental health of obese students and has become an important way to solve the obesity problem. On the basis of a large number of literature research, this paper adopts a variety of research methods such as questionnaire survey, expert consultation, mathematical statistics and comparative analysis, and logical analysis. The current situation of extracurricular physical exercise has been investigated in detail, and after data analysis, it is found that obesity has a great negative impact on all aspects of college freshmen. The results of the study showed that the obese college students in Suzhou had a low level of physical health. The average scores of the “National Student Physical Health Standards” for boys and girls were 58.50 and 60.49, respectively, and the failure rates were 48.24% and 43.55%, respectively. Compared with the average level of college students in the whole country, the height, weight, and vital capacity of obese students in Suzhou are higher than the national level, while the vital capacity index is far lower than the national level, and there are significant differences in physical fitness items (obese girls 800 meters), standing long jump, sit-ups are higher than the national level, and there are significant differences; obese boys 1000 meters, sitting forward flexion are lower than the national level, there is a significant difference, while the standing long jump performance is slightly higher than the national level). In terms of mental health, the detection rate of various mild mental health problems among obese college students in Suzhou is as high as 44.56%, and the detection rate of various moderate mental health problems also reaches 9.69%. Compared with the national youth norm, obese college students are prone to psychological problems such as somatization, obsessive-compulsive symptoms, anxiety, terror, psychosis, hostility, and paranoia.

Differentiating objective and subjective dimensions of social isolation and apprasing their relations with physical and mental health in italian older adults

BackgroundInternational research shows that social isolation is harmful for health, especially for the elderly. Its objective and subjective dimensions are important to distinguish as each stands in a different relation with health. The first aim of the present study is the validation of three scales measuring objective and subjective isolation in an Italian elderly population. The second aim is to analyze subjective and objective social isolation and to appraise their association with health among seniors.MethodsThis cross-sectional survey collected data from 306 over 65 s participants. Questionnaires were administered face-to-face by one author and encompassed: social disconnectedness scale; perceived isolation scale; abbreviated Lubben Social Network Scale; measures of general and mental health, and depression.ResultsThe three scales measuring social isolation demonstrated acceptable psychometric properties and validity. Objective and subjective social isolation were not directly associated with physical health, whereas subjective isolation is strongly linked to worse mental health and depression. Higher level of subjective isolation was associated with lower level of physical health through the mediation of mental health. Subjective isolation served as a mediator in the relation between objective isolation and health. Moderation analysis demonstrated that low values of objective isolation predicted high values of mental health but only when subjective isolation was low. None of these relations were moderated by socio-demographic variables.ConclusionSubjective and objective isolation are clearly two separate dimensions and the scales validated in this paper showed to be potentially culturally invariant. Researchers should work to find instruments able to depict the complexity of the construct of social isolation.

The elderly living in single-person households in South Korea: a latent profile analysis of self-esteem, life satisfaction, and depression

Elderly living alone in South Korea report higher rates of psychological distress compared to the population at large. Using a person-centered approach, the aim of the present study was to identify the latent profiles of South Korean elderly living alone based on self-esteem, life satisfaction, and depression. Latent profile analysis (LPA) was conducted based on data of 1545 older age individuals living alone. In addition, we examined significant factors that differentiate the observed profiles using multinomial logistic regression analysis. We identified five profiles: "extremely depressed (n= 44, 2.9%)," "severely depressed (n= 169, 10.9%)," "mildly depressed (n= 529, 34.2%)," "low life satisfaction (n= 128, 8.3%)," and "positive adaptation (n= 675, 43.7%)." In addition, results of multinomial logistic regression analysis indicated that males (OR: 1.69; 95% CI: 1.02-2.81), and elderly with lower income (OR: 0.86; 95% CI: 0.81-0.91), lower level of physical health (OR: 0.43; 95% CI: 0.33-0.57), and lower social relationship satisfaction (OR: 0.25; 95% CI: 0.18-0.35) were more likely to fall in the "low life satisfaction" rather than the "positive adaptation" profile. In addition, being female (OR: 0.48; 95% CI: 0.30-0.79), of older age (OR: 1.04; 95% CI: 1.01-.1.07), and higher income (OR: 1.14; 95% CI: 1.08-1.20) were related to classification in the "mildly depressed" rather than the "low life satisfaction" profile. The "severely depressed" group was differentiated by older age (OR: 1.05; 95% CI: 1.01-1.08), lower level of physical health (OR: 0.49; 95% CI: 0.34-0.71), and lower satisfaction with social relationship (OR: 0.54; 95% CI: 0.38-0.76). The results highlight the need for welfare policies that secure income and physical health in elderly living alone to enhance their quality of life. Furthermore, interventions that aim to maintain social networks are tantamount in order to prevent isolation in the elderly living alone.

Health impact of providing informal care in Portugal

BackgroundMiddle-aged and older adults play an important role in the provision of informal support, however, the impact on the health of those individuals who provide informal care is unclear. The main objectives of this study are: (1) to assess the prevalence of co-residential caregiving provided by individuals aged 50+; (2) to analyze differences between the group of Portuguese co-residential caregivers and the group of Portuguese non-caregivers; (3) to examine the longitudinal effect of providing informal care on the health of co-residential informal caregivers in Portugal.MethodsData from wave 4 and wave 6 of the Survey of Health Ageing and Retirement in Europe (SHARE) were used. A linear mixed model and a generalized mixed model were used to analyze the longitudinal effect of providing informal care on the health (physical health and depressive symptoms) of Portuguese individuals aged 50 + .ResultsIn both SHARE waves analyzed, Portugal had the highest percentage of co-residential caregivers aged 50+. At baseline, the Portuguese co-residential caregiver population, compared to non-caregivers, has a lower percentage of employed individuals (14.9% compared to 25.7%) and a higher percentage of individuals with four or more depressive symptoms (56.4% compared to 35.5%). The caregivers also have a lower quality of life (CASP-12) (30.93 compared to 32.59). Marginal differences in educational levels between the caregiver and non-caregiver groups were also found, with co-residential caregivers having lower levels of education (72.3% have ISCED 0–2 compared to 64.7%), lower levels of cognitive function (− 2.321 compared to − 1.784), lower levels of physical health (− 0.180 compared to − 0.076) and lower engagement in moderate or vigorous physical activity (14.9% compared to 21.5%). Longitudinal models reveal that providing care within the household is not associated with physical health (b = 0.048; se = 0.035; p = 0.167), but is associated with depressive symptoms (OR = 1.609; 95% CI = 1.141–2.271; p = < 0.010).ConclusionsPortugal has the highest percentage of co-residential caregivers aged 50+. In that country, providing informal care to a household member is associated with depressive symptoms. Portuguese policymakers should therefore promote programs to prevent and alleviate the depressive symptoms experienced by individuals aged 50+, who provide co-residential care.

ВПЛИВ ТЕХНОЛОГІЇ КОРЕКЦІЇ НЕГАТИВНИХ ПСИХІЧНИХ СТАНІВ СТУДЕНТІВ ЗАСОБАМИ ОЗДОРОВЧОГО ФІТНЕСУ НА ЇХ ФІЗИЧНИЙ СТАН

Мета дослідження. З’ясувати ефективність технології корекції негативних психічних станів студентів засобами оздоровчого фітнесу. Методи дослідження. Для визначення стану рухових здібностей та фізичної підготовленості студентів використовувалась батарея тестів К. Зухори. Рівень фізичного здоров’я визначали за експрес-оцінкою рівня фізичного (соматичного) здоров’я Г.Л. Апанасенка. Результати. У результаті експерименту значно покращився рівень СЗ студентів педагогічних спеціальностей ЕГ. Зокрема зміни були пов’язані із зниженням на 35,42 % і 18,75 % часток студентів з низьким і нижче середнім рівнями СЗ та збільшенням на 43,75 % їх частки з середнім рівнем (χ2 = 39,58; Р &lt; 0,01). Слід відзначити також, що 10,42 % та 2,08 % студентів ЕГ мали вище середнього та високий рівні соматичного здоров’я відповідно. У КГ кількість студентів з низьким рівнем соматичного здоров’я зросла на 4,26 % за рахунок відповідного зменшення таких з середнім та вище середнього рівнями, що відповідало загальній тенденції щодо рівня здоров’я студентської молоді.У студентів ЕГ суттєво покращився інтегральний показник фізичної підготовленості. Мінімальний рівень фізичної підготовленості мали 2,08 % студентів проти 27,08 % до експерименту, задовільний – 52,08 % проти 54,17 %, добрий та дуже добрий рівні фізичної підготовленості мали 39,58 % та 4,17 % відповідно. Слід зазначити, що у 2,08 % студентів виявлено високий рівень фізичної підготовленості, чого не спостерігалося до експерименту (χ2 = 16,84; Р &lt; 0,01). Проведені дослідження засвідчують позитивний вплив технології корекції негативних психічних станів студентів з використанням оздоровчих технологій на показники психічного та фізичного стану студентів педагогічних спеціальностей.

СLINICAL AND LABORATORY DATA AND ALGORITHM OF MANAGEMENT OF ADULT PATIENTS WITH POLYARTICULAR VARIANT OF JUVENILE IDIOPATHIC ARTHRITIS

Relevance. The polyarticular variant of juvenile idiopathic arthritis (JIA) is a disease that begins in childhood and leads to joint damage and disability in adulthood with significant social losses. At 18, patients go under the supervision of adult rheumatologists, often accompanied by loss of control of the disease due to insufficient compliance from both the patient and the physician. Today, there is no documented process for the transfer of patients from childhood to adulthood in Ukraine. Therefore, creating an algorithm for managing such patients is an urgent task.The polyarticular variant of JIA is a disease that begins in childhood and leads to joint damage and disability in adulthood with significant social losses.&#x0D; Objective of this study was to evaluate the clinical and laboratory status and to develop an algorithm for managing adult patients with polyarticular variant of JIA, depending on the detection of RF or/and A-CCP.&#x0D; Materials and methods. The study included 168 adult patients from different regions of Ukraine who were diagnosed with JIA in childhood between 1984 and 2014 without severe comorbidities. Inclusion criteria were: 16 to 60 years old; duration of the disease more than 3 years; the presence of documentary evidence of childhood diagnosis of JIA (ambulatory card, hospital records). Among patients with JIA were identified 53 patients with polyarticular variant, of whom 42 or 25% - with RF (-) polyarthritis and 11 or 6.5% - with RF (+) polyarthritis. The disease activity was evaluated by DAS28 and JADAS-10. The questionaries SF-36, HAQ, TAS-20, PHQ-9 were analyzed and remote articular JADI-A and extra-articular JADI-E damages were evaluated. Statistical studies were performed using IBM SPPS Statistics version 25.0.0.0 software, the results were considered to be reliable at 5% critical level (P &lt;0.05). &#x0D; Results. The negative correlation of JADI-A and the patient's physical well-being PCS (r = -0.27, p &lt;0.05) and physical functioning (r = -0.24, p &lt; 0.05), pain intensity (r = -0.24, p &lt;0.05), general health (r = -0.24, p &lt;0.05), vital activity (r = -0, 19, p &lt;0,05), social functioning (r = -0,27, p &lt;0,05), mental health (r = -0,22, p &lt;0,05) according to SF-36. The severity of extra-articular damages JADI-E correlated with PCS (r = -0.22, p &lt;0.05) and physical functioning (r = -0.28, g &lt;0.05), pain intensity (r = -0.20, p &lt;0.05), general health (r = -0.23, p &lt;0.05), and mental health (r = -0.23, p &lt;0.05), but also had a positive rcorrelation with HAM-A (r = 0.25, p &lt;0.05), depression scale (r = 0.28, p &lt;0, 05) and PHQ-9 (r = 0.28, p &lt;0.05). Significantly lower level of physical health was established in patients who requires prosthetics (p &lt;0.001) compared to those who did not need prosthetics. &#x0D; Conclusion. Based on the results obtained, algorithms for managing adult patients with JIA positive for RF or / and A-CCP were developed, depending on the detected articular and extra-articular damages and the need for prosthetics and the psychological status.

Evaluating the Functional State and Physical Fitness of Men and Women in t he Second Period of Adulthood at t he Initial Stage of Recreational and Training Activities

It has been demonstrated that men and women in the second period of adulthood suffer detraining associated with low level of physical fitness and functional potential at the initial stage of recreational and training activities. Materials. The evaluation of the physical and functional potential of people in the second period of adulthood at the initial stage of recreational and training activities has been presented in the article. Methods. Analysis and generalization of scientific literature, analysis of indicators of the functional potential and physical fitness. Results. The study has been conducted with the purpose of assessing the state of physical and functional potential of the men and women in the second period of adulthood at the initial stage of recreational and training activities. The results of the experiment indicate that the men and women in the second period of adulthood are detrained. This is manifested in the worsening of almost all indicators reflecting the functional potential of the respiratory system. Disorders of the respiratory system are combined. Restriction (reduced stretchability of the lungs and chest), weakening of the respiratory muscles due to lower lung capacity with the growing Gaensler index, and obstruction (bronchospasm) – a significant decrease in all indicators reflecting bronchial permeability, especially the peak flow expiratory rate – are observed. Conclusion. The results allowed to make a conclusion about detraining associated primarily with low level of physical activity in people in the second period of adulthood, which was confirmed by the results of tests evaluating their physical performance and functional potential, low level of physical health, and weak motor potential at the initial stage of recreational and training activities.

Психоемоційний стан у молодих дорослих з ювенільним ідіопатичним артритом

Aim.&nbsp;To determine emotional state in adults with juvenile idiopathic arthritis (JIA) using questionnaires/ Material and Methods.&nbsp;Patients diagnosed with JIA (N=106) aged over 18 years were examined on the basis of the Alexander Municipal Clinical Hospital, Kyiv, Ukraine. The diagnosis was verified according to the classification criteria of the International League of the Association of Rheumatologists. The study did not include patients with organic pathology of the brain, encephalopathy associated with hypertension, diabetes mellitus, and chronic renal failure. Clinical examination included count of swollen and painful joints; count of joints requiring prosthetics in consequence of destructive changes; assessment of disease activity with regard to administered anti-rheumatic drugs; assessment of quality of life and health with the questionnaires SF-36, HAQ, PHQ-9; evaluation of anxiety by Beck and Hamilton (HAM-A) questionnaires; evaluation of depression by Beck questionnaire surveys and Chaban questionnaire on self-evaluation of anxiety and depression; and determining the social factors that appear to affect health. Results and Discussion.&nbsp;All patients were divided into two groups, depending on the need for prosthetic joints regardless of JIA clinical variants. Group I included 20 patients aged 24,20±8,7 years, with the need of one or more prosthetics joints as a result of JIA. The second group included 86 patients who did not require prosthetic joints, with mean age 23,18±6,18 years. In group I, a longer disease duration (p=0.025), more deformed joints (p&lt;0.001), more frequent cervical spine damage (p=0.015), arthritis of hands joints (p=0.008), lesions of tendons (p=0.037), more systemic manifestations of JIA (p=0.003), higher ESR (p=0.001) and DAS 28 (p&lt;0,0001) were found; &nbsp;they also received more aggressive therapy, including longer course of glucocorticoids (GC) (81.74 months) than the patients in group II (15.34 months) (p&lt;0.0001) and a higher cumulative dose of GC (p = 0.001). The patients' physical condition according to the SF-36 was 33,92±14,0 in &nbsp;group I vs 43,74±13,62 in group II, indicating a lower level of physical health (p&lt;0.001) and poorer functional status by HAQ (p=0.034). However, the patients' psychological health by the SF-36 did not differ in two groups (p=0.832), although the PHQ-9 questionnaire showed that the patients in group I revealed moderate severity depression (11,17±6,19) vs light ("subclinical") depression (6,4±6,02) in group II (p=0.019), which is also confirmed by the self-evaluation scale for depression, where a tendency towards depression was found in group I (9,0±6,39) compared to no signs of depression (4,5±3,98) in group II (p=0.018). According to the questionnaire on psychosomatic disorders, higher need for medical psychologist's consultation (8,5±6,35) was found in &nbsp;group I (p=0.013) than in group II (4,08±3,56). However, in anxiety assessment, the difference was not detected by any questionnaires in both groups of patients, although the anxiety level was higher in group I. Conclusions.&nbsp;Patients with JIA with destructive changes in the joints have higher tendency towards psycho-emotional disorders that require medical consultations of a psychologist or a &nbsp;psychosomatic medicine professional. Active and early treatment of JIA using modern methods, including biological therapy, allow to prevent destructive changes in the joints, that in its turn reduces psycho-emotional disorders in adult patients with JIA. Patients with aggressive destructive course of JIA need higher social adjustment, which causes a need to include medical psychologists in the team of doctors (along with rheumatologists, podiatrists, rehabilitation professionals, and ophthalmologists) who treat adults with JIA.&nbsp

The impact of minority stressors on the mental and physical health of lesbian, gay, and bisexual youths and young adults.

Research relating to minority stressors generally explores mental health outcomes, with limited focus on the physical dimension. In addition, minority stress research is conducted mainly in Christian-oriented societies. To address these pitfalls we used Web sampling targeting Israeli participants ages 12 to 30 (N = 952; 28 percent heterosexuals, 78 percent lesbian, gay, and bisexual [LGB] adolescents and young adults) to assess their mental health, physical and sexual risk behaviors, minority stressors, and coping resources. Results indicate that young LGBs had lower levels of mental and physical health than heterosexuals. Among LGB participants, high levels of minority stressors and low levels of coping resources predicted lower levels of mental health, and lower levels of mental health predicted lower levels of physical health. These results emphasize that minority stressors should be recognized as risk factors for poorer mental health, as well as for physical and sexual risk behaviors.

Health as a value in the formation of student-centered motivation of students to physical education

Цель : определение ценностных мотивационных потребностей к здоровью у студентов, обусловленных регионом проживания. Материал : в исследовании приняли участие 780 студентов: девушки - 522, юноши - 258 человек. Мотивационные потребности к личному здоровью определялись методом анкетирования. Учитывалось место жительства и этнические особенности. Результаты: доказано, что большинство студентов имеют низкий уровень соматического здоровья. Определена регулирующая роль личностной мотивации студентов по отношению к здоровью. Она отвечала: мотиву стремления быть здоровым, состоянию неопределенности к личному здоровью, мотиву стремления к вредным привычкам. У девушек из регионов Крыма основным было состояние неопределенности к личному здоровью. В этнической группе девушек - стремление к укреплению здоровья. У юношей из регионов Крыма и этнической группы доминирующим обнаружен мотив стремления к личному здоровью. Выводы : Установлено, что учебные занятия с включением элементов этнопедагогической направленности изменили мотивационные потребности молодежи. Значительно повысились мотивационные потребности быть здоровым, меньше стало студентов с неопределенным отношением к личному здоровью, уменьшилась мотивация к вредным привычкам.

The Effects of Work-Related and Boundary-Related Stress on the Emotional and Physical Health Status of Ordained Clergy

This research is the second component of a three-part series that explores the relationship between stress and health in the clerical profession. The first article (Wells, Journal of Religion and Health 51(1):215–30, 2012) determined that there is an association between two different sources of stress in the clerical profession (work-related stress and boundary-related stress). This research explores the association between these two sources of stress and two different measures of health (emotional health and physical health). Utilizing the same dataset from the previous research (Wells, Journal of Religion and Health 51(1):215–30, 2012), and simple and multiple regression, this research determined that there is a positive association between the two sources of stress (work-related stress and boundary-related stress) and the two measures of health (physical health and emotional health). African-American and obese clergy exhibited lower levels of physical health as stress increased. Clergy with children and those with higher levels of education exhibited lower levels of emotional health as stress increased. African-American clergy consistently exhibited higher levels of emotional health than their White colleagues did. Finally, age and length of time in ministry are associated with higher levels of emotional health but lower physical health status.

Paget's disease of bone: The skeletal distribution, complications and quality of life as perceived by patients

Context Paget's disease of bone (PDB) is a focal disorder of bone metabolism with overgrowth of affected bone resulting in the skeletal complications of this disease. Objective This study examines what patients know about the skeletal distribution of their PDB, and correlates this with their reports of complications and quality of life. Design The New England Registry for PDB (NRPD) is a voluntary registry with a questionnaire linked to a radiographic database. Data were collected by mail beginning in 2001 . Setting Ambulatory population. Patients Any patient with PDB living in New England was eligible to enroll; 285 elected to participate, mean age 73.2 years. Main outcome measures Patients were asked what bones were affected by PDB, and whether they suffered complications from PDB. Radiographic studies were sought to corroborate their responses. An SF-12 was administered. Results Compared to the general population, they reported substantially lower levels of physical health (Physical Component Score (PCS) mean = 40), and slightly better mental health (Mental Component Score (MCS) mean = 52). There were more instances of agreement on disease presence and fewer instances on disagreement (p = 0.001). Radiographic studies supported the presence of a complication from PDB when deformity, fracture and joint replacement had occurred, but were less correlative when headache or hearing loss was reported. Conclusions Most patients with PDB are aware of the skeletal distribution of their disease; there is a reasonable correlate between complications ascribed to PDB and the presence of PDB on the radiograph except when headache or hearing loss is reported.

Association of Exposure to Violence and Potential Traumatic Events With Self-reported Physical and Mental Health Status in the Central African Republic

For decades, the Central African Republic (CAR) has experienced violence, economic stagnation, and institutional failure. The latest wave of violence erupted in 2001 and continues to this day in some areas. Yet there has been little attention to the conflict and even less research to document and quantify the conflict's human cost. To study levels of violence in CAR, including mortality levels, and the association between exposure to violence and traumatic events with self-reported physical and mental health status. Multistage stratified cluster random survey of 1879 adults 18 years or older in selected households conducted in 5 administrative units of CAR (3 in the south, which has been free from recent violence, and 2 in the north, in which violence continues) between October and December 2009. Mortality, morbidity, exposure to potential traumatic events, sense of insecurity, and meeting of symptom criteria for depression and anxiety using the Hopkins Symptom Checklist-25 with a cut-off score of 1.75. The crude mortality rate (CMR) was 4.9 deaths (95% confidence interval [CI], 4.6-5.1) per 1000 population per month and self-reported CMR due to violence was 0.8 deaths (95% CI, 0.6-1.0) per 1000 population per month. Thirty-five percent reported their physical health status as being good or very good while 29% described it as bad or very bad. Respondents in northern prefectures reported higher rates of mortality, exposure to trauma, and insecurity and lower levels of physical health and access to health services compared with those in the south. The estimated prevalences of symptoms of depression and anxiety were 55.3% (95% CI, 51.6%-59.0%) and 52.5% (95% CI, 48.1%-56.8%), respectively. Exposure to violence and self-reported physical health were statistically associated with mental health outcomes (P < .001). Anxiety symptom scores were higher for respondents in the northern prefectures than those in the south (t = 2.54, P = .01). A high proportion of adult respondents in CAR reported witnessing or having personally experienced traumatic events over the course of the conflicts, and more than half met symptom criteria for depression and anxiety.