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  1 / 6037 MEDLINE  
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PMID:29471757
Autor:Böckerman P; Maczulskij T
Endereço:1 Turku School of Economics, Labour Institute for Economic Research and IZA, Finland.
Título:Unfit for work: Health and labour-market prospects.
Fonte:Scand J Public Health; 46(19_suppl):7-17, 2018 Feb.
ISSN:1651-1905
País de publicação:Sweden
Idioma:eng
Resumo:AIM: The aim of this study was to examine whether health status (number of chronic diseases, health shock and use of tranquilizers/sleeping pills) is related to labour-market outcomes later in life. METHODS: Twin data for Finnish men and women who were at least 33 years old in 1990 were linked to comprehensive register-based information on unemployment and the incidence of disability pension. We used the within-twin dimension of the data to account for shared family and genetic factors. Self-reported information on the number of diagnosed chronic diseases, health shock and drug use were obtained from the 1975 and 1981 twin surveys, when the twins were at least 18 years old. Unemployment months and the incidence of disability pension were measured during prime working age over the 1990-2004/2009 period. RESULTS: Poor health status is significantly positively related to unemployment and the incidence of disability pension. The results are robust to controlling for shared family and genetic factors and the key measures of risky health behaviours (alcohol use, lifetime smoking and body mass index). CONCLUSIONS: Health status is a fundamental determinant of long-term labour-market outcomes.
Tipo de publicação: JOURNAL ARTICLE


  2 / 6037 MEDLINE  
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PMID:29293596
Autor:Ramírez-Hurtado JM; Berbel-Pineda JM; Palacios-Florencio B
Endereço:Department of Economics, Quantitative Methods and Economic History, Pablo de Olavide University, Seville, Spain.
Título:Study of the influence of socio-economic factors in the international expansion of Spanish franchisors to Latin American countries.
Fonte:PLoS One; 13(1):e0190391, 2018.
ISSN:1932-6203
País de publicação:United States
Idioma:eng
Resumo:The saturation of the domestic market is one of the factors which drive firms to expand their business to other markets. Franchising is one of the formats adopted by companies when establishing their internationalization strategy. Spain is a country where franchising is strongly consolidated. This degree of maturity means that many chains seek other countries in which to operate. This work's specific aims are, on the one hand, to offer a general view of the current situation of Spanish franchisors in Latin American countries and, on the other hand, to analyze which the socio-economic or external factors are that determine the presence of Spanish franchisors in this market. Canonical-correlation analysis is used to do so. The results show that Spanish franchisors focus on the market's potential and size, and the per capita income, while they do not take into account its unemployment level, the country risk or the competitiveness there. This work shows that there is a series of socio-economic factors which influence the final choice of the destination country. However, this decision is not solely based on this country's socio-economic aspects, but also on the structure of the franchising firm itself and on its export experience in other markets. This study therefore complements other research and helps franchisors in their difficult decision of choosing the destination for their internationalization.
Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  3 / 6037 MEDLINE  
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PMID:29390510
Autor:Ki M; Seong Sohn E; An B; Lim J
Endereço:Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea.
Título:Differentiation of direct and indirect socioeconomic effects on suicide attempts in South Korea.
Fonte:Medicine (Baltimore); 96(51):e9331, 2017 Dec.
ISSN:1536-5964
País de publicação:United States
Idioma:eng
Resumo:Despite the wide recognition of the inverse association between socioeconomic position (SEP) and suicidal behaviors, its underlying process and potential mediators are little known. This study investigated the pathway from SEP to suicide attempts with attention to potential mediators.From the Korean Health and Nutrition Examination Survey 2007-2013, which is a nationwide cross-sectional survey of the health and nutritional status, a total of 34,565 participants (≥30 years) were included in the analysis. To unfold the pathways linking SEP to suicide attempts, the direct and indirect effects of 3 SEP measures (educational attainment, household income, and occupational group) and 3 mediators (physical illness, mental health problems, and problematic drinking) were differentiated using structured equation model (SEM).Most of direct and indirect effects of educational attainment, household income, and occupational group on suicide attempts were significant; Nonemployment status had the largest total (ß = 0.291, P < .01) and direct effects (ß = 0.212, P < .01), while educational attainment had the largest indirect effect (ß = -0.124, P < .01). Educational attainment was mainly mediated by physical illness and problem drinking, whereas household income and occupational group were mainly mediated by anxious or depressed mood and problem drinking. Physical illness played a major role in explaining suicide attempts, compared to mental health problem and problem drinking.Overall, experience of socioeconomic disadvantage increased suicide attempts independently of mental and physical problems. An extension of suicide prevention program is required for comprehensively targeting people with general problems such as physical illness and low SEP, complemented to narrowly targeting high risk group with, such as mental health problem.
Tipo de publicação: JOURNAL ARTICLE


  4 / 6037 MEDLINE  
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PMID:28452940
Autor:Kim C; Cho Y
Endereço:Department of Health Policy, McMaster University, Hamilton, ON L8S 4L8, Canada. kimc19@mcmaster.ca.
Título:Does Unstable Employment Have an Association with Suicide Rates among the Young?
Fonte:Int J Environ Res Public Health; 14(5), 2017 04 28.
ISSN:1660-4601
País de publicação:Switzerland
Idioma:eng
Resumo:Although a growing body of literature has indicated that unemployment has a positive association with suicide, the dynamic aspects of unstable employment have not yet been considered in suicidology. This study explored the association between employment stability and completed suicide among people aged 25-34 years in 20 OECD (Organization for Economic Cooperation and Development) countries with time-series data (1994-2010). In order to consider the different aspects of unstable employment, we tested the impacts of employment protection legislation indicators as another proxy of job insecurity (employed, but unstable) apart from unemployment rates. Covariates, including economic growth rates, GDP per capita, fertility rates, and divorce rate, were controlled for. The analysis was designed to be gender- and age-specific, where observations with ages of 25-29 were separated from those with ages of 30-34. Random effect models were applied to examine changes over time in suicide rates, and other models were presented to check robustness. The results showed that it is a low level of employment protection, rather than unemployment itself, that was associated with increased suicide rates among all of the studied populations. The magnitude of the effect differed by gender.
Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  5 / 6037 MEDLINE  
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PMID:27775826
Autor:Song X; Zou G; Chen W; Han S; Zou X; Ling L
Endereço:Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Título:Health service utilisation of rural-to-urban migrants in Guangzhou, China: does employment status matter?
Fonte:Trop Med Int Health; 22(1):82-91, 2017 01.
ISSN:1365-3156
País de publicação:England
Idioma:eng
Resumo:OBJECTIVE: To describe the self-reported health status and service utilisation of employed, retired and unemployed migrants in Guangzhou, a megacity in southern China. METHODS: A cross-sectional study adapted from the National Health Service Survey was conducted between September and December in 2014. Based on the distribution of occupation of migrants, multistage sampling was used to recruit individuals. Logistic regression was applied to explore the factors influencing their service utilisation. RESULTS: Of 2906 respondents, 76.6% were employed, 9.2% retired and 14.2% unemployed. Only 8.1% reported having an illness in the previous 2 weeks, and 6.5% reported having been hospitalised in the previous year. Employed migrants had the lowest recent physician consultation rate (3.4%) and the lowest annual hospitalisation rate (4.5%) (P < 0.05); unemployed migrants had the highest rates (6.8% and 14.5% respectively, P < 0.05). Retired migrants were more likely to return to their hometown for health care (8.6%) than employed (1.5%) and unemployed migrants (3.4%) (P < 0.05). After adjusting for age and gender, employment status remained significant in explaining the recent two-week treatment-seeking behaviour of migrants (P < 0.05). CONCLUSION: Disparity of service utilisation continues to be a problem for migrants due to the poor health awareness, lack of time and inconvenience of medical insurance reimbursement. Employed migrants make the least use of health services.
Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  6 / 6037 MEDLINE  
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PMID:29048965
Autor:Ruiz-Perez I; Murphy M; Pastor-Moreno G; Rojas-García A; Rodríguez-Barranco M
Endereço:Isabel Ruiz-Perez, Guadalupe Pastor-Moreno, and Miguel Rodríguez-Barranco are with the Andalusian School of Public Health, Granada, Spain. Isabel Ruiz-Perez and Miguel Rodríguez-Barranco are also with CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. Matthew Murphy is with the Departmen
Título:The Effectiveness of HIV Prevention Interventions in Socioeconomically Disadvantaged Ethnic Minority Women: A Systematic Review and Meta-Analysis.
Fonte:Am J Public Health; 107(12):e13-e21, 2017 Dec.
ISSN:1541-0048
País de publicação:United States
Idioma:eng
Resumo:BACKGROUND: Surveys in the United States and Europe have shown a plateau of new HIV cases, with certain regions and populations disproportionately affected by the disease. Ethnic minority women and socioeconomically disadvantaged groups are disproportionately affected by HIV. Previous reviews have focused on prevention interventions targeting ethnic minority men who have sex with men, have not accounted for socioeconomic status, or have included only interventions carried out in clinical settings. OBJECTIVES: To review and assess the effectiveness of HIV prevention interventions targeting socioeconomically disadvantaged ethnic minority women in member states of the Organisation for Economic Co-operation and Development (OECD). SEARCH METHODS: On March 31, 2014, we executed a search using a strategy designed for the MEDLINE (Ovid), CINAHL, Embase, Scopus, and Web of Knowledge databases. Additional searches were conducted through the Cochrane Library, CRD Databases, metaRegister of Controlled Trials, EURONHEED, CEA Registry, and the European Action Program for Health Inequities as well as in gray literature sources. No language or date restrictions were applied. SELECTION CRITERIA: We selected studies assessing the effectiveness of interventions to prevent HIV among ethnic minority women of low socioeconomic status in which at least 80% of participants were reported to belong to an ethnic minority group and to have a low income or be unemployed. We included only studies that were conducted in OECD member states and were randomized controlled trials or quasi-experimental investigations with a comparison group. DATA COLLECTION AND ANALYSIS: A data extraction form was developed for the review and used to collect relevant information from each study. We summarized results both qualitatively and quantitatively. The main outcomes were categorized into 3 groups: improved knowledge regarding transmission of HIV, behavior changes related to HIV transmission, and reductions in the incidence of sexually transmitted infections (STIs). We then performed meta-analyses to assess the effectiveness of the prevention interventions in terms of the 3 outcome categories. MAIN RESULTS: A total of 43 interventions were included, and 31 were judged to be effective, 7 were partially effective, and 5 were ineffective. The most frequently recurring characteristics of these interventions were cultural adaptation, a cognitive-behavioral approach, the use of small groups and trained facilitators, and a program duration of between 1 and 6 weeks. Our meta-analyses showed that the interventions improved knowledge of HIV transmission (odds ratio [OR] = 0.59; 95% confidence interval [CI] = 0.43, 0.75), increased the frequency of condom use (OR = 1.60; 95% CI = 1.16, 2.19), and significantly reduced the risk of STI transmission by 41% (relative risk = 0.59; 95% CI = 0.46, 0.75). CONCLUSIONS: Our study demonstrates the feasibility and effectiveness of HIV prevention interventions targeting socioeconomically deprived ethnic minority women. Public Health Implications. This is one of the first studies to include a meta-analysis assessing reductions in STI incidence among at-risk women who have participated in HIV prevention programs. The fact that our meta-analyses showed a statistically significant reduction in STI transmission provides important evidence supporting the overall effectiveness of directing prevention programming toward this vulnerable population. For policymakers, this review demonstrates the feasibility of working with multiple intervention components while at the same time facilitating more effective interventions that take into account the principal outcome measures of knowledge, behavior change, and STI transmission rates. The review also underscores the need for additional research outside the United States on the effectiveness of prevention interventions in this vulnerable group.
Tipo de publicação: JOURNAL ARTICLE; META-ANALYSIS; REVIEW


  7 / 6037 MEDLINE  
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PMID:28991426
Autor:Rothstein J; Valletta RG
Título:Scraping by: Income and Program Participation After the Loss of Extended Unemployment Benefits.
Fonte:J Policy Anal Manage; 36(4):880-908, 2017.
ISSN:0276-8739
País de publicação:United States
Idioma:eng
Resumo:Many Unemployment Insurance (UI) recipients do not find new jobs before exhausting their benefits, even when benefits are extended during recessions. Using Survey of Income and Program Participation (SIPP) panel data covering the 2001 and 2007 to 2009 recessions and their aftermaths, we identify individuals whose jobless spells outlasted their UI benefits (exhaustees) and examine household income, program participation, and health-related outcomes during the six months following UI exhaustion. For the average exhaustee, the loss of UI benefits is only slightly offset by increased participation in other safety net programs (e.g., food stamps), and family poverty rates rise substantially. Self-reported disability also rises following UI exhaustion. These patterns do not vary dramatically across household demographic groups, broad income level prior to job loss, or the two business cycles. The results highlight the unique, important role of UI in the U.S. social safety net.
Tipo de publicação: JOURNAL ARTICLE


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PMID:28822561
Autor:Soliman EZ; Zhang ZM; Judd S; Howard VJ; Howard G
Endereço:Epidemiological Cardiology Research Center (EPICARE), Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, North Carolina; Department of Internal Medicine, Section on Cardiology, Wake Forest School of Medicine, Winston-Salem, North Carolina. Electronic address: e
Título:Comparison of Risk of Atrial Fibrillation Among Employed Versus Unemployed (from the REasons for Geographic and Racial Differences in Stroke Study).
Fonte:Am J Cardiol; 120(8):1298-1301, 2017 Oct 15.
ISSN:1879-1913
País de publicação:United States
Idioma:eng
Resumo:Involuntary unemployment due to job loss has been associated with increased risk of cardiovascular events. Whether it also is associated with increased risk of atrial fibrillation (AF) is currently unknown. Therefore, we examined this association in 8,812 participants residing mainly in the Southeastern United States (mean age 58.1 ± 7.8 years; 63.2%; women; 43.2% black) with data on employment status who were enrolled in the REasons for Geographic And Racial Differences in Stroke study between 2003 and 2007 after excluding those with voluntary unemployment (retiree, homemakers, and students). AF was identified by electrocardiogram and past medical history at the same period. The cross-sectional association between status and type of unemployment with AF was examined in multivariable logistic regression models. Additional analysis in 4,273 participants without baseline AF and with data on incident AF collected in a follow-up visit occurred after a median of 9.4 years from baseline was also conducted. In a model adjusted for socio-demographics, health insurance, income, perceived stress, and cardiovascular risk factors, unemployment was associated with 60% increased odds of AF (odds ratio [95% confidence interval] 1.60 (1.24, 2.07)). This association was consistent in subgroups stratified by median age, gender, race, education, income, and health insurance status. Similarly, unemployment was associated with AF in those without AF at baseline who developed incident AF (odds ratio [95% confidence interval] 1.54 (1.04, 2.37)). In conclusion, involuntary unemployment is associated with increased risk of AF. This may call for considering socioeconomic determinants such as unemployment as part of the preventive strategies for AF.
Tipo de publicação: JOURNAL ARTICLE; MULTICENTER STUDY


  9 / 6037 MEDLINE  
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PMID:28820565
Título:Are Opioid Deaths Affected by Macroeconomic Conditions?
Fonte:Natl Bur Econ Res Bull Aging Health; (3):1-2, 2017.
País de publicação:United States
Idioma:eng
Tipo de publicação: JOURNAL ARTICLE


  10 / 6037 MEDLINE  
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Texto completo SciELO Saúde Pública
PMID:28767964
Autor:Leão LHDC; Muraro AP; Palos CC; Martins MAC; Borges FT
Endereço:Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso, Cuiabá, Brasil.
Título:[International migration, health, and work: an analysis of Haitians in Mato Grosso State, Brazil].
Título:Migração internacional, saúde e trabalho: uma análise sobre os haitianos em Mato Grosso, Brasil..
Fonte:Cad Saude Publica; 33(7):e00181816, 2017 Jul 27.
ISSN:1678-4464
País de publicação:Brazil
Idioma:por
Resumo:This article addresses the relations between immigration, health, and work in Haitian immigrants in Cuiabá and Várzea Grande, Mato Grosso State, Brazil, emphasizing their work conditions. This was an exploratory study based on primary data collected through a survey of the Haitian population in Cuiabá in 2014-2015. A total of 452 Haitians were interviewed, living in Cuiabá and Várzea Grande (373 men and 79 women), and the findings point to the precarious social situation of Haitian immigrants in Mato Grosso State, marked by high unemployment. Of the immigrants interviewed, 52.7% were currently working and 26.5% reported a workweek greater than 48 hours. The two main occupations for Haitian immigrants in Cuiabá were construction and services, and most were working below their original level of training, skills sets, and job experience in Haiti. The main risks identified in these two sectors were physical (53.2% and 63.4%, respectively) and accidents (23.4% and 17.1%, respectively), in addition to reports of physical and psychosocial distress. The study points to the precarious social, economic, and labor conditions of the Haitian population in the capital of Mato Grosso.
Tipo de publicação: JOURNAL ARTICLE



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