OBJECTIVE: To comprehensively describe parent perceptions of environmental barriers to recreational, community, and school participation for children with physical disabilities. DESIGN: Secondary analysis of cross-sectional data gathered in the first wave of a longitudinal study of the child, family, and environmental factors affecting the recreational and leisure participation of school-age children with physical disabilities. SETTING: […]
Abstract Topics: Social Determinants of Health
Poverty, socio-economic position, social capital and the health of children and adolescents with intellectual disabilities in Britain: a replication.
Background When compared with their nonintellectually disabled peers, people with intellectual disabilities (IDs) have poorer health and are more likely to be exposed to poverty during childhood. Given that exposure to child poverty has been linked to poorer health outcomes, we attempted to estimate the extent to which the health inequalities faced by children and […]
Housing assets and the socio-economic determinants of health and disability in old age.
The influence of socio-economic determinants among the elderly is a complex subject. Although they rely on pension income, the wealth that they have accumulated over their lifetime (primarily housing assets), jointly with housing-related determinants, could have a more significant effect on health production. Hence, owning a house has more potential than income for reducing health […]
Social determinants of mental health: the missing dimensions of mental health nursing?
In this paper we explore how aspects of the social world may be linked to mental health and psychiatric morbidity and propose that conditions should be created which allow individuals and communities greater opportunities for self-care and self-management. Specifically the focus is on social connections, disability and homelessness and work stress. There is a clear […]
Socioeconomic disadvantage, social participation and networks and the self-rated health of English men and women with mild and moderate intellectual disabilities: cross sectional survey.
BACKGROUND: Extremely high rates of mortality and morbidity have been reported among people with intellectual disabilities. Virtually no research has addressed the potential social determinants of health status within this very vulnerable population. METHOD: Cross-sectional survey of self-reported health status and indicators of socioeconomic disadvantage and social connectedness in 1273 English adults with mild or […]
Sociodemographic risk factors for autism in a US metropolitan area.
The present study examined the association between autism and sociodemographic factors, overall and in subgroups of children with autism with and without mental retardation (Autism/MR and Autism/No MR, respectively); the association was further examined in subanalyses by child’s source of ascertainment to assess the presence of ascertainment bias. In the main analyses, one marker of […]
Contribution of socioeconomic position to health inequalities of British children and adolescents with intellectual disabilities.
We examined the contribution of socioeconomic position to the health and mental health status of children and adolescents with intellectual disabilities in a sample of 10,438 British children. Intellectual disability was a significant risk factor for poorer general health, OR = 4.5, emotional disorders, OR = 2.0, and conduct disorders, OR = 7.7. Between-group differences […]
Poverty and people with intellectual disabilities.
Epidemiological studies have consistently reported a significant association between poverty and the prevalence of intellectual disabilities. The available evidence suggests that this association reflects two distinct processes. First, poverty causes intellectual disabilities, an effect mediated through the association between poverty and exposure to a range of environmental and psychosocial hazards. Second, families supporting a child […]
Cardiologist’s role in improving glucose control and global cardiovascular risk in patients with type 2 diabetes mellitus.
Type 2 diabetes mellitus confers an increased risk for cardiovascular disease (CVD), in part owing to the effects of the metabolic syndrome, a clustering of risk factors that often accompanies the diabetic state. It is likely that the combination of hypertension, diabetic dyslipidemia, hyperglycemia, and insulin resistance produces an enhanced, atherogenic environment within the circulation. […]
Social disadvantage, mental illness and predictors of legal involvement.
The following study evaluates the complex association between legal involvement and mental illness. It describes a population of consumers of community mental health programs, comparing those with legal involvement to those without legal involvement, on a number of demographic, clinical and social indicators. It is a secondary analysis of data collected in studies making up […]