Готові списки джерел за темами / Depression in men

Зміст

Статті в журналах
Дисертації
Книги
Частини книг
Тези доповідей конференцій
Звіти організацій

Добірка наукової літератури з теми "Depression in men"

Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 30 липня 2024

Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями

Оберіть тип джерела:

Ознайомтеся зі списками актуальних статей, книг, дисертацій, тез та інших наукових джерел на тему "Depression in men".

Біля кожної праці в переліку літератури доступна кнопка «Додати до бібліографії». Скористайтеся нею – і ми автоматично оформимо бібліографічне посилання на обрану працю в потрібному вам стилі цитування: APA, MLA, «Гарвард», «Чикаго», «Ванкувер» тощо.

Також ви можете завантажити повний текст наукової публікації у форматі «.pdf» та прочитати онлайн анотацію до роботи, якщо відповідні параметри наявні в метаданих.

Статті в журналах з теми "Depression in men"

Curran, Joseph. "Depression in men." Mental Health Practice 9, no. 6 (March 2006): 31. http://dx.doi.org/10.7748/mhp.9.6.31.s27.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Porche, Demetrius J. "Depression in Men." Journal for Nurse Practitioners 1, no. 3 (October 2005): 138–39. http://dx.doi.org/10.1016/j.nurpra.2005.09.013.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Symonds, Cathy, and Ian M. Anderson. "Depression in men." Trends in Urology & Men's Health 2, no. 6 (November 2011): 21–25. http://dx.doi.org/10.1002/tre.230.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Page, Stewart. "Depression in men, depression in women, and the depressing nature of theories of depression." Canadian Psychology/Psychologie canadienne 31, no. 3 (1990): 292–94. http://dx.doi.org/10.1037/h0078922.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Ilias, Ioannis, Salvatore Alesci, Philip Gold, and George Chrousos. "Depression and Osteoporosis in Men: Association or Casual Link?" HORMONES 5, no. 1 (January 15, 2006): 9–16. http://dx.doi.org/10.14310/horm.2002.11164.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Carnahan, Ryan M., and Paul J. Perry. "Depression in Aging Men." Drugs & Aging 21, no. 6 (2004): 361–76. http://dx.doi.org/10.2165/00002512-200421060-00002.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Thomas, Sandra P. "Perinatal Depression in Men." Issues in Mental Health Nursing 31, no. 10 (September 2010): 621. http://dx.doi.org/10.3109/01612840.2010.509988.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Madsen, Svend Aage. "Men and perinatal depression." Trends in Urology & Men's Health 10, no. 2 (March 2019): 7–9. http://dx.doi.org/10.1002/tre.681.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Amiaz, Revital, and Stuart N. Seidman. "Testosterone and depression in men." Current Opinion in Endocrinology, Diabetes and Obesity 15, no. 3 (June 2008): 278–83. http://dx.doi.org/10.1097/med.0b013e3282fc27eb.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Porche, Demetrius James, and Danny G. Willis. "DEPRESSION IN HIV-INFECTED MEN." Issues in Mental Health Nursing 27, no. 4 (January 2006): 391–401. http://dx.doi.org/10.1080/01612840600569658.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Більше джерел

Дисертації з теми "Depression in men"

Rice, Simon. "Depression in men: Development of the male depression risk scale." Phd thesis, Australian Catholic University, 2011. https://acuresearchbank.acu.edu.au/download/3b4fabdfb75198d362f65bfa5154e194eb128d5c0056c8c0948f338bea6ce659/5532127/Rice_Simon_2011.pdf.

Повний текст джерела

Анотація:

Within the last decade a number of male specific depression rating scales have been developed. Unfortunately each of these scales encompasses significant psychometric issues, thus comprising their validity. The present dissertation reports five quantitative studies based on data from community samples with the aim of developing a psychometrically valid male specific depression rating scale. As defined by DSM-IV, Major Depressive Disorder comprises a range of internalising symptoms (e.g., sadness, worthlessness, guilt, fatigue). These internalising symptoms contravene traditional masculine role norms such as emotional stoicism, self-reliance and aggression. Given this, the masculine depression framework theorises that when depressed, some men may experience atypical depression symptoms that are more congruent with masculine role norms (e.g., substance abuse, anger, emotional suppression, risk-taking). However, as these masculine type symptoms fall outside present diagnostic criteria, it is possible that males experiencing such symptoms may not be identified as depressed in primary care settings...

Стилі APA, Harvard, Vancouver, ISO та ін.

Donohue, John. "Conceptualising the experience of depression in men." Thesis, University of Warwick, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487645.

Повний текст джерела

Анотація:

Previous epidemiological research asserts that men are twice to four times more likely to commit suicide than women yet present with associated psychological distress far less often than women; Researchers have suggested that negative attitudes to help seeking and socialised negative gender roles that give rise to conflict are instrumental in this phenomenon. Additional studies speculate that depression for men mayÃƒÂ‚Ã‚Â·present I differently to women and may constitute a different condition - depression male type. The first chapter of this thesis provides a review of the findings of current research into the contribution of gender role conflict and psychological distress experienced by men. The review identifies two main areas of concentration: the contribution of gender role I conflict in dominant culture male populations and secondly in ethnic minority male populations. Analysis of these studies identifies inconsistencies and limitations with how the construct is measured. Additional research is identified which may further the understanding of male gender role conflict. Chapter II reports on an investigation which used Grounded Theory to explore depression as experienced by men. The study found that negative socialised norms, namely necessity to appear competent and inhibited emotional expression contributed to these men's experience of depression. It emerged that these influences permeated all factors associated with depression onset. The third chapter gives an account of the main researcher's reflections on conducting the interviews and on the outcomes of the research. Specific attention is given to how position and power influence this process and how the understanding of depression is generated.

Стилі APA, Harvard, Vancouver, ISO та ін.

Warren, Sonja C. "A construction of family roles by working men who experience depression." Pretoria : [s.n.], 2002. http://upetd.up.ac.za/thesis/available/etd-07252005-095433.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Barnes, Clara Lee. "What Postpartum Depression Looks Like For Men: A Phenomenological Study." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6774.

Повний текст джерела

Анотація:

Abstract Postpartum depression (PPD) has been identified as a mental health condition that impacts women, men, and families. PPD has been shown to be prevalent in both women and men following the birth of a child; it has been associated with marital conflict, insecure attachment, and poor infant-child outcomes. While PPD has been studied extensively in women, paternal PPD often goes understudied, undetected, and untreated. The purpose of the present research was to explore the lived experiences of men who have experienced PPD through the lens of self-perception theory using a qualitative phenomenological study. Six men who have experienced PPD shared their lived experiences with PPD, including how they recognized they had a problem and what alerted them to get help. Data were analyzed using coding and the development of themes; the findings for this study showed that men's lived experiences with PPD included feelings of sadness, anger, fear, confusion, and being in denial. The men tended to not seek help for their experiences of PPD, and they were not previously informed about the disorder of paternal PPD. The present study provides a better understanding of PPD for fathers, information for healthcare providers who deal with expectant fathers, and significant others such as mothers of the child, and other family members and coworkers regarding how to respond to paternal PPD. Better understanding of PPD will provide fathers with more of the support they need to successfully make the journey through PPD.

Стилі APA, Harvard, Vancouver, ISO та ін.

Mutiso, Lori A. "Factors Influencing Depression in Men: A Qualitative Investigation." UKnowledge, 2015. http://uknowledge.uky.edu/nursing_etds/15.

Повний текст джерела

Анотація:

The purpose of this qualitative descriptive study is to describe men’s experiences of depression in order to provide direction for future research of the screening, diagnosing, and treatment of men's depression. Previous research indicates that men experience different depressive symptoms than women, and there is a possibility that men's depression is not being adequately captured by current screening standards, which would theoretically lead to a large number of men with unrecognized, undiagnosed, and untreated depression. If this is the case, this may explain the disproportionately low number of men diagnosed with depression compared to women, in contrast to the disproportionately high number of men who complete suicides. There is a need in the literature for descriptions of depression experienced by men in order to determine the adequacy of current psychometric screening tools and approaches to treatment which are currently in practice. This qualitative study seeks to begin to fill in this gap in the literature. Key findings indicate that intentionally and unintentionally hide their feelings of depression, and that men experience anger as an early sign of depression. In addition, men often do not recognize their distress as depression until someone else suggests they seek professional help; and men use various methods of distraction to cope with their distress, including excessive working, sleeping, eating, TV watching, and alcohol consumption. Recommendations for further research are discussed.

Стилі APA, Harvard, Vancouver, ISO та ін.

Anyaka, Sonya. "Depression and HIV Risk Among African American Men who have Sex with Men." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1185.

Повний текст джерела

Анотація:

African American men who have sex with men (AAMSM) are at a greater risk of contracting HIV than any other ethnic group, subpopulation, or race. Personal, environmental, and social variables can affect risk behavior. Driven by Beck's cognitive theory of depression, this quantitative study examined the relationship between depression and HIV risk behaviors in a sample of AAMSM (n = 108). Data was gathered via the Beck Depression Inventory and the HIV Risk Behavior Questionnaire. Simple and multiple linear regression analysis were conducted to analyze the data to determine the correlation between HIV risk behavior and depression. According to study findings, there was no significant relationship found between depression and HIV risk behavior in this sample of AAMSM after accounting for the variance associated with the covariates: age, alcohol and substance use, condom attitudes, HIV knowledge, and income. While the study findings do not indicate depressive symptoms were associated with HIV sexual risk behavior, age, alcohol or drug use, and condom attitudes were significantly and positively related to HIV sexual risk behavior. Future research is recommended to identify factors specific to AAMSM for use in devising African American MSM-centric interventions. The results could inform the development of interventions targeting older AAMSM to alter behaviors associated with alcohol and drug use to impact sexual risk behaviors and reduce HIV transmission in AAMSM, thus resulting in positive social change in their lives and the lives of their families and communities.

Стилі APA, Harvard, Vancouver, ISO та ін.

Seidler, Zac Eugene. "The Man Island Project: Engaging men in mental health treatment for depression." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21342.

Повний текст джерела

Анотація:

Understanding the role of masculinity in men’s mental health help-seeking has been a topic of concern for decades, given evidence that many men are reluctant to seek professional treatment. While prevalence rates indicate men are half as likely as women to be diagnosed with depression, men’s low help-seeking rates and poor engagement in mental health treatment may explain this difference. The need to understand help-seeking barriers among men and to overcome them with novel clinical, professional training and policy solutions are clear when considering the economic and social burden of men’s psychiatric illness, suicide, substance misuse and physical violence. Focusing on why men seek help for depression, what does and does not engage them, and alerting clinicians to these critical components of treatment will serve to improve the quality of care—and by extension, the health outcomes of men and their families. The following studies aimed to firstly explore men’s experience in mental health treatment for depression, then to feed this back into actionable strategies for the improvement of practice and training in clinicians working with men. This thesis includes five key studies employing a range of quantitative and qualitative methodologies. Key findings narrow from an initial comprehensive review of the men’s mental health literature and the limitations of its existing deficit-based focus, to insights garnered from men in therapy about what they find engaging that centre on being oriented and educated to the system and receiving goal-focused, structured treatment. The thesis concludes with an expert consensus study of evidence-informed guidelines for working with men and how these can be broadly introduced into a continuing education training program to upskill clinicians on the role of gender competency in their practice.

Стилі APA, Harvard, Vancouver, ISO та ін.

Ramirez, Jeffery L. "Navigating Inward and Outward Through Depression." Diss., The University of Arizona, 2007. http://hdl.handle.net/10150/194413.

Повний текст джерела

Анотація:

The phenomena of men and depression is poorly understood. Men continue to be under diagnosed with depression but commit suicide four times the rate of women. This grounded theory study explored the psychosocial processes that occurred in men who suffered from depression. There were a total of nine men who participated in this study who ranged in age, educational level, and marital status. Eleven interviews were conducted with nine men.The theory that emerged from this study was Navigating Inward and Outward Through Depression. The process of navigating was the core concept and defined as a process of moving through depression and having to steer one's life in different directions in order to move in and out of the stages of depression. The first stage was: Being Different. In this stage the men attempted to share their feelings, but were constantly rejected by society came to believe that nobody cared or nobody would understand their feelings. The second stage, Concealing Feelings, refers to how the men learned to navigate out of stage one and into stage two of learning to hide their internal feelings and thoughts. The third stage, Disconnecting, was defined as the way the men would numb their emotional pain. As their emotional pain became more intense, the concealing no longer worked. The men used external behaviors to physically numb their pain. The fourth stage, Hitting Bottom, refers to the men losing hope for their future and wanting to give up on life. The men had thoughts of suicide or thoughts that death would be an option to relieve the emotional pain. The fifth stage, Acknowledging and Confronting, refers to the ability to acknowledge they were depressed and understand how depression was affecting their lives.

Стилі APA, Harvard, Vancouver, ISO та ін.

Gordon, Alistair Graeme. "A group psychotherapy program for young men with depression." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57365.

Повний текст джерела

Анотація:

It is estimated that 60% of people who die by suicide experience depression. For young people aged 15 to 34, suicide was the second leading cause of death in 2012. Men have had higher rates of suicide in Canada at every point in time – up to 3 times higher depending on the year - for the past 60 years. This qualitative study explores the experiences of ten male adults between the ages of 18 to 32 with mild-to-moderate symptoms of depression that participated in a single-gender group psychotherapy program called, The Men’s Transition Program (MTP). This study investigated the interventions and processes that were reported as helpful, in what capacity they were, and the perceived impact of these during and after the program. Ten semi-structured in-depth interviews, with questions inspired by the Enhanced Critical Incident Technique, were conducted. Thematic analysis was utilized to examine the reported changes as a result of the processes and interventions implemented in the program. Themes that emerged included: social connection and support, interpersonal learning, positive mood, self-confidence, self-esteem, normalization, improved social functioning, reduction in guilt, higher energy levels, and increased motivation. Implications of these findings will be discussed.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

Стилі APA, Harvard, Vancouver, ISO та ін.

Coleman, Tiffany. "Help-Seeking Experiences of African American Men With Depression." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6315.

Повний текст джерела

Анотація:

Research indicated that depression is now the leading cause of disability globally. Depression and help-seeking experiences among African American men have not been adequately studied. The purpose of this phenomenological study was to explore the help-seeking experiences of African American men with depression. The theoretical framework was Andersen's Behavioral Model of Health Services. Purposive sampling was used to recruit participants. Inclusion criteria were (a) African American men, (b) aged 18 through 65, (c) having a medical diagnosis of depression or symptoms of depression, (d) not currently in treatment, and English speaking. Six African American men with depression or depressive symptoms were interviewed. Coding analysis of data generated two major themes: African American men's perceptions of factors that inhibit help-seeking and African American men's perceptions of factors that promote help-seeking. The 6 sub-themes identified were (a) African American men with depression tend to feel misunderstood and stigmatized; (b) some African American men admit to a degree of self-stigma; (c) some African American men deny their depression or any need for help; (d) African American men who had therapy found it helpful until the therapist was changed, causing feelings of mistrust and inadequate mental health care; (e) African American men fear guilt, fear being a burden to others, and feel they should be able to handle their problems; and (f) it is difficult being depressed and Black in America, which leads to stress, frustration, and perceived racism. Findings may be used by mental health professionals seeking to improve cultural competency, mental health and support services, and treatment regiments for African American men with depression.

Стилі APA, Harvard, Vancouver, ISO та ін.

Більше джерел

Книги з теми "Depression in men"

Cochran, Sam Victor. Men and depression: Clinical and empirical perspectives. San Diego, Calif: Academic, 1999.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Real, Terrence. I don't want to talk about it: Overcoming the secret legacy of male depression. New York: Fireside, 1998.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Real, Terrence. I don't want to talk about it: Overcoming the secret legacy of male depression. Dublin: Newleaf, 1997.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Real, Terrence. I don't want to talk about it: Overcoming the secret legacy of male depression. New York: Scribner, 1997.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Real, Terrence. I don't want to talk about it: Overcoming the secret legacy of male depression. New York: Fireside, 1998.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Kantor, Martin. Lifting the weight: Understanding depression in men, its causes and solutions. Westport, CT: Praeger, 2008.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Kantor, Martin. Lifting the weight: Understanding depression in men, its causes and solutions. Westport, Conn: Praeger, 2007.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Salloum, Ihsan M. Male depression, alcoholism and violenc. London: Martin Dunitz, 2000.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

John, Lynch. The pain behind the mask: Overcoming masculine depression. New York: Haworth Press, 1999.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Hart, Archibald D. Unmasking male depression: Recognizing the root cause of many problem behaviors, such as anger, resentment, abusiveness, silence, addictions, and sexual compulsiveness. Nashville: Word Pub., 2001.

Знайти повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Більше джерел

Частини книг з теми "Depression in men"

Galasiński, Dariusz. "Men, Depression and Discourse Analysis." In Men's Discourses of Depression, 1–22. London: Palgrave Macmillan UK, 2008. http://dx.doi.org/10.1057/9780230227620_1.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Martinez, Israel. "Depression and Substance Abuse." In Enhancing Pleasure for Gay Men, 32–38. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003386322-8.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Galasiński, Dariusz. "Rejections. Men, Depression and the Family." In Men's Discourses of Depression, 151–68. London: Palgrave Macmillan UK, 2008. http://dx.doi.org/10.1057/9780230227620_10.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Galasiński, Dariusz. "Men’s Imperatives. Men, Depression and Work." In Men's Discourses of Depression, 136–50. London: Palgrave Macmillan UK, 2008. http://dx.doi.org/10.1057/9780230227620_9.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Galasiński, Dariusz. "Lesser Men. Depression and the Model of Masculinity." In Men's Discourses of Depression, 121–35. London: Palgrave Macmillan UK, 2008. http://dx.doi.org/10.1057/9780230227620_8.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Martinez, Israel. "Decreasing Depression and Substance Reliance and Increasing Pleasure." In Enhancing Pleasure for Gay Men, 101–13. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003386322-16.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Lee, Ellie. "Pathologising Fatherhood: The Case of Male Post-Natal Depression in Britain." In Men, Masculinities and Health, 161–77. London: Macmillan Education UK, 2010. http://dx.doi.org/10.1007/978-1-137-08076-9_10.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Addis, Michael E., and Ethan Hoffman. "Men's depression and help-seeking through the lenses of gender." In The psychology of men and masculinities., 171–96. Washington: American Psychological Association, 2017. http://dx.doi.org/10.1037/0000023-007.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Arslan, Ayla, Pinar Unal-Aydin, Taner Dogan, and Orkun Aydin. "Optogenetic Animal Models of Depression: From Mice to Men." In Neuromethods, 167–91. New York, NY: Springer US, 2022. http://dx.doi.org/10.1007/978-1-0716-2083-0_8.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Yogman, Michael W., and Amelia M. Eppel. "The Role of Fathers in Child and Family Health." In Engaged Fatherhood for Men, Families and Gender Equality, 15–30. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75645-1_2.

Повний текст джерела

Анотація:

AbstractFathers’ involvement with their children has a substantial influence on both their children’s and their families’ health and development. Studied effects on child outcomes are reviewed within each phase of a child’s development (prenatal, infancy, childhood and adolescence). In addition, the impact of the physical and mental health of fathers on the health of their children is considered. This review advocates for policies enhancing father involvement, accessible and more extensive paternity leave, and increased attention to paternal postpartum depression by the medical community.

Стилі APA, Harvard, Vancouver, ISO та ін.

Тези доповідей конференцій з теми "Depression in men"

McBeth, J., M. J. Cook, G. Bartfai, F. Casanueva, M. Maggi, A. Giwercman, D. Vanderschueren, J. Slowikowska-Hilczer, M. Punab, and T. W. O’Neill. "SAT0700 The relationship between musculoskeltal pain, inflammation and depression in men." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.1971.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Richmond, Therese, Justine Shults, Jessica Webster, Andrew Robinson, Douglas Wiebe, Patrick Reilly, and Nancy Kassam-Adams. "110 Post-injury ptsd and depression in seriously injured urban black men." In SAVIR 2017. BMJ Publishing Group Ltd, 2017. http://dx.doi.org/10.1136/injuryprev-2017-042560.110.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

O'Hara, Lily, Hanan Abdul Rahim, and Zumin Shi. "Gender and Trust in Government Modify: The association between Mental Health and Stringency of Public Health Measures to reduce COVID-19." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0282.

Повний текст джерела

Анотація:

Introduction: Trust in government to take care of its citizens may affect mental health outcomes such as anxiety and depression, particularly as measures become more stringent. The study aimed to investigate the associations between stringency of COVID-19 social distancing policies and mental health outcomes, and the moderating effects of trust in government and gender. Methods: The study consisted of secondary analysis of publicly available cross sectional data from a global online survey COVID-19 survey conducted between 20 March and 7 April 2020. There were 106,497 adult participants (18 years of age and over) from 58 countries. The main outcome measures were indices for depression and worries. The exposure measure was the stringency index. The effect modifier measures were gender and trust in government. Multivariable regression was conducted to determine the three-way interaction between the exposure, modifier and outcome measures, adjusting for age, income and education. Results: The median age of participants (56.4% women) was 37 years. Women had higher worries and depression than men. The proportion of people trusting (44%) and distrusting (45%) the government was almost the same. Among those who strongly trusted the government, an increase in policy stringency was associated with an increase in worries. Among men who distrusted the government, an increase in policy stringency was associated with an increase in depression, but in distrusting women there was an inversed Ushaped association between policy stringency and both worries and depression. Once policies exceeded the 50-point mark on the stringency index, women benefited from the most stringent policies, yet men did not, particularly men who strongly trust or distrust the government. Conclusion: As the stringency of public health measures increases, so too do depression and worries. For safe and effective public health measures, governments should develop strategies to increase trust in their actions.

Стилі APA, Harvard, Vancouver, ISO та ін.

Kumar, Shravan, and Archana Saxena. "A Machine Learning Method for Predictive Detection of Depression in Men with Schizophrenia." In 2023 IEEE International Conference on Integrated Circuits and Communication Systems (ICICACS). IEEE, 2023. http://dx.doi.org/10.1109/icicacs57338.2023.10099887.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Borges, Matheus Araújo, Isabel Cristina Borges de Menezes, Isabela Garcia Bessa, Gabrielly de Souza Correia, Maria Clara Rocha Elias Dib, Rafaela Joy Falcão, and Leslivan Ubiratan Moraes. "Sexual dysfunction associated with neurological disorders in men aged 19 to 44 years." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.164.

Повний текст джерела

Анотація:

Introduction: Male sexual dysfunction (DSM) is characterized by changes in qualitative or quantitative sexual capacity, manifested by changes in ejaculation, erection, and/or orgasm, in addition to the presence of pain or discomfort in sexual relations, and the main one of these is erectile dysfunction (ED). Objective: Review the literature on sexual dysfunction caused by neurological disorders, in men aged 19 to 44 years. Methodology: This is a narrative literature review. The collection of information about the theme was carried out through a search for scientific articles in the PubMed databases. The descriptions used in the search were “sexual dysfunction AND neurological disorders in men”, articles published in the last 5 years were considered. Results: Several neurological diseases with a very high correlation with DSM were found, such as: multiple sclerosis, ED being the main problem reported by patients, depression and its respective treatment, epilepsy, mainly associated with anxiety and depression, Parkinson’s disease, spinal cord injury, spina bifida, stroke and traumatic brain injury, especially when associated with diabetic neuropathy. Conclusion: DS is a very frequent problem in neurological diseases, therefore, there is a need for this theme not to be neglected by health professionals, emphasizing the importance of multidisciplinary treatment. Mersh Terms: Impotence, Male Sexual Impotence, Nervous System Disease.

Стилі APA, Harvard, Vancouver, ISO та ін.

Kostenko, N. A., E. V. Zhovnerchuk, and I. Y. Zhovnerchuk. "PSYCHOHYGIENE OF LABOR IN OCCUPATIONAL AND WORK-RELATED MENTAL ILLNESSES." In The 17th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2023). FSBSI «IRIOH», 2023. http://dx.doi.org/10.31089/978-5-6042929-1-4-2023-1-229-233.

Повний текст джерела

Анотація:

Depression and anxiety in general medical practice lead to maladaptive conditions that reduce performance and contribute to the manifestation of psychosomatic disorders. Timely prevention and diagnosis of these disorders becomes an important condition for the success of medical care and the return of the patient to work. The purpose of the work is to study the nature of the distribution and the severity of secondary anxiety and depression, and the state of the problem of mental health and mental hygiene from the standpoint of occupational medicine. Research methods. Patients (n=260) undergoing hospitalization in the clinic of occupational diseases were examined. The survey was conducted with the HADS and Beck tests (n=241, mean age 55.7±11.3 years) and included men (n=120, mean age 55.3±12.9 years), women (n=121, mean age 60.4±10.5 years). Results. In the risk group n=94 with severe anxiety (10.9±2.84) and depression (10.2±1.9), 67% were women. The distribution of indicators of anxiety and depression showed the predominance of values on the anxiety scale for occupational (10.5±2.4) and work-related (11.8±3.2) diseases in the group of women. Conclusion. Based on the results obtained, the question arises of the need for an in-depth study of these conditions in the clinic and the improvement of psychohygienic measures in the workplace.

Стилі APA, Harvard, Vancouver, ISO та ін.

Ayu Agustin, Dyah, Afiono Agung Prasetyo, and Bhisma Murti. "How do Stigma and Income Affect the Risk of Depression among Men who Have Sex with Men? A New Evidence from Surakarta, Central Java." In Mid-International Conference on Public Health 2018. Masters Program in Public Health, Universitas Sebelas Maret, 2018. http://dx.doi.org/10.26911/mid.icph.2018.02.39.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Choi, Bo-Yoon, and Hyeon-cheol Jeong. "A Study on the Relationship between Drinking Behavior and Depression of Adult Men Alcohol-dependent Patients." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.104.33.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Rocha, Alice Hueb Castanheira, Victorya Gomes de Souza, Paula de Freitas Ribeiro, and André Luiz Guimarães de Queiroz. "Perception of quality of life between different genders in patients with multiple sclerosis." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.401.

Повний текст джерела

Анотація:

Introduction: Multiple sclerosis (MS) is a chronic, demyelinating, inflammatory and neurodegenerative disease of the central nervous system. Quality of life (QoL) is significantly impaired in patients with MS. Motor disability only partially explains the reduction in QoL, as symptoms such as depression, fatigue and mood disorders also exert influence. Several characteristics in a patient with MS have been associated with worse QoL, including advanced age, late diagnosis and progressive form of the disease. Objective: We evaluated in this review possible impacts of gender on QoL. Methods: The database PubMed was searched for studies indexed from the year 2000 with the following descriptors: multiple sclerosis, quality of life, gender, sex. Results: The impact of the reduction in QoL is worse for men than for women with MS in relation to motor function, vitality, sociability, emotional well-being and mental health. Men seems to have a greater cognitive decline, with worsening performance in verbal memory and executive function. Interestingly, gender and marital status can influence social support. Women had more support networks as they reported better availability from friends than from their male caregivers. It was also noted that men without a spouse feel less social support. Regarding non-motor symptoms, women feel more pain and have a higher prevalence of depressive and/or anxiety disorders. However, regarding sphincter and sexual disorders, the impact on QoL is greater in men. Women with high motor disability seem to maintain psychological well-being better than male patients. Conclusion: Men seeking help later may be a factor influencing the natural history of MS. The diagnosis of a chronic disease for men seems to be faced differently due to cultural factors. The different impact of disabilities between genders makes us understand that the management must be specific for each sex to better meet the needs of patients.

Стилі APA, Harvard, Vancouver, ISO та ін.

Camargo Júnior, Elton Brás, Beatriz Moreira de Almeida, Ana Cleides Pereira dos Santos, Cristhiane Campos Marques, and Berenice Moreira. "Sexually Transmitted Infections and Depression Symptoms among Male Drug Users Undergoing Treatment in a Therapeutic Community." In XIV Congresso da Sociedade Brasileira de DST - X Congresso Brasileiro de AIDS - V Congresso Latino Americano IST/HIV/AIDS. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/dst-2177-8264-202335s1033.

Повний текст джерела

Анотація:

Introduction: Based on evidence from the literature, patients undergoing treatment for drug use in therapeutic communities often have depressive symptoms and are vulnerable to sexually transmitted infections (STIs), highlighting the need to assess these risk factors in an integrated manner. Objective: To evaluate the presence of depressive symptoms and STIs in inpatients receiving treatment for drug dependence. Methods: This cross-sectional study used a convenience sample of men under treatment for drug use in therapeutic communities in a town of Goiás, Brazil. Data collection occurred in 2022. The Patient Health Questionnaire (PHQ-9) was used to assess depressive symptoms, and blood samples were collected to check serology for HIV, syphilis, and hepatitis B and C. The inclusion criteria were patients aged 18 years and over. Analyses of the association between the presence of STIs (defined as a positive result for at least one of the STIs evaluated) and depressive symptoms were performed. The study was approved by the Research Ethics Committee (CAAE: 46764921.7.0000.5077). Results: The sample included 120 men with mean age of 40 (±16.7) years. The prevalence of STIs was 25 cases (20.8%), with syphilis being the most frequent (n=15, 12.5%). Clinically significant depressive symptoms (assessed using the PHQ-9, with a cutoff point = 10) were identified in 45 (37.5%) of the evaluated patients. Of the patients with positive serology for STIs, eight (32%) had depressive symptoms. No relationship was found between these two variables. Conclusion: The results demonstrated the importance of performing screening tests for STIs and assessing the mental health of patients undergoing treatment for drug use. An integrated approach to the mental and sexual health of these patients may contribute to the prevention and treatment of these conditions.

Стилі APA, Harvard, Vancouver, ISO та ін.

Звіти організацій з теми "Depression in men"

Zheng, Yuping, Jing Gao, and Xiaolin Jiang. Related factors for depression among Chinese men who have sex with men: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2020. http://dx.doi.org/10.37766/inplasy2020.11.0142.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Town, Matthew. Racism, Heterosexism, Depression, and HIV Risk Behaviors of Native Men Who Have Sex With Men: Findings from the HONOR Project. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1946.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Cook, Joan, Amy Ellis, Vanessa Simiola, Maria O'Connell, Chyrell Bellamy, and Steve Martino. Comparing Two Ways to Help Sexual and Gender Minority Men Who Have Been Sexually Abused Reduce Depression and Increase Mental Health Treatment Engagement. Patient-Centered Outcomes Research Institute (PCORI), September 2023. http://dx.doi.org/10.25302/09.2023.ad.2018c1110989.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Xourafi, Lydia, Polyxeni Sardi, and Anastasia Kostaki. Exploring psychological vulnerability and responses to the COVID-19 lockdown in Greece. Verlag der Österreichischen Akademie der Wissenschaften, July 2022. http://dx.doi.org/10.1553/populationyearbook2022.dat.5.

Повний текст джерела

Анотація:

This study explores the psychosocial impact of the COVID-19 pandemic on the population in Greece during the general lockdown period. Specifically, depression, anxiety and stress scores, as well as the factors associated with vulnerability to developing mental health conditions during this period, were investigated. A total of 911 adults participated in an online survey by completing a self-reporting questionnaire that included demographic questions, DASS-42 items (anxiety, stress and depression scales) and other questions related to personal experience. Regression modelling uncovered a significant relationship between gender and DASS scores, with women having significantly higher scores than men for all mental health problems. Participants aged 20–39 years were especially vulnerable to experiencing poor mental health. Unemployed participants reported having worse mental health than others. Having more perceived psychosocial support during the pandemic was associated with lower overall scores. Thus, women, young adults and the unemployed exhibited particularly high levels of vulnerability, while individuals who received social support from relatives and friends during the lockdown were more resilient to the effects of social isolation.

Стилі APA, Harvard, Vancouver, ISO та ін.

Robles, Marcelo, Claudio Dachevsky, and Héctor Llovera. Prospective study: evaluation of the efficacy and longevity of cross-linked hyaluronic acid in nasolabial folds filling. Editorial Lugones, December 2023. http://dx.doi.org/10.47196/0574.

Повний текст джерела

Анотація:

Introduction: the choice of minimally invasive methods positions hyaluronic acid fillers as a leading facial rejuvenation technique. Injectable hyaluronic acid fillers have been widely used in the clinical treatment of facial wrinkles. However, additional information and clinical evidence on the longevity of hyaluronic acid filler after injection is limited. Objectives: to demonstrate the efficacy, safety and longevity of cross-linked HA (AHR) 30 mg/ml (Estrianon Hyaluronic Implant 30® Allanmar International Company S.R.L., Argentina) for filling nasolabial folds (NLF). Design: multicenter, prospective and controlled clinical trial of 12 months duration. Materials and methods: 160 patients were included (132 women and 28 men) divided into 100, 30 and 30 of each cohort) and an injectable gel of cross-linked HA 30 mg/ml was applied in the correction of NLF to evaluate the safety, efficacy and longevity of the product. Results: a correction of the depression in the relevant sulci was observed, which was maintained until the end of the study. The mean level of improvement was clinically significant in 94% of cases. The severity of NLF was reduced by approximately 2 points to the range of mild or barely visible. Conclusions: Estrianon Hyaluronic Implant 30® proved to be a safe, effective filler with considerable longevity. At 12 months, significant correction was still observed and the treatment was well tolerated by patients.

Стилі APA, Harvard, Vancouver, ISO та ін.

Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

Повний текст джерела

Анотація:

Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.

Стилі APA, Harvard, Vancouver, ISO та ін.

Hellström, Lisa. Hur mår våra barn och unga? : Förändringar i barns och ungas hälsa över tid: en kunskapsöversikt. Malmö universitet; Malmö kommun, 2023. http://dx.doi.org/10.24834/isbn.9789178773794.

Повний текст джерела

Анотація:

Hälsa och hälsovanor skapas i tidig ålder vilket understryker vikten av tidiga insatser där hem, barnhälsovård, förskola och skola är viktiga aktörer. Enligt Artikel 6 i FN:s konvention om barnets rättigheter (1) har varje barn rätt att överleva, leva och utvecklas fysiskt, psykiskt, andligt, moraliskt och socialt. Då barnkonventionen sedan 2020 är en del av svensk lag väcks frågor om hur vi gemensamt kan sträva efter att göra det bästa för barnen. Trots en generellt god framtidstro uppger dagens unga generation att de upplever sömnbesvär, huvudvärk, nedstämdhet och andra psykiska besvär i större utsträckning än tidigare och de konsumerar mer sjukvård och psykofarmaka för dessa symtom jämfört med tidigare generationer. Därutöver rör de sig mindre och andelen barn och unga med fetma och övervikt ökar. I linje med denna problematik har antalet nya fall av depression, ångestsyndrom, självskador och ätstörningar bland barn och unga vuxna ökat under en lång tid. Förklaringar och orsaker bakom denna ökning är många och bilden kring barns hälsa är komplex. Resultaten i denna kunskapsöversikt visar att det är av yttersta vikt att frågor kopplat till både psykisk hälsa och fysisk hälsa måste prioriteras från det att våra barn föds och kontinuerligt under hela deras förskole- och skolgång. Skolan är den enda institution som möter alla barn och därför är det av stor vikt att det i skolan måste finnas förutsättningar i form av kunskap och kompetens för att arbeta hälsofrämjande och se till att barnen ges möjlighet att utvecklas fysiskt, psykiskt, andligt, moraliskt och socialt. Syftet med denna kunskaps-sammanställning är att ge förskole- och skolverksamheter en bättre och mer solid bild av det aktuella kunskaps- och forskningsläget kring barn och ungas hälsa med avsikt att bidra till ökat kunnande och fördjupade diskussioner. Ökade kunskaper om långsiktiga och övergripande behov hos barn och unga behövs för att kunna fördela resurser och genomföra träffsäkra insatser. Utgångspunkten är således att sammanställa befintliga data och forskning inom området utifrån tre områden. 1) belysa trender i barn och ungas hälsa under den senaste 10-årsperioden, 2) belysa faktorer som bidrar till barn och ungas hälsa, samt 3) belysa insatser som visat sig vara verksamma i syfte att främja barns och elevers hälsa. Några av de mest framträdande resultaten i sammanställningen är: Det finns stora kunskapsluckor när det gäller förskolebarns hälsa. Detta kan bero på att det både saknas systematiska metoder för att samla in och sammanställa hälsodata, att det råder oklarheter i hur man mäter de yngsta barnens psykiska välbefinnande och att det saknas forskning om detta. Sammanställningen visar dock att det finns initiativ på gång när det gäller att systematisera och förstå hälsa bland våra yngsta barn. Sedan början på 1990-talet har andelen skolbarn i åldern 11–15 år med övervikt eller fetma mer än dubblerats. Bland 4-åringar ökade andelen med fetma och övervikt under COVID-19 pandemin efter att legat relativt oförändrat sedan en tid tillbaka. I en nationell jämförelse redovisar skånska barn i fyraårsåldern lägst andel fetma och övervikt, vilket förändras med åldern då skånska barn i åldrarna 6–9 har seglat upp som en av de regioner med störst andel barn med övervikt och fetma. Flickor dominerar statistiken upp till 8 års ålder, därefter är det fler pojkar än flickor som lider av fetma och övervikt. Skolungdomar rapporterar att de äter mindre godis, dricker mindre läsk, äter mer grönsaker, röker mindre cigaretter och dricker mindre alkohol. Samtidigt har användningen av snus och e-cigaretter ökat och det är färre skolbarn som äter frukost dagligen. Vidare visar statistiken att den inaktiva tiden under dagen har ökat och att äldre ungdomar är stillasittande största delen av sin skoldag, även om vi kan se en viss ökning av fysisk aktivitet utanför skoltid. Inaktiviteten är lika hög på helgerna, vilket sammantaget gör att färre ungdomar når upp till rekommendationerna om fysisk aktivitet. Insatser för att främja fysisk aktivitet i skolan verkar oftare leda till ökad rörelse, jämfört med om insatserna pågår utanför skoltiden, vilket betyder att skolan har en viktig roll i detta arbete. Andelen barn (4–12 år) som dagligen vistas i grönområden har minskat betydligt över en 10-årsperiod. Jämfört med för tio år sedan vistas barn idag mer sporadiskt i grönområden. Den övergripande majoriteten av barn och unga uppger ett gott psykiskt välbefinnande och det har inte varit några större förändringar över tid. Samtidigt ökar självrapporteringen av psykiska besvär och skolstress. En oroväckande tendens är att andelen barn med nedstämdhet eller sömnbesvär i Sverige nu är bland de högsta i Europa. Det råder stora könsskillnader när det gäller hälsa. Flickor rapporterar genomgående fler hälsobesvär än pojkar, större krav i skolan och lägre skoltrivsel. De äter frukost mer sällan och rör på sig mindre. Rapporteringen av psykiska besvär och skolstress/krav i skolan har ökat i jämförbar takt sedan 2010. En högre upplevelse av krav i skolklassen bidrar till fler hälsobesvär bland elever som grupp. Stress till följd av skolrelaterade krav tenderar således att spridas bland klasskamrater och framför allt flickor upplever en ökad stress genom att de pratar med varandra om pressen att lyckas i skolan. Skolkrav har ett negativt samband med livstillfredsställelse, vilket innebär att ju högre skolkrav, desto lägre livstillfredsställelse. Samtidigt har forskning också visat att studiemotivation bland klasskamrater är kopplat till färre hälsobesvär på elevnivå, även om man själv inte upplever studiemotivation. Detta tyder på att lärmiljön och skolkamraternas påverkan på hälsan är viktig. Enligt stora internationella studier har förekomsten av psykiatriska tillstånd i form av neuropsykiatriska funktionsnedsättningar så som ADHD och autism varit relativt oförändrad över tid. Samtidigt ser man att andelen barn och unga som diagnostiseras med ADHD och autism i vården ökar. Denna diskrepans återstår att förklara. Barn vars vårdnadshavare är födda i Sverige rapporterar ett bättre hälsotillstånd än barn med utrikes födda vårdnadshavare. Däremot rapporterar barn med svensk bakgrund högre förekomst av psykiska besvär jämfört med barn med utländsk bakgrund. Det finns också tendenser som visar att elever med utländsk bakgrund rapporter ännu färre psykiska besvär när andelen elever med utländsk bakgrund i klassen är högre. Denna diskrepans behöver undersökas närmare.

Стилі APA, Harvard, Vancouver, ISO та ін.

Rockoff, Hugh. O.M.W. Sprague (the Man Who “Wrote the Book” on Financial Crises) meets the Great Depression. Cambridge, MA: National Bureau of Economic Research, October 2021. http://dx.doi.org/10.3386/w29416.

Повний текст джерела

Стилі APA, Harvard, Vancouver, ISO та ін.

Tipton, Kelley, Brian F. Leas, Emilia Flores, Christopher Jepson, Jaya Aysola, Jordana Cohen, Michael Harhay, et al. Impact of Healthcare Algorithms on Racial and Ethnic Disparities in Health and Healthcare. Agency for Healthcare Research and Quality (AHRQ), December 2023. http://dx.doi.org/10.23970/ahrqepccer268.

Повний текст джерела

Анотація:

Objectives. To examine the evidence on whether and how healthcare algorithms (including algorithm-informed decision tools) exacerbate, perpetuate, or reduce racial and ethnic disparities in access to healthcare, quality of care, and health outcomes, and examine strategies that mitigate racial and ethnic bias in the development and use of algorithms. Data sources. We searched published and grey literature for relevant studies published between January 2011 and February 2023. Based on expert guidance, we determined that earlier articles are unlikely to reflect current algorithms. We also hand-searched reference lists of relevant studies and reviewed suggestions from experts and stakeholders. Review methods. Searches identified 11,500 unique records. Using predefined criteria and dual review, we screened and selected studies to assess one or both Key Questions (KQs): (1) the effect of algorithms on racial and ethnic disparities in health and healthcare outcomes and (2) the effect of strategies or approaches to mitigate racial and ethnic bias in the development, validation, dissemination, and implementation of algorithms. Outcomes of interest included access to healthcare, quality of care, and health outcomes. We assessed studies’ methodologic risk of bias (ROB) using the ROBINS-I tool and piloted an appraisal supplement to assess racial and ethnic equity-related ROB. We completed a narrative synthesis and cataloged study characteristics and outcome data. We also examined four Contextual Questions (CQs) designed to explore the context and capture insights on practical aspects of potential algorithmic bias. CQ 1 examines the problem’s scope within healthcare. CQ 2 describes recently emerging standards and guidance on how racial and ethnic bias can be prevented or mitigated during algorithm development and deployment. CQ 3 explores stakeholder awareness and perspectives about the interaction of algorithms and racial and ethnic disparities in health and healthcare. We addressed these CQs through supplemental literature reviews and conversations with experts and key stakeholders. For CQ 4, we conducted an in-depth analysis of a sample of six algorithms that have not been widely evaluated before in the published literature to better understand how their design and implementation might contribute to disparities. Results. Fifty-eight studies met inclusion criteria, of which three were included for both KQs. One study was a randomized controlled trial, and all others used cohort, pre-post, or modeling approaches. The studies included numerous types of clinical assessments: need for intensive care or high-risk care management; measurement of kidney or lung function; suitability for kidney or lung transplant; risk of cardiovascular disease, stroke, lung cancer, prostate cancer, postpartum depression, or opioid misuse; and warfarin dosing. We found evidence suggesting that algorithms may: (a) reduce disparities (i.e., revised Kidney Allocation System, prostate cancer screening tools); (b) perpetuate or exacerbate disparities (e.g., estimated glomerular filtration rate [eGFR] for kidney function measurement, cardiovascular disease risk assessments); and/or (c) have no effect on racial or ethnic disparities. Algorithms for which mitigation strategies were identified are included in KQ 2. We identified six types of strategies often used to mitigate the potential of algorithms to contribute to disparities: removing an input variable; replacing a variable; adding one or more variables; changing or diversifying the racial and ethnic composition of the patient population used to train or validate a model; creating separate algorithms or thresholds for different populations; and modifying the statistical or analytic techniques used by an algorithm. Most mitigation efforts improved proximal outcomes (e.g., algorithmic calibration) for targeted populations, but it is more challenging to infer or extrapolate effects on longer term outcomes, such as racial and ethnic disparities. The scope of racial and ethnic bias related to algorithms and their application is difficult to quantify, but it clearly extends across the spectrum of medicine. Regulatory, professional, and corporate stakeholders are undertaking numerous efforts to develop standards for algorithms, often emphasizing the need for transparency, accountability, and representativeness. Conclusions. Algorithms have been shown to potentially perpetuate, exacerbate, and sometimes reduce racial and ethnic disparities. Disparities were reduced when race and ethnicity were incorporated into an algorithm to intentionally tackle known racial and ethnic disparities in resource allocation (e.g., kidney transplant allocation) or disparities in care (e.g., prostate cancer screening that historically led to Black men receiving more low-yield biopsies). It is important to note that in such cases the rationale for using race and ethnicity was clearly delineated and did not conflate race and ethnicity with ancestry and/or genetic predisposition. However, when algorithms include race and ethnicity without clear rationale, they may perpetuate the incorrect notion that race is a biologic construct and contribute to disparities. Finally, some algorithms may reduce or perpetuate disparities without containing race and ethnicity as an input. Several modeling studies showed that applying algorithms out of context of original development (e.g., illness severity scores used for crisis standards of care) could perpetuate or exacerbate disparities. On the other hand, algorithms may also reduce disparities by standardizing care and reducing opportunities for implicit bias (e.g., Lung Allocation Score for lung transplantation). Several mitigation strategies have been shown to potentially reduce the contribution of algorithms to racial and ethnic disparities. Results of mitigation efforts are highly context specific, relating to unique combinations of algorithm, clinical condition, population, setting, and outcomes. Important future steps include increasing transparency in algorithm development and implementation, increasing diversity of research and leadership teams, engaging diverse patient and community groups in the development to implementation lifecycle, promoting stakeholder awareness (including patients) of potential algorithmic risk, and investing in further research to assess the real-world effect of algorithms on racial and ethnic disparities before widespread implementation.

Стилі APA, Harvard, Vancouver, ISO та ін.

Albright, Jeff, Kim Struthers, Lisa Baril, and Mark Brunson. Natural resource conditions at Valles Caldera National Preserve: Findings & management considerations for selected resources. National Park Service, June 2022. http://dx.doi.org/10.36967/nrr-2293731.

Повний текст джерела

Анотація:

Valles Caldera National Preserve (VALL) encompasses 35,977 ha (88,900 ac) in the Jemez Mountains of north-central New Mexico and is surrounded by the Santa Fe National Forest, the Pueblo of Santa Clara, and Bandelier National Monument. VALL’s explosive volcanic origin, about 1.23 million years ago, formed the Valles Caldera—a broad, 19- to 24-km (12- to 15-mi) wide circular depression. It is one of the world’s best examples of a young caldera (in geologic time) and serves as the model for understanding caldera resurgence worldwide. A series of resurgent eruptions and magmatic intrusive events followed the original explosion, creating numerous volcanic domes in present day VALL—one of which is Redondo Peak at an elevation of 3,430 m (11,254 ft), which is the second highest peak in the Jemez Mountains. In fact, VALL in its entirety is a high-elevation preserve that hosts a rich assemblage of vegetation, wildlife, and volcanic resources. The National Park Service (NPS) Natural Resource Condition Assessment (NRCA) Program selected VALL to pilot its new NRCA project series. VALL managers and the NRCA Program selected seven focal study resources for condition evaluation. To help us understand what is causing change in resource conditions, we selected a subset of drivers and stressors known or suspected of influencing the preserve’s resources. What is causing change in resource conditions? Mean temperatures during the spring and summer months are increasing, but warming is slower at VALL than for neighboring areas (e.g., Bandelier National Monument). The proportion of precipitation received as snow has declined. From 2000 to 2018, forest pests damaged or killed 75% of the preserve’s forested areas. Only small, forested areas in VALL were affected by forest pests after the 2011 Las Conchas and the 2013 Thompson Ridge fires. The all-sky light pollution model and the sound pressure level model predict the lowest degree of impacts from light and sound to be in the western half of the preserve.

Стилі APA, Harvard, Vancouver, ISO та ін.

Ми пропонуємо знижки на всі преміум-плани для авторів, чиї праці увійшли до тематичних добірок літератури. Зв'яжіться з нами, щоб отримати унікальний промокод!