Total Estimated Cost of Child Abuse & Neglect In The United States: Statistical Evidence

This data represents the first attempt to document the nationwide costs resulting from abuse and neglect. These costs can be placed in one of two categories: direct (those costs associated with the immediate needs of abused or neglected children) and indirect (those costs associated with the long-term and/or secondary effects of child abuse and neglect). The data cited has been drawn from a variety of sources, including the Department of Health and Human Services, the Department of Justice, the U.S. Census and others. Appropriate data citations are included throughout the report

The Role of Diet in the Onset of Depression: A Biochemical Connection Between Nutrition and Mental Health

Depression is a major clinical concern, having a complex onset and the presence of multiple, often unidentifiable causes. Depression affects millions of individuals worldwide, with a high prevalence in regions of the world with a Western-style diet as compared to regions with a Mediterranean diet. A Western-style diet consists of foods high in sugar, fat, and processed meats and grains, whereas the Mediterranean diet contains significantly more vegetables, fruits, lean meats, and whole grains. The link between diet and mental health disorders has implications for individuals of all ages who are hesitant to turn to medication. In addition to presenting a closer examination of the biochemical foundation of depression, this review focuses on the effects of factors such as food-related inflammation, nutrition, and probiotics in symptom development

The Social Reality of Depression: DTC Advertising of Antidepressants and Perceptions of the Prevalence and Lifetime Risk of Depression

This study is rooted in the research traditions of cultivation theory, construct accessibility, and availability heuristic. Based on a survey with 221 subjects, this study finds that familiarity with direct-to-consumer (DTC) print advertisements for antidepressant brands is associated with inflated perceptions of the prevalence and lifetime risk of depression. The study concludes that DTC advertising potentially has significant effects on perceptions of depression prevalence and risk. Interpersonal experiences with depression coupled with DTC advertising appear to significantly predict individuals\u27 perceived lifetime risk of depression. The study ultimately demonstrates that DTC advertising may play a role in constructing social reality of diseases and medicine. The findings strongly suggest that the social cognitive effects of DTC advertising are far-reaching, impacting pharmaceutical marketing strategy as well as presenting issues regarding public health and the business ethics of advertising drugs to consumers

A health needs assessment of offenders on probation caseloads in Nottinghamshire and Derbyshire - report of a pilot study

This study was commissioned by the Care Services Improvement Partnership (CSIP) in the East Midlands to investigate the health needs of a sample group offenders managed by The Nottinghamshire and Derbyshire Probation Services

Reparable Harm: Assessing and Addressing Disparities Faced by Boys and Men of Color in California

The California Endowment commissioned this report to highlight the most glaring inequities in socioeconomics, health, safety, and education faced by African-American and Latino men and boys in the state. In addition to presenting the statistics on these indicators, the authors outline a framework for addressing the disparities at the individual, community, and macro levels

DRD2/ANKK1 Taq1A (rs 1800497 C>T) genotypes are associated with susceptibility to second generation antipsychotic-induced akathisia

Although the advent of atypical, second-generation antipsychotics (SGAs) has resulted in reduced likelihood of akathisia, this adverse effect remains a problem. It is known that extrapyramidal adverse effects are associated with increased drug occupancy of the dopamine 2 receptors (DRD2). The A1 allele of the DRD2/ANKK1, rs1800497, is associated with decreased striatal DRD2 density. The aim of this study was to identify whether the A1(T) allele of DRD2/ANKK1 was associated with akathisia (as measured by Barnes Akathisia Rating Scale) in a clinical sample of 234 patients who were treated with antipsychotic drugs. Definite akathisia (a score ≥ 2 in the global clinical assessment of akathisia) was significantly less common in subjects who were prescribed SGAs (16.8%) than those prescribed FGAs (47.6%), p < 0.0001. Overall, 24.1% of A1+ patients (A1A2/A1A1) who were treated with SGAs had akathisia, compared to 10.8% of A1- (thus, A2A2) patients. A1+ patients who were administered SGAs also had higher global clinical assessment of akathisia scores than the A1- subjects (p = 0.01). SGAs maintained their advantage over FGAs regarding akathisia, even in A1+ patients who were treated with SGAs. These results strongly suggested that A1+ variants of the DRD2/ANKK1 Taq1A allele do confer an associated risk for akathisia in patients who were treated with SGAs, and these variants may explain inconsistencies found across prior studies, when comparing FGAs and SGAs

Price Indexes for Acute Phase Treatment of Depression

Although broad trends in medical spending in the U.S. over the last decade have received widespread attention from policymakers, very little attention has focused on the components of those changes. For many other industries, economists typically divide nominal expenditures by an official government price index to decompose these expenditures into price and quantity components. In this paper we construct a new price index for the treatment of one illness depression. Making use of results from the published clinical literature and from official treatment guideline standards, we identify therapeutically similar treatment bundles. These bundles can then be linked and weighted to construct price indexes for specific forms of major depression. In doing so, we construct CPI and PPI-like medical price indexes that deal with prices of treatment episodes rather than prices of discrete inputs, that are based on transaction rather than list prices, that take quality changes and expected outcomes into account employ current, time-varying expenditure weights in the aggregation computations. We find that regardless of which index number procedure is employed time period the treatment price index for the acute phase of major depression has hardly changed remaining at 1.00 or falling slightly to around 0.97. This index grows considerably less rapidly than the various official PPIs -- thus the price index for the treatment of the acute phase of major depression has fallen over the 1991-95 time period. A hedonic approach to price index measurement yields broadly similar results. These results imply that given a budget for treatment of depression accomplished in 1995 than in 1991. Our results suggest that at least in the case of acute phase major depression, aggregate spending increases are due to a larger number of effective treatments being provided.

Patterns and Determinants of Recreational Behaviour in Port Harcourt, Rivers State, Nigeria

By surveying a 5% probability sample of residential clusters, yielding 369 residents in Port Harcourt, Nigeria, this study has ascertained actual recreational behaviour of the residents; determinants of recreational behaviour; perceived adequacy/inadequacy of government provision of recreational facilities; and residents’ suggestions for improvement of recreational facilities. It was found, amongst others, that weekly participation in passive (outdoor) recreation averaged 3.7 hours and 2.5 hours for females and males, respectively; the corresponding figures for passive (indoor) recreation were 35.2 hours and 43.9 hours. For active (outdoor) recreation males and females averaged 8.9 hours and 5.3 hours, respectively. The corresponding figures for active (indoor) recreation were 5.3 hours and 6.2 hours. Of 5 personality variables, income was the most potent in explaining recreational behaviour. About one half and 43.3% of residents considered government-provided indoor and outdoor recreational facilities inadequate, respectively, demonstrating the need for government to play more active roles in (i) providing recreational facilities; and (ii) encouraging recreational participation, considering its well-known benefits.Leisure Time, Recreation, Participation, Recreational Demand, Multiple Classification Analysis