4 research outputs found
Ambivalent Relationships and Projection Onto Indexical Objects Ambivalent Relationships and Projection onto Indexical Objects
It is well-established in consumer culture theory that an object's meaning often resides in its ability to represent or trigger memories of others or relationships with others. The context of familial intergenerational transfers of gifts and heirlooms has been a particularly fertile area for investigating this phenomenon. This article draws on the findings from a study of heirlooms. It merges insights from the semiotic perspective of objects representing others with a projection perspective where consumers project their ambivalence about relationships with others onto their relationships with the objects that index those others. [to cite]: Deborah Heisley and Deborah Cours 636 Advances in Consumer Research Volume 34, © 2007 Ambivalent Relationships and Projection onto Indexical Objects ABSTRACT It is well-established in consumer culture theory that an object's meaning often resides in its ability to represent or trigger memories of others or relationships with others. The context of familial intergenerational transfers of gifts and heirlooms has been a particularly fertile area for investigating this phenomenon. This article draws on the findings from a study of heirlooms. It merges insights from the semiotic perspective of objects representing others with a projection perspective where consumers project their ambivalence about relationships with others onto their relationships with the objects that index those others
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Hyperkyphosis and mortality risk in older men: The osteoporotic fractures in men study
IntroductionHyperkyphosis commonly affects older people but is not widely acknowledged as a clinically actionable problem, especially in men. There are several techniques to quantify kyphosis including the blocks and Cobb angle measurements. This study includes both kyphosis measures to investigate whether older men with accentuated kyphosis may be at increased mortality risk.MethodsMen aged ≥65 years (N = 5994) were recruited to participate in the MrOS prospective cohort study from 2000 to 2002 (baseline). Our primary cohort included 2931 enrollees (mean age 79.3 years; SD 5.2) who underwent blocks-measured kyphosis from 2006 to 2009. Our secondary cohort included 2351 participants who underwent radiographic Cobb angle measurements at baseline. Cox proportional hazards analyses were used to determine association between kyphosis and all-cause mortality while adjusting for prevalent radiographic vertebral fractures, bone mineral density, incident fractures, gait speed, timed chair stands, self-reported health, alcohol use, medical co-morbidities, and physical activity.ResultsDuring a mean follow-up of 8.3 (SD 3.2) years, 1393 participants died in the primary cohort. In this group, compared to men with 0-1 block kyphosis, increasing blocks-measured kyphosis was associated with increased mortality (HR: 1.26-1.53, p trend <0.001). With addition of prevalent vertebral fracture to adjusted models, the association remained significant in participants with severe kyphosis (3+ blocks-measured). Similarly, with addition of chair stand performance the association remained significant for 4+ blocks kyphosis. Walking speed did not attenuate the association of kyphosis and mortality. In the secondary cohort, there were no significant associations between radiographic Cobb angle kyphosis and mortality.ConclusionsIncreasing blocks-measured kyphosis was associated with a greater risk of mortality in older men, indicating that hyperkyphosis identified on physical exam should be considered a clinically significant finding that may warrant further evaluation and treatment