Social inequalities in self-rated health by age: Cross-sectional study of 22 457 middle-aged men and women

<p>Abstract</p> <p>Background</p> <p>We investigate the association between occupational social class and self-rated health (SRH) at different ages in men and women.</p> <p>Methods</p> <p>Cross sectional population study of 22 457 men and women aged 39–79 years living in the general community in Norfolk, United Kingdom, recruited using general practice age-sex registers in 1993–1997. The relationship between self-rated health and social class was examined using logistic regression, with a poor or moderate rating as the outcome.</p> <p>Results</p> <p>The prevalence of poor or moderate (lower) self-rated health increased with increasing age in both men and women. There was a strong social class gradient: in manual classes, men and women under 50 years of age had a prevalence of lower self-rated health similar to that seen in men and women in non-manual social classes over 70 years old. Even after adjustment for age, educational status, and lifestyle factors (body mass index (BMI), smoking, physical activity and alcohol consumption) there was still strong evidence of a social gradient in self-rated health, with unskilled men and women approximately twice as likely to report lower self-rated health as professionals (OR_men= 2.44 (95%CI 1.69, 3.50); OR_women= 1.97 (95%CI 1.45, 2.68).</p> <p>Conclusion</p> <p>There was a strong gradient of decreased SRH with age in both men and women. We found a strong cross-sectional association between SRH and social class, which was independent of education and major health related behaviors. The social class differential in SRH was similar with age. Prospective studies to confirm this association should explore social and emotional as well as physical pathways to inequalities in self reported health.</p

Consensus Recommendations for the Use of Automated Insulin Delivery (AID) Technologies in Clinical Practice

International audienceThe significant and growing global prevalence of diabetes continues to challenge people with diabetes (PwD), healthcare providers and payers. While maintaining near-normal glucose levels has been shown to prevent or delay the progression of the long-term complications of diabetes, a significant proportion of PwD are not attaining their glycemic goals. During the past six years, we have seen tremendous advances in automated insulin delivery (AID) technologies. Numerous randomized controlled trials and real-world studies have shown that the use of AID systems is safe and effective in helping PwD achieve their long-term glycemic goals while reducing hypoglycemia risk. Thus, AID systems have recently become an integral part of diabetes management. However, recommendations for using AID systems in clinical settings have been lacking. Such guided recommendations are critical for AID success and acceptance. All clinicians working with PwD need to become familiar with the available systems in order to eliminate disparities in diabetes quality of care. This report provides much-needed guidance for clinicians who are interested in utilizing AIDs and presents a comprehensive listing of the evidence payers should consider when determining eligibility criteria for AID insurance coverage

Chasing Ghosts: A Memoir of a Father, Gone to War [Table of Contents]

When literary biographer and memoirist Louise DeSalvo embarked upon a journey to learn why her father came home from World War II a changed man, she didn’t realize her quest would take ten years, and that it would yield more revelations about the man—and herself—and the effect of his military service upon their family than she’d ever imagined. During his last years, as he told her about his life, DeSalvo began to understand that her obsession with war novels and military history wasn’t merely academic but rooted in her desire to understand this complex father whom she both adored and reviled because of his mistreatment of her. Although she at first believes she wants to uncover his story, the story of a man who was no hero but who was nonetheless adversely affected by the his military service, she learns that what she really wants is to recover the man that he was before he went away. As DeSalvo and her father uncover his past piece-by-piece, bit-by-bit, she learns about the dreams of a working-class man who entered the military in the late 1930s during peacetime to better himself, a man who wanted to become a pilot. She learns about what it was like for him to participate in war games in the Pacific prior to the war, and its devastating toll. She learns about what it was like for her parents to fall in love, set up house, marry, and have children during this cataclysmic time. And as the pieces of her father’s life fall into place as works to piece together the puzzle of everything she’s learned about this time, she finds herself finally able to understand him. Chasing Ghosts is an original contribution to the understanding of working-class World War II veterans who did not conventionally distinguish themselves through “heroic” actions and whose lives were not until recently considered worthy of historical or cultural attention. It personalizes the history of those sailors who served in the Navy aboard aircraft carriers and on islands in the Pacific prior to, and during World War II and contributes to the current vital conversation about the often-unrecognized effects of war and its traumas upon those men and their families. It reveals the lifelong devastating consequences of military service on those men and women who fell in love, married, and set up house. And it reveals the complexity of what it is like to be the daughter of a father who has gone to war

Premio speciale Acerbi per la scrittura femminile

La casa editrice Nutrimenti dal 2006 ha iniziato la pubblicazione di testi di autrici italoamericane con il mio contributo. Il memoir di Louise DeSalvo Vertigo, vincitore di questo premio, è stato da me selezionato per iniziare una serie di traduzioni (di cui poi fanno parte anche La pelle che ci separa di Kym Ragusa e Pesci di carta di Tina De Rosa). Sono mie anche la traduzione e la cura del volume