Is subjective social status a more important determinant of health than objective social status? Evidence from a prospective observational study of Scottish men

Both subjective and objective measures of lower social position have been shown to be associated with poorer health. A psychosocial, as opposed to material, aetiology of health inequalities predicts that subjective social status should be a stronger determinant of health than objective social position. In a workplace based prospective study of 5232 Scottish men recruited in the early 1970s and followed up for 25 years we examined the association between objective and subjective indices of social position, perceived psychological stress, cardiovascular disease risk factors and subsequent health. Lower social position, whether indexed by more objective or more subjective measures, was consistently associated with an adverse profile of established disease risk factors. Perceived stress showed the opposite association. The main subjective social position measure used was based on individual perceptions of workplace status (as well as their actual occupation, men were asked whether they saw themselves as “employees”, “foremen”, or “managers”). Compared to foremen, employees had a small and imprecisely estimated increased risk of all cause mortality, whereas managers had a more marked decreased risk. The strongest predictors of increased mortality were father's manual as opposed to non-manual occupation; lack of car access and shorter stature, (an indicator of material deprivation in childhood). In the fully adjusted analyses, perceived work-place status was only weakly associated with mortality. In this population it appears that objective material circumstances, particularly in early life, are a more important determinant of health than perceptions of relative status. Conversely, higher perceived stress was not associated with poorer health, presumably because, in this population, higher stress was not associated with material disadvantage. Together these findings suggest that, rather than targeting perceptions of disadvantage and associated negative emotions, interventions to reduce health inequalities should aim to reduce objective material disadvantage, particularly that experienced in early life

Experimental demonstration that offspring fathered by old males have shorter telomeres and reduced lifespans

Offspring of older parents frequently show reduced longevity, but the mechanisms driving this so-called 'Lansing effect' are unknown. While inheritance of short telomeres from older parents could underlie this effect, studies to date in different species have found mixed results, reporting positive, negative or no association between parental age and offspring telomere length (TL). However, most of the existing evidence is from non-experimental studies in which it is difficult to exclude alternative explanations such as differential survival of parents with different telomere lengths. Here we provide evidence in the zebra finch that offspring from older parents have reduced lifespans. As a first step in disentangling possible causes, we used an experimental approach to examine whether or not we could detect pre-natal paternal effects on offspring TL. We found that zebra finch embryos fathered by old males have shorter telomeres than those produced by the same mothers but with younger fathers. Since variation in embryonic TL persists into post-natal life, and early life TL is predictive of longevity in this species, this experimental study demonstrates that a paternally driven pre-natal TL reduction could at least in part underlie the reduced lifespan of offspring from older parents

Methodist Union in Whitby: A study of the impact of organizational, social and cultural factors on Methodist Union in Whitby and District, 1918 - 1953

Arguably, Methodist Union in 1932 was the most significant event in twentieth-century Methodist history. It brought together in one Methodist Church, the former Wesleyan, Primitive and United Methodist denominations. It was led from the apex of each denomination by their Conferences and promised a renewal of evangelism, a better use of personnel and property and the setting of an ecumenical example to other Churches. However, it was at the level of individual circuits and Societies that these benefits were hoped to be felt. Although there is literature concerning Union encompassing a broad, national perspective and which discusses its overall outcomes, there has been little scholarly research into the detail of what happened at the local level. The focus of the study is a particular geographical area which, in 1932, was the territory of the Whitby Wesleyan and Whitby Primitive Methodist Circuits. It investigates the process of Union from 1918 until 1953, within the local geographical, economic and historical context. The sources of evidence are predominantly of a documentary nature, but a further strand of evidence is provided by oral history interviews. The study considers organizational factors and their relevance in the light of some concepts drawn from organization theory. The thesis argues that although Union presented many common issues across the Methodist denominations, including the increasing influence of secularization on society as a whole, it can only be properly understood by also taking local factors into account. The significance of the local culture is highlighted with its roots in seafaring and farming, together with the influence of tourism and the seasonal cycle of visitors. The influence of social class, related to the 'social geography' of Whitby, was also a significant factor. The organizational structures and practices of Methodism, although effective for maintaining the denominations in periods of relative stability, were not well adapted to deal with the changes involved in Union and circuit amalgamation and former loyalties, especially to individual chapels, could hinder developments in new areas of population. In conclusion, suggestions are made as to how the research could be developed further

Psychological stress and cardiovascular disease: empirical demonstration of bias in a prospective observational study of Scottish men

Objectives: To examine the association between self perceived psychological stress and cardiovascular disease in a population where stress was not associated with social disadvantage. Design: Prospective observational study with follow up of 21 years and repeat screening of half the cohort 5 years from baseline. Measures included perceived psychological stress, coronary risk factors, self reported angina, and ischaemia detected by electrocardiography. Setting: 27 workplaces in Scotland. Participants: 5606 men (mean age 48 years) at first screening and 2623 men at second screening with complete data on all measures Main outcome measures: Prevalence of angina and ischaemia at baseline, odds ratio for incident angina and ischaemia at second screening, rate ratios for cause specific hospital admission, and hazard ratios for cause specific mortality. Results: Both prevalence and incidence of angina increased with increasing perceived stress (fully adjusted odds ratio for incident angina, high versus low stress 2.66, 95% confidence interval 1.61 to 4.41; P for trend <0.001). Prevalence and incidence of ischaemia showed weak trends in the opposite direction. High stress was associated with a higher rate of admissions to hospital generally and for admissions related to cardiovascular disease and psychiatric disorders (fully adjusted rate ratios for any general hospital admission 1.13, 1.01 to 1.27, cardiovascular disease 1.20, 1.00 to 1.45, and psychiatric disorders 2.34, 1.41 to 3.91). High stress was not associated with increased admission for coronary heart disease (1.00, 0.76-1.32) and showed an inverse relation with all cause mortality, mortality from cardiovascular disease, and mortality from coronary heart disease, that was attenuated by adjustment for occupational class (fully adjusted hazard ratio for all cause mortality 0.94, 0.81 to 1.11, cardiovascular mortality 0.91, 0.78 to 1.06, and mortality from coronary heart disease 0.98, 0.75 to 1.27). Conclusions: The relation between higher stress, angina, and some categories of hospital admissions probably resulted from the tendency of participants reporting higher stress to also report more symptoms. The lack of a corresponding relation with objective indices of heart disease suggests that these symptoms did not reflect physical disease. The data suggest that associations between psychosocial measures and disease outcomes reported from some other studies may be spurious

Limitations of adjustment for reporting tendency in observational studies of stress and self reported coronary heart disease

Recently, observational evidence has been suggested to show a causal association between various "psychosocial" exposures, including psychological stress, and heart disease. Much of this evidence derives from studies in which a self reported psychosocial exposure is related to an outcome dependent on the subjective experience of coronary heart disease (CHD) symptoms. Such outcomes may be measured using standard symptom questionnaires (like the Rose angina schedule). Alternatively they may use diagnoses of disease from medical records, which depend on an individual perceiving symptoms and reporting them to a health worker. In these situations, reporting bias may generate spurious exposure-outcome associations. For example if people who perceive and report their life as most stressful also over-report symptoms of cardiovascular disease then an artefactual association between stress and heart disease will result

Individual employment histories and subsequent cause specific hospital admissions and mortality: a prospective study of a cohort of male and female workers with 21 years follow up

It is a widely held view that the labour market is demanding increased levels of flexibility, and that this is causing greater psychosocial stress among employees.1 Such stress may affect health, either through neuroendocrine pathways, or through increases in behaviours linked with poor health.2 Previously we presented evidence linking an unstable employment history, as measured by a greater number of job changes and shorter duration of current job, with a greater prevalence of smoking and greater alcohol consumption, in male and female workers.3 4 Despite this, we did not observe clear detrimental effects of such instability on health related physiological measures (body mass index, diastolic blood pressure, cholesterol, and lung function), nor on current cardiovascular health (electrocardiogram determined ischaemia and reported symptoms of angina). Finding work is easier for healthy persons, and those persons who need to find work repeatedly will be particularly likely to drop out of the workforce if their health deteriorates. Consequently, an occupational cohort, upon which our previous work was based, is least likely to include people of poor health with an unstable work history. If such people are underrepresented, attempts to determine the association between health and individual work histories will mislead. This study links the same cohort to information on the hospitalisations and deaths experienced over a 21 year follow up period. While those people whose health deteriorated before the enrolment of this cohort must remain poorly represented, these prospective data permit unbiased observation of those cases who experienced ill health subsequently, whether or not this resulted in an exit from the workforce. We hypothesise that an employment history characterised by frequent job changes, whatever the motivation for those changes, will require the person to be more focused on work, and less focused on maintaining personal health, with consequent poorer health for such people

Sun-Like Magnetic Cycles in the Rapidly-Rotating Young Solar Analog HD 30495

A growing body of evidence suggests that multiple dynamo mechanisms can drive magnetic variability on different timescales, not only in the Sun but also in other stars. Many solar activity proxies exhibit a quasi-biennial ($\sim$2 year) variation, which is superimposed upon the dominant 11 year cycle. A well-characterized stellar sample suggests at least two different relationships between rotation period and cycle period, with some stars exhibiting long and short cycles simultaneously. Within this sample, the solar cycle periods are typical of a more rapidly rotating star, implying that the Sun might be in a transitional state or that it has an unusual evolutionary history. In this work, we present new and archival observations of dual magnetic cycles in the young solar analog HD 30495, an $\sim$1 Gyr-old G1.5V star with a rotation period near 11 days. This star falls squarely on the relationships established by the broader stellar sample, with short-period variations at $\sim$1.7 years and a long cycle of $\sim$12 years. We measure three individual long-period cycles and find durations ranging from 9.6-15.5 years. We find the short-term variability to be intermittent, but present throughout the majority of the time series, though its occurrence and amplitude are uncorrelated with the longer cycle. These essentially solar-like variations occur in a Sun-like star with more rapid rotation, though surface differential rotation measurements leave open the possibility of a solar equivalence.Comment: 12 pages, 6 figures. Submitted to Ap

SCYPHOSTEGIA BORNEENSIS STAPF*Anatomy of Stem and Leaf in Relation to its Taxonomic Position

From an examination of anatomical characters it appears that the genus Scyphostegia is not related to Monimiaceae and Moraceae but represents a separate family related to Flacourtiaceae