Urban small area variation in adolescents' health behaviour

Our previous study indicated that region plays a relatively small role in adolescents' health behaviour. Here, the regional patterning of health behaviour is studied further by shifting the focus to small areas. First, we test whether small area socioeconomic, demographic and housing characteristics correlate with health behaviour. The analysis then turns to the relationship between these characteristics and their individual level correlates. We wish to ascertain if behaviour is related to small area characteristics similarly for both genders and for adolescents' socioeconomic characteristics. The Adolescent Health and Lifestyle Survey data from 1989-1995 (16- and 18-year-olds, n = 1048, response rate 71%) were linked with data describing 33 subareas of Helsinki, the capital of Finland. Smoking, alcohol use, abstention from dietary fat and physical activity were used as lifestyle indicators. Gender apparently influences the extent to which the area plays a role. Logistic regression demonstrated that prolonged unemployment predicted low prevalence of abstention from dietary fat (traditional dietary patterns) among girls and heavy drinking among boys. High total rate of unemployment predicted lower physical activity among girls. Also owner-occupied housing correlated positively with girls' physical activity. Although the individual level socioeconomic characteristics were not as strongly related to health behaviour as the small area factors, a low level of education predicted smoking and alcohol use and, among girls, decreased physical activity. We conclude that small area characteristics, especially the level of unemployment of the area, may be even more strongly related to health behaviour than individual socioeconomic characteristics.     

Age differences in proactive interference, working memory, and abstract reasoning.

[Correction Notice: An erratum for this article was reported in Vol 23(4) of Psychology and Aging (see record 2008-19072-007). The original article contained an incorrect DOI. The correct DOI is as follows: 10.1037/a0012577.] It has been hypothesized that older adults are especially susceptible to proactive interference (PI) and that this may contribute to age differences in working memory performance. In young adults, individual differences in PI affect both working memory and reasoning ability, but the relations between PI, working memory, and reasoning in older adults have not been examined. In the current study, young, old, and very old adults performed a modified operation span task that induced several cycles of PI buildup and release as well as two tests of abstract reasoning ability. Age differences in working memory scores increased as PI built up, consistent with the hypothesis that older adults are more susceptible to PI, but both young and older adults showed complete release from PI. Young adults' reasoning ability was best predicted by working memory performance under high PI conditions, replicating M. Bunting (2006). In contrast, older adults' reasoning ability was best predicted by their working memory performance under low PI conditions, thereby raising questions regarding the general role of susceptibility to PI in differences in higher cognitive function among older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correction to Emery, Hale, and Myerson (2008).

Reports an error in "Age differences in proactive interference, working memory, and abstract reasoning" by Lisa Emery, Sandra Hale and Joel Myerson (Psychology and Aging, 2008[Sep], Vol 23[3], 634-645). The original article contained an incorrect DOI. The correct DOI is as follows: 10.1037/a0012577. (The following abstract of the original article appeared in record 2008-13050-014.) It has been hypothesized that older adults are especially susceptible to proactive interference (PI) and that this may contribute to age differences in working memory performance. In young adults, individual differences in PI affect both working memory and reasoning ability, but the relations between PI, working memory, and reasoning in older adults have not been examined. In the current study, young, old, and very old adults performed a modified operation span task that induced several cycles of PI buildup and release as well as two tests of abstract reasoning ability. Age differences in working memory scores increased as PI built up, consistent with the hypothesis that older adults are more susceptible to PI, but both young and older adults showed complete release from PI. Young adults' reasoning ability was best predicted by working memory performance under high PI conditions, replicating M. Bunting (2006). In contrast, older adults' reasoning ability was best predicted by their working memory performance under low PI conditions, thereby raising questions regarding the general role of susceptibility to PI in differences in higher cognitive function among older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sex isn't that simple: Culture and context in HIV prevention interventions for gay and bisexual male adolescents.

Gay and bisexual male adolescents and young adults in the United States have been disproportionately impacted by the HIV pandemic. Despite the steadily increasing rise in their HIV infection rates, there has not been a commensurate increase in HIV prevention programs targeted to the unique social and sexual lives of these youths. Programs that address cultural and contextual factors that influence sexual risk and protective behaviors need to be developed, implemented, and rigorously evaluated. These interventions should address the potential influences of sexual and gay culture on the HIV risk/protective behaviors of gay and bisexual adolescents, as well as the influence of more traditional cultural factors related to ethnicity. The influence of contextual developmental factors should also be addressed. This may include an incorporation into prevention programs of the societal-level influences of heterosexism and masculinity ideology and the individual-level influences of sexual identity and ethnic identity development. Researchers and interventionists need to be creative and innovative in their HIV prevention approaches and ensure that programs are grounded in the lives and realities of gay and bisexual adolescents and young adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Obesity is a health problem

Obesity is a very common and an increasing nutritional problem in Finland and in other western countries and also in circumpolar areas. Dietary factors like high intakes of fat and alcohol, and physical inactivity predispose to obesity. Childhood obesity increases the risk of obesity in adulthood. Obesity is associated with cardiovascular diseases, non-insulin-dependent diabetes mellitus and musculoskeletal disorders which cause work disability. Prevention of obesity should be more focused because treatment of obesity is difficult and the long-term result generally poor. Multidisciplinary co-work is needed to find out how the factors of childhood are related to obesity in adulthood.     

Gender differences in partner violence in a birth cohort of 21-year-olds: Bridging the gap between clinical and epidemiological approaches.

This study describes partner violence in a representative sample of young adults. Physical violence perpetration was reported by 37.2% of women and 21.8% of men. Correlates of involvement in severe physical violence differed by gender. Severe physical violence was more strongly associated with unemployment, low educational attainment, few social support resources, polydrug use, antisocial personality disorder symptoms, depression symptoms, and violence toward strangers for men than for women. Women who were victims of severe physical violence were more likely than men who were victims to experience symptoms of anxiety. The findings converge with community studies showing that more women than men are physically violent toward a partner and with clinical studies highlighting violence perpetrated against women by men with deviant characteristics. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender, socioeconomic status and family status as determinants of food behaviour

This study examines social structural and family status factors as determinants of food behaviour. The data were derived from the FINMONICA Risk Factor Survey, collected in Finland in spring 1992. A multidimensional framework of the determinants of food behaviour was used, including social structural position, family status and gender. The associations between the determinants of food behaviour were estimated by multivariate logistic regression models, adjusted for age and regional differences. Food behaviour was measured by an index including six food items which were chosen based on Finnish dietary guidelines. In general, women's food behaviour was more in accordance with the dietary guidelines than that of men. The pattern of association between educational level and food behaviour was similar for both genders, but slightly stronger for men than women. Employment status was associated only with women's food behaviour, but the tendency was the same for men. Marital status was associated with men's as well as women's food behaviour. The food behaviour of married men and women was more in line with the dietary guidelines than the food behaviour of those who had been previously married. Parental status, however, was only associated with women's food behaviour, that is, the food behaviour of women with young children was more closely in line with the dietary guidelines than that of the rest of the women.     

Origins of health inequalities in a national population sample

BACKGROUND: Explanations for social inequalities in health are often explored but remain largely unresolved. To elucidate the origins of health inequalties, we investigated the extent to which adult-disease risk factors vary systematically according to social position over three decades of early life. METHODS: We used the 1958 birth cohort (all children born in England, Scotland, and Wales on March 3-9, 1958) with data up to age 33 years from parents, teachers, doctors, and cohort members (n = 11,407 for age 33 interview). FINDINGS: Social class of origin was associated with physical risk factors (birthweight, height, and adult body-mass index); economic circumstances, including household overcrowding, basic amenities, and low income; health behaviour of parents (breastfeeding and smoking) and of participants (smoking and diet); social and family functioning and structure, such as divorce or separation of participants or their parents, emotional adjustment in adolescence, social support in early adulthood; and educational achievement and working career, in particular no qualifications, unemployment, job strain, and insecurity. With few exceptions, there were strong significant trends of increasing risk from classes I and II to classes IV and V. Self-perceived health status and symptoms were worse in participants with lower class origins. INTERPRETATION: An individual's chance of encountering multiple adverse health risks throughout life is influenced powerfully by social position. Social trends in adult-disease risk factors do not emerge exclusively in mid-life, but accumulate over decades. Investment in educational and emotional development is needed in all social groups to strengthen prevention strategies relating to health behaviour, work-place environment, and income inequality.     

A Profile of Psychologists' Views of Critical Risk Factors for Completed Suicide in Older Adults.

The ability to accurately and reliably predict whether an older adult will commit suicide has eluded clinicians and researchers. A random national sample of psychologists who work with older adults was surveyed regarding their perception of 36 risk factors for completed suicide and indirect self-destructive behavior in older adults. This study produced a profile of psychologists' assessment and treatment practices when working with suicidal older adults. Determining what psychologists consider to be the most salient risk factors for completed suicide is important in identifying a minimum standard that clinicians should follow when assessing older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of emotional content on reality-monitoring performance in young and older adults.

Reality monitoring refers to a person's ability to distinguish between perceived and imagined events. Prior research has demonstrated that young adults show a reality-monitoring advantage for negative arousing information as compared with neutral information. The present research examined whether this reality-monitoring benefit extends to positive information in young adults and whether older adults show a reality-monitoring advantage for emotional information of either valence. Two studies revealed no evidence for a reality-monitoring advantage for positive information; in both age groups, the reality-monitoring advantage existed only for negative information. Older adults were, however, more likely to remember that a positive item had been included on a study list than they were to remember that a nonemotional item had been studied. Young adults did not show this mnemonic enhancement for positive information. These results indicate that although older adults may show some mnemonic benefits for positive information (i.e., an enhanced ability to remember that a positive item was studied), they do not always show enhanced memory for source-specifying details of a positive item's presentation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do young and older adults rely on different processes in source memory tasks? A neuropsychological study.

Source memory has consistently been associated with prefrontal function in both normal and clinical populations. Nevertheless, the exact contribution of this brain region to source memory remains uncertain, and evidence suggests that processes used by young and older adults may differ. The authors explored the extent to which scores on composite measures of neuropsychological tests of frontal and medial temporal function differentially predicted the performance of young and older adults on source memory tasks. Results indicated that a frontal composite measure, consistently associated with source memory performance in older adults, was unrelated to source memory in young adults, although it was sensitive to a demanding working memory task. The memory composite score, however, predicted performance in the young group. In addition, item and source memory were correlated in young but not older people. Findings are discussed in terms of age-related differences in working memory and executive functions, and differential binding processes necessary for item and source memory. The requirement to integrate item and source information at encoding appears to place greater demands on executive or working memory processes in older adults than in younger adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychiatric disorders and their predictors in young adulthood in Finland

Mental disorders are one main focus of research interest in the 31 year study of the Northern Finland 1966 Birth Cohort Study. Mental disorders are quite common in young adulthood and they have a great impact on quality of life and working ability. Good national registers in Finland ensure the possibility to follow up treated incidence of severe mental disorders. On the other hand, a notable part of those who suffer from non-psychotic mental disorders do not receive any psychiatric treatment. That is why it is not possible to follow up psychiatric morbidity of the non-psychotic disorders from register data. In this review, principles of psychiatric diagnostics, known prevalences of psychiatric disorders in population and factors connected with mental disorder are briefly presented. Especially childhood predictors of mental disorders are reviewed.     

The effect of physical exercise on the response to exertion in the elderly

BACKGROUND: A decrease in adaptation to exertion has been observed as age progresses. Although this decline may also be affected by factors such as health conditions and age, physical inactivity related to sedentary behaviour plays a dominant role. METHODS: In order to evaluate the influence of physical activity on cardiovascular response to exertion in the elderly, 4 groups of 22 subjects each were submitted to maximal electrocardiographic exercise test on a cycloergometer (multistage program with 30 Watts x 3 min. steps). All subjects were male. The composition of the groups was as follows: 1) veteran long distance runners (mean age: 71 +/- 5.4); 2) sedentary veterans (mean age: 69.8 +/- 3.9); 3) young long distance runners (mean age: 25.4 +/- 4.3); 4) sedentary young adults (mean age: 25.8 +/- 3.9). The endurance athletes, well fitted to competition, had been practicing sport activity for at least 3 years. RESULTS: Heart rate, arterial systolic and diastolic blood pressure were recorded; mean blood pressure and double product were calculated at baseline and at the climax of the stress test; furthermore, total and maximal watts were recorded. For each of the parameters, Student's t test for non-paired observations were used to evaluate statistical differences amongst the four groups. The most interesting result arises in the comparison between veteran long distance runners and sedentary young adults: between the two groups no statistically significant differences in workload, expressed as total watts (1649.55 +/- 296.32 vs 1650.00 +/- 446.32; p = NS) and maximal watts (175.91 +/- 19.19 vs 173.18 +/- 24.38; p = N.S.), were observed. On the contrary, highly significant differences in both total (p < 0.01) and maximal (p < 0.01) watts were noticed by comparing long distance runners and sedentary subjects of the same age. CONCLUSIONS: These data support the hypothesis that the progressive reduction in physical activity, which is usually observed in aging, is the major determinant of exercise deconditioning in the elderly.     

Age differences in psychosocial predictors of positive and negative affect: A longitudinal investigation of young, midlife, and older adults.

[Correction Notice: An erratum for this article was reported in Vol 26(2) of Psychology and Aging (see record 2011-11703-002). Contains an error in Figure 3, on page 649. The correction discusses where to find the correct data.] Research has consistently shown that despite aging-related losses, older adults have high levels of emotional well-being relative to those in young and midlife adults. We aimed to contribute to knowledge around the factors that predict emotional well-being over the life course by examining age group differences in associations of positive and negative social exchanges and mastery beliefs with positive and negative affect in a sample of 7,472 young, midlife, and older adults assessed on 2 measurement occasions, 4 years apart. Results from structural equation models indicated lower levels of negative affect with advancing age. Mastery was consistently related to higher well-being, with the strongest associations evident for young adults. Older adults reported the most frequent positive and least frequent negative social exchanges; however, associations of social relations with affect tended to be stronger among young and midlife adults relative to older adults. Results are discussed in the context of life course perspectives on goal orientations and self-regulatory processes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Hearing and occupation

Not only does the environment play a role as a source of risk factors for a hearing impairment, but a hearing impairment itself can adversely affect interaction with family members, workmates and friends, thus reducing social well-being. The number of work-related hearing impairments has been decreasing for last five years, but noise-induced sensorineural hearing loss is still the second most common work-related disease in Finland. The financial burden related to occupational hearing impairments includes costs of compensation, salaries of screening personnel, equipment, maintenance costs, costs resulting from loss of work for the employer and referrals to specialist clinics etc, which until now have not been calculated in Finland. Numerous questions still remain to be answered regarding the association of age, socioacousis, occupation and leisure activities with the development of sensorineural hearing impairment. Can hearing impairment acquired in childhood or in early adolescence predict the development of occupational hearing loss? What is the interactive role of such factors as ageing, chemicals, diet, environmental noise, genetic susceptibility and the individual's other diseases in the development of noise-induced hearing impairment?     

Dissociations in Perceptual Learning Revealed by Adult Age Differences in Adaptation to Time-Compressed Speech.

When presented with several time-compressed sentences, young adults' performance improves with practice. Such adaptation has not been studied in older adults. To study age-related changes in perceptual learning, the authors tested young and older adults' ability to adapt to degraded speech. First, the authors showed that older adults, when equated for starting accuracy with young adults, adapted at a rate and magnitude comparable to young adults. However, unlike young adults, older adults failed to transfer this learning to a different speech rate and did not show additional benefit when practice exceeded 20 sentences. Listeners did not adapt to speech degraded by noise, indicating that adaptation to time-compressed speech was not attributable to task familiarity. Finally, both young and older adults adapted to spectrally shifted noise-vocoded speech. The authors conclude that initial perceptual learning is comparable in young and older adults but maintenance and transfer of this learning decline with age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

New aspects in the etiopathogenesis of colorectal cancer

The paper analyzes the examination of 240 patients with alleviating pulmonary tuberculosis (follow-up group 2) and provides clinical and social characteristics of this group of patients who had poor social factors, such as a social behaviour, alcoholism, unemployment, etc. Ninety one patients had various concomitant visceral diseases. During treatment of pulmonary tuberculosis, most patients developed profound residual changes. This all requires more thorough follow-up while performing seasonal drug regimens and other prophylactic measures in Group 2 patients.     

"Age differences in psychosocial predictors of positive and negative affect: A longitudinal investigation of young, midlife, and older adults": Correction to Windsor and Anstey (2010).

Reports an error in "Age differences in psychosocial predictors of positive and negative affect: A longitudinal investigation of young, midlife, and older adults" by Tim D. Windsor and Kaarin J. Anstey (Psychology and Aging, 2010[Sep], Vol 25[3], 641-652). Contains an error in Figure 3, on page 649. The correction discusses where to find the correct data. (The following abstract of the original article appeared in record 2010-18944-009.) Research has consistently shown that despite aging-related losses, older adults have high levels of emotional well-being relative to those in young and midlife adults. We aimed to contribute to knowledge around the factors that predict emotional well-being over the life course by examining age group differences in associations of positive and negative social exchanges and mastery beliefs with positive and negative affect in a sample of 7,472 young, midlife, and older adults assessed on 2 measurement occasions, 4 years apart. Results from structural equation models indicated lower levels of negative affect with advancing age. Mastery was consistently related to higher well-being, with the strongest associations evident for young adults. Older adults reported the most frequent positive and least frequent negative social exchanges; however, associations of social relations with affect tended to be stronger among young and midlife adults relative to older adults. Results are discussed in the context of life course perspectives on goal orientations and self-regulatory processes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A call for psychotherapy integration in work with older adult patients.

Although a growing number of studies in the literature espouse the effectiveness of various therapies with elderly adults (e.g., cognitive-behavioral, reminiscence, and interpersonal therapies), little has been written about the perceived need for psychotherapy integration in clinical geropsychology. This article argues that an assimilative, integrative approach allows a practitioner to maintain a conceptual framework in one theoretical orientation while matching techniques from other orientations to elderly patients' unique situations or needs. Older adults represent a more heterogeneous group than both young and middle-aged adults, and therapists must often address special issues related to aging, such as chronic illness and social stigma. Integrative work with older adults also appears unique because interventions must often focus on the impact of the patient's immediate environment and outside systems, such as families and institutions, as well as the traditional therapist patient relationship. A case study is offered to illustrate the effective use of psychotherapy integration with an older adult in treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

False recognition effects in young and older adults' memory for text passages

Recent work has demonstrated an age-related increase in susceptibility to illusory memories; specifically, older adults make more false recognition responses to unstudied items when such items are semantically related to studied items. The majority of studies have examined false recognition for semantically associated words; the current study extends that previous work by examining false recognition effects for schematized story actions. In two experiments young and older adults studied schematized stories and were later given a recognition test for studied and unstudied story actions. Our results indicate that both age groups produced robust false recognition effects, but older adults were not more susceptible to these effects. These results suggest there are limits to the range of circumstances that yield age differences in illusory memories.