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Group‐based psycho‐educational interventions offer a cost‐effective solution to meeting the very high level of demand for psychological services in primary care. This qualitative study investigated reasons for dropout from an established psychoeducational course programme in Swindon and Wiltshire. Ninety people were followed up by telephone who had attended at least one session of a course over a three‐month period. Reasons stated for dropout were more often related to personal circumstances such as other commitments and ill health (75%), than to dissatisfaction with the courses (25%). It is concluded that providing group‐based interventions for common mental health problems is acceptable to patients in primary care and that service development should focus on making such interventions flexible and accessible to patients.

Depressive disorder has been defined by increasingly specific neurophysiological mechanisms and features during the past two decades. At the same time, depression has grown into an epidemic proportion and become a major public health problem. Consequently, the scope of depressive experience and conduct has also widened and the meaning of depression has multiplied and become equivocal. This chapter analyses how this tension is handled in current Western mental health care. The focus of the study is the role of neuroscientific views in mental health reasoning and practice. The empirical case is the mental health discussion in Finland from the late 1980s to the present day. The analysis of the historical change in understandings of depression in Finnish psychiatry and mental health care provides a view of the relevance of neuroscientific models in defining depressive illness and outlining diagnostic and treatment practices. Moreover, the analysis brings forth the relationship of neuroscientific concepts to other ways of defining depression – epidemiology, diagnostic classification, psychodynamic and other psychological theories – within clinical reasoning. A conclusion to be drawn from the analysis of the Finnish case is that neurobiological concepts of depression have only limited influence on the ways in which the disorder is conceived within the practical context of mental health care. It seems that the idea of depression as a multi-factorial disorder remains a good enough conceptual framework for clinical practice. Even the influence of neurosciences on treatment is still somewhat marginal. Within current practices of depression management, it is not the brain that is treated but risks, symptoms, and persons.

The decision to disclose an illness is a difficult choice for many individuals. Despite national laws such Americans with Disabilities Act that protect workers with disabilities from discrimination in the workplace, the stigmas around certain illnesses, fears of being judged by others using different standards, and concerns about a lack of support regardless of legal requirements are all reasons why someone may hesitate to disclose a health condition in the workplace.

Using experimentally manipulated vignettes and a combination of theories on attribution and incivility, this study explores the dangers of not disclosing a disability/condition that can lead to behaviors that will engender judgments by coworkers.

The results of the study make clear that there are social benefits to disclosing a health condition rather than concealing. The findings clearly demonstrate that attributing an individual's negative behavior to their disposition will lead to more judgments of responsibility, and less sympathy and more anger compared to behaviors that can be explained by any health reason. Furthermore, more punishment, feelings of revenge and social distancing await individuals whose negative behavior cannot be explained by health issues.

This study combines issues of health, attributions, incivility in an experimental studies that illuminates issues surround disclosing a workplace disability that go beyond the typical focus of legal questions.

An employee who is eligible to make a complaint for unfair dismissal has to prove that he has been dismissed by the employer if the employer contests that the employee has in fact been dismissed. If the dismissal is not contested, all the employee has to do is to show that he has been dismissed. This constitutes the first stage of the proceedings in an industrial tribunal.

Evidence from developed countries shows debt and bankruptcy to be correlated with medical expenditures. In Mexico, the formal financial sector does not lend for health needs. So, the solution is often found by borrowing from relatives, friends, and moneylenders, or pawning belongings after using savings, if any. Despite the recent and growing literature on income and health, and health financing, we have not come across a single study analyzing pawning and health. Our study fills this gap using a sample of 400 government owned pawnshop users from Puebla, Mexico. The findings from the study revealed that health expenditures are a significant reason for pawning and having medical insurance does not reduce the probability to pawn. Also, catastrophic health expenditures are correlated with a higher probability of not redeeming the pledge. We found that most pawnshop users have low income and losing a pledge is positively correlated with low or middle income and the number of people in the household.

This chapter summarizes the major determinants of health insurance coverage rates among young adults. Socioeconomic status, demographics, actual and perceived health status, perceived value, and perceived need are all examined in order to determine what the literature reveals regarding each variable and how each variable impacts a young adult's decision to purchase health insurance. Results indicate that socioeconomic status, demographics, perceived value, and perceived need were the most significant determinates of health insurance status of young adults. A conceptual framework is also examined and used to illustrate theoretical implications. Managerial implications for marketing health plans to young adults are also addressed. Finally, policy implications concerning the new Patient Protection and Affordable Care Act are addressed.

The purpose of this paper is to examine the trend of return migration of health professionals to Ghana and how it is impacting the delivery of health services in the country. It also highlights the challenges facing returnees to the country.

A qualitative exploratory case study approach was employed in the study. Data gathered were analysed using the sequential model of qualitative content analysis.

It was found that while push factors dominantly influence out-migration, pull factors rather dominated reasons for return migration. Other determinants of return migration include social and financial benefits to the home country, achieving goals for travelling, skills’ improvement and spousal consideration. The paper also highlights some of the challenges returnees usually encounter in the home country.

This paper makes reasonable recommendations regarding how return migration of Ghanaian health professionals might be smoother.

The study brings to the fore, the necessity for the government to plan for health professionals, who returned to Ghana to contribute to the health system.

This research aims to determine the relationship between the consumption of animal products and attitudes towards animals among university students in Eurasia.

A survey was conducted with collaborators in each country who supervised volunteers to personally invite 16,777 students to take part. The sample was composed of 3,433 students from 103 universities in 11 Eurasian countries. ANOVA was used to compare the responses. All analyses were conducted using the statistical packages Minitab 15 and SPSS 15.

A total of 47 per cent of university students avoided some meat products, 4 per cent were vegetarians and 0.4 per cent vegans. Students avoiding some meat did so principally for environmental and health reasons, and beef and lamb were the meats most likely to be avoided. Vegetarians avoided meat mainly for health reasons. Vegans had greater concern about humans using animals than vegetarians, who in turn had greater concerns than those avoiding some meat.

Avoidance of animal products was related to an increased level of concern for animal rights, animal experimentation and wildlife, with vegans demonstrating the greatest concern. This implied that students' attitudes to animal welfare and rights can affect animal product‐eating behaviours.

This study conflicts with previous studies by demonstrating that health rather than environment was a major reason for vegetarianism. The study highlights the importance of environmental, health and welfare concerns but not religion in avoidance of animal products.

This paper reports the results of a survey of information needs and information seeking behaviour of a national sample of the UK population. The project was funded by the BLR&IC and comprised a survey by questionnaire covering all regions of the United Kingdom. 1,294 responses were received giving a valid and demographically representative response rate of 45.7 per cent. Major findings include: that the majority of respondents had sought information in the past (59.4 per cent) and that an even greater number predicted a future need for information (78.4 per cent). Over three quarters of respondents said that they would use public libraries and between half and three quarters would approach CABx, post offices, government departments or family and friends. Face to face communications and reading a book were the most popular means of accessing information but a wide variety of other preferred options were cited. Only a small proportion expressed a preference for using a computer to seek information and there was a clear emphasis on public libraries as an appropriate location for accessing computerised information. A highly significant majority (79.2 per cent) believed that access to information was very important for exercising their rights as citizens. Many significant variables, in terms of age, gender, status and region were found. In particular it was felt significant that young people were less sure of the importance of being able to access information.

There is unprecedented interest by consumers to improve health and wellness through dietary means. This first study conducted in Trinidad, West Indies, aims to examine the exercise enthusiasts’ perceptions, choices, reasons and beliefs of functional foods.

A structured questionnaire was administered to 120 randomly chosen exercise/fitness enthusiasts at six gyms located in East and Central regions.

Only 50.5 per cent had heard of at least one term either “functional” or “nutraceutical” or “designer” foods with the most familiar term (34.3 per cent; p<0.05) being “functional”. Frequency of exercise (p<0.01) and age (p<0.05) were influential factors affecting familiarity to functional term. Tomatoes (89.5 per cent) and cabbages (83.2 per cent) were popular vegetable choices. Energy giving was selected as most (71.6 per cent; p<0.05) important health claim. The perceived benefit of functional foods was more for performance enhancement rather than for health. Functional foods were considered expensive (47.4 per cent), prevented disease (46.3 per cent), necessary for older people (37.9 per cent) and were different from others. On comparing the respondent's agreement of manufacturer's health claims of functional foods with their own beliefs, 39.0 per cent “agreed/strongly agreed” that the manufacturers exaggerated their health claims. Gender did not (p>0.05) influence responses.

Although, limited in sample size, the reasons given for consumption of functional foods and the chosen foods could guide marketers and food product developers. The study highlighted the need for public education on the health benefits and regulatory measures on functional foods.