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Book part
Publication date: 10 August 2017

Magdalena Szaflarski, Shawn Bauldry, Lisa A. Cubbins and Karthikeyan Meganathan

This study investigated disparities in dual diagnosis (comorbid substance use and depressive/anxiety disorders) among US adults by nativity and racial–ethnic origin and…

Abstract

This study investigated disparities in dual diagnosis (comorbid substance use and depressive/anxiety disorders) among US adults by nativity and racial–ethnic origin and socioeconomic, cultural, and psychosocial factors that may account for the observed disparities.

The study drew on data from two waves of the National Epidemiological Survey on Alcohol and Related Conditions. Racial–ethnic categories included African, Asian/Pacific Islander, European, Mexican, Puerto Rican, and other Hispanic/Latino. Substance use and depressive/anxiety disorders were assessed per DSM-IV. A four-category measure of comorbidity was constructed: no substance use or psychiatric disorder; substance use disorder only; depressive/anxiety disorder only; and dual diagnosis. The data were analyzed using multinomial logistic regression.

The prevalence of dual diagnosis was low but varied by nativity, with the highest rates among Europeans and Puerto Ricans born in US states, and the lowest among Mexicans and Asians/Pacific Islanders. The nativity and racial–ethnic effects on likelihood of having dual diagnosis remained significant after all adjustments.

The limitations included measures of immigrant status, race–ethnicity, and stress and potential misdiagnosis of mental disorder among ethnic minorities.

This new knowledge will help to guide public health and health care interventions addressing immigrant mental and behavioral health gaps.

This study addressed the research gap in regard to the prevalence and correlates of dual diagnosis among immigrants and racial–ethnic minorities. The study used the most current and comprehensive data addressing psychiatric conditions among US adults and examined factors rarely captured in epidemiologic surveys (e.g., acculturation).

Details

Health and Health Care Concerns Among Women and Racial and Ethnic Minorities
Type: Book
ISBN: 978-1-78743-150-8

Keywords

Book part
Publication date: 30 August 2019

Fernando I. Rivera, Kristine M. Molina and Ethel Nicdao

To investigate the association between subjective dimensions of socioeconomic status and psychological distress, paying particular attention to Latino subgroup differences.

Abstract

Purpose

To investigate the association between subjective dimensions of socioeconomic status and psychological distress, paying particular attention to Latino subgroup differences.

Methodology/Approach

We used data from the Latino sample (N = 2,554) of the National Latino and Asian American Study (NLAAS). For our main analyses, we conducted a series of weighted multivariable linear regressions.

Findings

The results showed that subjective social status was associated with reduced psychological distress.

Research Limitations/Implications

There are several key study limitations that warrant consideration. Chiefly, data utilized were cross-sectional; thus, it is unclear whether subjective socioeconomic status (SES) precedes or follows psychological distress.

Originality/Value of Paper

Overall, our study makes several contributions to the sociological study of mental health differentials among Latinos. We show the importance of the association between subjective SES indicators and psychological distress. We also demonstrate how the associations analyzed in this study varied by Latino subethnicity, which we argue is an important step to fully understand the different social processes associated with the mental health of different Latina/o groups.

Details

Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials
Type: Book
ISBN: 978-1-83867-055-9

Keywords

Book part
Publication date: 29 December 2023

Nirupama Patwardhan

The foremost objective of this chapter was to present an overview of the cooperative healthcare sector in Argentina by reviewing its brief history, components and the role these…

Abstract

The foremost objective of this chapter was to present an overview of the cooperative healthcare sector in Argentina by reviewing its brief history, components and the role these healthcare cooperatives play in the society. The second objective was to look at how these cooperatives have helped women and the local communities in which they operate.

This paper has used chiefly secondary data derived from various academic papers and official and government websites which publish cooperative sector-related information. The intention was to construct a concise yet detailed study that would be of help to other researchers in the field of healthcare cooperatives since the data related to Argentina is highly scattered and frequently found not up to date.

The research has found that health cooperatives in Argentina have aided in overcoming problems in the sector such as sectoral fragmentation, negligence and frequently inadequate standards of care management as well as operational and implementation failures that the private and government healthcare players have been accused of being fraught with. Furthermore, the cooperatives have frequently played a complementary or supplementary role rather than a competitive one with the private and government players.

Through the examples presented in this chapter, it is evident that health cooperatives in Argentina are making large impacts in the healthcare domain along with positively impacting women, marginalised and vulnerable sections of the society and the community. It only remains to be seen now how far this sector will grow in the future and how many more lives will be benefitted.

Details

World Healthcare Cooperatives: Challenges and Opportunities
Type: Book
ISBN: 978-1-80455-775-4

Keywords

Book part
Publication date: 29 March 2022

Anas Alomaim and Dana Alhasan

The integration of religion and democracy in the Kuwait National Assembly (KNA) produced definitions of democracy distinct from others in the region as well as from Kuwait's own…

Abstract

The integration of religion and democracy in the Kuwait National Assembly (KNA) produced definitions of democracy distinct from others in the region as well as from Kuwait's own national history. The uniqueness of Kuwait's democracy in the Arabian Peninsula is primarily due to the establishment of its parliament and constitution, which make it a constitutional rather than an absolute monarchy. The development of Kuwait's democracy relied heavily on the construction of its monumental national assembly building, designed to mix symbols of democracy as understood in Western discourse (see, for instance, the columniation inspired by the Greek Pantheon) with images inspired by local elements (like the tent): this combination allows the building to produce an image of democracy and independence that resonates with local as well as international populations.

The initial plan for the development of a national assembly building in Kuwait included a mosque that would have become part of the assembly complex. The mosque building was later replaced by a prayer hall inside the KNA building, and at the same time a decision to build a state mosque in a different location within the old city of Kuwait was confirmed. The separation of the two structures can be read, at first glance, as an important symbolic action expressing the separation of the church and state; yet an in-depth analysis of the KNA's design suggests different conclusions. This chapter explores how the design of the KNA building is apparently rooted in universal laws of spirituality and religion; on a related note, the tent-inspired building reveals a reliance on ancient religious traditions and proportions.

Details

Re-Imagining Spaces and Places
Type: Book
ISBN: 978-1-80071-737-4

Keywords

Content available
Book part
Publication date: 8 September 2022

Stephen Turner

Abstract

Details

Mad Hazard
Type: Book
ISBN: 978-1-80382-670-7

Book part
Publication date: 19 July 2023

Alessia Bruzzo and Enrico Ivaldi

The real estate market shows a number of distinctive features that are yet to be clearly understood at the theoretical level, because of the extreme complexity of its nature of…

Abstract

The real estate market shows a number of distinctive features that are yet to be clearly understood at the theoretical level, because of the extreme complexity of its nature of both financial instrument and mere commodity. Moreover, as we know, a long lasting speculative bubble in the housing market was one of the main causes of the great recession. The aim of this chapter is to generate an index to explain how inclusive contextual factors influence the price level of real estate in Genoa, Italy. The authors use the non-parametric methodologies of factor analysis and cluster analysis. The results of the analysis suggest that most of the variability in the fluctuation of the average price of properties is strictly connected to the features of the reference context (such as neighbourhood prestige, type and level of education of residents, access to services, etc.). However, the percentage of unjustified price variability is assumed to refer to the incidence of the intrinsic variables of the estate assets.

Details

Inclusive Developments Through Socio-economic Indicators: New Theoretical and Empirical Insights
Type: Book
ISBN: 978-1-80455-554-5

Keywords

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