Social context and psychosocial influences on blood pressure among American Samoans

This study explores social and economic influences on health within a model formulated to address explicitly both individual and household level phenomena. Dressler's lifestyle incongruity model is used as a basis from which to predict the effects of intracultural contexts of variability on blood pressure. The sample for this survey consists of 134 Samoan men and women living in American Samoa. Based on previous experience and ethnographic sources, two key intracultural contexts were examined: gender, i.e., male-female differences in response to psychosocial stress, and household employment as indicated by whether or not both spouses in a household are employed. Our analysis indicates that lifestyle incongruity, defined as the difference between the material culture presented by a household and the economic resources of the family, is significantly associated with both systolic and diastolic blood pressure. Furthermore, males and females show opposite blood pressure associations with both lifestyle incongruity (male blood pressure increases with increasing incongruity while female blood pressure does not) and household employment (male blood pressure is higher when both spouses work but female blood pressure is lower). Am J Phys Anthropol 103:7–18, 1997. © 1997 Wiley-Liss, Inc.     

Lifestyle incongruity,stress and immune function in indigenous Siberians: The health impacts of rapid social and economic change

The purpose of this study was to investigate the impact of economic and cultural change on immune function and psychosocial stress in an indigenous Siberian population. We examined Epstein‐Barr virus antibodies (EBV), an indirect biomarker of cell‐mediated immune function, in venous whole blood samples collected from 143 Yakut (Sakha) herders (45 men and 98 women) in six communities using a cross‐sectional study design. We modeled economic change through the analysis of lifestyle incongruity (LI), calculated as the disparity between socioeconomic status and material lifestyle, computed with two orthogonal scales: market and subsistence lifestyle. EBV antibody level was significantly negatively associated with both a market and a subsistence lifestyle, indicating higher cell‐mediated immune function associated with higher material lifestyle scores. In contrast, LI was significantly positively associated with EBV antibodies indicating lower immune function, and suggesting higher psychosocial stress, among individuals with economic status in excess of material lifestyle. Individuals with lower incongruity scores (i.e., economic status at parity with material resources, or with material resources in excess of economic status) had significantly lower EBV antibodies. The findings suggest significant health impacts of changes in material well‐being and shifting status and prestige markers on health during the transition to a market economy in Siberia. The findings also suggest that relative, as opposed to absolute, level of economic status or material wealth is more strongly related to stress in the Siberian context. Am J Phys Anthropol, 2009. © 2008 Wiley‐Liss, Inc.     

Arterial Blood Pressure and Modernization in Brazil

The relationship between individual modernization and elevated arterial blood pressure was examined in a study in urban Brazil. We hypothesized that elevated blood pressure would result from the discrepancy between an individual's style of life and his or her economic resources; specifically, we suggested that when modern life-style acquisition exceeded economic resources, a circumstance referred to as "life-style stress," blood pressure would be elevated. This factor was related to diastolic, but not systolic, blood pressure, independently of a variety of biologic, dietary, and sociocultural confounding factors. The perceived change associated with life events also predicted diastolic, but not systolic, blood pressure. Other predictors of diastolic blood pressure were calcium intake, fat intake, race, age, and the body mass index. We argue that sociocultural risk factors emerge in the modernization process as a result of social structural imbalances generated by economic development and represent independent risk factors for elevated arterial blood pressure.     

How City Dwellers Affect Their Resource Hinterland

This article links databases on household consumption, industrial production, economic turnover, employment, water use, and greenhouse gas emissions into a spatially explicit model. The causal sequence starts with households demanding a certain consumer basket. This demand requires production in a complex supply-chain network of interdependent industry sectors. Even though the household may be confined to a particular geographical location, say a dwelling in a city, the industries producing the indirect inputs for the commodities that the household demands will be dispersed all over Australia and probably beyond. Industrial production represents local points of economic activity, employment, water use, and emissions that have local economic, social, and environmental impacts. The consumer basket of a typical household is followed in Australia's two largest cities—Sydney and Melbourne—along its upstream supply chains and to numerous production sites within Australia. The spatial spread is described by means of a detailed regional interindustry model. Through industry-specific emissions profiles, industrial production is then translated into local impacts. We show that annually a typical household is responsible for producing approximately 80 tonnes of greenhouse gas emissions, uses around 3 million liters of water, causes about A$140,000 to circulate in the wider economy, and provides labor worth just under three full-time employment-years. We also introduce maps that visually demonstrate how a very localized household affects the environment across an entire continent. Our model is unprecedented in its spatial and sectoral detail, at least for Australia.     

The flower children of Sudbury: A note on social work services for a counterculture population

Abstract

Interviews were held with a stratified random sample of heads of households (and/ or their spouses) in metropolitan Madras to obtain information on social class identification, height and weight of self and spouse, and other socioeconomic characteristics of the household and of the parents. Social class is found to be weakly but positively correlated with height and ponderal index and is found to be moderately but positively correlated with weight, with age held constant. The social class differences are related to variations among them in ethnic and biological inheritance, the wholesomeness of the household (nutrition, sanitation, and health care), and the value placed on kinds of foodstuffs.     

Prevalence of Obesity and Associated Risk Factors in a Turkish Population (Trabzon City,Turkey)

Objective: To estimate the prevalence of overweight and obesity (general and central) in the Trabzon Region and its associations with demographic factors (age, sex, marital status, reproductive history in women, and level of education), socioeconomic factors (household income and occupation), family history of selected medical conditions (diabetes, hypertension, and obesity), lifestyle factors (smoking habits, physical activity, and alcohol consumption), and hypertension in the adult population. Research Methods and Procedures: A sample of households was systematically selected from the central province of Trabzon and its five towns, namely, Sürmene, Vakfikebir, Maçka, Hayrat, and Tonya. A total of 5016 subjects (2728 women and 2288 men) were included in the study. Individuals more than 20 years old were selected from their family health cards. Demographic factors, socioeconomic factors, family history of selected medical conditions, and lifestyle factors were obtained for all participants. Systolic blood pressure and diastolic blood pressure levels were measured for all subjects. Study procedures were carried out in the local health centers in each town over an 8‐month period. Obesity was defined as BMI ≥ 30 kg/m² and overweight as BMI = 25.0 to 29.9 kg/m². Results: The prevalence of obesity was 23.5%: 29.4% in women and 16.5% in men. The combined prevalence of both overweight and obesity was 60.3%. The prevalence of abdominal obesity was 29.4%: 38.9% among women and 18.1% among men. The prevalence of obesity increased with age, being highest in the 60‐ to 69‐year‐old age group (40.8%) but lower again in the 70+ age group. Obesity was associated positively with marital status, parity, cessation of cigarette smoking, alcohol consumption, and household income and inversely with level of education, cigarette use, and physical activity. Also, obesity was associated positively with hypertension. Discussion: In the Trabzon Region, 60.3% of the adult population presents with some excess weight. Obesity is a major public health problem that requires generalized interventions to prevent it among the adult population.     

Characterization of Households and its Implications for the Vegetation of Urban Ecosystems

Our understanding of the dynamics of urban ecosystems can be enhanced by examining the multidimensional social characteristics of households. To this end, we investigated the relative significance of three social theories of household structure—population, lifestyle behavior, and social stratification—to the distribution of vegetation cover in Baltimore, Maryland, USA. Our ability to assess the relative significance of these theories depended on fine-scale social and biophysical data. We distinguished among vegetation in three areas hypothesized to be differentially linked to these social theories: riparian areas, private lands, and public rights-of-way (PROWs). Using a multimodel inferential approach, we found that variation of vegetation cover in riparian areas was not explained by any of the three theories and that lifestyle behavior was the best predictor of vegetation cover on private lands. Surprisingly, lifestyle behavior was also the best predictor of vegetation cover in PROWs. The inclusion of a quadratic term for housing age significantly improved the models. Based on these research results, we question the exclusive use of income and education as the standard variables to explain variations in vegetation cover in urban ecological systems. We further suggest that the management of urban vegetation can be improved by developing environmental marketing strategies that address the underlying household motivations for and participation in local land management.     

Social,Economic, and Resource Predictors of Variability in Household Air Pollution from Cookstove Emissions

We examine if social and economic factors, fuelwood availability, market and media access are associated with owning a modified stove and variation in household emissions from biomass combustion, a significant environmental and health concern in rural India. We analyze cross-sectional household socio-economic data, and PM_2.5 and particulate surface area concentration in household emissions from cookstoves (n = 100). This data set combines household social and economic variables with particle emissions indexes associated with the household stove. The data are from the Foundation for Ecological Society, India, from a field study of household emissions. In our analysis, we find that less access to ready and free fuelwood and higher wealth are associated with owning a replacement/modified stove. We also find that additional kitchen ventilation is associated with a 12% reduction in particulate emissions concentration (p<0.05), after we account for the type of stove used. We did not find a significant association between replacement/modified stove on household emissions when controlling for additional ventilation. Higher wealth and education are associated with having additional ventilation. Social caste, market and media access did not have any effect on the presence of replacement or modified stoves or additional ventilation. While the data available to us does not allow an examination of direct health outcomes from emissions variations, adverse environmental and health impacts of toxic household emissions are well established elsewhere in the literature. The value of this study is in its further examination of the role of social and economic factors and available fuelwood from commons in type of stove use, and additional ventilation, and their effect on household emissions. These associations are important since the two direct routes to improving household air quality among the poor are stove type and better ventilation.     

The influence of basal metabolic rate on blood pressure among indigenous Siberians

Hypertension is an important global health issue and is currently increasing at a rapid pace in most industrializing nations. Although a number of risk factors have been linked with the development of hypertension, including obesity, high dietary sodium, and chronic psychosocial stress, these factors cannot fully explain the variation in blood pressure and hypertension rates that occurs within and between populations. The present study uses data collected on adults from three indigenous Siberian populations (Evenki, Buryat, and Yakut [Sakha]) to test the hypothesis of Luke et al. (Hypertension 43 (2004) 555-560) that basal metabolic rate (BMR) and blood pressure are positively associated independent of body size. When adjusted for body size and composition, as well as potentially confounding variables such as age, smoking status, ethnicity, and degree of urbanization, BMR was positively correlated with systolic blood pressure (SBP; P < 0.01) and pulse pressure (PP; P < 0.01); BMR showed a trend with diastolic blood pressure (DBP; P = 0.08). Thus, higher BMR is associated with higher SBP and PP; this is opposite the well-documented inverse relationship between physical activity and blood pressure. If the influence of BMR on blood pressure is confirmed, the systematically elevated BMRs of indigenous Siberians may help explain the relatively high blood pressures and hypertension rates documented among native Siberians in the post-Soviet period. These findings underscore the importance of considering the influence of biological adaptation to regional environmental conditions in structuring health changes associated with economic development and lifestyle change.     

Higher insulin, triglycerides, and blood pressure with greater trunk fat in Tanner 1 Chinese

Objective: The aims of this study were to investigate the body fat distribution pattern in prepubertal Chinese children and to investigate the relationship between central fat distribution and specific biomarkers of cardiovascular disease. Research Methods and Procedures: The study was conducted in an urban Mainland Chinese (Jinan, Shandong) sample of children using a cross‐sectional design. Pubertal status was determined by Tanner criteria. Measurements included weight, height, waist circumference, DXA measures of total body fat and trunk fat; fasting serum measures of glucose, insulin, triglyceride, cholesterol, high‐density lipoprotein‐cholesterol; and systolic and diastolic blood pressure. Multiple regression models were developed with the biomarkers of cardiovascular risk factor as the dependent variables, and adjustments were made for significant covariates, including sex, age, height, weight, waist circumference, total body fat, trunk fat, and interactions. Results: A total of 247 healthy prepubertal subjects were studied. After co‐varying for age, weight, height, and extremity fat (the sum of arm fat and leg fat), girls had greater trunk fat than boys (p < 0.0001, R² for model = 0.95). Insulin and triglyceride were positively related to central fat measured by DXA‐trunk fat (p < 0.05) but not related to the waist circumference. In the blood pressure model, waist circumference was a significant predictor of both systolic blood pressure and diastolic blood pressure, while DXA‐trunk fat was associated with diastolic blood pressure only. Significant interactions between sex and trunk fat, and sex and total fat, were found in relation to diastolic blood pressure. Discussion: In prepubertal Chinese children, greater trunk fat was significantly associated with higher insulin and triglyceride in boys and girls and was associated with higher diastolic blood pressure in boys only.     

Low-density lipoprotein receptor-related protein 5 variant A1330V is a determinant of blood pressure in Japanese males

We examined the influence of the A1330V variant in the low-density lipoprotein receptor-related protein 5 gene on blood pressure in a large cohort of Japanese workers. This study used analysis of covariance in a multivariate general linear model to adjust for other potential factors such as age, body mass index, blood chemistry and lifestyle. The target subjects were 1440 males and 1169 females selected from 3834 male and 2591 female workers in a single company. Hypertension was defined as systolic blood pressure >or=140 mm Hg and/or diastolic blood pressure >or=90 mm Hg or the use of antihypertensive medications. Genotype distributions for A1330V in hypertensive males (AA=139(54.5%), AV=101(39.6%), VV=15(5.9%)) and females (AA=48(63.2%), AV=24(31.6%), VV=4(5.3%)) were not significantly different from normotensive males (AA=594(50.1%), AV=488(41.2%), VV=103(8.7%)) and females (AA=568(52.0%), AV=441(40.3%), VV=84(7.7%)). Allele distributions were not significantly different in either sex. In males, analysis of covariance showed that the VV genotype was associated with a 2.5 mm Hg lower diastolic blood pressure and a 2.3 mm Hg lower mean blood pressure than the AA genotype. This study indicates that the 1330V allele is an independent factor for lower diastolic and mean blood pressure in Japanese males.     

Blood pressure trends and hypertension among rural and urban Jat women of Haryana, India

Hypertension is an important public health problem and the major causes of cardiovascular morbidity and mortality among aged and elderly population in India. The present study is an attempt to assess age related trends of blood pressure and prevalence of hypertension in rural and urban women as well as correlation of blood pressure with obesity indicators (WC, BMI, and WHR). Data for present cross-sectional study were collected by purposive sampling method from six hundred Jat women (300 rural and 300 urban), aged 40 to 70 years. Karl Pearson's correlation coefficient (r) was employed to find the relationship between blood pressure and obesity indicators. The results revealed an age associated increase in mean values of systolic and diastolic blood pressure in rural and urban women. Urban women showed significantly higher overall mean value of systolic (mm of Hg) (133.93 vs. 130.79, p < 0.001), diastolic blood pressure (mm of Hg) (84.34 vs. 82.81, p < 0.01) and pulse rate (81.72 +/- 6.27 vs. 80.94 +/- 9.06, p > 0.05) as compared to rural women. The overall prevalence of hypertension was found to be 9% in rural and 26.66% in urban women as per JNC VII criteria. Increased prominence of hypertension among urban Jat women may be attributed to their modern lifestyle having more stress, less manual work and faulty dietary habits. There was a very low awareness of hypertension in the rural subjects (37%) than their urban (72%) counterparts. Rural and urban women revealed a positive and significant association of systolic blood pressure with body mass index, whereas only urban women displayed positive correlation of waist circumference with systolic (r = 0.183**) and diastolic (r = 0.151**) blood pressure.     

Transnational Migration in Rural Oaxaca, Mexico: Dependency, Development, and the Household

Contradictory models of dependency and development have dominated the discussion of migration between Mexico and the United States. Transnational models of migration resolve these contradictions by defining a series of interdependencies (economy and society, for example). Using data collected in a rural Zapotec community in Oaxaca, Mexico, this article focuses on three areas: the stage-specific development of transnational movement; the domestic cycle, household decision making, and migration/remittance outcomes; and the changing nature of community participation. Rooting the discussion in household decision making captures the important role local social variability and economic dynamism play in understanding transnational processes and advancing migration studies. [ households, migration, transnationalism, dependency and development, Oaxaca, Mexico ]     

Blood pressure in a national birth cohort at the age of 36 related to social and familial factors,smoking, and body mass.

Blood pressure was measured in a birth cohort of 5362 subjects at the age of 36. The prevalence of hypertension in men (blood pressure greater than 140/90 mm Hg) was almost twice that in women, although women received treatment more often. Deaths of fathers of subjects from hypertensive and ischaemic heart disease were associated with significantly higher mean systolic and diastolic pressures in both sexes. Cigarette smoking was not strongly associated with blood pressure in men and not associated at all in women. Of the social factors, low social class of family of origin was associated with high blood pressure in both sexes; but the strongest association was with current body mass, and birth weight also contributed. Differences in blood pressures between the sexes may have been related to protective biological factors, such as endogenous sex hormones, in women and also to differences in types of employment, smoking habits, and body mass. Differences in blood pressures related to the social class of family of origin may reflect long term influences of class differences on diet, exercise, and educational achievement. The importance of measuring secular trends in obesity and blood pressures is emphasised.     

Herero households

We describe details of Herero residential units and discuss the meaning of household among Herero ranchers of northwestern Botswana and conclude that there is no single meaningful household. Rather there is a dual system of local social units. From the male perspective, a household is a hamlet with the associated herd and huts or hut clusters within it. From the female perspective, a household is a hut or hut cluster with dependent children that she maintains and manages. There have been dramatic social and economic changes in this century. Herero were destitute refugees from a genocidal war in 1904, while today they are one of the wealthiest groups in the region. They suffered from infertility before antibiotics became available around 1960, so that the TFR has changed from about 2.7 to 7.0 in the last three decades. We discuss the effects of these changes on local organization.     

Association between stress and blood pressure variation in a Caribbean population

Based on the work of Selye (The Stress of Life, New York: McGraw-Hill, 1976) it is hypothesized that stress can produce physiological abnormalities, i.e., elevated blood pressure, and that social variables can be used as indicators or risk factors for disease. It is theorized that deviations from acceptable social patterns or traditional life-styles can produce stressful conditions that are associated with disease and that these situations can be demonstrated by examination of certain social characteristics. This association is examined among the Black Caribs of St. Vincent, West Indies. The social variables included in this analysis are marital status (single, married, widowed, or separated), frequency of church attendance (frequently, sometimes, seldom, or never), years of education, and number of children (for women only). The findings show that single individuals have higher pressures than married subjects and that males who never attend church have higher pressures than men who frequently attend church; a relationship was not demonstrated for females. Among males, as the years of education increased, blood pressure also increased, but for females, increased education was associated with lower pressures. Family size was not associated with systolic or diastolic pressure. The analysis of these selected social variables suggests that these variables influence male systolic and diastolic pressures, but only female diastolic pressure.     

Oxytocin,testosterone, and human social cognition

I describe an integrative social‐evolutionary model for the adaptive significance of the human oxytocinergic system. The model is based on a role for this hormone in the generation and maintenance of social familiarity and affiliation across five homologous, functionally similar, and sequentially co‐opted contexts: mothers with offspring, female and male mates, kin groups, individuals with reciprocity partners, and individuals within cooperating and competing social groups defined by culture. In each situation, oxytocin motivates, mediates and rewards the cognitive and behavioural processes that underlie the formation and dynamics of a more or less stable social group, and promotes a relationship between two or more individuals. Such relationships may be positive (eliciting neurological reward, reducing anxiety and thus indicating fitness‐enhancing effects), or negative (increasing anxiety and distress, and thus motivating attempts to alleviate a problematic, fitness‐reducing social situation). I also present evidence that testosterone exhibits opposite effects from oxytocin on diverse aspects of cognition and behaviour, most generally by favouring self‐oriented, asocial and antisocial behaviours. I apply this model for effects of oxytocin and testosterone to understanding human psychological disorders centrally involving social behaviour. Reduced oxytocin and higher testosterone levels have been associated with under‐developed social cognition, especially in autism. By contrast, some combination of oxytocin increased above normal levels, and lower testosterone, has been reported in a notable number of studies of schizophrenia, bipolar disorder and depression, and, in some cases, higher oxytocin involves maladaptively ‘hyper‐developed’ social cognition in these conditions. This pattern of findings suggests that human social cognition and behaviour are structured, in part, by joint and opposing effects of oxytocin and testosterone, and that extremes of such joint effects partially mediate risks and phenotypes of autism and psychotic‐affective conditions. These considerations have direct implications for the development of therapies for alleviating disorders of social cognition, and for understanding how such disorders are associated with the evolution of human cognitive‐affective architecture.     

Why Do People Laugh during Dog–Human Play Interactions?

Given that human laughter has been posited to signal playfulness to dogs, nonserious social incongruity, and positive affect, laughter should occur during incongruous contexts in an affectively positive, nonserious social activity such as dog–human play. A total of 116 laughs in relation to dogs were discerned on videotapes of 46 dog–human play interactions in the US, 23 with familiar and 23 with unfamiliar pairs. Laughter occurred during 61% of interactions, and always expressed positive affect. Contexts in which laughter occurred (in decreasing frequency) were failure of the dog during play, or to play at all or as the person wanted; exaggerated or unexpected engagement by the dog; excretion; unexpected success by the dog in obtaining an object; and, once, threat from the dog. Laughter never induced play, and usually occurred when a dog was not playing. Women laughed more than men, especially for a male audience when playing with their own dog. In all contexts, participants experienced incongruous events; contexts were nonserious, except for the dog's threat, where laughter signaled friendliness. These data are largely consistent with laughter signaling positive affect and awareness of (usually nonserious) social incongruity, and inconsistent with laughter signaling playfulness to dogs.     

Domestic Transitions, Desiccation, Agricultural Intensification, and Livelihood Diversification among Rural Households on the Central Plateau, Burkina Faso

ABSTRACT   Understanding how and why domestic groups alter their function and form has long been a theme within anthropology. Numerous accounts have detailed the processes that drive household transformations and their underlying mechanisms. Mostly, these studies describe how domestic groups fission and fuse between extended and nuclear forms. In recent years, scholars have emphasized that these transformations should be understood within larger contexts of social and environmental change. Mossi communities on the Central Plateau of Burkina Faso provide an excellent opportunity to explore such processes because the large extended households documented 30 years ago were predicted to decline and eventually disappear. In this study, I examine dynamics of household transformations and test the validity of this prediction. I use perspectives from sustainability science and computer-simulation modeling to understand how regional desiccation, agricultural intensification, and livelihood diversification articulate with domestic transitions.     

Steppe Generosity: Kinship,social reputations,and perceived need drive generous giving in a non-anonymous allocation game among Mongolian pastoral nomads

This study explores generosity among Mongolian pastoral nomads using a recipient identity-conditioned heuristic (RICH) allocation game in which study participants could allocate experimental funds among themselves and non-anonymous individuals in their local community. Allocation games were conducted with a sample of forty-six male and female pastoral household heads in Tosontsengel, Mongolia. Results indicate there were positive relationships between players' social reputations for being hardworking, skilled pastoralists, and generous and the amount of money they received from others. Players also gave more money to kin than non-kin. The results also indicate that players' allocation decisions were driven primarily by kinship and players' assessment of others' relative need.