Socioeconomic position in childhood and adulthood and insulin resistance: cross sectional survey using data from British women's heart and health study

ObjectiveTo assess the associations between childhood and adulthood social class and insulin resistance.DesignCross sectional survey.Setting23 towns across England, Scotland, and Wales.Participants4286 women aged 60-79 years.ResultsBelonging to manual social classes in childhood and in adulthood was independently associated with increased insulin resistance, dyslipidaemia, and general obesity. The association between childhood social class and insulin resistance was stronger than that for adult social class. The effect, on insulin resistance and other risk factors, of belonging to a manual social class at either stage in the life course was cumulative, with no evidence of an interaction between childhood and adult social class. Women who were in manual social classes in childhood remained at increased risk of insulin resistance, dyslipidaemia, and obesity—even if they moved into non-manual social classes in adulthood—compared with women who were in non-manual social classes at both stages.ConclusionsAdverse social circumstances in childhood, as well as adulthood, are strongly and independently associated with increased risk of insulin resistance and other metabolic risk factors.

What is already known on this topic

Poor childhood social circumstances are, independently of adult social circumstances, associated with increased cardiovascular disease riskThey are associated with some components of the insulin resistance syndrome, and adverse childhood environmental factors, possibly poor nutrition, may lead to insulin resistance and to adult cardiovascular diseaseEvidence on the association between childhood social circumstances and insulin resistance in adulthood, and between childhood social circumstances and cardiovascular disease risk factors in women, is scarce

What this study adds

Belonging to manual social classes in childhood and in adulthood is independently associated with increased insulin resistance, dyslipidaemia, and obesity in older womenWomen who were in manual social classes in childhood remained at increased risk of insulin resistance, dyslipidaemia, and obesity, even if they had moved into non-manual social classes in adulthood     

Vocal Repertoire of Cebus capucinus: Acoustic Structure, Context, and Usage

Researchers studying nonhuman primate vocal repertoires suggest that convergent environmental, social, and motivational factors account for intra- and interspecific vocal variation. We provide a detailed overview of the vocal repertoire of white-faced capuchins, including acoustic analyses and contextual information of vocal production and vocal usage by different age-sex classes in social interactions. The repertoire is a mixture of graded and discrete vocalizations. In addition, there is general support for structural variation in vocalizations with changes in arousal level. We also identified several combined vocalizations, which might represent variable underlying motivations. Lastly, by including data on the social contexts and production of vocalizations by different age-sex classes, we provide preliminary information about the function of vocalizations in social interactions for individuals of different rank, age, and sex. Future studies are necessary to explore the function of combined vocalizations and how the social function of vocalizations relate to their acoustic structure, because social use of vocalizations may play an important role in shaping vocal evolution.     

Clustering of risk factors and social class in childhood and adulthood in British women's heart and health study: cross sectional analysis

Objective To examine co-occurrence and clustering of risk factors used in the Framingham equation by social class in childhood and adult life.Design Cross sectional study.Setting 23 towns across England, Wales, and Scotland.Participants 2936 women aged 60-79 years.Main outcome measures Prevalence of risk factors (hypertension, obesity, smoking, left ventricular hypertrophy on electrocardiography, diabetes, and low concentration of high density cholesterol); ratios of observed to expected frequencies of clusters of risk factors.Results Risk factors were more common in women from manual social classes in either childhood or adult life, and the co-occurrence of three or four of these risk factors was greater among more disadvantaged groups. Within the four socioeconomic groups, these risk factors occurred together more than would be expected from their individual frequency distributions, indicating that they were clustered. The extent of this clustering was similar in all four social class groups.Conclusions Clustering of risk factors included in the Framingham risk function occurs in all social class groups, but the lack of social patterning makes it unlikely that clustering is an explanation of socioeconomic inequalities in cardiovascular disease. As the proportion of women with co-occurrence of risk factors is greatest in those from manual social class in childhood, this measure of socioeconomic position might prove useful in risk prediction.     

Factors Affecting Work Load in General Practice—II

The second part of a survey studying factors that affect a general practitioner''s work load considers the effects of age, sex, social class and time on list. Women, the old, and the young created the most work for the doctor and his paramedical team. Patients in the lower social classes also generated more work, even though a larger proportion of the higher social classes used the resources of the general practice—and more fully. Newly-registered patients generated slightly more work than the more permanent residents. Not only the size of a doctor''s list, therefore, but also the demographic features of the community should be taken into account in determining the size and structure of the general-practice team needed for an area.     

Dropout typologies: Relating profiles of risk and support to later educational re-engagement

A large body of work has examined factors that push and pull youth to drop out. However, a relatively minimal amount of work has examined whether and how these factors cluster in individuals’ lives preceding or concurrent to leaving school. This study used Latent Class Analysis with a national sample (N?=?1,942) to examine how push, pull, and protective experiences clustered in the lives of individuals who left high school without graduating. Then, we asked how the resultant classes differentially predicted youth re-engagement in educational endeavors. We identified three classes: youth with the presence of protective factors and absence of push/pull factors (Quiet Dropouts), youth with the presence of protective factors and an abundance of push/pull factors (High Adversity), and youth with the presence of instability in factors related to social relationships and school or housing (Instability). Results indicated each profile differentially predicted youths’ re-engagement in education and achievement of educational outcomes.     

Childhood eczema: disease of the advantaged?

OBJECTIVE--To determine whether the increased prevalence of childhood eczema in advantaged socioeconomic groups is due to increased parental reporting. DESIGN--Comparison of parental reports of eczema with visible eczema recorded by medical officers during a detailed physical examination. SETTING--National birth cohort study. SUBJECTS--8279 children from England, Wales, and Scotland born during 3-9 March 1958 and followed up at the ages of 7, 11, and 16. MAIN OUTCOME MEASURES--Prevalence of eczema according to parental report compared with medical officer''s examination at the ages of 7, 11, and 16. RESULTS--Prevalence of both reported and examined eczema increased with rising social class at the ages of 7, 11, and 16 years. The point prevalence of examined eczema at age 7 was 4.8%, 3.6%, 3.6%, 2.4%, 2.2%, and 2.4% in social classes I, II, III non-manual, III manual, IV, and V respectively (chi 2 value for linear trend 12.6, P < 0.001). This trend persisted after adjustment for potential confounders such as region and family size and was not present for examined psoriasis or acne. CONCLUSIONS--Eczema is more prevalent among British schoolchildren in social classes I and II than those in lower classes. Exposures associated with social class are probably at least as important as genetic factors in the expression of childhood eczema.     

Does the decline in child injury mortality vary by social class? A comparison of class specific mortality in 1981 and 1991.

OBJECTIVE: To examine whether the decline in child injury death rates between 1981 and 1991 varied by social class. DESIGN: Comparison of class specific child injury death rates for 1979, 1980, 1982, and 1983, with those for the four years 1989-92. SETTING: England and Wales. SUBJECTS: Children aged 0-15 years. MAIN OUTCOME MEASURES: Death rates from injury and poisoning. RESULTS: Death rates from injury and poisoning have fallen for children in all social classes. The decline for children in social classes IV and V (21% and 2% respectively), however, is smaller than that for children in social classes I and II (32% and 37%). As a result of the differential decline in injury death rates, socioeconomic mortality differentials have increased. In the four years 1979-80 and 1982-83 the injury death rate for children in social class V was 3.5 times that of children in social class I. For the four years 1989-92 the injury death rate for children in social class V was 5.0 times that of children in social class I. Poisson regression modelling showed that the trend in the decline in death rates across the social classes was unlikely to have arisen by chance alone. CONCLUSIONS: Socioeconomic inequalities in child injury death rates have increased. If these gradients persist, the Health of the Nation''s target is likely to be met for children in the non-manual social classes but not for those in the manual social classes.     

Equity and consultation rates in general practice.

An attempt was made to distinguish different types of consultations and their variation by social class by a secondary analysis of the second national morbidity survey in general practice. The greatest difference in consultation rates, comparing patients in social classes IV and V with those in classes I and II, was for life threatening, urgent, chronic, or incapacitating conditions, thus matching the presumed difference in need. For more trivial conditions and for symptoms not specifically diagnosed the difference between social classes was less, and for married women in various ways consultation rates suggested less care seeking by patients in the lower social classes. The different uses made of primary care is more illuminating and more relevant to the question of equality in use of services than crude overall consulting rates by social class.     

Social behavior in aged rhesus macaques

This study investigated the relationship between chronological age and social behavior in 42 adult male and female rhesus macaques (Macaca mulatta) in three specific areas: social interactions, social roles, and social networks. While both old males and old females share behavioral differences associated with senescence, this study reports that old females and old males are distinct in their social behaviors, both from each other and from other adults. Many of these differences appear progressive across age classes, e.g., declining across age classes in females and increasing across age classes in males. Old females are less social and have smaller social networks than other females, while the opposite was found to be true of old males. An explanation for the sex-based differences in aged social behavior and social networks reported in this study may originate in rhesus matrifocal social structure.     

Five natural troops of Japanese monkeys on Shodoshima Island: II. A comparison of social structure

The results of a comparative study of five natural troops of Japanese monkeys living on Shodoshima Island are as follows. (1) When troops were feeding at the feeding places, various cases, such as individuals spaced out dispersively or close by in a gregarious state, were observed. (2) Differences were also observed among the troops at the feeding place; some troops always fed in a dispersive state, on the whole, while others fed in a gregarious state with small distances between individuals. (3) Differences of social structure were observed among the five troops: differences of the number of classes and sub-classes in males and females, of the relation between classes and their age distribution in males, of the proportion of individuals who intruded into the central part of the troop or who made it their core area of activity to the total male population, etc., and it was also assumed that some troops were integrated more strictly, while others were integrated loosely. (4) These differences of social structure among the troops were assumed to be closely related to the gregariousness or dispersiveness of the each troop at feeding time. From these facts several decisive factors of social structure were considered.     

The who and why of pain: analysis by social class.

Physicians with an interest in pain have long suggested that the poor complain more and have a higher prevalence of neuroticism than do higher social groups. This assumption was tested by analysing the pain patterns in 500 consecutive patients attending a pain relief clinic. Results implied that scores for presenting pain, anxiety, and depression were similar to all social groups. After treatment scores for residual pain were significantly lower in all social classes, with greatest reduction in classes III, IV, and V. Almost identical results were obtained in a subgroup of patients with cancer but not in a subgroup with sciatica. That patients from the lower social classes have a higher perception of pain and are more neurotic than other group is a myth, probably resulting from poor communication between clinicians and patients of dissimilar socioeconomic class.     

Spatial structure in Mangabey groups

The spatial order of mangabey age-sex classes in progressions across canopy gaps was found to resemble strongly that of baboons. Greater peripherality of adult males (particularly dominant males) and centrality of independent juveniles characterized intragroup spatial structure whether the predominant group activity was feeding, social interaction, or movement. The similarities in spacing, despite striking differences in the number and nature of predators, between arboreal, forest mangabeys and terrestrial, open-country baboons suggest that intragroup spatial structure responds to factors other than predation.     

广东省资源与环境地域分布梯度

本文采用了37个县的资料,运用系统分析的方法,定量地描述了广东省的资源、环境地域分布梯度。 分析结果表明:在社会、经济及自然资源诸多因素的综合作用下,形成了广东省以珠江三角洲为中心,向外围地区逐渐变化的半同心圆形的资源、环境梯度。 根据37个县在资源、环境梯度中的不同等级,将它们分成六类:1.城郊型农业;2.过渡城郊型农业;3.丘陵山地粮牧结合;4.北部山区林粮结合;5.雷州半岛旱地经作;6.海南岛热带作物类型。     

基于RS和GIS的石羊河流域生态环境质量空间分布特征及其影响因素

基于RS和GIS技术方法,选取自然资本、社会压力和经济支撑3方面的11个指标,利用空间主成分分析法、变异系数法和层次分析法,构建自然资本指数(NCI)、社会压力指数(SPI)、经济支撑指数(ESI)以及生态环境质量评价指数(EQEI),对石羊河流域生态环境质量空间分布特征及影响因素进行分析.结果表明: 石羊河流域生态环境质量整体处于较差水平,生态环境质量等级为优、良的区域主要集中在流域上游的祁连山地区,等级为较差及其以下的区域主要集中在中、下游的低山丘陵区和荒漠区.石羊河流域EQEI值在西南-东北方向上具有两极分化现象,随着距离变化,该值变化幅度较大,存在明显的空间异质性.石羊河流域生态环境质量以高-低值两种聚集模式共存,主要呈现“断裂式”分布,并具备热点高度聚集、冷点高度聚集的特征.在石羊河流域生态环境质量的影响因素中,自然资本因素占据主导地位,社会压力因素次之,经济支撑因素的影响最小.     

The similarity principle underlying social bonding among female rhesus monkeys

Twenty adult female rhesus monkeys (Macaca mulatta) were observed over a three-year period. They lived in a mixed captive group with kinship relations known for three generations. The study's aim was to test Seyfarth's [J. theor. Biol. 65: 671-698, 1977] model of rank-related grooming and to investigate two other possible determinants of social bonding, i.e. relative age and the group's stratification into two social classes. Data on affiliation, coalitions, and social competition were collected by means of both focal observation and instantaneous time sampling. Whereas certain elements of the existing model were confirmed, its explanatory principles were not. Social competition did not result in more contact among close-ranking females (the opposite effect was found), and the relation between affiliative behavior and coalitions was more complex than predicted. Based on multivariate analyses and a comparison of theoretical models, we propose a simpler, more encompassing principle underlying interfemale attraction. According to this 'similarity principle', rhesus females establish bonds with females whom they most resemble. The similarity may concern genetical and social background, age, hierarchical position and social class. Effects of these four factors were independently demonstrated. The most successful model assumed that similarity factors influence female bonding in a cumulative fashion.     

Influence of patient characteristics on test ordering in general practice.

Information regarding all consultations was collected in seven general practices for one year. From these data we report on the use of laboratory tests and its association with patient characteristics--including social class, age, sex, and diagnosis--and with which doctor was consulted. Most of the requests were for technically simple tests of low cost. There was a noticeable variation in the use of tests with regard to all patient characteristics. Diagnosis, identity of doctor, age of patient, and social class were each shown by multivariate techniques to be independently related to use of tests. Whereas fewer tests were used per consultation for social classes III-V compared with other social classes, more were used per patient per year for these same groups, reflecting in part the higher consultation rates of social classes III-V. Variation in diagnoses fully accounted for the greater test ordering for women. Nearly two thirds of all tests were ordered for 10% of all patients who consulted and 7% of all registered patients. The results of our analysis suggest that this concentration is determined primarily by those patient characteristics most indicative of medical need and by which doctor is providing care.     

Discrimination and Chinese fertility in Canada

The study examines Chinese fertility in Canada in the context of minority-status and fertility. Chinese-Canadians are compared with British-Canadians, who are considered in this analysis as the majority group. The study is unique in three ways. First, we argue that discrimination brings a minority group not only psychological insecurity but also social-economic insecurity, which can be measured by Chinese husbands' economic status relative to the British. Second, we analyze the relationship between discrimination against the Chinese at the social class level and Chinese fertility behavior at the individual level, which has been ignored by most previous studies. Third, we describe "insecurities" effects to explain the fertility behavior of the Chinese across social classes, including the lower classes to which many researchers believe the minority status hypothesis is not applicable. We conclude that discrimination variations over social classes combined with normative influence are a major factor in causing class fertility differentials between the Chinese and the British in Canada.     

"This Is Active Learning": Theories of Language, Learning, and Social Relations in the Transmission of Khmer Literacy

This article examines the role language ideologies played in the changing instructional and social organization of Khmer literacy classes in Long Beach, California. Language and language use in classrooms have been carefully examined over the years, but analysis of how language attitudes influence pedagogical theory and practice has been largely neglected. This article reveals one way in which language ideologies engage with local theories of learning to shape not only pedagogies informing instruction but also social relations within classes.     

Variability in food-processing behavior among white-faced capuchins (Cebus capucinus) in Santa Rosa National Park, Costa Rica

Observed patterns of variability in the food-processing behavior of white-faced capuchins (Cebus capucinus) across populations may reflect foraging traditions. However, there has been relatively little attention given to intrapopulation variability in food processing among groups and age/sex classes, making recent cross-population comparisons difficult to interpret. In this paper, we provide data on patterns of object use in foraging that we observed at Santa Rosa National Park, Costa Rica, for comparison with published data from a neighboring research site, Palo Verde National Park. We also describe the techniques used to process two food items consumed by Cebus capucinus at Santa Rosa, and discuss the factors that may underlie observed variability. We conducted a 6-month study on two groups of capuchins in 2001, and collected data on general activity and feeding patterns, rates and forms of object use, and distinctive processing techniques employed for two specific foods (Sloanea terniflora and Luehea candida). Rates of object-use behavior at Santa Rosa were considerably higher than those reported for Palo Verde and showed significant variation between groups and age/sex classes, as did patterns of Sloanea and Luehea processing. Observed differences in feeding rates between groups may reflect food availability or relative profitability, whereas variation between age/sex classes seems to reflect differences in the physical capabilities, foraging strategies, and the relative experience of mature and immature animals. Further research is needed to identify how a social context may influence the acquisition of food-processing techniques in juveniles and the development of foraging traditions in social groups.     

Social class differences in infant mortality in Sweden: comparison with England and Wales.

OBJECTIVES--To investigate social class differences in infant mortality in Sweden in the mid-1980s and to compare their magnitude with that of those found in England and Wales. DESIGN--Analysis of risk of infant death by social class in aggregated routine data for the mid-1980s, which included the linkage of Swedish births to the 1985 census. SETTING--Sweden and England and Wales. SUBJECTS--All live births in Sweden (1985-6) and England and Wales (1983-5) and corresponding infant deaths were analysed. The Swedish data were coded to the British registrar general''s social class schema. MAIN OUTCOME MEASURES--Risk of death in the neonatal and postneonatal period. RESULTS--Taking the non-manual classes as the reference group, in the neonatal period in Sweden the manual social classes had a relative risk for mortality of 1.20 (95% confidence interval 1.02 to 1.43) and those not classified into a social class a relative risk of 1.08 (0.88 to 1.33). In the postneonatal period the equivalent relative risks were 1.38 (1.08 to 1.77) for manual classes and 2.14 (1.65 to 2.79) for the residual; these are similar to those for England and Wales (1.43 (1.36 to 1.51) for manual classes, 2.62 (2.45 to 2.81) for the residual). CONCLUSIONS--The existence of an equitable health care system and a strong social welfare policy in Sweden has not eliminated inequalities in post-neonatal mortality. Furthermore, the very low risk of infant death in the Swedish non-manual group (4.8/1000 live births) represents a target towards which public health interventions should aim. If this rate prevailed in England and Wales, 63% of postneonatal deaths would be avoided.