RESUMEN
The relationship between eating disorders and female intrasexual competition (ISC) was studied. More specifically, it was predicted that Female ISC for mates would be the strongest predictor of bulimia, and that, in contrast, Female ISC for status would be the strongest predictor of anorexia nervosa. A group of 202 undergraduate women, attending the University of Arizona, Tucson, USA, participated in this study. These respondents completed surveys that contained the following measures: the Female competition for mates scale, the Female competition for status scale, the General Competitiveness Scale, the Eating Disorders Inventory (EDI), and an additional measure specific to Anorexia. The internal consistencies of the measures were computed using Cronbach's alpha, and the measures were found to have adequate measurement reliability. Correlations were computed and a structural equation model was constructed for all the subscales within the measures. The resulting model demonstrated that ISC for mates was ultimately the driving factor that contributed to Female competition for status, General competitiveness, Perfectionism, Body dissatisfaction, Drive for thinness, and both Bulimia and Anorexia. Contrary to initial expectations, the results supported a mostly spurious causal relationship between Female competition for status and anorexia, with the only indirect causal effect being through the influence of perfectionism, which was uniquely on anorexia and not on bulimia. The role of perceived personal and Ideal partner mate value was also explored. Although they were strongly positively related to each other, these were shown to have nearly equal and opposite effects on body dissatisfaction.
Asunto(s)
Anorexia Nerviosa/etiología , Anorexia Nerviosa/psicología , Evolución Biológica , Bulimia/etiología , Bulimia/psicología , Reproducción , Adulto , Imagen Corporal , Femenino , Humanos , Relaciones Interpersonales , Persona de Mediana Edad , Modelos TeóricosRESUMEN
OBJECTIVE: The objective of the Cardiovascular Health Awareness Program (CHAP) is to improve the processes of care related to the cardiovascular health of older adults. PARTICIPANTS: Two Ontario communities including family physicians (FP), pharmacists, public health units and nurses, volunteer peer health educators, older adult patients and community organizations. SETTING: Community pharmacies and family physician offices. INTERVENTION: CHAP is designed to close a process of care loop around cardiovascular health awareness that originates from, and returns to, the FP. Older patients are invited by their FP to attend pharmacy CHAP sessions. At these sessions, trained volunteer peer health educators (PHEs) assist patients both in recording their blood pressure using a calibrated automated device and in completing a cardiovascular risk profile. This information is relayed to their respective FP via an automated computerized database. Pharmacists and patients receive copies of the results. Based on these cumulative risk profiles, patients are advised to follow-up with their FP. OUTCOMES: Of the FPs and pharmacists asked, 47% and 79%, respectively, agreed to participate in the project. 39% of older adult patients invited by their FPs attended the CHAP community pharmacy sessions. Of these, 100% agreed to having their risk profile, including their blood pressure readings, forwarded to their FP. Positive feedback about CHAP was expressed by the volunteer PHEs, the FPs and the pharmacists. CONCLUSION: The community-based pharmacy CHAP sessions are a feasible way of improving patient, physician, and pharmacist access to reliable blood pressure measurements and to cardiovascular health information. A randomized trial is in progress that will assess the impact of CHAP on monitoring of blood pressure.
Asunto(s)
Enfermedades Cardiovasculares/prevención & control , Planificación en Salud Comunitaria/organización & administración , Educación en Salud/organización & administración , Conocimientos, Actitudes y Práctica en Salud , Promoción de la Salud/organización & administración , Actitud del Personal de Salud , Actitud Frente a la Salud , Medicina Familiar y Comunitaria/organización & administración , Humanos , Ontario , Aceptación de la Atención de Salud , Farmacias/organización & administración , Evaluación de Procesos, Atención de SaludRESUMEN
In December 2002, a national workshop was held in Ottawa to guide research directions for the caregiving of people with Alzheimer's disease in Canada. Prior to the workshop, a search was conducted to identify Canadian-based investigators who have conducted research related to caregiving of individuals with cognitive impairment, Alzheimer's disease and other dementia, identify relevant Canadian research studies, and provide an overview of results and themes emerging from this research. This paper summarizes findings from our search for Canadian studies, research themes identified at the national workshop in Ottawa, and recommendations from the workshop. The report first outlines patterns of caregiving and subsequently focusses on the impact of different ways of assisting Alzheimer's caregivers. It concludes by outlining the methodological challenges of observational and intervention studies related to Alzheimer's caregiving and recommendations on how to increase Canada's capacity to conduct research on Alzheimer's caregiving.