Lack of dietary fiber related to diseases of the

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Lack of dietary fiber related to diseases of the bowel. Consumption of saturated fats and cholesterol associated with arteriosclerosis and heart disease.
Sedentary Lifestyle Risk factor for CHD and other conditions. Morris, et al. (1973) found vigorous exercise, not light exercise, reduced incidence of CHD. Paffenbarger, et al. (1978) corroborated findings for vigorous exercise. Sociocultural Influences on Health Culture is defined as the set of values to which a group of people subscribes, as the way of life of a group of people, or as the totality of what is learned and shared through interaction of the members of a society. CHD in Japanese Men: Marmot, et al. (1975)
Compared CHD rates among men of Japanese ancestry living in Japan, Honolulu, and San Francisco. Rates lowest in Japan, highest in San Francisco, intermediate in Honolulu. Possibly due to variations between the two countries in terms of diet, occupation, and the social and cultural milieu. Utilization of Health Services Preference for health care services varies according to cultural background. Persons from traditional cultures may prefer folk medicine and family care. Persons from more developed societies may prefer technologically advanced medical services.
Dependent (Outcome) Variables These include physical health, mental health, and affective states. Some topics covered are: Life and job dissatisfaction Mental health and stressors Premorbid psychological factors and cancer Personality and smoking Psychosocial aspects of employment Life and Job Dissatisfaction “The hypothesis that life dissatisfaction is a risk factor for coronary disease is a promising one and deserved careful examination in prospective studies.” (Jenkins, 1971)
Sales and House (1971) demonstrated a strong negative correlation between job satisfaction and coronary disease death rates. Life and Job Dissatisfaction (cont’d) Tedious work, feeling ill at ease at work, lack of recognition, difficulties with coworkers, demotion, and prolonged emotional strain associated with work overload have been shown to be related to coronary disease. Mental Health and Stressors Epidemiologic research has examined psychological disorders and affective states as outcomes of stress-illness paradigm. Psychological disorders: posttraumatic stress disorder and major depression
Affective states: depressive symptoms Depression: Frerichs, et al. (1982) Prevalence of depression in a representative sample of adults in Los Angeles County was 19%. Rates of depression among women higher than men (23.5% vs. 12.9%). Depressed persons reported more physical illness than nondepressed. Premorbid Psychological Factors and Cancer Fox (1978)--two major personality types at increased risk of cancer: Yielding, compliant, eager to please.
Extroverted, nonneurotic individuals who tend toward heaviness. Fox’s 1995 review showed contradictory findings regarding psychologic variables and cancer.

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