This thesis deals with the subject of life goals. It presents selected life goal theories and possible life goal classifications. Attention is also paid to developmental characteristics of life goals in the context of Theories of life-span development. Another related subject is meaningfulness of life - which is closely related to life goals. It outlines philosophical roots of this concept and some psychological theories. The last subject of the theoretical part is psychological construct of well-being, which is presented by selected theories. Empirical part of this thesis is trying to verify the hypothesis that there is a significant difference between the content of important goals of younger and older adults. It also examines the connexion between intrinsic and extrinsic aspirations and Life satisfaction. In order to attain this aim, we used two methods trough two different questionnaires - Satisfaction with Life Scale and Aspiration Index (AI). Samples were made by assessing answers of 962 Czech adult respondents, and the survey packet was distributed to participants online. We found significant differences between younger and older adults in the importance attributed to different goals which concerned: Affiliation, Sense of community, Physical health, Financial Success, Image, Popularity,...

The selection of a medical specialty has been associated with multiple factors, such as personal preferences, academic exposure, motivational factors and sociodemographic factors, such as gender. The number of women in the medical field has increased in recent years. In Latin America, we have not found any studies that explore this relationship.Secondary analysis of the Collaborative Working Group for the Research of Human Resources for Health (Red-LIRHUS) data; a multi-country project of students in their first year and fifth year of study, from 63 medical schools in 11 Latin American countries. All students who referred intention to choose a certain medical specialty were considered as participants.There is an association between the female gender and the intention to choose Obstetrics/ Gynecology, Pediatrics, Pediatric Surgery, Dermatology, and Oncology. We recommend conducting studies that consider other factors that can influence the choice of a medical specialty.

Introduction. Research on teen childbearing has consistently noted that unfavorable socioeconomic conditions experienced at the community and family levels underpin disparities in teen birth rates. However, rather than examining socioeconomic factors alone, community-level differences in teen births could be measured by examining in tandem, the intersection between sociodemographic deprivation and health professional shortage areas (HPSA). Objectives. To examine the differences in teen birth rates by sociodemographic deprivation and HPSA in rural and urban counties of the United States. Methods. Results. Of the 3,136 counties, 78.7% of rural counties were in the highest category of socio-demographic deprivation compared to about 21.1% of urban counties. 76.0% of rural counties were categorized as having shortages of primary care, dental, and mental health providers, compared to 24.0% of urban counties. Rural counties had an additional 7.4 births per 1,000 females aged 15-19 years (p <0.0001) when compared to urban counties. The highest level of sociodemographic deprivation had a strong positive association with teen birth rates (β = 17.46; SE = 0.53; p < 0.0001). Rural counties with the whole designation of a health professional shortage increased county-level teen births by 7.18 births per 1,000 females aged 15-19 years (p <0.0001), compared to urban counties with no designation. Rural counties with higher levels of sociodemographic deprivation and a designation of health professional shortages in at least one area had significantly higher teen births than their urban counterparts (p <0.0001). Conclusions. Rural communities across different levels of deprivation and HPSA designated categories continue to have disproportionately greater teen birth rates. While these findings reveal the unique characteristics of sociodemographic and HPSA as a useful social determinant of teen birth, rural communities showed inherent vulnerabilities that contribute to poorer teen birth outcomes. Future research should examine the extent to which access to contraceptive services differs among rural and urban communities and the role of rural safety net providers in the provision of these services.

Background: Serumlipid concentrations are thought to be risk factors for the development of cardiovascular disease. The present study aims to investigate the prevalence of dyslipidemia and provide sex- and age-related reference values for triglycerides, total cholesterol, LDL and HDL cholesterol as well as apolipoproteins A1 and B by using modern analytical approaches. Materials and methods: Venous blood and anthropometric data were collected from 2571 subjects of the LIFE Child study, aged between 0.5 and 16 years. Age- and gender-related reference intervals (3rd and 97th percentiles) were established by using Cole's LMS method. Results: Serumconcentrations of TC, LDL-C, TG and ApoBwere higher in girls than in boys. In girls TC reached peak levels two years earlier than in boys. Triglyceride levels initially declined until the school age.Until early adolescence there was a steady increase. The LDL-C concentrations in girls and boys followed similar patterns to that of TC. Up to the age of 8 years, a continuous increase in HDL levels for both sexeswas found. Due to the strong correlation between HDL-C and ApoA1 (r=0.87) or rather between LDL-C and ApoB (r=0.93), the respective percentiles showed very similar patterns. Dyslipidemia prevalence were as follows: increased TC 7.8%, increased LDL 6.1%, increased TG 0–9 years 22.1%, increased TG 10–16 years 11.7%, and decreased HDL 8.0%. Conclusion: Age- and sex-related trends for all parameters are similar to those of the German KIGGS study. With the exception of HDL cholesterol, the prevalence of dyslipidemias in the German LIFE Child cohort are similar to the US-American prevalence.:I Abkürzungsverzeichnis - 03 - 1 Bibliographische Beschreibung - 04 - 2 Einleitung - 05 - 2.1 Hintergrund - 05 - 2.2 Serumlipide, Apolipoproteine und Dyslipidämien - 05 - 2.3 Referenzintervalle - 08 - 2.4 Soziodemographische Faktoren - 10 - 2.5 Die LIFE-Child Studie - 12 - 2.6 Hypothesen, Frage- und Zielstellungen - 13 - 3 Publikationen - 14 - 3.1 Pediatric reference data of serum lipids and prevalence of dyslipidemia: results from a population-based cohort in Germany - 15 - 3.2 Serum lipid levels were related to socio-demographic characteristics in a German population-based child cohort. Serum lipid levels and social class - 25 - 4 Zusammenfassung - 33 - 5 Literaturverzeichnis - 36 - II Anhang - 45 - III Erklärung über die eigenständige Abfassung der Arbeit - 64 - IV Curriculum vitae - 65 - V Danksagung - 66 - / Aim: Socio-demographic factors affect the development and lives of children and adolescents. We examined links between serum lipids and apolipoproteins and sociodemographic factors in the Leipzig Research Centre for Civilization Diseases Child (LIFE Child) study. Methods: The Winkler index and the Family Affluence Scale were used to define characteristics of the social status of 938 boys and 860 girls aged from birth to 19 years. We then used univariate and multivariate regression analyses to examine the sociodemographic impact on total cholesterol, low-density lipoprotein (LDL) cholesterol, highdensity lipoprotein (HDL), cholesterol triglycerides and apolipoproteins A1 (ApoA1) and B (ApoB). Results: No significant influences on the Winkler index or the Family Affluence Scale were observed regarding the concentrations of serum lipids for total cholesterol or LDL cholesterol. However, and most importantly, children and adolescents with high social status and high family affluence showed significantly higher HDL cholesterol and ApoA1 levels than those with lower individual totals. A higher Winkler index was associated with significantly lower values for triglycerides and ApoB. Conclusion: Adolescents with higher family wealth and social status showed a lower cardiovascular risk profile, as measured by the concentrations of HDL cholesterol and triglycerides as well as ApoA1 and B.:I Abkürzungsverzeichnis - 03 - 1 Bibliographische Beschreibung - 04 - 2 Einleitung - 05 - 2.1 Hintergrund - 05 - 2.2 Serumlipide, Apolipoproteine und Dyslipidämien - 05 - 2.3 Referenzintervalle - 08 - 2.4 Soziodemographische Faktoren - 10 - 2.5 Die LIFE-Child Studie - 12 - 2.6 Hypothesen, Frage- und Zielstellungen - 13 - 3 Publikationen - 14 - 3.1 Pediatric reference data of serum lipids and prevalence of dyslipidemia: results from a population-based cohort in Germany - 15 - 3.2 Serum lipid levels were related to socio-demographic characteristics in a German population-based child cohort. Serum lipid levels and social class - 25 - 4 Zusammenfassung - 33 - 5 Literaturverzeichnis - 36 - II Anhang - 45 - III Erklärung über die eigenständige Abfassung der Arbeit - 64 - IV Curriculum vitae - 65 - V Danksagung - 66 -

Magister Public Health - MPH / Childhood stunting is an issue of global public health concern, and its irreversible effects can have far-reaching consequences, well into adulthood. Despite various interventions and efforts, stunting in Zimbabwe remains high. Few studies have looked at the factors associated with stunting, by province, in Zimbabwe. The aim of the study was to contribute to the scientific evidence on this topic. This was done by describing stunting and its associations with maternal and child health, nutrition and sociodemographic determinants at provincial level. The second level was to map, visualise and describe stunting in relation to physical geography by province in Zimbabwe.

Who are the postmaterialists? Sociodemographic characteristics of those who bear postmaterialistic values in the Czech Republic and Germany This master thesis is devoted to the Value Change Theory formulated by Ronald Inglehart. This American sociologist came in the 1970's with a conclusion, that there is a substantial difference between the values of the generation that experienced war and the values of the post-war generation, which is experiencing an unprecedential economic growth. As a consequence these younger generations have different priorities called by Inglehart as postmaterialistic values in contrast to materialistic ones. The aim of this paper is to find out what are the socio-demographic characteristics of postmaterialists, whether they differ in time and over countries by using secondary data from the European Values Study and from International Social Survey Programme. The results support the theory only partly. Czech and German postmaterialists are both rather younger and more educated. But there is a difference when examining the influence of gender and the size of community, where they live. In the Czech Republic the probability of being a postmaterialist is higher among men and together with eastern Germany it is higher in big cities. For western Germany relationships were in...

BACKGROUND: There is continued attention towards using patient demographic and clinical characteristics available in health administrative data when case mix adjusting the measurement of length of stay (LOS) for hospitalized children. However, little is known about what proportion of children’s LOS is explained by these characteristics. OBJECTIVES: The objectives of the study were to quantify the amount of variation in LOS within and across hospitals that is explained by demographic and clinical factors of hospitalized pediatric patients. METHODS: A retrospective cohort analysis was completed of 818,848 hospitalizations for any reason occurring from 1/1/2014 to 12/31/2014 in one of 44 freestanding children’s hospitals in the Pediatric Health Information Systems (PHIS) dataset. A generalized linear model was derived to simultaneously regress demographic factors [age, race/ethnicity, payer, rural residence, health professional shortage area (HPSA) residence, income, and distance traveled], and clinical factors (severity of illness, type and number of chronic conditions) on LOS. The percentage of LOS attributable to each characteristic within each hospital was quantified using the covariance test of the hospital random effect. RESULTS: The factors with the greatest impact on LOS were severity of illness and chronic condition type and number, with a median (interquartile range) of 16.8% (IQR 15.0%-19.4%) and 4.0% (IQR 2.9%-4.5%) of LOS, respectively, explained by these characteristics across hospitals. LOS varied significantly (p<0.05) with both severity of illness and chronic condition type and number for all 44 hospitals in the cohort. All patient demographic factors, (age, race/ethnicity, payer, rural residence, HSPA residence, income, and distance traveled) had minimal impact on LOS, with <0.1% of LOS explained by each characteristic. Across hospitals, 78.3% (IQR 75.8-80.2%)] of LOS remained unexplained by the patient characteristics under study. CONCLUSIONS: Patients’ clinical characteristics ascertained from administrative data account for approximately one-fifth of LOS whereas their demographic characteristics account for a negligible amount. Efforts to optimize the efficiency of inpatient care for hospitalized children might benefit from uncovering how much of the vast amount of unexplained LOS is due to modifiable aspects of care quality. / 2018-06-16T00:00:00Z

Syfte: Att beskriva hur arbetsterapeuter som arbetar inom hemrehabilitering skattar sin aktivitetsbalans. Metod: I uppsatsen användes en enkätundersökning för att beskriva hur arbetsterapeuter inom hemrehabilitering skattar sin aktivitetsbalans. En tvärsnittsstudie genomfördes med en kvantitativ metod och en deskriptiv inriktning. Enkäten bestod av strukturerade frågor baserade på Occupational Balance Questionnaire (OBQ11) och sociodemografiska bakgrundsfrågor. Urvalet bestod av legitimerade arbetsterapeuter som arbetarinom hemrehabilitering och som hade arbetat minst ett år samt med en anställningsgrad på minst 50%. Resultat: Fyrtiotre arbetsterapeuters självskattade aktivitetsbalans och dess samband med sociodemografiska faktorer undersöktes. Majoriteten av deltagarna var kvinnor mellan 30–39 år som var sammanboende, hade barn och hade arbetat 1-10 år inom yrket. Majoriteten av deltagarna skattade instämmer inte i alla påståenden förutom "Jag har tillräckligt med tid att göra det jag måste göra", där 58,1% av deltagare skattade instämmer. Deltagare med barn, över 40 år, som bodde med en partner, med en anställningsgrad 80–89% och hade mer erfarenhet i yrket tenderade att rapportera högre nivåer av aktivitetsbalans. Slutsats: Arbetsterapeuterna som arbetar inom hemrehabilitering upplever låg tillfredställelse angående sin aktivitetsbalans, vilket kan påverkas av faktorer som kön, ålder, anställningsgrad, boendesituation och familjesituation. Kvinnor som har fler roller i livet kan uppleva det svårt att upprätthålla en balans mellan arbete och privatliv, vilket kan påverka deras arbetsmiljö och välbefinnande negativt. Uppsatsen kan användas för att utveckla strategier för att förbättra aktivitetsbalansen hos arbetsterapeuter inom hemrehabilitering och därmed förbättra deras arbetsmiljö och välbefinnande. / Aim: To describe how occupational therapists working in home rehabilitation perceive their occupational balance. Method: The study used a survey to describe how occupational therapists working in home rehabilitation perceived their occupational balance. A cross-sectional study was conducted with a quantitative approach and a descriptive focus. The survey consisted of structured questions and clear background questions and was designed based on the Occupational Balance Questionnaire (OBQ11). The sample consisted of licensed occupational therapists in home rehabilitation who had worked for at least one year and had an employment rate of at least 50%. Results: The study examined the self-reported occupational balance of 43 occupational therapists and it´s relationship with sociodemographic factors. The majority of participants were women aged 30-39, living with children, and had worked in the profession for 1-10 years. The majority of participants estimated that they did not agree with all the statements except for "I have enough time to do what I need to do", where 58.1% of participants estimated that they agreed. Participants with children, over 40 years old, living with a partner, working 80-89% of full-time hours, and with more experience in the profession tended to report higher levels of occupational balance. Conclusion: The study shows that occupational therapists working in home rehabilitation experience a low occupational balance, which can be influenced by factors such as gender, age, employment status, living situation and family situation. Women who have multiple roles in life may have difficulty maintaining a balance between work and personal life, which can have negative consequences for their work environment and well-being. The study can be used to develop strategies to improve occupational balance among occupational therapists in home rehabilitation and thus improve their work environment and well-being.

Resilience is closely related to mental health and well-being. Identifying risk groups with lower resilience and the variables associated with resilience informs preventive approaches. Previous research on resilience patterns in the general population is heterogeneous, and comprehensive largescale studies are needed. The aim of our study is to examine sociodemographic and social correlates of resilience in a large population-based sample. We examined 4795 participants from the LIFE-Adult- Study. Assessments included resilience (RS-11), social support (ESSI), and social network (LSNS), as well as the sociodemographic variables age, gender, marital status, education, and occupation. The association of resilience with sociodemographic and social correlates was examined using linear regression analyses. Higher resilience was associated with female gender, married marital status, high education, and full-time occupation. Social support and social network were positively associated with resilience. Our results implicate that resilience is related to various sociodemographic variables. Social variables seem to be particularly important for resilience. We identified risk groups with lower resilience, which should be given special attention by public health policies, especially in times of crisis. Reducing loneliness and promoting social connectedness may be promising ways to build resilience in the general population.

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