Health Risks of Separated or Divorced Over-Indebted Fathers: Separation From Children and Financial Distress

Rueger, Heiko; Schneider, Norbert; Zier, Ulrike; Letzel, Stephan; Muenster, Eva

doi:10.1080/00981389.2010.527793

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…Previous studies argue that poor health outcomes among those individuals who are divorced or widowed could be related to the potential effects of those dissolutions including loss of shared financial resources, engaging in unhealthy behaviors (eg, tobacco use), and underuse of preventive health care. [51][52][53] If so, future interventions should assist physicians in identifying and using strategies for divorced/ widowed individuals such as offering targeted resources and coordinating care with other health professionals, if needed.…”

Section: Discussionmentioning

confidence: 99%

Predictors of colorectal cancer surveillance among survivors of childhood cancer treated with radiation: A report from the Childhood Cancer Survivor Study

Daniel

Kohler

Stratton

et al. 2015

Cancer

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Background Childhood cancer survivors treated with radiotherapy to a field including the colon or rectum have an elevated risk of developing radiation-induced colorectal cancer (CRC). The Children's Oncology Group (COG) recommends colonoscopy every five years once reaching age 35 for at-risk survivors. Methods Analyses included 702 5-year survivors (CCSS) ≥36 years old who received ≥30 Gy abdominal, pelvic, or spine radiotherapy. Multivariable generalized linear models were used to calculate relative risks (RR) with 95% confidence intervals (95% CI) for adherence to the COG's CRC surveillance recommendations. Results With median age of 43 (range 36 to 58) years, 29.5% (207/702) met surveillance recommendations. In multivariable analyses, age ≥50 years vs. age 36-49 years (RR=2.6, 95% CI=2.0-3.4); reporting routine cancer follow-up visit within one year prior to study (RR=1.5, 95% CI=1.0-2.2); reporting ≥10 physician visits in the past year vs. 0-9 visits (RR=1.4, 95% CI=1.1-1.7); and discussing future cancer risk with a physician at their most recent follow-up visit (RR=1.4, 95% CI=1.1-1.7) were associated with adherence to CRC surveillance recommendations. Conclusions More than 70% of survivors at increased risk for CRC were not screened as recommended. Regular physician contact and discussion of screening was associated with a 60% increase in CRC surveillance. Impact Educational interventions targeted at survivors and their primary care physicians are needed to heighten knowledge of CRC risk following radiation and the importance of appropriate surveillance.

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Section: Discussionmentioning

confidence: 99%

Predictors of colorectal cancer surveillance among survivors of childhood cancer treated with radiation: A report from the Childhood Cancer Survivor Study

Daniel

Kohler

Stratton

et al. 2015

Cancer

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“…The fact that demand for debt counselling exceeds supply by far and the rigorous recruitment criteria of the study (participants had to have attended at least two counselling sessions) meant that study participants were almost certainly over-indebted. Further study design details are published elsewhere [11,14,15]. A test for representativeness conducted among the Rhineland-Palatinate sample reported no differences in sex and age compared to official 2006 statistics of all counselling clients.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with self-assessed increase in tobacco consumption among over-indebted individuals in Germany: a cross-sectional study

Rueger

Weishaar

Ochsmann

et al. 2013

Subst Abuse Treat Prev Policy

Self Cite

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BackgroundOver-indebtedness is an increasing phenomenon in industrialised nations causing individual hardship and societal problems. Nonetheless, few studies have explored smoking among over-indebted individuals.MethodsA cross-sectional survey (n=949) on retrospectively assessed changes in tobacco consumption was carried out in 2006 and 2007 among clients of 84 officially approved debt and insolvency counselling centres in Germany (response rate 39.7%). Logistic regressions were performed to explore factors associated with reports of increased smoking after onset of over-indebtedness.Results63% of all respondents stated daily or occasional tobacco consumption. Almost one fifth reported an increase in smoking after becoming over-indebted. Females were less likely to report increased smoking than men (aOR 0.66, 95% CI 0.44-0.99) whereas respondents who had been over-indebted for more than 10 years were more likely to report increased smoking than those who had been over-indebted for less than five years (aOR 1.66; 95%-CI 1.00-2.76). The odds of increased smoking were also elevated among those who reported that their families and friends had withdrawn from them as a consequence of their over-indebtedness (aOR 1.82; 95%-CI 1.06-3.14).ConclusionsThe study identifies over-indebted individuals and particularly over-indebted men as a high-risk group of smokers. Low levels of social embeddedness/support were associated with a further increase in smoking after becoming over-indebted. Given recent increases of over-indebtedness, the findings highlight the need to develop appropriate public health policies.

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Indebtedness, Over-Indebtedness and Wellbeing

Elliot

Lindblom

2019

Indebtedness in Early Adulthood

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Health Risks of Separated or Divorced Over-Indebted Fathers: Separation From Children and Financial Distress

Cited by 7 publications

References 22 publications

Predictors of colorectal cancer surveillance among survivors of childhood cancer treated with radiation: A report from the Childhood Cancer Survivor Study

Predictors of colorectal cancer surveillance among survivors of childhood cancer treated with radiation: A report from the Childhood Cancer Survivor Study

Factors associated with self-assessed increase in tobacco consumption among over-indebted individuals in Germany: a cross-sectional study

Indebtedness, Over-Indebtedness and Wellbeing

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