278 research outputs found

    Stabilità e mutamento della scala di stratificazione occupazionale in Italia

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    Our study investigates changes occurred in the Italian social stratification in the last twenty years.It is based on stratification studies that consider individual occupations as the main aspect of the immaterial and material resource allocation and, more precisely, the studies that order occupations along a continuum by their social desiderability. At this aim we compare the de Lillo-Schizzerotto Scale (1985) with a new edition of the same scale, realized in 2005 by an inter-university research equipe; doing this, we focused on scores and ranking of the occupational categories in the two scales.Metric and ordinal association measures between the two Scales do not show significant changes in the structure of perceived desiderability of occupations in the Italian labour market.Therefore, in this point of view, twenty years later results confirm the stability of the social inequality system in our country

    Synthesis of deuterated isotopomers of 7 alpha- and (25R,S)-26-hydroxycholesterol, internal standards for in vivo determination of the two biosynthetic pathways of bile acids.

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    Deuterated isotopomers of 7alpha- and (25R,S)-26-hydroxycholesterol, internal standards for in vivo determination of the two biosynthetic pathways of bile acids formation from cholesterol, were prepared from [2,2,3,4,4,6-H-2(6)]-cholesterol and (20S)-[7,7,21,21-H-2(4)]-3beta-(tert-butyldimethylsilyl)oxy-20-methylpregna-5-en-21-ol, respectively

    Poverty and private health expenditures in Italian households during the recent crisis

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    The global financial crisis that began in 2008 had an overall effect on the health behaviours ofItalian households. Aggregate private health expenditures have decreased while the citizenshave increasingly been asked to share health costs. The reduction of households’ healthexpenditure could have serious consequences for health, especially if it concerns the mostvulnerable people. The aim of this paper is to analyse the relation between poverty andhousehold health expenditure, considering regional and social group variations. The dataused stem from the “Family Expenditure Survey” collected by the Italian Statistical Institute(ISTAT) from 1997 to 2013.Results of multivariate analysis controlling for potential socio-demographic confoundersshow that the propensity to spend for poor families is decreased in the last years com-pared to not poor households. Meanwhile, among the households who spend, the averageexpenditure in euro seems to have been more stable over time.This is an alarming signal for the health of the most vulnerable households. These con-ditions could result in a gradual deterioration of health in poor families, which is likely toincrease the burden on health systems in future. Hence, at this moment public interventiondoes not seem able to alleviate this situation

    Social inequalities and pharmaceutical cost-sharing in Italian regions

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    In recent years, Italian citizens have increasingly been asked to share pharmaceutical costs, but at the same time, households’ medicines expenditure has decreased. Cost-sharing policies have to be assessed not just in terms of limitation of moral hazard and revenue to the state, but also for equal opportunities for citizen users accessing health services. The aim of this article is to analyze how Italian co-payment policies (“ticket”) on medicines may affect pharmaceutical expenditure of households, considering territorial and social groups variation. We reviewed the per capita private spending on medicines of Italian regions, separating pharmaceutical outlay and “ticket.” Across the period 2001–2010 we found that the overall per capita private spending on medicines remained substantially stable, although medicine expenditure decreases while the “ticket” increases. When cost sharing rises, out-of-pocket spending on medicines by poorer families seems to remain unchanged; however, poorer families seem to reduce their pharmaceutical expenditure. Our analysis suggests that applying co-payment in Italy is partly successful, in terms of greater revenue to the health system, but in the last few years, cost-sharing increases would seem to have rebounded negatively on more vulnerable families, due to the economic crisis

    Stili di vita nell’Italia della crisi : il cambiamento nelle abitudini insalubri secondo le condizioni lavorative

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    Sociological literature recognizes in social structure an important determinant of individuals’ health conditions. A large number of studies stress the influence of social stratification, such as education and occupational position, on health indicators. However, we also know that the worsening of socio-economic conditions is only partly transmitted directly. In fact, many effects are associated with individual and familial lifestyles. Moreover, it’s important to describe the dynamics of these relationships also considering macro-changes, such as those imposed by the economic crisis. For example, some authors argue that phases of economic recession produce ambivalent effects on health. In this perspective this work shows changes in some risk factors in the years of the crisis associated with territorial dimension and the job position. The study uses data from ISTAT Multiscope Data Aspects of Daily Life (2005-2013). The analyzes are conducted with multivariate multilevel regression techniques. Among the epidemiologically validated risk factors we stress the followings: 1) smoking, 2) alcohol, 3) obesity and diet, and 4) physical activity. The results show a substantial stability over years considered, with the exception of a general decrease in alcohol consumption. The occupational stratification of unhealthy lifestyles would remain substantially unchanged, meanwhile the only social category that appears to be worsening (in particular smoking and physical activity) is composed of unemployed persons in southern Italy, an area strongly impacted by the crisis

    Studiare la salute : la prospettiva della sociologia

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    La salute è un concetto complesso, in continua evoluzione, che si determina in relazione al contesto sociale di riferimento e alle necessità medico-sanitarie che storicamente si presentano. L'obiettivo del volume è proporre definizioni, strumenti e modelli esplicativi in grado di migliorare la comprensione del fenomeno da un punto di vista sia teorico – che cos'è la salute – sia empirico – come si studia la salute. Inoltre, la descrizione e l'analisi dei processi che stanno alla base della configurazione della salute e della sanità intendono suscitare una discussione pubblica attorno a questi temi e sollecitare interventi correttivi in grado di contenere o, meglio, ridurre le persistenti e sistematiche disuguaglianze di salute che ancora oggi connotano la nostra società. Si tratta, pertanto, di un agevole testo introduttivo che, adottando una prospettiva sociologica, permette non solo agli studenti universitari ma anche a un pubblico più ampio di riflettere sulla salute e sulle sfide globali che è chiamata ad affrontare
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