Could gonadal and adrenal androgen deficiencies contribute to the depressive symptoms in men with systolic heart failure?

Background: Testosterone (TT) and dehydroepiandrosterone sulphate (DHEAS) are neurosteroids and their deficiencies constitute the hormone risk factors promoting the development of depression in elderly otherwise healthy men. We investigated the link between hypogonadism and depression in accordance with age and concomitant diseases in men with systolic HF using the novel scale previously dedicated for elderly population.

Methods: We analysed the prevalence of depression and severity of depressive symptoms in population of 226 men with systolic HF (40–80 years) compared to 379 healthy peers. The severity of depression was assessed using the Polish long version of Geriatric Depression Scale (GDS).

Results: In men aged 40–59 years the severity of depressive symptoms was greater in NYHA classes III–IV compared to NYHA classes I–II and reference group. In men aged 60–80 years depressive symptoms were more severe in NYHA class III-IV compared to controls (all p?≤?0.001). In multivariate logistic regression model in men aged 40–59 years advanced NYHA class was associated with higher prevalence of mild depression (OR?=?2.14, 95%CI: 1.07–4.29) and chronic obstructive pulmonary disease (COPD) with higher prevalence of severe depression (OR?=?69.1, 95%CI: 2.11–2264.3). In men aged 60–80 years advanced NYHA class and TT deficiency were related to higher prevalence of mild depression (respectively: OR?=?2.9, 95%CI: 1.3–6.4; OR?=?3.6, 95%CI: 1.2–10.63).

Conclusion: TT deficiency, COPD and advanced NYHA class were associated with higher prevalence of depression in men with systolic HF.     

Hierarchization and segmentation of informal care markets in Slovenia

The article is the result of qualitative research of informal care markets in Slovenia in the field of childcare, elder care, and cleaning. The author assesses Slovenia's position in the “global care chain” and finds that “local care chains” prevail in the field of childcare and elder care, while a co-occurrence of female gender, “other” ethnicity, and poverty is typical in the field of household cleaning. The main emphasis of the article is on the analysis of hierarchization of the informal market of care work according to following two criteria: social reputation of individual type of care work and citizenship status of care workers.     

Guided Censored Regression

Parametrically guided non‐parametric regression is an appealing method that can reduce the bias of a non‐parametric regression function estimator without increasing the variance. In this paper, we adapt this method to the censored data case using an unbiased transformation of the data and a local linear fit. The asymptotic properties of the proposed estimator are established, and its performance is evaluated via finite sample simulations.     

Negotiating masculinity in informal paid care work

The theorisation of informal care markets from the perspective of global care chains focuses on the feminisation and racialisation of the field. Some recent research does, however, also discuss male migrant care workers, while national male care workers in informal care markets remain overlooked. The entrance of men into such an extremely feminised and racialised field as care work in private homes represents a challenge to masculinity. If the vulnerable and subordinate position of migrant men in European labour markets provides an explanation for their gender-untraditional choice of work, this, however, does not explain what drives national men into the informal care market, nor how they negotiate their masculinity. Drawing on individual interviews, the article explores how national male care workers in child and elder care in Slovenia employ a strategy of professionalisation and a vision of care entrepreneurship in order to distance themselves from the feminised and racialised norms and practices of care work. How their inclusion in informal care markets might reinforce gendered and radicalised hierarchies in care work is also analysed. Nevertheless, the interview data also indicate that the informal care market represents an arena for doing alternative masculinities that transgress the stereotypical, racialised construction of men in care work.