Psychosocial factors play a prominent role in sexual functioning, and diminished sexual interest and sexual abstinence are strongly associated with psychological distress, depression, anxiety and low quality of life, in addition to underlying ill-health represented by CD4 cell counts and duration or severity of illness.
As the story sprawls and lurches like a soap opera through the expansive arc of its melodramatic plot points, Cissé maintains patience, and even tenderness, for his self-deluding characters while depicting a wide array of underlying ills, including polygamous marriage, political corruption and cronyism, inflexible class hierarchies, and religious hypocrisy.
He scurries to shamans (one, comically, has him crawl to his new wife with a talisman between his teeth), but superstition proves to be just another form of blindness to the underlying ills—his own and those of African society at large.
But as lawmakers mention them time and again in interviews, the birthday announcements encapsulate Assembly members' competing views of the speaker's transformation: welcome bonhomie from a once-remote leader, faintly embarrassing but harmless gesture, or cosmetic claptrap to mask underlying ills.
Such discussions may form the starting point from which people begin to take action to tackle the impacts of the unequal social relations that often underlie ill-health [ 15].
The level of risk of VTE in critically ill patients also depends on the underlying illness leading to ICU admission [ 52].
Moreover, lymphocytopenia is an extremely common feature of the acute response to stress in acutely ill patients, regardless of the nature of the underlying illness [ 20].
Exclusion criteria for controls included recent weight change, ill-health, or underlying inflammatory illness (e.g., rheumatoid arthritis).
The strategy itself comments that 'improving health and reducing health inequalities requires tackling the underlying causes of ill health- the conditions in which people live and inequalities in the resources and opportunities to which they have access' [[ 1], p.19].
