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In 1977, Michael Lipton introduced the Urban Bias Thesis as a framework for understanding how most economic policy initiatives have contributed to the overdevelopment of urban areas and the underdevelopment of rural areas. In Latin America, there has historically been a positive correlation between urbanization and mortality decline, as the region's health transition generally began in the main cities and tended to proceed more rapidly in countries with higher levels of urbanization. This paper seeks evidence of a residual urban bias in the region's mortality patterns. Using a sample of Latin American countries over the 2000–2010 period, I analyse the disparities in mortality patterns and avoidable causes of death by looking closely at urban and rural areas using continuum categories. The results indicate that the urban advantage does persist and that rural–urban mortality differentials have consistently favoured the largest cities. The metropolitan advantage in mortality is an outcome of lower mortality in causes of death that are avoidable through primary interventions. Even in scenarios of high mortality at younger adult ages (15–44), the metropolitan advantage remains, due primarily to unsuccessful efforts to reduce mortality in populations aged 45 years and over outside the main and large cities. [ABSTRACT FROM AUTHOR]

MUTYH-Associated Polyposis (MAP) is caused by biallelic pathogenic germline variants in the MUTYH gene. However, individuals harboring monoallelic MUTYH pathogenic variants in the presence of a positive family history have been reported to have a twofold increased risk of colorectal cancer (CRC) and extra colonic cancers. Our aim was to characterize the spectrum of monoallelic and biallelic germline MUTYH pathogenic variants in Latin American patients and to describe their clinical and genetic characteristics. Patients were identified from eight high-risk genetic cancer centers of five Latin American countries. Statistical analysis was performed using the two-sided P test using the Vassarstats statistical tools. Statistical significance was set at a p value ≤ 0.05. Of the 105 unrelated patients with cancer or colorectal polyposis, 84.8% and 15.2% carried pathogenic monoallelic and biallelic MUTYH variants, respectively. The most common pathogenic variants were p.Gly396Asp and p.Tyr179Cys (55% and 23%, respectively). The mean age at first diagnosis was 48.29 years (range 31–71) and 49.90 years (range 27–87) in biallelic and monoallelic MUTYH patients, respectively. CRC was the only cancer diagnosed in patients with biallelic MUTYH pathogenic variants (75%), while breast cancer (46.1%) was more common than CRC (24.7%) in individuals with monoallelic MUTYH pathogenic variants. We reported a high frequency of European founder variants in our diverse population. Some phenotypic differences from current studies were identified, such as a higher breast cancer burden in monoallelic carriers and a complete absence of extra-colon tumors in biallelic patients. [ABSTRACT FROM AUTHOR]

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Heatwaves (HWs) pose a severe threat to human and ecological systems. Here we assess the projected changes in heatwaves over Latin America using bias corrected high-resolution regional climate simulations under two Representative Concentration Pathway scenarios (RCPs). Heatwaves are projected to be more frequent, long-lasting, and intense in the mid-century under both RCP2.6 and RCP8.5 scenarios, with severe increases under the RCP8.5 scenario. Even under the low emissions scenario of RCP2.6, the frequency of heatwaves doubles over most of the region. A three- to tenfold rise in population exposure to heatwave days is projected over Central and South America, with climate change playing a dominant role in driving these changes. Results show that following the low emission pathway would reduce 57% and 50% of heatwave exposure for Central and South American regions respectively, highlighting the need to control anthropogenic emissions and implement sustainable practices. [ABSTRACT FROM AUTHOR]

A well-known finding in the happiness literature is that Latin Americans report, on average, high happiness. It is not only high, but higher than expected for their socioeconomic situation, as portrayed by commonly used indicators. High happiness in Latin America is a puzzle, and some scholars consider it a paradox, which calls for new and fresh research to understand high happiness in the region. In fact, the high-happiness-in-Latin-America phenomenon constitutes an excellent opportunity to further understand the drivers of happiness, as well as to highlight some drivers that have not received the attention they deserve. This paper argues, and empirically shows, that person-based interpersonal relationships are important in explaining people’s happiness, that they are abundant in Latin America, and that they are uncorrelated with income. In consequence, it is reasonable to observe high happiness in Latin America, as well as happiness that is higher than what would be predicted according to socioeconomic indicators. The empirical analyses are based on information from three high-happiness Latin American countries. Abundance and good quality of interpersonal relationships positively impact on affective and evaluative experiences of being well, as well as on life satisfaction. The Latin American phenomenon indicates that the interpersonal relationships people create and maintain in their journey of life are fundamental for their happiness. Person-based interpersonal relationships allow for the joint enjoyment of life. [ABSTRACT FROM AUTHOR]

Many of the energy systems functioning across the developing world are poorly designed and largely inadequate to meet a country's commercial and domestic energy needs. This is especially so in Latin America, where poverty trends have been exacerbated by limited access to energy, which could be used towards supporting industrial and small-scale commercial activities. This has characterised the widespread trend of energy poverty. This phenomenon poses a major barrier towards achieving the UN Sustainable Development Goals (SDGs) and addressing climate change, since lack of access to reliable energy generation systems hinders the development of economic activities and limits the comfort of living conditions. This paper reports on a study aimed at catering to a better understanding of the challenges related to energy poverty in Latin America and identifying some of the tools that may be deployed to address them. The methodological procedures used were bibliometric analysis and survey. The main findings of this research evidence that reducing energy poverty in Latin American countries is crucial to alleviating household costs since a considerable part of family income is used to pay the energy needs. Less use of coal, greater access to electricity—including those from renewable generation—as well as the use of technologies and programs subsidized by governments would significantly contribute to increasing the Latin American citizens' quality of life and achieving the SDGs. [ABSTRACT FROM AUTHOR]

Violence across Latin America is an increasingly important factor influencing migration to the US. A particular form of violence that is experienced by many Latinx migrants is extortion. This research analyzes the extortion experiences of Latinx immigrant adults arriving at the US southern border and the impact these experiences have on mental health. We find that on average, participants paid $804 in extortion during their migration. The most common perpetrators of extortion in our study were police followed by immigration officials throughout Latin America. Pregnant participants were less likely to experience extortion and adults traveling with children were more likely to be extorted. Participants who were extorted for money reported significantly greater severity of post-traumatic stress disorder (PTSD) symptoms compared to those who were not extorted. This research is the first of its kind to analyze extortion experiences among Latinx immigrants to the US, quantifying the prevalence, amounts paid, countries where extortion occurs, and perpetrators of extortion. In addition, extortion experiences are associated with negative effects on the mental health of newly arrived Latinx immigrants to the US. Based upon these findings, we recommend that extortion should be considered a significant stressor in the migrant experience, particularly for those adults traveling with children. [ABSTRACT FROM AUTHOR]

Dental age estimation (DAE) is key to establishing an individual's identity, and this is relevant in minors. A widely used method for DAE in children is Cameriere's open apices (CAM). Despite its wide dissemination, there are no clear reports of its use in Latin American populations. A scoping review was conducted using a search strategy in the PubMed/MEDLINE database, Web of Science, and a complementary manual search. Only papers using CAM or its regression equation models for evaluating Latin American populations were included. Ten studies published between 2007 and 2020 responded to the search objective. Brazil was the country with the most studies using CAM (7/10), and the University of Macerata (Italy) was the most declared affiliation (6/10). Seven studies used the original CAM formula in populations from Brazil and Peru, while the European formula (EuCAM) was applied in Mexico, Colombia, and Brazil. Although the method underestimated the age values with acceptable error margins, the correction factor substantially improved the predictive power of the method. Some limitations of the method are highlighted. CAM and its variants can be useful for validation in Latin American settings, but attention to population structures and terminologies is suggested for future research. [ABSTRACT FROM AUTHOR]

Development economics has long focused on growth patterns to explain countries' ability to catch up and forge ahead. We argue, however, that resilience to economic shrinking matters more. Using the examples of Brazil and Indonesia, we propose that a framework consisting of social capabilities—namely structural transformation, autonomy, and inclusion—can explain why Indonesia is more resilient to economic shrinking than Brazil and why the country is more likely to be successful in its catching-up process. [ABSTRACT FROM AUTHOR]

This article offers a novel conceptualization and dataset of post-neoliberal populism in contemporary Latin America and Eastern Europe. By drawing insights from structuralist theories, which understood populism as historically grounded in political economy developments, I critique dominant minimal definitions and propose a synthetic conceptual alternative for the analysis of multidimensional and dynamic challengers of the watershed neoliberal revolutions that both regions have undergone since the late twentieth century. To this end, I disaggregate populism's key dimensions of anti-establishment discourse, illiberal ideology, and strategic organization into functionally interactive attributes; justify post-neoliberal populism as a family resemblance category; and develop a roadmap for case selection and measurement. I then illustrate the empirical validity and theoretical relevance of my approach by assessing the magnitude of post-neoliberal populism in 198 national-level elections in 33 Latin American and Eastern European democracies and by identifying the decline of the traditional Left as its correlate in both regions. By focusing on conceptual unity and cross-regional parallels, the article demonstrates that, contrary to conventional misconceptions, a family resemblance categorization of contemporary populism not only facilitates empirically rigorous research, but also stimulates mid-range theorizing at the intersection of intra-regional specificity and more general historicity. [ABSTRACT FROM AUTHOR]

The study of sexuality in the ageing population had a more recent development than other topics, even though it is undoubling its relevance as part of the well-being of each individual. Therefore, to advance more in research is essential to look back and have a prospect of what kind of research has been done on it, identifying gaps in the literature for future studies. This paper aims to present a panorama of the research on sexuality and ageing in Latin America for the last five years (2017–2021). The data collection was done through the Web of Science platform and focused on those papers with the SciELO Citation Index, one of the most prestigious indexations among Latin-American journals. There were included papers from Latin-American countries written in Spanish or English. There were analyzed 26 research articles in total. The results give a panorama of what had been done in studies about sexuality and ageing in Latin America. Among those highlights, the absence of studies concentrates only on sexuality and ageing. Also, more quantitative studies are not comparable between countries, cross-sectional and descriptive. Finally, it is identified some gaps and challenges that need to be addressed by researchers in the future. [ABSTRACT FROM AUTHOR]

Internationalisation of the curriculum (IoC) is typically approached very differently across national, institutional and disciplinary contexts. This paper reports on research on internationalisation of the curriculum in Latin America and discusses its potential to provoke disruptive innovation in higher education internationalisation. Traditionally, approaches to internationalisation of the curriculum in Latin American universities have been focused almost solely on student mobility programs. The research reported in this paper was conducted by a project team from Brazil and Australia in 2021–2022. A qualitative methodology was used. Methods included a tri-lingual literature review of scholarly publications on curriculum internationalisation in English, Portuguese and Spanish and a modified e-Delphi methodology with a panel of experts comprising international higher education scholars and practitioners working in Latin America (and conducted in Spanish, Portuguese and English). The purpose of the research was to identify ways in which existing approaches to internationalising the curriculum in Latin America might be enhanced in order to provide more students with opportunities to develop international perspectives and intercultural knowledge and skills. The research found that there is significant potential to achieve this outcome if the process of internationalising the curriculum is approached as a long-term project involving complex collaborative boundary work. [ABSTRACT FROM AUTHOR]

This article explores how weak countries deflect systemic pressure towards change and even succeed in preserving old institutions to their advantage. By expanding Goddard's theory of embedded revisionism to smaller powers, the study identifies strategies these states deploy to improve access and brokerage. We use the UN General Assembly Sponsorship Dataset to locate multilateral brokers and, after detecting Cuba's centrality in this arena, we proceed to a heuristic case study. Havana's maneuvers to offset its vulnerability during and after the Cold War reveal a mix of structural, institutional, and compulsory power. Specifically, its renewal of the Non-Aligned Movement even after the end of bipolarity, its maintenance of autocracy amidst the pressures for democratization, and later support of radicalized Latin American leaders provide insight regarding unexpected sources of network power available to a resilient rogue state. [ABSTRACT FROM AUTHOR]

This study examines the relationship between institutional trust from an individual and societal perspective and perceived corruption and climate attitudes of individuals in Latin America. To this end, multilevel modeling was used to test whether the attitudes of individuals from 285 regions of Latin America are influenced by these constructs. Based on the results, it was found that in contrast to studies in developed countries, where institutional trust is positively associated with pro-climate attitudes, in Latin America institutional trust acts as an inhibiting factor and is inversely related to climate attitudes. Furthermore, the perception of corruption in public institutions was also identified as a factor inhibiting collective action to combat climate change. Moderation analysis revealed that individuals' level of education significantly influences this relationship, with a notable difference in climate attitudes between individuals with low and high levels of trust, especially among those with less education. These findings highlight the importance of taking regional specificities into account when examining the relationship between institutional trust, perceptions of corruption, and climate attitudes, and underscore the need for public policies that promote transparency and accountability of institutions to foster effective collective action on climate change. [ABSTRACT FROM AUTHOR]

Pollen, particularly from the Ambrosia genus, plays a pivotal role in triggering allergic rhinoconjunctivitis symptoms. This review delves into the global background of Ambrosia, focusing on its origins, invasive potential, and spread to South America. The ecological niche for Ambrosia species is explored, emphasizing its stability globally but exhibiting unique and dynamic features in South America. Information on Ambrosia pollen concentration in South America is summarized, revealing varying levels across countries. The establishment of new aerobiology stations, as highlighted in the latest findings, contributes valuable data for understanding allergen risk management in the region. The health perspective addresses the rise in allergic diseases due to climate change, emphasizing the need for continuous monitoring, especially in South America. Agricultural damage inflicted by Ambrosia is discussed, emphasizing its invasive potential, high seed production, and negative impact on crops, forage quality, and livestock. The review also positions Ambrosia as a marker of climate change, discussing the effects of global warming on pollen seasons, concentrations, and allergenic characteristics. The importance of expanding aerobiology stations in South America is underscored, requiring collaborative efforts from government, scientific societies, and academic institutions. The review concludes by advocating for increased monitoring to address potential challenges posed by Ambrosia, offering a basis for tailored interventions and future research in South American regions. [ABSTRACT FROM AUTHOR]

Gender is one of the main social markers that build subjectivity and is culturally shaped by the meanings and representations associated with sexual anatomic characteristics of an individual since birth. Despite the perceived advances in women's rights in the last few decades, sexism toward women has been conceptualized as a pervasive, chronic social stressor, outlining its association with a variety of negative physical and mental health outcomes. This review sheds light on the status of the gender-sensitive evidence in CBT available in Latin American databases. Our results from the Latin American databases context support the current critique that most CBT data produced worldwide tend to approach complex social phenomena using linear, subjective, or biological referential. Because of that, CBT has been commonly associated with a narrow, individualistic, and even stigmatizing perspective of minorities in general, and of women in particular, and failed to deliver gender-sensitive effective interventions for them. [ABSTRACT FROM AUTHOR]

Despite its low contribution to greenhouse gases emission, Latin America is one of the most vulnerable regions to climate change. Economic, social, and political factors make difficult the preparation for ongoing and future impacts. Few studies have explored how people in this region perceive and respond to climate change. In this scenario, we conducted an online survey to address the following research question: How sociodemographic factors are influencing perceptions and emotional responses associated with climate change in LA countries? The final sample consisted of 7232 people, with an error of 2.8% for the total population from 18 countries, representing 67% of the region’s internet-accessible population. Data analysis involved descriptive statistics, cross-tabulations, and mixed linear models. Results indicate a consensus on the fact that climate change is already happening, that is totally or partially caused by human activities, that will worsen poverty and inequalities but also that is an opportunity to build a fairer society. Sociodemographic differences were also found, showing the importance of sex, age and having or not having children in multiple variables. We hope this study will contribute to a better understanding of this complex social issue, informing policies to encourage a greater engagement with climate action. [ABSTRACT FROM AUTHOR]

Social housing projects trigger significant urban transformations in adjacent urban areas. Global South countries invest considerable resources in new social housing to reduce quantitative housing deficits, but their effects on urban transformations in neighboring areas are often overlooked. Although informal settlements are widespread in Global South cities, few studies focus on their transformations due to new social housing projects. To address this literature gap, we employed a quasiexperimental method in which we compared urban changes in Bogotá's informal settlements near social housing projects (experimental group) against those outlying new projects (control group). Through georeferencing, satellite imagery, and field visits, we could determine and compare transformations outside and inside informal settlements in the last decade regarding land values, new structures, housing extensions, basic infrastructure, and public space improvements. We observed that informal neighborhoods near social housing experienced larger land value increases, a higher number of new building permits, and basic infrastructure improvements. We concluded that social housing clusters near informal settlements in Bogotá may explain land value increases that encouraged further private and public investment around these areas. Clusters also attract new social housing that reaches informal settlements and produces a phenomenon of informalization of formality. [ABSTRACT FROM AUTHOR]

Background: Biosimilars offer significant advantages for improving access to biologic treatments in Latin America. However, their uptake has been slow due to misconceptions, regulatory uncertainties, and inadequate pharmacovigilance. Objective: To address these issues, Americas Health Foundation convened a multidisciplinary panel of regional experts in biosimilar use and interchangeability from Latin America. The panel assessed the current landscape and recommended steps to enhance access. Results: Key recommendations include strengthening biosimilar regulations, ensuring transparent enforcement, implementing robust pharmacovigilance, and promoting collaboration among stakeholders to educate about the safety, efficacy, and economic advantages of biosimilars and their interchangeability. Conclusions: By embracing biosimilars and interchangeability, Latin American countries can expand patient access, foster competition, diversify treatment sources, and enhance the sustainability of their healthcare systems. However, achieving these goals requires addressing knowledge gaps and biases among healthcare providers, patients, regulators, and government agencies. This can be accomplished through clear communication and the use of real-world evidence. Plain Language Summary: Biosimilars offer an opportunity to expand access to crucial biologic treatments in Latin America by providing lower-cost alternatives when patents expire. However, adopting biosimilars has been slow due to misconceptions and regulatory uncertainties. To address this, experts recommend considering approved biosimilars as interchangeable with reference products, allowing for switching without compromising safety or efficacy, with the limitation of switching only once per year. To improve access, well-defined regulations, enforcement, and transparency from regulatory agencies are necessary, along with education for healthcare providers, patients, and other stakeholders to address knowledge gaps and negative perceptions. Improved pharmacovigilance systems and collaboration between stakeholders can help communicate the benefits of biosimilars and interchangeability. By embracing biosimilars, Latin American countries can expand patient access, foster market competition, diversify treatment options, and improve the sustainability of healthcare systems. [ABSTRACT FROM AUTHOR]

Studies have extensively documented the effect of immigration on anti-immigration attitudes in high-income democracies. However, comparative political research has devoted less attention to South-South migration. We examine the impact of immigration on attitudes toward immigrants in Chile, which has experienced a threefold increase in its foreign-born population in the last decade. Using an instrumental variable design, we find that exposure to immigration increases hostile attitudes toward immigrants. Regarding the underlying factors driving hostile attitudes toward foreign-born groups, we find robust evidence pointing to immigration creating a public service shortage, which could explain the observed hostility. Conversely, we do not report evidence backing cultural anxieties or labor market competition. Hence, the Chilean case points to anti-immigrant attitudes gaining ground in contexts where welfare state provisions are limited and often precarious. [ABSTRACT FROM AUTHOR]

While urban river restoration has become mainstream in the Global North, it remains scarce in Latin America, where most literature focuses on water quality, stream habitats, and watershed assessment, but planning and implementation lag behind. Colombia is undergoing a paradigm shift after pioneering the integration of green and blue infrastructure (GBI) into urban planning in the early 2000s (namely Estructura Ecológica Principal). A surge in river renaturalization initiatives is underway, with large and intermediate cities planning and executing projects. We systematically assessed the integration of rivers and GBI into local policies (Planes de Ordenamiento Territorial) and found widespread and strong recognition of streams, wetlands, and ecosystem services in urban planning, higher than previously reported. Most cities emphasize river multifunctionality, ecological connectivity, public space, and recreation, as well as disaster risk reduction, advancing toward sustainable urban water and drainage systems. However, significant gaps persist regarding climate change resilience, participation, and social justice. In a region marked by high inequality, pre-existing spatial exclusion could be amplified by urban renewal, greening, and tourism due to unfair resettlement conditions and gentrification. Such trade-offs can undermine the ecological and social benefits of restoration. We highlight the crucial role of civil society and grassroots activism in protecting and defending urban commons and conclude by recommending a critical examination of GBI and river restoration efforts in Latin America. Colombia's case can serve as both a reference and a cautionary tale for other cities in the region to achieve outcomes that promote equity and justice amid pressing social and environmental challenges. [ABSTRACT FROM AUTHOR]

In recent years, the study of geoheritage has gained global importance, and in the case of Costa Rica, the first investigations have been carried out to identify geosites, as well as the interest in establishing a geopark in the La Amistad-Pacífico Conservation Area. This research focuses on identifying, analyzing, and evaluating the geosites in the Altamira Sector of the La Amistad International Park (PILA, in Spanish) to understand their state of geoconservation and their potential for geotourism. The methodology consists of three steps: geosites identification through geomorphological mapping, fieldwork, and bibliographic research; historical-cultural characterization using documentation related to natural history, expeditions, art, and sacred sites; and geosites evaluation based on criteria such as form, condition, ecosystems, management, and conservation, as well as their relevance to geotourism and their impact on local communities. Four geosites were identified in the Altamira sector: Valley of Silencio, Kamuk Hill, Gemelo-Pittier Hills, and The Esperanza savanna. These geosites feature valleys dissected by channels due to fluvial processes, as well as landscapes shaped by steep volcanic slopes, river action, and periglacial processes. Historical-cultural references were found, including artistic documents, legends, and stories linking them to Costa Rican indigenous culture. Geosites evaluation revealed high scores in criteria related to intrinsic values that define these sites as highlights of geoheritage due to their unique characteristics. However, weaknesses were identified in the Use and Management criteria, primarily in terms of infrastructure to promote geotourism. It is concluded that the selected geosites are representative of their geological and geomorphological evolution, housing valuable information about the natural processes that shaped the territory and serving as evidence of the country's natural and cultural history. Additionally, they stand out as suitable places to promote geoheritage conservation through activities such as research, education, cultural events, and geotourism. [ABSTRACT FROM AUTHOR]

Disparities in primary care utilization among migrants with early psychosis may be related to lack of access to a regular primary care physician. This study aimed to investigate access to a regular primary care physician among first-generation migrants with early psychosis. People aged 14–35 years with first onset non-affective psychotic disorder in Ontario, Canada were identified in health administrative data (N = 39,440). Access to a regular primary care physician through enrollment in the year prior to diagnosis was compared between first-generation migrants (categorized by country of birth) and the general population using modified Poisson regression. Most migrant groups had a lower prevalence of regular primary care physician access relative to the general population, particularly migrants from Africa (African migrants: 81% vs. non-migrants: 89%). Adjustment for sociodemographic and clinical factors attenuated these differences, although the disparities for migrants from Africa remained (PR = 0.96, 95%CI = 0.94–0.99). Interventions aimed at improving primary care physician access in migrant groups may facilitate help-seeking and improve pathways to care in early psychosis. [ABSTRACT FROM AUTHOR]

Background: Brain magnetic resonance imaging (MRI) is a crucial tool for clinical evaluation of the brain and neuroscience research. Obtaining successful non-sedated MRI in children who live in resource-limited settings may be an additional challenge. Objective: To present a feasibility study of a novel, low-cost MRI training protocol used in a clinical research study in a rural/semi-rural region of Colombia and to examine neurodevelopmental factors associated with successful scans. Materials and methods: Fifty-seven typically developing Colombian children underwent a training protocol and non-sedated brain MRI at age 7. Group training utilized a customized booklet, an MRI toy set, and a simple mock scanner. Children attended MRI visits in small groups of two to three. Resting-state functional and structural images were acquired on a 1.5-Tesla scanner with a protocol duration of 30-40 minutes. MRI success was defined as the completion of all sequences and no more than mild motion artifact. Associations between the Wechsler Preschool and Primary Scale of Intelligence (WPPSI), Movement Assessment Battery for Children (MABC), Behavioral Rating Inventory of Executive Function (BRIEF), Child Behavior Checklist (CBCL), and Adaptive Behavior Assessment System (ABAS) scores and MRI success were analyzed. Results: Mean (SD) age at first MRI attempt was 7.2 (0.2) years (median 7.2 years, interquartile range 7.1-7.3 years). Twenty-six (45.6%) participants were male. Fifty-one (89.5%) children were successful across two attempts; 44 (77.2%) were successful on their first attempt. Six (10.5%) were unsuccessful due to refusal or excessive motion. Age, sex, and scores across all neurodevelopmental assessments (MABC, TVIP, ABAS, BRIEF, CBCL, NIH Toolbox Flanker, NIH Toolbox Pattern Comparison, WPPSI) were not associated with likelihood of MRI success (P=0.18, 0.19, 0.38, 0.92, 0.84, 0.80, 1.00, 0.16, 0.75, 0.86, respectively). Conclusion: This cohort of children from a rural/semi-rural region of Colombia demonstrated comparable MRI success rates to other published cohorts after completing a low-cost MRI familiarization training protocol suitable for low-resource settings. Achieving non-sedated MRI success in children in low-resource and international settings is important for the continuing diversification of pediatric research studies. [ABSTRACT FROM AUTHOR]

Nine in 10 road traffic deaths occur in low- and middle-income countries (LMICs). Despite this disproportionate burden, few studies have examined built environment correlates of road traffic injury in these settings, including in Latin America. We examined road traffic collisions in Bogotá, Colombia, occurring between 2015 and 2019, and assessed the association between neighborhood-level built environment features and pedestrian injury and death. We used descriptive statistics to characterize all police-reported road traffic collisions that occurred in Bogotá between 2015 and 2019. Cluster detection was used to identify spatial clustering of pedestrian collisions. Adjusted multivariate Poisson regression models were fit to examine associations between several neighborhood-built environment features and rate of pedestrian road traffic injury and death. A total of 173,443 police-reported traffic collisions occurred in Bogotá between 2015 and 2019. Pedestrians made up about 25% of road traffic injuries and 50% of road traffic deaths in Bogotá between 2015 and 2019. Pedestrian collisions were spatially clustered in the southwestern region of Bogotá. Neighborhoods with more street trees (RR, 0.90; 95% CI, 0.82–0.98), traffic signals (0.89, 0.81–0.99), and bus stops (0.89, 0.82–0.97) were associated with lower pedestrian road traffic deaths. Neighborhoods with greater density of large roads were associated with higher pedestrian injury. Our findings highlight the potential for pedestrian-friendly infrastructure to promote safer interactions between pedestrians and motorists in Bogotá and in similar urban contexts globally. [ABSTRACT FROM AUTHOR]

Most Latin American countries entered the ranks of middle-income levels almost simultaneously with Japan and South Korea. However, while Japan and South Korea embarked on the path of economic development through technological innovation and industrial upgrading, Latin America fell into the middle-income trap. By examining the history of industrial and technological development in Brazil, Argentina, and Mexico, three representative countries in Latin America, this paper finds that the fundamental reasons for Latin America falling into the middle-income trap lie in the tension between the choice of industrialization path and primitive accumulation, as well as the institutional deficiencies in technology and industrial development. Latin America, which has fallen into the middle-income trap, finds it hard to upgrade its technology and is trapped in premature industrialization and the middle-technology trap. It can be said that Latin America has fallen into a double trap, which reinforces each other and forms a solid trap pattern. The warning from the Latin American experience is that late-developing countries need to maintain an open attitude during the process of technological catching up, build a complete technological innovation system, enhance industrial and technological governance capabilities, and seize the window of opportunity for technological and industrial upgrading. Otherwise, there is a significant risk of falling into the middle-income trap and even the double trap. [ABSTRACT FROM AUTHOR]

Ataxia-telangiectasia (AT) is a rare genetic disorder leading to neurological defects, telangiectasias, and immunodeficiency. We aimed to study the clinical and immunological features of Latin American patients with AT and analyze factors associated with mortality. Referral centers from 9 Latin American countries participated in this retrospective cohort study, and 218 patients were included. Median (IQR) ages at symptom onset and diagnosis were 1.0 (1.0–2.0) and 5.0 (3.0–8.0) years, respectively. Most patients presented recurrent airway infections, which was significantly associated with IgA deficiency. IgA deficiency was observed in 60.8% of patients and IgG deficiency in 28.6%. T- and B-lymphopenias were also present in most cases. Mean survival was 24.2 years, and Kaplan–Meier 20-year-survival rate was 52.6%, with higher mortality associated with female gender and low IgG levels. These findings suggest that immunologic status should be investigated in all patients with AT. [ABSTRACT FROM AUTHOR]

The empirical evidence on the relationship between the real exchange rate and export performance in emerging economies is inconclusive. In this paper, we present evidence that one reason for this inconclusiveness is the use of real exchange rate (RER) measures that do not consider the heterogeneity between economic sectors. To this end, we calculate a unique sectoral bilateral RER index (SBRER) for 12 Latin American economies, which considers the variation of producer price differentials and bilateral nominal exchange rates across 21 manufacturing sectors and 38 trade partners between 2001–2018, and to estimate the effect of SBRER movements on manufacturing exports. The regression results show that the SBRER is a significant determinant of aggregate manufacturing exports, whereas the bilateral RER is not significant. Moreover, sectoral export elasticities indicate that mainly sectors with low levels of product complexity and, to a lesser extent, those of medium complexity are affected by RER movements. These findings show that it is important to consider sectoral heterogeneity when estimating RER export elasticities from a macroeconomic perspective. [ABSTRACT FROM AUTHOR]

Introduction: Metabolic and bariatric surgery (MBS) has experienced considerable growth, addressing the challenges of obesity and its complications. The lack of a comprehensive bibliometric analysis in Latin America motivates this study, highlighting the need to understand the evolution of research in this area and its impact on clinical decision-making and health policies. Methodology: A cross-sectional bibliometric study was carried out using the Scopus database. A structured search strategy was designed to identify articles related to bariatric surgery with authors affiliated with Latin American countries. Inclusion and exclusion criteria were applied, followed by a descriptive and bibliometric analysis of the scientific production found. Results: A total of 3553 documents published between 1991 and 2024 were included. There was an annual growth of 11%, with an average age of documents of 7.5 years. A concentration was observed in some countries, notably Brazil, Mexico, and Chile. Although scientific output increased, the average number of citations per article showed a downward trend since 2003. Discussion: Despite the growth in scientific production, the quality and relevance of research is questioned, especially given the decrease in the impact received. It highlights the lack of meaningful regional collaboration, which could limit the sharing of knowledge and resources. Questions are raised about gaps in research capacity and the economic and development implications are discussed. Conclusions: This study provides valuable information to strengthen future research in bariatric surgery in Latin America. It highlights the importance of promoting regional and international collaboration and improving research training in countries with less participation. Clinical intervention strategies can benefit from better understanding research trends and adopting evidence-based practices in a more informed manner. [ABSTRACT FROM AUTHOR]

Firms operating in developing economies are increasingly expected to implement CSR practices aligned with recognized global standards. Drawing on extensive field study data in four Latin American countries, we contribute to business ethics scholarship by making visible and explaining firm shortcomings across social, environmental, and governance goals and activities of CSR. Building on and extending sensemaking literature, we find that leaders and managers responsible for their firms' CSR activities make sense of and justify CSR shortcomings. We specify that justification based on individual, organizational/industry, and macro-environmental influences serves as a mechanism that decouples firms' actual CSR practices from recognized CSR standards. Further, we propose that detachment, involving disconnection from the local operating environment, underlies the CSR shortcomings of firms. We develop a theoretical multi-level model that specifies justification as a mechanism and detachment as an underlying driver of CSR shortcomings. [ABSTRACT FROM AUTHOR]

In this paper we analyze the evolution of Latin American (LATAM) Business Economics (BE) publications in international journals from 2005 to 2019. Using publications in Web of Science Core Collection (WoS), we analyze which characteristics of collaboration result in higher impact, i.e., total number of citations, and journals' WoS impact factor. Our findings show that the number of publications in journals indexed in the WoS by researchers in LATAM have been rising in terms of the number of publications and impact measured by citations. Moreover, researchers in the region are publishing in journals with higher impact factor. The analysis shows that the main drivers of impact are multilateral and bilateral collaboration, number of countries, number of authors, and the number of categories of knowledge. Specifically, multilateral collaboration is a key factor of influential papers. Other aspects that increase the impact of publications are publishing in English and collaborating with authors from the United States. Our results also suggest a slight decrease in the impact as the number of coauthors increase. [ABSTRACT FROM AUTHOR]

In this article, a bibliometric analysis of the authors, journals, research institutions, countries and keywords found in 27,750 documents from the Web of Science written by Latin American authors or co-authors in Physics between the years 2013 and 2022, is carried out. The results show that the last ten years have seen increasing numbers in the scientific production and that the more outstanding authors of the region are mainly from Brazil, Mexico, Argentina, Chile and Colombia, with the United States being the non-Latin American country involved in the largest number of collaborations. Brazil is the most productive country in the region and the areas that draw most interest are Optics, Materials Science, Physics Applied, Nanotechnology and Chemistry Physical. Given that collaborations with the European Organization for Nuclear Research (CERN) involve more than 1000 authors per document or other large similar collaborations, works associated with high energy physics have been excluded from this study. [ABSTRACT FROM AUTHOR]

Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study employs Chilean administrative data to investigate the impact of school starting age on the characteristics of students' initial enrolled schools. Employing minimum age requirements and an RD design to mitigate endogeneity concerns, we identify benefits linked to commencing school at a later age. Our findings demonstrate that children starting school at an older age enroll in institutions with higher average scores in standardized tests and interact with older peers whose parents have higher education levels. Furthermore, they display a heightened likelihood of entering schools employing academic selection methods, a greater proportion of full-time teachers, and a larger percentage of instructors with a 4-year college degree. The analysis by level of education of the parents and gender reveals that most of our results are driven by parents with lower levels of education and girls. Subgroup analyses further reveal that many of our results are driven by parents with lower levels of education and parents of girls. [ABSTRACT FROM AUTHOR]

Purpose: Recruit and sequence breast cancer subjects in Guatemalan and US Hispanic populations. Identify optimum strategies to recruit Latin American and Hispanic women into genetic studies of breast cancer. Methods: We used targeted gene sequencing to identify pathogenic variants in 19 familial breast cancer susceptibility genes in DNA from unselected Hispanic breast cancer cases in the US and Guatemala. Recruitment across the US was achieved through community-based strategies. In addition, we obtained patients receiving cancer treatment at major hospitals in Texas and Guatemala. Results: We recruited 287 Hispanic US women, 38 (13%) from community-based and 249 (87%) from hospital-based strategies. In addition, we ascertained 801 Guatemalan women using hospital-based recruitment. In our experience, a hospital-based approach was more efficient than community-based recruitment. In this study, we sequenced 103 US and 137 Guatemalan women and found 11 and 10 pathogenic variants, respectively. The most frequently mutated genes were BRCA1, BRCA2, CHEK2, and ATM. In addition, an analysis of 287 US Hispanic patients with pathology reports showed a significantly higher percentage of triple-negative disease in patients with pathogenic variants (41% vs. 15%). Finally, an analysis of mammography usage in 801 Guatemalan patients found reduced screening in women with a lower socioeconomic status (p < 0.001). Conclusion: Guatemalan and US Hispanic women have rates of hereditary breast cancer pathogenic variants similar to other populations and are more likely to have early age at diagnosis, a family history, and a more aggressive disease. Patient recruitment was higher using hospital-based versus community enrollment. This data supports genetic testing in breast cancer patients to reduce breast cancer mortality in Hispanic women. [ABSTRACT FROM AUTHOR]

Despite the improvements in HIV care outcomes in the United States (US), non-US-born persons continue to be disproportionately affected by HIV. We analyzed National HIV Surveillance System (NHSS) data on HIV diagnoses, stage 3 (AIDS) at diagnosis, linkage to medical care, and viral suppression for non-US-born persons by region of birth (RoB) reported to the (NHSS) in 2020 to determine care outcomes among this population. Overall, a larger proportion of non-US-born persons received a late-stage diagnosis [stage 3 (AIDS)] classification. Among all non-US-born persons, African-born males, Asian-born females, and persons aged 55 + years had the highest proportions of late-stage diagnosis. Despite a late-stage of diagnosis, a higher proportion of non-US-born persons were linked to medical care and were virally suppressed compared to US-born persons. HIV care outcomes varied by RoB and selected characteristics. Knowing the RoB of non-US-born persons is necessary to identify culturally sensitive approaches for prevention planning and increasing testing activities to ultimately increase early diagnosis in this population. [ABSTRACT FROM AUTHOR]

We summarize the clinical trials (CTs) main characteristics, including members of ethnic minorities from Latin America. We carried out a systematic search in six databases. We made a descriptive synthesis of CTs, summarizing the characteristics, interventions, main findings, results, and conclusions reported. 4411 studies were acquired in search strategy, leaving 24 CTs in the final selection. Of these, ten were randomized, four were non-randomized, and the remainder had other designs. Most of the studies were carried out in the population of infants and children (08), ten of the studies included only women, and two studies included men. Nine studies were conducted in Mexico, with the Mayan ethnic minority being mostly evaluated (05). In only 15 it was mentioned that their research was approved by a research ethics committee. Finally, half of the CTs reported funding from international agencies and third reported funding from government agencies. Our results show that that CTs in ethnic minorities are limited and reduced to a few native peoples of the continent. [ABSTRACT FROM AUTHOR]

Child sexual abuse (CSA) has been associated with mental health disorders throughout life during childhood, adolescence and adulthood; one of the most prevalent mental health conditions after CSA is post-traumatic stress disorder (PTSD). The present systematic review and meta-analysis aims to examine the association between CSA and PTSD in children and adolescents, evaluating also the role of potential effect modifiers, such as gender and geographic region. Participants were sexually abused (vs. CSA-free) children, adolescents and young adults, up to 21 years of age, with or without a PTSD diagnosis. Settings of eligible studies spanned school, college, university, community, hospital and non-hospital mental health facilities. Eligible studies were sought in PUBMED, ΕΜΒΑSE, PSYCINFO and GOOGLE SCHOLAR databases; end-of-search was set at August 31, 2020. Random-effects (DerSimonian-Laird) models were used for the pooling of studies. Results were reported as pooled odds ratios (OR) and 95% confidence intervals (95% CIs). Twenty-eight studies were identified, including a total cohort of 28,693 subjects. CSA was strongly associated with PTSD, at a similar extent in boys (pooled OR = 2.86, 95% CI 2.09–3.91) and girls (pooled OR = 2.38, 95% CI 1.76–3.23); meta-regression with gender confirmed the non-significant effect of gender. The association was present in all examined geographic regions. CSA is strongly associated with PTSD in childhood, adolescence and young adulthood, irrespectively of gender. Future studies should opt for thorough assessment of confounders and examine regions with paucity of studies, such as East Asia and Latin America. [ABSTRACT FROM AUTHOR]

Across the Global South, corporations and governments are displacing Indigenous and Afro-descendant groups in the name of development and economic advancement. International norms guarantee these communities the right to consultation over extractive projects that impact their traditional territories. Ethnic rights laws create spaces for communities to hold corporations accountable for their suffering; the same laws can also allow corporations to co-opt the process. Using a case study from Colombia, I argue that two Black communities filed a petition to seek reparations for a wide range of harms caused by mining yet found themselves on trial over whether they were really a community at all. Corporate officials positioned themselves as the experts on community identity and history and used the communities' lack of collectivity to discredit the communities' ethnic rights claims. This article brings together anthropological literature on the social life of corporations and scholarly critiques of ethnic rights laws to illustrate that when communities engage ethnic rights laws, they also undergo new processes of community formation in their interactions with corporations, courts, and international institutions. [ABSTRACT FROM AUTHOR]

We aimed to describe differences in the epidemiology, management, and outcomes existing between centers located in countries which differ by geographical location and economic status during to post-pandemic bronchiolitis seasons. This was a prospective observational cohort study performed in two academic centers in Latin America (LA) and three in Italy. All consecutive children with a clinical diagnosis of bronchiolitis were included, following the same data collection form. Nine hundred forty-three patients have been enrolled: 275 from the two Latin American Centers (San Jose, 215; Buenos Aires, 60), and 668 from Italy (Rome, 178; Milano, 163; Bologna, 251; Catania, 76). Children in LA had more frequently comorbidities, and only rarely received palivizumab. A higher number of patients in LA had been hospitalized in a ward (64% versus 23.9%, p < 0.001) or in a PICU (16% versus 6.2%, p < 0.001), and children in LA required overall more often respiratory support, from low flow oxygen to invasive mechanical ventilation, except for CPAP which was more used in Italy. There was no significant difference in prescription rates for antibiotics, but a significantly higher number of patients treated with systemic steroids in Italy. Conclusions: We found significant differences in the care for children with bronchiolitis in Italy and LA. Reasons behind such differences are unclear and would require further investigations to optimize and homogenize practice all over the world. What is Known: • Bronchiolitis is among the commest cause of morbidity and mortality in infants all over the world. What is New: • There are significant differences on how clinicians care for bronchiolitis in different centers and continents. Differences in care can be principally due to different local practices than differences in patients severity/presentations. • Understanding these differences should be a priority to optime and standardize bronchiolitis care globally. [ABSTRACT FROM AUTHOR]

This special issue examines environmental governance, conceptualized as environmental protections, support for sustainable development, and the regulation of large-scale development projects. Through analysis of dynamics during the commodities super-cycle of the 2000s–2010s, contributors explore the multifaceted ways that societal actors interact with the state to support, oppose, or modify environmental governance, with a focus on communities impacted by export activities and economic elites who favor their expansion. Several papers seek to understand the governance of sectors—mining, oil, and soy. Others begin with natural areas threatened by development—urban wetlands and forests. As a collection, the papers reveal three commonalities that affect the extent to which environmental governance institutions address demands of impacted communities: (1) the question of whether a policymaking process takes place in reaction to mobilizing, or whether it proactively engages environmental questions as they pertain to local populations; (2) strategies by civil society, and above all impacted residents, to ensure the implementation of environmental policies; and (3) debates over knowledge, including community efforts to harness expertise and information to counter paradigms advanced by business actors. [ABSTRACT FROM AUTHOR]

Wetlands provide ecosystem services such as flood protection, improved water quality, and wildlife habitat, but are under attack in urban land-use conflicts in the Global South. This article presents two cases of local wetlands governance conflicts in Colombia (Humedal la Conejera, Bogotá, Cundinamarca) and Argentina (Laguna de Rocha, Esteban Echeverría, Gran Buenos Aires) to illustrate divergent pathways toward improved environmental governance via citizen pressures: the collaborative method (Bogotá) and the adversarial method (Buenos Aires). While existing scholarship on citizen-led regulation stresses the importance of collaboration between community organizations and the state, this article argues that adversarial tactics are also a key component of environmental governance. In both cases, citizen-led pressures led to increased enforcement of regulatory measures to restore wetlands and gain protected-area status. Citizen-led governance involved adversarial strategies such as marches, litigation, and shaming and blaming in the media, as well as collaborative strategies such as creating broad-based educational forums, working inside city government, and partnering directly with public institutions to set new policies. Against the backdrop of extensive collusion between elected officials and land developers, citizen-led subnational environmental governance has become the regulatory regime of last resort in urban Latin America. [ABSTRACT FROM AUTHOR]

Latin America comprises 20 countries and 14 dependent territories throughout the Western Hemisphere. It is a diverse and plural region in terms of its geography, cultures, languages, and historical experiences, with fifteenth-century colonialism as a common denominator. Two areas in which the lingering effects of coloniality seem clearly ever-present are the realms of gender and sexuality. The latter encompasses sexual fantasies, a subject of focus in this article. The examination of sexual fantasies remains a ripe area for future research, particularly throughout the Global South, where its linkages to coloniality should be explored in detail. To contribute to this larger and long-term goal, we implemented an online qualitative study designed to document the sexual fantasies of Spanish-speaking individuals living in the Latin American region. We developed a data-gathering form that included open-ended questions to document sexual fantasies. The form was available through the JotForm online platform that was linked to the study webpage entitled "A Calzón Quita'o." We conducted a thematic analysis to identify response patterns. Three main categories emerged from: (1) spatiotemporal references, (2) multiple partners, and (3) power, control, and rough sex. We relied on perspectives linked to ongoing discussions about coloniality to analyze the thematic content in the participants' responses regarding their sexual fantasies. The findings highlight the existing tensions between the reproduction of—and resistance to—the norms associated with gender roles and their embodiment within the framework of the gender binary inherited from coloniality. [ABSTRACT FROM AUTHOR]

Diarrhea is a leading cause of death in children globally, mostly due to inadequate sanitary conditions and overcrowding. Poor housing quality and lack of tenure security that characterize informal settlements are key underlying contributors to these risk factors for childhood diarrhea deaths. The objective of this study is to better understand the physical attributes of informal settlement households in Latin American cities that are associated with childhood diarrhea. We used data from a household survey (Encuesta CAF) conducted by the Corporación Andina de Fomento (CAF), using responses from sampled individuals in eleven cities. We created a household deprivation score based on household water and sewage infrastructure, overcrowding, flooring and wall material, and security of tenure. We fitted a multivariable logistic regression model to estimate odds ratios (OR) and 95% confidence intervals (95% CI) to test the association between the deprivation score and its individual components and childhood diarrhea during the prior 2 weeks. We included a total of 4732 households with children, out of which 12.2% had diarrhea in the 2-week period prior to completing the survey. After adjusting for respondent age, gender, and city, we found a higher risk of diarrhea associated with higher household deprivation scores. Specifically, we found that the odds of diarrhea for children living in a mild and severe deprived household were 1.04 (95% CI 0.84–1.28) and 3.19 times (95% CI 1.80–5.63) higher, respectively, in comparison to households with no deprivation. These results highlight the connections between childhood health and deprived living conditions common in informal settlements. [ABSTRACT FROM AUTHOR]

Purpose: Depression is a prevalent disorder with effects beyond mental health. A positive association with mortality has been mostly reported, however, evidence comes from a few high-income countries. This study aims to assess the association between depressive symptoms and all-cause mortality in the Chilean population and assess a potential secular effect in this association. Methods: This prospective study used data from the Chilean National Health Survey (CNHS). Data from 3151 and 3749 participants from the 2003 and 2010 CNHS, respectively, were linked to mortality register data. Cox survival analysis was performed. The main exposure was depressive symptoms, measured with CIDI-SF (cut-off ≥ 5), and the outcome all-cause mortality. The study period was limited to 8.5 years to allow for the same length of follow-up. Results: 10% and 8.5% of participants from the 2003 and 2010 cohort died during the follow-up. Adjusting for age and sex, those with depressive symptoms had 1.58 (95% CI 1.18–2.13) and 1.65 (95% CI 1.14–2.12) times the risk to die than those without symptoms in the 2003 and 2010 cohort, respectively. In models adjusted for demographic, socioeconomic, behavioural variables and comorbidities, participants with depressive symptoms had 1.42 (95% CI 1.05–1.92) and 1.46 (95% CI 1.07–− 1.99) times the risk to die compared to those without symptoms in the 2003 and 2010 cohort, respectively. Conclusion: Chilean adults with depressive symptoms are at higher risk of all-cause mortality compared to those without symptoms. The effect size was similar regardless of the economic development of the country. [ABSTRACT FROM AUTHOR]

This article critically interrogates the political effect of portraying drug-related organized crime in the Americas as a resilient market phenomenon. It works out how both drug demand and supply are constructed as immune to repressive policy interventions of the War on Drugs. Drug demand is seen as a pathologic consumer habit which is inelastic to price changes brought about by interdiction. Drug supply, in turn, cannot be permanently suppressed as the 'balloon effect' ensures that trafficking routes merely shift from one country to another. In this discursive framework, policy making is consigned to perpetual adaption rather than purposive social transformation. In consequence, the political horizon of international policy making is limited to living with danger. This discursive move is facilitated by the resilience approach which consigns human communities to coping with threats and upheavals they can no longer have any hope of overcoming. [ABSTRACT FROM AUTHOR]

Within elite-led projects of ideological transformation, how do leaders encourage practices that reflect and reinforce the ideas, attitudes, and beliefs they are trying to make hegemonic? This article investigates how political elites use different mechanisms of subject formation as they attempt to replace one hegemonic ideology with another and to shape new subjects to match. Whereas leaders of the Mexican and Nicaraguan revolutions often approached creating "new women" through legislation and campaigns, the Cuban revolutionary elites leveraged their swift and broad control over mass media to complement institutional means of subject formation with discursive ones. I draw on careful qualitative analysis of 112 issues of the state-run women's magazine Mujeres (Women) to show how leaders combined both linguistic and visual discourse to promote the development of the socialist "new woman" by encouraging women to participate in a wide range of labor outside of the home and by assisting them as they adjusted to the new material realities of the immediate post-revolutionary period. Bringing mass media swiftly and fully under state control allows leaders to communicate the ideological attitudes and behaviors they wish to promote among the people, while limiting alternate conceptions of revolutionary subjecthood. [ABSTRACT FROM AUTHOR]

This article presents an analytical framework for examining the different roles the state can play in improving higher education governance in Latin America and the Caribbean (LAC). It argues that adequate governance of national higher education systems is fundamental to moving toward a new social contract in the sector. It describes different roles the state can play in a new social contract for the future governance of higher education and proposes recommendations for strengthening the governance of national higher education systems in LAC. It also reviews the literature on higher education governance and discusses changes in analytical approaches. It emphasizes that local factors are key determinants in understanding changes in the governance of national higher education systems and identifies trends toward the configuration of hybrid governance systems. It is suggested that a new social contract in higher education depends on the capacity of national governments to articulate the necessary political consensus; to pursue an agenda of higher education modernization as a human right and a public good; and to achieve greater effectiveness in addressing key challenges related to equity, quality, sustainability, and the long-term development strategy of higher education. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Aussen- und Sicherheitspolitik is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)