26,183 results on '"POOR people"'
Search Results
102. Influence On The Culinary Culture Of Himachal Among Locals In The Selected Destinations.
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Katnoriya, Sonu Kumar and Hanspal, Monika
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POOR people ,GODS ,TRADITIONAL knowledge ,FOOD habits ,RESTAURANTS - Abstract
The land of Himachal is well-known as "Dev Bhoomi " which is the well-suited name authored for Himachal Pradesh, being the place that is known for divine beings, Goddesses and nearby Gods overseeing the neighbourhood life and customs of individuals in the state. Himachal Pradesh has a rich social legacy and gastronomy which presents the anthropological, cultural, environmental and topographical diversity of the state. The influence on culinary culture reflection is seen in the variations of local destination development, movement of local populations, and architecture of houses, clothing styles, food and food habits, availability of raw materials, environmental conditions, and traditional knowledge of the local people. This paper is about how the food culture in Himachal Pradesh, especially in Hamirpur and Una districts, has been influenced by various things like history, geography, culture and how rich or poor people are. The paper talks about how the researchers studied it, such as how they chose who to talk to, how they collected information, and how they looked at the information to learn more. This study will be based on how people eat in Himachal and what food they like. We will be asking 110 people from two different districts about their eating habits, where they like to eat out and how they cook. We will use both new information we collect ourselves and information we get from other sources such as books and websites. We'll use a survey to ask people questions and we can also look at things like diaries and articles to find out more. [ABSTRACT FROM AUTHOR]
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- 2024
103. Eloge: Roger H. Stuewer (1934–2022).
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Martinez, Alberto A.
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POOR people , *HISTORY of science , *VETERANS , *HISTORY of physics , *BOOK collectors , *CUCUMBERS - Abstract
This obituary is a tribute to Roger H. Stuewer, a respected physicist and historian of science. Born in Shawano, Wisconsin, to German immigrant grandparents, Stuewer had a challenging upbringing marked by his father's strict discipline and his mother's health issues. Despite these difficulties, Stuewer excelled academically and pursued a career in physics and history of science. He made significant contributions to the field, including his work on the history of nuclear physics and his efforts to bridge the gap between historians and physicists. Stuewer was also known for his dedication to teaching and his love of travel and culture. He passed away in 2022, leaving behind a lasting legacy in the scientific community. [Extracted from the article]
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- 2024
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104. Age at diagnosis and social risks among Black cancer survivors: Results from the Detroit Research on Cancer Survivors cohort.
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Hastert, Theresa A., McDougall, Jean A., Robinson, Jamaica R. M., Palakshappa, Deepak, Seaton, Randell, Ruterbusch, Julie J., Beebe‐Dimmer, Jennifer L., and Schwartz, Ann G.
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POOR people , *CANCER survivors , *HOUSING stability , *MIDDLE age , *CANCER research - Abstract
Background: Social risks are common among cancer survivors who have the fewest financial resources; however, little is known about how prevalence differs by age at diagnosis, despite younger survivors' relatively low incomes and wealth. Methods: The authors used data from 3703 participants in the Detroit Research on Cancer Survivors (ROCS) cohort of Black cancer survivors. Participants self‐reported several forms of social risks, including food insecurity, housing instability, utility shut‐offs, not getting care because of cost or lack of transportation, and feeling unsafe in their home neighborhood. Modified Poisson models were used to estimate prevalence ratios and 95% confidence intervals (CIs) of social risks by age at diagnosis, controlling for demographic, socioeconomic, and cancer‐related factors. Results: Overall, 35% of participants reported at least one social risk, and 17% reported two or more risks. Social risk prevalence was highest among young adults aged 20–39 years (47%) followed by those aged 40–54 years (43%), 55–64 years (38%), and 65 years and older (24%; p for trend <.001). Compared with survivors who were aged 65 years and older at diagnosis, adjusted prevalence ratios for any social risk were 1.75 (95% CI, 1.42–2.16) for survivors aged 20–39 years, 1.76 (95% CI, 1.52–2.03) for survivors aged 40–54 years, and 1.41 (95% CI, 1.23–1.60) for survivors aged 55‐64 years at diagnosis. Similar associations were observed for individual social risks and experiencing two or more risks. Conclusions: In this population of Black cancer survivors, social risks were inversely associated with age at diagnosis. Diagnosis in young adulthood and middle age should be considered a risk factor for social risks and should be prioritized in work to reduce the financial effects of cancer on financially vulnerable cancer survivors. This report evaluates associations between age at diagnosis and the prevalence of social risks, such as food insecurity, housing instability, and forgoing care because of lack of transportation in a population‐based cohort of Black cancer survivors. Age at diagnosis was inversely associated with social risks, and young adult survivors reported the highest prevalence of any social risks, multiple social risks, and several individual social risks. [ABSTRACT FROM AUTHOR]
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- 2024
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105. Peer support and prosocial behavior among adolescents from low-income families: A moderated mediation model.
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Yao, Zhuojun and Li, Yaodi
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PROSOCIAL behavior , *POOR people , *DISCIPLINE , *COMMUNAL living , *LIFESTYLES - Abstract
Although peer support is documented as a predictor of adolescents' prosocial behavior, the influencing mechanism of peer support on prosocial behavior among adolescents from low-income families has not been fully researched. The current research conducted two studies to examine the influencing mechanism of peer support on prosocial behavior among adolescents from low-income families. Study 1 (N = 579) investigated the influencing mechanism of peer support on prosocial behavior with a longitudinal dataset. Study 2 (N = 228) investigated the effect of peer support priming on money donation with an experimental approach. The results of Study 1 and Study 2 consistently demonstrated that communal social goals mediated the association between peer support and prosocial behavior among adolescents from low-income families, and cumulative family risk moderated this indirect link. The positive effect of peer support on prosocial behavior through communal social goals might be weakened if adolescents experience more risk factors in the family context. [ABSTRACT FROM AUTHOR]
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- 2024
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106. Care ethics in theory and practice: Joan C. Tronto in conversation with Iris Parra Jounou.
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Parra Jounou, Iris and Tronto, Joan C.
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COSMOPOLITANISM ,POLITICAL ethics ,POOR people ,POLITICAL science ,CITIZENS ,ETHICS - Abstract
Joan C. Tronto is a prominent figure in care ethics and American political theory. Her work has had a significant impact on various fields, including public policy, democratic institutions, healthcare, and urban planning. Tronto argues that care should not be confined to the private sphere and should be a collective responsibility. The text discusses the concept of care and its implications in various fields, emphasizing the need for care to be integrated across different disciplines and frameworks. Tronto also explores the concept of "caring with" and its role in creating reliable and shared care relationships. She concludes by discussing her current work on understanding and improving bad care. [Extracted from the article]
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- 2024
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107. Teacher-Student Race Match and Identification for Discretionary Educational Services.
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Hart, Cassandra M.D. and Lindsay, Constance A.
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POOR people ,BLACK children ,GIFTED children ,BLACK students ,SPECIAL education ,SCHOOL year - Abstract
A host of recent literature suggests benefits to Black children of being matched to same-race teachers. We extend this literature to explore whether being matched to a Black teacher is related to Black students' likelihood of being identified for two types of discretionary educational services in the following academic year: gifted education and special education. While we do not find that access to Black teachers affects students' likelihood of gifted identification, Black students matched to Black teachers are less likely to be identified for special education. The results are strongest for Black boys, particularly those who are also economically disadvantaged and are strongest for disabilities with more discretion in identification. [ABSTRACT FROM AUTHOR]
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- 2024
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108. Using participatory communication for effective role-players engagement: Farreach perspective.
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Dikeocha, Chijioke
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POOR people ,HUMAN resources departments ,LIVING conditions ,NONGOVERNMENTAL organizations ,PARTICIPATORY culture - Abstract
Some scholars have argued that every year, huge amount of financial and human resources are being deployed by international development agencies, and NGOs to improve the living conditions of millions of poor people living in most African countries, yet most of these interventions are not achieving the objectives expected. This study seeks to know the validity of this postulation by exploring the intersection of participatory communication, role-players engagement, and project proposal in achieving far-reaching impact and success of development interventions in Africa. A systematic literature review method was used. The findings showed that 25% of the 48 development interventions evaluated were failed projects, 64.58% projects came midway, and 10.42% projects were successful. The findings support the postulation of Farreach perspective. [ABSTRACT FROM AUTHOR]
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- 2024
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109. Ophelia Dahl.
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GREEN, JOHN
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MEDICAL quality control ,POOR people - Abstract
Ophelia Dahl, co-founder of Partners in Health, believes that the lack of access to healthcare is a result of human-built systems that can be fixed by humans. Partners in Health has revolutionized community-based healthcare, providing quality healthcare to millions of impoverished individuals worldwide. Dahl's commitment to reducing human suffering is evident in her work to address issues such as maternal mortality and tuberculosis. She emphasizes that injustice can be cured, and with her help, progress is being made. [Extracted from the article]
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- 2024
110. Time to treatment disparities in gastric cancer patients in the United States of America: a comprehensive retrospective analysis.
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Sharan, Seema, Bansal, Shivam, Manaise, Harsheen Kaur, Jimenez, Paola Berrios, Raikot, Swathi R., Ahmed, Syeda Hoorulain, Popp, Reed, Popp, Kyle, Sukniam, Kulkaew, Kowkabany, Gabrielle, Mubarak, Fatima, and Gabriel, Emmanuel
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POOR people ,STOMACH cancer ,HEALTH equity ,CANCER patients ,CANCER prognosis - Abstract
Introduction: Gastric cancer ranks as the 5th most prevalent cancer and the 4th leading cause of cancer-related deaths worldwide. Various treatment modalities, including surgical resection, chemotherapy, and radiotherapy, are available for gastric cancer patients. However, disparities related to age, sex, race, socioeconomic factors, insurance status, and demographic factors often lead to delayed time to treatment. Methods: In this retrospective study, conducted between 2004 and 2019, we utilized data from the National Cancer Database (NCDB) to investigate the factors contributing to disparities in the time to first treatment, surgery, chemotherapy, and radiotherapy among gastric cancer patients. Our analysis incorporated several variables, and statistical analysis was conducted to provide valuable insights into these disparities. Results: We observed notable disparities in the timing of treatment for various demographic groups, including age, sex, race, insurance status, geographic location, and facility type. These disparities include longer time to treatment in males (32.67 vs 30.75), Native Americans (35.10 vs 31.09 in Asians), low-income patients (32 vs 31.15), patients getting treatment in an academic setting (36.11 vs 29.61 in community setting), significantly longer time to chemotherapy in 70+ age group (51.13 vs 40.38 in <40 y age group), black race (55.81 vs 47.05 in whites), low income people (49.64 vs 46.74), significantly longer time to radiotherapy in females (101.61 vs 79.75), blacks and Asians (109.68 and 113.96 respectively vs 92.68 in Native Americans) etc. There are various other disparities in time to surgery, chemotherapy, and radiotherapy. Conclusions: Understanding these disparities is crucial in developing targeted strategies to improve timely access to appropriate treatments and enhance outcomes for gastric cancer patients. Future research with updated data and prospective study designs can provide a more comprehensive understanding of the factors influencing patient outcomes in gastric cancer. [ABSTRACT FROM AUTHOR]
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- 2024
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111. Pull me – push you? The disparate financing mechanisms of drug research in global health.
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Matthey, Max Alexander and Hollis, Aidan
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POOR people , *WORLD health , *NEGLECTED diseases , *ACADEMIC debating , *FREE enterprise - Abstract
Background: There is an inconsistency in the way pharmaceutical research is financed. While pull mechanisms are predominantly used to incentivize later-stage pharmaceutical research for products with demand in the Global North, so-called neglected diseases are chiefly financed by push funding. This discrepancy has so far been ignored in the academic debate, and any compelling explanation for why we draw the line between push and pull at poor people is lacking. Main body: Clinical development of new pharmaceuticals is chiefly financed by free market pull mechanisms. Even in cases where markets fail to deliver adequate incentives, demand enhancement mechanisms are used to replicate pull funding artificially, for example, with subscription models for antibiotics. Push funding in clinical research is almost always used when the poverty of patients means that markets fail to create sufficient demand. The general question of whether push or pull generally is the more efficient way to conduct pharmaceutical research arises. Conclusions: If the state is efficient in directing limited budgets for pharmaceutical research, push funding should be expanded to global diseases. If private industry is the more efficient actor, there would be enormous value in experimenting more aggressively with different approaches to enhance market demand artificially for neglected diseases. [ABSTRACT FROM AUTHOR]
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- 2024
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112. Eliminating Medicaid dental benefits and early‐stage oral cancer diagnoses.
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Semprini, Jason, Reynolds, Julie, Zahnd, Whitney E., and Wehby, George
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CANCER diagnosis , *DENTISTS , *MEDICAID , *POOR people , *DENTAL emergencies , *EARLY detection of cancer , *DENTAL care , *ORAL cancer - Abstract
Background: Despite the importance of regular dental visits for detecting oral cancer, millions of low‐income adults lack access to dental services. In July 2009, California eliminated adult Medicaid dental benefits. We tested if this impacted oral cancer detection for Medicaid enrollees. Methods: We analyzed Surveillance, Epidemiology, and End Results‐Medicaid data, which contains verified Medicaid enrollment status, to estimate a difference‐in‐differences model. Our design compares the change in early‐stage (Stages 0–II) diagnoses before and after dropping dental benefits in California with the change in early‐stage diagnoses among eight states that did not change Medicaid dental benefits. Patients were grouped by oropharyngeal cancer (OPC) and non‐OPC (oral cavity cancer), type, and the length of Medicaid enrollment. We also assessed if the effect of dropping dental benefits varied by the number of dentists per capita. Results: Dropping Medicaid dental benefits was associated with a 6.5%‐point decline in early‐stage diagnoses of non‐OPC (95% CI = −14.5, −3.2, p = 0.008). This represented a 20% relative reduction from baseline rates. The effect was highest among beneficiaries with 3 months of continuous Medicaid enrollment prior to diagnosis who resided in counties with more dentists per capita. Specifically, dropping dental coverage was associated with a 1.25%‐point decline in the probability of early‐stage non‐OPC diagnoses for every additional dentist per 5000 population (p = 0.006). Conclusions: Eliminating Medicaid dental benefits negatively impacted early detection of cancers of the oral cavity. Continued volatility of Medicaid dental coverage and provider shortages may be further delaying oral cancer diagnoses. Alternative approaches are needed to prevent advanced stage OPC. [ABSTRACT FROM AUTHOR]
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- 2024
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113. Recreational mobility prior and during the COVID-19 pandemic.
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Ghadiri, Zahra, Mashhadi, Afra, Timme, Marc, and Ghanbarnejad, Fakhteh
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COVID-19 pandemic , *POOR people , *GRAVITY model (Social sciences) , *SPATIAL behavior , *RECESSIONS - Abstract
The COVID-19 pandemic and the resulting economic recession negatively affected many people's physical, social, and psychological health and has been shown to change population-level mobility, but little attention has been given to park visitations as an indicator. Estimating the frequency of park visitations from aggregated mobility data of all the parks in Washington State (USA), we study trends in park use one year prior to and two years during the COVID-19 pandemic. Our findings indicate that the gravity model is a robust model for the park visitation behavior in different spatial resolutions of city level and state level and different socio-economical classes. Incorporating network structure, our detailed analysis highlights that high-income level residents changed their recreational behavior by visiting their local parks more and a broader recreational options outside of their local census area; whereas the low-income residents changed their visitation behavior by reducing their recreational choices. While it is renown that the COVID-19 pandemic affected the population mobility, little attention has been given to modeling the structural patterns of park visitations, and how these patterns have changed. The authors perform such analysis via gravity model as well as network structure analysis, and link the recreational propensity to socio-economical status of the population. [ABSTRACT FROM AUTHOR]
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- 2024
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114. Navigating the shift in Bangladeshi host community's perceptions towards the Rohingya refugees: a declining sympathy.
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Kamruzzaman, Palash, Siddiqi, Bulbul, and Ahmed, Kajal
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POOR people ,REFUGEES ,REFUGEE camps ,ROHINGYA (Burmese people) ,COMMUNITY involvement ,SYMPATHY ,REFUGEE children ,VIRTUAL communities - Abstract
Generosity and selflessness from the host community in Cox's Bazar were deemed to be instrumental in supporting Rohingyas who sought refuge in Bangladesh in 2017. Thousands of Rohingyas had to flee from their own country to save lives due to state-supported military violence. Initially, Bangladeshi media and civil society were largely supportive of the Rohingyas. However, the initial sympathy later withered away and may have turned into frustration and hostility. Based on 39 in-depth interviews with hot community members and humanitarian professionals, this paper argues that protraction of the crisis, inability to access natural resources due to the refugee camps, some Rohingyas' involvement in various unlawful activities, a perceived sense of neglect from the international community, and disruption in local labour market/trade affecting cost of living conditions for low-income people seem to have played important roles in creating widespread tensions between the host community and Rohingya refugees. We contend that findings of this study will add to the critical scholarship of humanitarian development in deepening the understanding of host and refugee communities' relationships. This paper will also have a positive impact on future policies toward harmonious coexistence between host communities and displaced refugees and potential sustainable solutions to the crisis. [ABSTRACT FROM AUTHOR]
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- 2024
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115. Can low-income people afford life satisfaction? The modifying effect of personality traits, a cross-sectional study.
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Zakershahrak, Mehrsa, Chrisopoulos, Sergio, Luzzi, Liana, Haag, Dandara, and Brennan, David
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POOR people ,LIFE satisfaction ,PSYCHOTHERAPY ,CROSS-sectional method ,INCOME ,PERSONALITY - Abstract
The aim was to investigate whether the "Big Five" personality traits modify the association between household income and life satisfaction (LF); and to evaluate the interaction and main effects of personality traits and income on LF. Data from the Dental Care and Oral Health Study (DCOHS, 2015–2016) was used for the cross-sectional study (n = 3,475). Multivariable Poisson regression models (adjusted for demographics and health behaviours) assessed the effect of personality traits (measured using the Ten-Item Personality Inventory) on the association between income and LF (measured by the Satisfaction With Life Scale) using prevalence ratios (PRs). The Relative Excess Risk due to Interaction (RERI) was calculated to assess the direction of effect modification. Among low-income respondents, low LF was less prevalent in those with high personality trait scores than those with low scores. The difference in the prevalence of low LF by personality traits was greater between low versus high income for openness (11.4% vs 7.7%), agreeableness (12.3% vs 9.4%) and emotional stability (26.1% vs 20.2%) categories. The combined effects of low income and low scores for these traits on LF also exceeded the sum of their individual effects, as shown by their positive RERIs. The association between low income and low LF was modified by high openness, agreeableness and emotional stability scores. Findings suggest that psychological interventions for improving LF would be most beneficial in low-income groups. [ABSTRACT FROM AUTHOR]
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- 2024
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116. Latinx Literature Unbound: Undoing Ethnic Expectation.
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COLOMA, RICARDO M.
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POOR people , *LITERATURE , *CIVIL rights organizations - Abstract
This article discusses two books, "Latinx Literature Unbound" by Ralph Rodríguez and "The Sense of Brown" by José Esteban Muñoz, which explore the concept of Latinx identity and its implications for literature and cultural production. Rodríguez argues for a revision of the Latinx label to expand its boundaries beyond ethnic themes, while Muñoz focuses on the idea of "Brownness" as a shared experience of harm and resistance. Both books offer different interpretations of Latinx as a political and cultural category. Rodríguez's book analyzes various genres of Latinx literature and proposes a new taxonomy, while Muñoz examines Latina/o drama and performance as forms of political resistance. Despite their differences, both books contribute to the understanding of contemporary Latinx literature and cultural studies. [Extracted from the article]
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- 2024
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117. Churching NIMBYs: Creating Affordable Housing on Church Property.
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REIDY, PATRICK E.
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CHURCH property , *FAITH , *POOR people , *HOUSING - Abstract
In recent years, faith communities across the United States have begun to create affordable housing on church property, inspired by sincerely held religious beliefs. Some are building microhomes behind their houses of worship. Others are converting residences once used by religious ministers--from rectories to abbeys to convents--into units for seniors and low-income families. Still others are repurposing their vacant schools, church parking lots, and undeveloped parcels of land for denser multifamily structures, from townhouses to apartment buildings. Within housing-advocacy circles and among faith communities, these continent-wide efforts to create affordable housing on church property have manifested an affirmative declaration: "Yes, In God's Backyard." Legal scholarship and popular media have extensively documented the affordable-housing crisis. In particular, scholars and commentators have underscored the pernicious role of exclusionary zoning in strangling housing production, ultimately sending regional housing prices skyward. When faith communities create affordable housing on church property, much of which is located in residentially zoned areas, they seek something other than fair market value. Some might call it "charity" (tzedakah) or "discipleship," a commitment to "welcome the stranger" or to "love your neighbor as yourself." Faith communities seek theologically and morally sound uses for their underutilized property, but often struggle to overcome the regulatory and financial hurdles of adaptive reuse. Local governments can incentivize redevelopment that benefits the wider community, growing their affordable housing supply. But their mutual benefit does not exempt faith communities from challenge when they choose to redevelop church property for affordable housing. Neighbors may seek to thwart faith communities from introducing denser, multifamily residential structures in their backyard, relying on land-use restrictions designed to prohibit less costly forms of housing. When they succeed, these challenges from NIMBY ("Not In My Backyard") neighbors can limit both housing supply and the free exercise of religion. This Feature thus proposes a novel response to exclusionary zoning: religious liberty. Where sincerely held religious beliefs inspire faith communities' efforts to create affordable housing, these communities can assert constitutional and statutory free exercise protections against land-use decisions that obstruct denser, less expensive, multifamily developments on church land. This Feature also explores municipal and state legislative reforms that lower the barrier where faith communities struggle to overcome the regulatory and financial hurdles of adaptive reuse and demonstrates the breadth of potential for affordable housing on church property, drawing on public sources and a novel data set to map parcels owned by Roman Catholic dioceses in Chicago, Illinois and Oakland, California across municipal zones. Regardless of how faith communities came to own property within their limits, or why faith communities seek to repurpose property within their limits, most local governments need property within their limits to create affordable housing. And faith communities are willing partners in their endeavor. [ABSTRACT FROM AUTHOR]
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- 2024
118. Financial contagion and financial lockdowns.
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Camera, Gabriele and Gioffré, Alessandro
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POOR people , *SOCIAL services - Abstract
Extreme financial shocks often elicit extraordinary policy interventions that preclude financial activity on a large scale, for example as the 1933 U.S. "bank holiday." We study these interventions using a random matching framework where the financial contagion process is explicit and the diffusion of the initial shock can be analytically characterized. The study suggests that there is scope for forced closures of individual firms or even economy-wide financial lockdowns only when firms are financially vulnerable and policy institutions are not well-functioning. Here, ordinary policy alone cannot prevent or sufficiently mitigate contagion, while complementing it with a lockdown or individual closures can do so, and improve social welfare if the initial shock is severe but not widespread. [ABSTRACT FROM AUTHOR]
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- 2024
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119. The Urban Face of Megachurch Leadership: A Comparative and Quantitative Analyses of Megachurch Leadership in the Context of Urban Centers in the Philippines.
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Tejedo, Joel Agpalo
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INNER cities , *POOR people , *SPIRITUALITY , *PUBLIC sphere , *LEADERSHIP , *GIFT giving , *QUANTITATIVE research , *HOMOSEXUALITY , *ETHNICITY - Abstract
The article discusses the leadership dynamics of megachurches in urban centers of the Philippines, examining the doctrinal beliefs, attitudes, and responses of leaders from two prominent megachurches, Christ Commission Fellowship (CCF) and Victory Christian Fellowship (VCF). Topics include the historical formation of CCF and VCF, their growth trajectories, and the methodology used to study their leadership dynamics, including survey instruments and data collection procedures.
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- 2024
120. Afterword: What Good Life, and Why Now?
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Zhang, Li
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POOR people , *ETHNOLOGY , *CITY dwellers , *PSYCHOTHERAPY , *SOCIAL conflict , *HAPPINESS , *BETRAYAL - Abstract
The article presents the discussion on good life in these places where socialism, capitalism, and globalization intersect. Topics include COVID-19 rages across the world bringing the global economy to a near halt and causing massive loss of life; and complexity and (im)possibility of living and thriving in this contemporary world marked by precarity, insecurity, and crisis.
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- 2024
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121. Prevalence and predictors of insomnia and its treatment-seeking among older adults in India.
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Pradhan, Manas Ranjan and Saikia, Daisy
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OLDER people , *POOR people , *INSOMNIA , *CONSCIOUSNESS raising , *MEDIA exposure - Abstract
Background: Insomnia is a serious health problem among older adults and, if untreated, is linked to a high morbidity rate and decreased quality of life. There is limited empirical evidence on Insomnia and its treatment-seeking exclusively among older adults (60 plus years) using representative data in India. This study assesses the prevalence and predictors of Insomnia and its treatment-seeking among older adults. Methods: Data gathered through the nationally-representative Longitudinal Ageing Study in India (LASI); Wave 1 (2017-18) was used for the analysis. Specifically, information from older adults aged 60 and above for whom complete information on insomnia was available (n- 31,464) was considered for the analysis. Binary logistic regression was used to check the adjusted effects of insomnia's socio-demographic and economic predictors and its treatment-seeking status. Stata was used for the data analysis with a 5% significance level. Results: 37% of older adults had insomnia. Increasing age, female gender, living without a spouse, illiteracy, chronic health conditions, nutritionally underweight, physically inactive status, lack of exposure to mass media, Hindu religion, non-tribal status, and rural residence were significantly associated with insomnia. 3% of older adults sought treatment for insomnia. Not seeking treatment for insomnia was associated with male gender, exposure to mass media, physical activity, lack of chronic health issues, tribal status, living in a rural area, and being economically disadvantaged. Conclusions: A sizable number of older adults have insomnia, and the prevalence varies by their socioeconomic, demographic, and health status. Many modifiable risk factors like low education, chronic health conditions, smoking, being underweight, physical inactivity, and lack of exposure to mass media are identified. Treatment-seeking for Insomnia is further inadequate, enhancing the older adult's vulnerability to various morbidities. Policy and program intervention to raise awareness about insomnia, including early identification and pharmacological and non-pharmacological treatment, will ensure better health and welfare of older adults. Estimations are based on self-report questionnaires; therefore, the possibility of recall bias and under-reporting cannot be ignored. Moreover, the estimation of insomnia may vary depending on various clinical definitions. However, a large sample size from a recent nationally representative survey with a robust sampling design is the strength of this study. [ABSTRACT FROM AUTHOR]
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- 2024
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122. Association between psoriasis and cardiometabolic comorbidities in a racially and ethnically diverse low-income primary care population.
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Rudd, Nora, Gonzalez, Nathaly, Kohn, Michael A., Castillo Valladares, Herbert, Chang, Aileen Y., Kim, Sarah, and Amerson, Erin H.
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POOR people , *COMORBIDITY , *PSORIASIS , *PRIMARY care , *RACE - Abstract
Psoriasis is associated with cardiometabolic comorbidities, including obesity, diabetes, hyperlipidaemia and hypertension. Many studies that established these associations originated from primarily White and/or relatively affluent populations. To evaluate whether there is a differential risk for cardiometabolic comorbidities in racial/ethnic minorities, we performed a cross-sectional analysis comparing cardiometabolic comorbidities between those with and without psoriasis in a racially and ethnically diverse population of 56 987 low-income patients, stratified by race/ethnicity, and assessed whether race/ethnicity acts as an effect modifier for cardiometabolic comorbidities. We found that psoriasis was statistically significantly associated with obesity, diabetes, hyperlipidaemia and hypertension. The association of psoriasis with comorbidities did not differ significantly by race/ethnicity; thus, we did not find evidence of effect modification. However, our diverse, low-income population had an extremely high baseline prevalence of cardiometabolic comorbidities compared with previous populations studied. Our results suggest education and intervention regarding modifiable risk factors are particularly important among vulnerable populations. [ABSTRACT FROM AUTHOR]
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- 2024
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123. Building knowledge using a novel web-based intervention to promote HPV vaccination in a diverse, low-income population.
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Webster, Emily M., Ahsan, Muhammad Danyal, Kulkarni, Amita, Peñate, Emilio, Beaumont, Shanice, Ma, Xiaoyue, Wilson-Taylor, Melanie, Chang, Jane, Ipp, Lisa, Safford, Monika M., Cantillo, Evelyn, Frey, Melissa, Holcomb, Kevin, and Chapman-Davis, Eloise
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POOR people , *HUMAN papillomavirus vaccines , *VACCINE hesitancy , *CHILDREN'S hospitals , *MEDICAL misconceptions , *PACIFIC Islanders - Abstract
HPV vaccination rates remain suboptimal despite proven efficacy. Data suggest misconceptions or lack of knowledge are leading barriers. Our study aimed to develop and pilot a novel interactive education resource designed to educate parents and patients about HPV vaccines. This is a prospective pilot study conducted in an urban teaching hospital pediatric clinic. The Patient Activated Learning System (PALS) intervention included 3 web-based videos with HPV vaccine-related educational content. Participants were parents of adolescent patients, aged 11–17 years, and young adult patients, aged 18–26 years. Enrolled participants completed an HPV vaccine knowledge survey before and after watching PALS; paired scores were evaluated. Acceptability and participant-reported impact of PALS modules were measured via Likert-scale surveys. 132 individuals were approached; 101 (76%) enrolled and completed the study. Participants self-identified as Hispanic (50%), non-Hispanic Black (23%), non-Hispanic White (7%), Asian (6%), American/Alaskan/Hawaiian Native or Pacific Islander (5%). Half reported earning ≤$40,000 annually; 57% had only a high school education. Post-intervention knowledge scores were increased compared to baseline (9.87/27 points vs 17.53/27 points, p < 0.01). PALS modules were reported as enjoyable to use and understandable (89% and 93%, respectively), and improved participants' understanding of the importance of HPV vaccination (90%). Of the 18 patients unvaccinated at baseline, 39% received 1 shot of the HPV vaccine within one month. The PALS HPV vaccine educational intervention was feasible, acceptable, and improved knowledge among a diverse, underserved population. Our intervention may positively influence HPV vaccination rates, with potential to overcome HPV vaccine hesitancy. • HPV vaccine-related educational modules were made for the Patient Activated Learning System (PALS) platform. • Participants reported feeling more comfortable with HPV vaccine for boys and girls after using the PALS modules. • HPV vaccine-related knowledge increased after use of PALS modules in participants recruited at a diverse pediatric clinic. [ABSTRACT FROM AUTHOR]
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- 2024
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124. Food Insecurity Among Low-Income U.S. Adults During the COVID-19 Pandemic.
- Author
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Troy, Aaron L., Ahmad, Isabella, Zheng, ZhaoNian, and Wadhera, Rishi K.
- Subjects
- *
COVID-19 pandemic , *FOOD security , *ADULTS , *POOR people , *FOOD stamps - Abstract
This article discusses a study published in the Annals of Internal Medicine that examines the issue of food insecurity among low-income adults in the United States during the COVID-19 pandemic. The study analyzes data from the National Health Interview Survey and compares food insecurity rates in 2019, 2021, and 2022. The findings reveal that food insecurity increased among low-income adults during the pandemic, especially among those with diet-sensitive chronic conditions. The study emphasizes the need to address food insecurity as a driver of health disparities in the country. It also suggests that financial relief and nutritional benefits, such as SNAP, are crucial in reducing food insecurity, but the early termination of SNAP emergency allotments may have contributed to the increase in food insecurity in 2022. The study highlights the importance of considering these factors in future nutritional policies. [Extracted from the article]
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- 2024
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125. Bridging the Rent Gap: New Theoretical and Empirical Narratives.
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López‐Morales, Ernesto and Zhang, Yunpeng
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- *
GENTRIFICATION , *RENT , *CENTRAL business districts , *POOR people , *REAL estate sales , *MARXIAN economics - Abstract
This article explores the concept of land rent and rentier capitalism in economic geography and urban studies. It identifies a lack of critical research on land rent in the "Global South" and "Global East," where significant struggles over land are occurring. The article examines the historical development of land rent theory and rent gaps, which are linked to gentrification and uneven capitalist development. It also addresses questions about the nature of land rent, the role of public policies and state institutions, and the potential for theories from outside the "Global North/West" to enhance understanding of global urban issues. The article concludes by introducing case studies from various regions that offer diverse perspectives on land rent and rent gaps, emphasizing the need for a reevaluation of existing theories and the incorporation of Georgist and Marxian perspectives to address housing affordability and labor exploitation. The authors highlight the evolving role of the state in managing and redistributing rent gaps and stress the importance of sustained engagement with the state for achieving equity and justice. [Extracted from the article]
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- 2024
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126. The Association Between the License Fee Increase and the Density of Tobacco Retailers in California—A Segmented Interrupted Time-Series Analysis by Income and Race/Ethnicity.
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He, Yanyun, Yang, Qian, Lu, Bo, and Shang, Ce
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- *
LICENSE fees , *RACE , *TIME series analysis , *INCOME , *POOR people - Abstract
Introduction On May 9, 2016, the State of California passed a law to increase the licensing fee for tobacco retailers from a one-time-only fee of $100 to an annual fee of $265, effective on June 9, 2016. This study investigates the association between this fee increase and retailer densities by neighborhood income and race/ethnicity characteristics. Methods We obtained quarterly data on the number of active tobacco retailer licenses from 2011 to 2020 in every zip code in California from the California Department of Tax and Fee Administration. These data were then linked to zip code-level income, race/ethnicity, and population measures. We used a single-group segmented interrupted time-series analysis to assess the association between the increase in licensing fees and retailer densities by neighborhood income and race/ethnicity. Results After the implementation of the annual licensing fees, the retailer density decreased both immediately and gradually. Specifically, the retailer density dropped by 0.47 in the first quarter following the intervention. Compared to the pre-intervention time trend, the retailer density decreased quarterly by 0.05. Furthermore, the impacts of increasing licensing fees were more pronounced in low-income and the majority Black zip codes. Conclusions Given that higher smoking prevalence is associated with greater tobacco outlet density, the licensing fee increase could be an effective policy tool to reduce tobacco use among economically disadvantaged and minority Black communities, thereby addressing tobacco-use disparities. Implications This study used the single-group segmented interrupted time-series analysis to assess the association between the licensing fee increase and tobacco retailer densities by neighborhood income and race/ethnicity. We found that this licensing fee increase was associated with reduced retailer densities and the total number of active retailers right after the implementation. We further found that the annual licensing fee policy had a continuous effect in reducing tobacco retailer densities in all zip codes. The impacts of increasing licensing fees were more pronounced in low-income and majority of Black zip codes. [ABSTRACT FROM AUTHOR]
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- 2024
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127. Are women from man-older unions economically disadvantaged following separation? Sweden 1997–2015.
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Uggla, Caroline, Mussino, Eleonora, and Aradhya, Siddartha
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- *
POOR people , *GENDER inequality , *LOGISTIC regression analysis , *EXTERNALITIES - Abstract
Separation often leads to worse economic consequences for women than for men. However, little is known about how economic consequences of separation play out for different groups of women. Women who are younger than their male partner are generally assumed to have lesser agency, but evidence mostly comes from contexts with low gender equality. Here, we examine women's benefit recipiency as a function of the partner age gap of their dissolved union. Using register data from Sweden, we examine whether women from man-older unions suffer greater economic disadvantage after separation, and whether patterns differ for ancestral Swedes and women with migrant background. Results from logistic regression models suggest that, post-separation, the uptake of social and housing benefits increases for nearly all groups of women. However, these data do not show any consistent disadvantages of women from man-older unions. Among ancestral Swedes, patterns differed by benefit type, and among women of African/Middle Eastern origin, benefit recipiency increases were inversely U-shaped to the age gap. Social norms do not appear to explain economic costs of separation, but may explain why the risk of separation itself differed between ancestral Swedish women and women with migrant background. [ABSTRACT FROM AUTHOR]
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- 2024
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128. Negotiating good motherhood: Foodwork, emotion work, and downscaling.
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Fielding‐Singh, Priya and Cooper, Marianne
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- *
MOTHERHOOD , *COOKING , *MOTHERS , *EMOTIONS , *POOR people , *EMOTION regulation , *GENDER role - Abstract
Objective: This study examined how lower‐income mothers engage in emotion work in order to feel like good mothers within broader contexts of stigmatization, economic insecurity, and precarity. Background: Despite the pervasiveness of the intensive mothering ideology, research shows that lower‐income mothers in the United States also routinely diverge from the ideology's norms due to structural and cultural factors. In doing so, these mothers simultaneously work to reframe and negotiate what it means to be a good mother. While scholarship reveals how mothers cognitively and behaviorally carry out this work, less attention has been paid to how mothers perform this work on an emotional level. Method: Drawing on in‐depth interviews with 33 lower‐income mothers in the San Francisco Bay Area, this study investigated, through the lens of maternal foodwork, how mothers work on their emotions to feel like good mothers. Data were analyzed abductively. Results: Mothers worked on their emotions as part of an effort to negotiate what good mothering looks like and to feel like good mothers as they performed maternal foodwork. To do so, mothers engaged in the gendered and classed emotion work strategy of downscaling. Downscaling involved working to inhibit negative emotions and evoke positive ones. Downscaling was facilitated by three key approaches: reflecting on harder times, redefining good foodwork, and leveraging social comparison. Conclusion: Downscaling serves as a rational, effective emotion work strategy to help mothers navigate ongoing hardships, cultivate a positive maternal identity, and feel like good mothers within contexts of stigmatization, economic insecurity, and precarity. [ABSTRACT FROM AUTHOR]
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- 2024
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129. Class in Australia.
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Bertone, Santina Diana
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CULTURAL pluralism ,SOCIAL status ,JOB applications ,POOR people ,SOCIAL theory ,TUTORS & tutoring - Abstract
Class in Australia is a comprehensive book that delves into the topic of class division in contemporary Australia. It explores social theory and debates surrounding class, connecting them to issues like employment instability, conflicts between professionals and managers, and the decline of trade unions. The book also presents empirical research on the everyday experiences of class, education, unemployment, and popular culture. It argues for an Australian understanding of class that acknowledges the unique history of settler colonialism and the displacement of indigenous peoples. The book is divided into five parts, with contributions from scholars at different universities, and covers a wide range of topics related to class in Australia. A review of the book praises its thorough and diverse analysis of class in Australian society, including its examination of workplace regulations, the experiences of the unemployed, language used to discuss class, portrayals of poverty in reality TV, representations of class and gender in rural romance novels, the role of class in education, and the attitudes of white middle-class parents. The review commends the book for its comprehensive exploration of class in Australia and its intersections with race, gender, and colonial history. [Extracted from the article]
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- 2024
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130. Using household-level data to guide borrower-based macro-prudential policy.
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Giordana, Gaston and Ziegelmeyer, Michael
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POOR people ,LOAN-to-value ratio ,CONSUMER credit ,HOUSEHOLDS - Abstract
Many countries introduced borrower-based instruments to constrain credit to households exceeding a limit on their loan-to-value ratio, their (mortgage) debt-to-income ratio or their debt service-to-income ratio. We evaluate how well borrower-based instruments can target households that would become vulnerable after a shock. We apply the signals approach to derive "optimal" limits that minimize classification errors (either granting credit to financially vulnerable households or constraining credit to households that are not vulnerable). To illustrate, we simulate an adverse scenario using household-level data from Luxembourg. We find that combining several ratios could better target households that would become vulnerable after a shock. [ABSTRACT FROM AUTHOR]
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- 2024
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- View/download PDF
131. Assessing Vaccination Delivery Strategies for Zero-Dose and Under-Immunized Children in the Fragile Context of Somalia.
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Bile, Ahmed Said, Ali-Salad, Mohamed A., Mahmoud, Amina J., Singh, Neha S., Abdelmagid, Nada, Sabahelzain, Majdi M., Checchi, Francesco, Mounier-Jack, Sandra, and Nor, Barni
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POOR people ,VACCINE refusal ,VACCINATION ,INTERNALLY displaced persons ,CITY dwellers ,URBAN poor - Abstract
Somalia is one of 20 countries in the world with the highest numbers of zero-dose children. This study aims to identify who and where zero-dose and under-vaccinated children are and what the existing vaccine delivery strategies to reach zero-dose children in Somalia are. This qualitative study was conducted in three geographically diverse regions of Somalia (rural/remote, nomadic/pastoralists, IDPs, and urban poor population), with government officials and NGO staff (n = 17), and with vaccinators and community members (n = 52). The data were analyzed using the GAVI Vaccine Alliance IRMMA framework. Nomadic populations, internally displaced persons, and populations living in remote and Al-shabaab-controlled areas are three vulnerable and neglected populations with a high proportion of zero-dose children. Despite the contextual heterogeneity of these population groups, the lack of targeted, population-specific strategies and meaningful engagement of local communities in the planning and implementation of immunization services is problematic in effectively reaching zero-dose children. This is, to our knowledge, the first study that examines vaccination strategies for zero-dose and under-vaccinated populations in the fragile context of Somalia. Evidence on populations at risk of vaccine-preventable diseases and barriers to vital vaccination services remain critical and urgent, especially in a country like Somalia with complex health system challenges. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
132. Time Trends in Income-related Differences in Food Group Intakes: The National Health and Nutrition Survey, Japan in 2010, 2014, and 2018.
- Author
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Ryoko Tajima, Mai Matsumoto, Aya Fujiwara, Xiaoyi Yuan, Chisa Shinsugi, Emiko Okada, Kayo Kurotani, Tetsuji Yokoyama, and Hidemi Takimoto
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FOOD consumption ,INCOME ,POOR people ,VEGETABLES ,HORTICULTURAL products - Abstract
Background: We aimed to clarify whether differences in food group intake according to household income have changed over the last decade in Japanese people aged 20 years or older. Methods: This cross-sectional study was based on the 2010, 2014, and 2018 National Health and Nutrition Surveys in Japan. Food intake was assessed using a 1-day semi-weighed household dietary record. The participants were categorized into three groups based on their income. The mean of each food intake according to the income group was estimated by adjusting for age, occupation, and number of participants from the same household. The significance of the interaction terms between income and survey year was evaluated to assess the change in income-related differences in food intake over time. Results: Cereal intake was lower in the middle- and the highest-income groups than in the lowest-income group, regardless of sex, and the interaction between income and year was nonsignificant for cereal intake. In the former two surveys, vegetable intake was higher among the highest-income women, while in the 2018 survey, the vegetable intake decreased in the women in the middle- and the highest-income groups. The interaction between income and year was significant for vegetable intake among the women. For other foods, the differences in intake among the income groups did not significantly change over time. Conclusion: The tendency for lower cereal intake in the higher-income groups was consistent over time in both the sexes, and the tendency for higher vegetable intake in the highest income women disappeared over time. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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133. Fears and Tears: Should More People Be Moving within and from Developing Countries, and What Stops this Movement?
- Author
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McKenzie, David
- Subjects
DEVELOPING countries ,ECONOMICS literature ,PREJUDICES ,PSYCHOLOGICAL factors ,POOR people - Abstract
Only one in seven of the world's population have ever migrated, despite the enormous gains in income possible through international and internal movement. I examine the evidence for different explanations given in the economics literature for this lack of movement and their implications for policy. Incorrect information about the gains to migrating, liquidity constraints that prevent poor people paying the costs of moving, and high costs of movement arising from both physical transportation costs and policy barriers all inhibit movement and offer scope for policy efforts to inform, provide credit, and lower moving costs. However, the economics literature has paid less attention to the fears people have when faced with the uncertainty of moving to a new place, and to the reasons behind the tears they shed when moving. While these tears reveal the attachment people have to particular places, this attachment is not fixed, but itself changes with migration experiences. Psychological factors such as a bias toward the status quo and the inability to picture what one is giving up by not migrating can result in people not moving, even when they would benefit from movement and are not constrained by finances or policy barriers from doing so. This suggests new avenues for policy interventions that can help individuals better visualize the opportunity costs of not moving, alleviate their uncertainties, and help shift their default behavior from not migrating. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
134. Financing the Gig Economy.
- Author
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BUCHAK, GREG
- Subjects
GIG economy ,CAPITAL ,FINANCE ,POOR people ,RIDESHARING services ,STRUCTURAL models ,ECONOMIC equilibrium - Abstract
Unlike traditional firm production, gig economy workers provide their own physical capital. As a consequence, the low‐income households for whom gig economy opportunities are most valuable often borrow to participate. In the context of ride share, difference‐in‐difference analysis reveals increased vehicle purchases, borrowing, utilization, and employment around entry, but financially constrained individuals cannot participate. To assess the equilibrium importance of financing, I build and estimate a structural model of the gig economy. Access to finance proves critical for the gig economy's growth: without finance, equilibrium quantities would be 40% lower and prices 90% higher, and only higher‐income households could participate as drivers. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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135. The Marketizers: Public Choice and the Origins of the Neoliberal Order by Jacob Jensen.
- Author
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Marciano, Alain
- Subjects
SOCIAL choice ,POLITICAL affiliation ,NEOLIBERALISM ,POOR people ,ECONOMIC change - Abstract
"The Marketizers: Public Choice and the Origins of the Neoliberal Order" by Jacob Jensen explores the connection between public choice theory and the emergence of the neoliberal order. The book argues that the reinvention of government as a market-like entity would not have been possible without the influence of public choice theorists. Jensen traces the development of this idea from the voluntary exchange theorists of the late 19th and early 20th centuries to the public choice theorists of the mid-20th century. The book raises questions about the commodification of politics and the role of citizens in a neoliberal society. While the thesis is thought-provoking, it does not fully consider alternative perspectives or the complexity of the relationship between economics and politics. [Extracted from the article]
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- 2024
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136. Predictors of Economically Disadvantaged Vertical Transfer Students' Academic Performance and Retention: A Scoping Review.
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Yazdani, Neshat, McCallen, Leigh S., Hoyt, Lindsay T., and Brown, Joshua L.
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POOR people ,TRANSFER students ,ACADEMIC achievement ,LOW-income students ,BACHELOR'S degree - Abstract
Approximately 30% of students who enter the postsecondary education system do so through 2-year colleges. The majority of these students intend to earn a bachelor's degree, but most leave college before earning a diploma from a 4-year institution. The discrepancy between bachelor's degree aspirations and degree attainment rates of students who enter through 2-year colleges suggests that vertical transfer students—those who transfer from 2- to 4-year colleges—face unique obstacles to academic performance and retention that affect their likelihood of earning a bachelor's degree. Similar barriers exist for economically disadvantaged students, who may be more likely to enter the postsecondary education system through 2-year colleges. This scoping review synthesizes the literature on factors influencing economically disadvantaged vertical transfer students' academic performance in the first year posttransfer and retention between the first and second year posttransfer. Implications for 2- and 4-year institutions and recommendations for future research are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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137. Passionate Nature Enthusiasts - Rabindranath Tagore and M. T. Vasudevan Nair.
- Author
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M., Maneesha and Pradeek, D.
- Subjects
HUMANISM ,POOR people ,EMPATHY - Abstract
The article focuses on comparing the perspectives of M. T. Vasudevan Nair and Rabindranath Tagore as passionate nature enthusiasts, exploring their attitudes toward life, humanism, and love of nature in their works. Topics include their individual backgrounds, writing styles, and shared emphasis on human relationships and empathy for the underprivileged, highlighting parallels despite their distinct cultural and linguistic backgrounds.
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- 2024
138. Health Expenditure and Utilisation of Poor Families in a Low-Income Community under the Philippine Conditional Cash Transfer Program.
- Author
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Ambong, Ryan Mark A. and Gonzales Jr., Artemio M.
- Subjects
FAMILIES & psychology ,MIDDLE-income countries ,CROSS-sectional method ,MEDICAL care costs ,HUNGER ,INTERVIEWING ,MEDICAL care ,GOVERNMENT programs ,SURVEYS ,HEALTH care reform ,POOR people ,LOW-income countries ,HOSPITAL care ,MALNUTRITION ,DESCRIPTIVE statistics ,HEALTH insurance ,POVERTY ,HEALTH equity ,JUDGMENT sampling - Abstract
Pantawid Pamilyang Pilipino Program (4Ps) is the Philippine version of the conditional cash transfer (CCT) program that measures human development through the provision of conditional cash grants to the poorest of the poor. This research determines the health expenditure and utilisation of the poor families in a low-income community under the CCT program. A cross-sectional research design was adopted using mixed methods of data collection from 177 households between May and June 2017. Results reveal that most families under CCT devote the largest portion of household health expenditure for inpatient health seeking. About 40% of the total expenditure is covered by the National Health Insurance Program and the cost for hospitalisation mostly comes from the out-of-pocket source. Moreover, the common problems encountered during health utilisation and spending are poor customer service of healthcare facilities and uncompensated hospital bill by health insurance. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
139. The psychosocial burden of cutaneous leishmaniasis in rural Sri Lanka: A multi-method qualitative study.
- Author
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Nuwangi, Hasara, Dikomitis, Lisa, Weerakoon, Kosala Gayan, Agampodi, Suneth Buddhika, and Agampodi, Thilini Chanchala
- Subjects
- *
CUTANEOUS leishmaniasis , *POOR people , *SOCIETAL reaction , *PATIENT compliance , *BODY image - Abstract
Leishmaniasis is a tropical infectious disease affecting some of the world's most economically disadvantaged and resource-poor regions. Cutaneous leishmaniasis (CL) is the most common out of the three clinical types of Leishmaniasis. Since 1904 this disease has been endemic in Sri Lanka. CL is considered a disfiguring stigmatising disease with a higher psychosocial burden. However, there needs to be a more in-depth, holistic understanding of the psychosocial burden of this disease, both locally and internationally. An in-depth understanding of the disease burden beyond morbidity and mortality is required to provide people-centred care. We explored the psychosocial burden of CL in rural Sri Lanka using a complex multimethod qualitative approach with community engagement and involvement. Data collection included participant observation, an auto-ethnographic diary study by community researchers with post-diary interviews, and a Participant Experience Reflection Journal (PERJ) study with post-PERJ interviews with community members with CL. The thematic analysis revealed three major burden-related themes on perceptions and reflections on the disease: wound, treatment, and illness-experience related burden. Fear, disgust, body image concerns, and being subjected to negative societal reactions were wound-related. Treatment interfering with day-to-day life, pain, the time-consuming nature of the treatment, problems due to the ineffectiveness of the treatment, and the burden of attending a government hospital clinic were the treatment-related burdens. Anxiety/worry due to wrongly perceived disease severity and negative emotions due to the nature of the disease made the illness experience more burdensome. Addressing the multifaceted psychosocial burden is paramount to ensure healthcare seeking, treatment compliance, and disease control and prevention. We propose a people-centred healthcare model to understand the contextual nature of the disease and improve patient outcomes. Author summary: In order to enhance the provision of healthcare for individuals afflicted with CL in rural Sri Lanka, it is imperative to delve into the consequences of the disease beyond its physical manifestations. Our research methodology encompassed a diverse array of approaches, including participant observation, diaries maintained by community researchers with subsequent interviews, and a Participant Experience Reflection Journal (PERJ) to gain insights into the experiences of community members affected by CL. After conducting thematic analysis of all the data sets, we identified three categories of burden that were interconnected with individuals' perceptions and encounters with the disease: Wound-related burden, Treatment-related burden and Illness-experience-related burden. People with CL were found to experience fear, disgust, and concerns related to body image stemming from the visible wounds and faced adverse societal reactions due to their disease. The treatment regimen for CL posed various challenges for patients, such as disruption of their daily lives and physical discomfort. The experience of illness became more burdensome due to anxiety/worry concerning the illness's severity, coupled with negative emotions linked to the disease. Prioritising the psychosocial burden associated with CL is essential for healthcare seeking, compliance, and disease control. We propose a context-specific, people-centred model to improve patient outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
140. Analyzing how government spending, incentives, and supply chains affect financial performance in energy poverty alleviation.
- Author
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Liu, Zhi and Wang, Shan Ping
- Subjects
POOR people ,FINANCIAL performance ,SUPPLY chains ,PUBLIC spending ,RENEWABLE energy sources - Abstract
Poor access to modern energy services, or energy poverty, continues to be a significant barrier to socioeconomic progress and well-being. The complicated connections between public investment, incentives, supplier chains, and the financial success of energy poverty alleviation efforts are explored in this paper. This research examines the history of eradicating energy poverty worldwide, particularly in China. It examines how these aspects affect the efficiency and long-term viability of reducing energy poverty initiatives. This research synthesizes the evidence on government expenditure patterns and their impact on initiatives to reduce energy poverty via an extensive literature examination. The development of infrastructure, capacity building, and the deployment of energy technology are all made possible in large part by government spending. Financial and regulatory incentives have also been shown to encourage the energy industry's private sector engagement and innovation. These incentives help expand underprivileged groups' access to electricity by creating an atmosphere conducive to investment. This research also examines supply chains' crucial role in combating energy poverty. For the effective installation and upkeep of energy projects, efficient and resilient supply chains are crucial because they guarantee the availability of vital materials and resources. An integrated supply chain strategy may improve project results, save costs, and eliminate risks related to logistical difficulties. Government funding, incentives, and supply chains all have a connection that affects how well energy poverty alleviation programs function financially. Maintaining projects after their first execution requires sustained financial performance. It explores how supply network interruptions may affect financial performance, highlighting the need for robust supply chain management techniques. As a result, this study adds to a comprehensive knowledge of the complex processes underpinning the reduction of energy poverty. It offers insights into developing efficient policies and strategies by examining how government actions, incentives, supply chains, and financial performance interact. These observations are relevant for practitioners, investors, and academics trying to increase access to sustainable energy sources and reduce poverty in addition to policymakers. This report provides helpful recommendations for boosting the effectiveness and endurance of energy poverty reduction activities as nations work to reach global sustainable development objectives. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
141. Did the mental health and well-being of young people increase after the COVID-19 vaccination campaign period? A cross-sectional multicentre study in Austria and Turkey.
- Author
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Özlü-Erkilic, Zeliha, Kothgassner, Oswald D., Wenzel, Thomas, Goreis, Andreas, Chen, Anthony, Ceri, Veysi, Mousawi, Aylin Fakhr, and Akkaya-Kalayci, Türkan
- Subjects
YOUNG adults ,COVID-19 pandemic ,COVID-19 vaccines ,MENTAL health ,POOR people ,ANTI-vaccination movement - Abstract
In 2019, the global Coronavirus (COVID-19) pandemic and associated prevention measures affected the mental health and psychological well-being of young people with and without a migratory background. The present study aimed to compare the mental health and psychological well-being of migrant and non-migrant young people before and after the COVID-19 vaccination campaign period in two countries which had different policies to deal with the pandemic. The "Psychological General Well-being" of young people and their experiences during the pandemic were investigated using an anonymous online survey during two pandemic waves before the vaccination campaign and 6 months after its start. A majority of the 6154 participants (aged between 15 and 25 years in all study groups) reported a decrease of mental health from the time period before the vaccination (BV) to after the vaccination (AV) campaign (b = 0.27, p <.001). This association was higher in females (b = 0.04, p = 0.008) and in youth with financial problems (b = 0.13, p <.001). Furthermore, this decrease was more pronounced in people ≤17 years old (40% to 62%) than in those >17 years (59% to 67%). Contrary to expectation, vulnerable groups such as the economically disadvantaged, younger, and female participants did not experience a significant easing of the pandemic's psychological burden AV. Vaccination campaigns should continue emphasizing the beneficial effects of COVID-19 vaccination on general well-being, but with an acknowledgement that the road to recovery is still a long one. Concurrently, free access to psychological treatment and financial support should be offered, especially for vulnerable groups. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
142. The nutritional status of mycetoma affected patients seen at the Mycetoma Research Center, Sudan.
- Author
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Gabani, Manal Hassan, Ahmed, Arwa Abdelraouf, Hassan, Alshaima Abdelelah, Abdalla, Mona Abdelrahim, Mustafa, Samar Abdelmahmoud, Alobaid, Tasneem Abdelmutalab, Khatir, Abrar Adam, Mohammed, Reell Mukhlis, Awad, Nehal Ibrahim, Abdellateef, Tanzeel Alqurashi, Hassan, Abeer, Ahmed, Eiman Siddig, Ali, Mohammed Zain, and Fahal, Ahmed Hassan
- Subjects
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NUTRITIONAL status , *POOR people , *NEGLECTED diseases , *RESEARCH institutes , *BODY mass index - Abstract
Nutrition plays a critical and crucial role in addressing neglected tropical diseases (NTDs) and their complications, as they often contribute to malnutrition, which can worsen the impact of these conditions. Therefore, it is necessary to investigate the nutritional status of mycetoma patients, which has not been explored previously. This descriptive cross-sectional hospital-based study was conducted at the Mycetoma Research Center (MRC), University of Khartoum, Sudan. The study included 179 confirmed mycetoma patients and an equal number of age- and sex-matched normal controls. The nutritional status of the mycetoma patients was assessed and compared with that of the control group. The majority of the patients were young adults with varying educational levels, predominantly from Central Sudan. The foot was the most commonly affected part; most patients had lesions more than 10 cm in diameter. The Body Mass Index (BMI) was calculated for both study groups, revealing that 43.5% of the patients and 53.6% of controls had a normal BMI. Furthermore, 36% of patients were underweight, contrasting with only 11% in the control group. Correlation analyses indicated no significant associations between BMI and age groups, educational levels, daily meals, food quantity, and appetite in the study population (p > 0.05). Similarly, no significant differences were observed in BMI concerning disease duration and affected sites (p = 0.0577). The Kruskal-Wallis test did not reveal significant differences in BMI means among the groups. The study revealed that most participants consumed three meals daily, and the control group showed a more robust appetite and consumed more food than the patient group (p = 0.005). Nevertheless, there were no significant differences in the consumption of different food types between the patient and control groups and among different BMI categories (p = 0.025 and 0.040, respectively). Author summary: Mycetoma primarily affects low-income people in limited-resource communities in tropical and subtropical regions. The affected mycetoma are of low socioeconomic and health education status, and their localities' health and medical facilities are frequently inadequate. Hence, they present with massive, complicated disease; thus, the treatment outcome is suboptimal. Mycetoma has many disabilities and psychosocial effects, which may affect the patient nutritional status. Furthermore, most of the mycetoma epidemiological risk factors are indistinct and unclear. With this background, this study was conducted to determine the effect of the disease on the patients' nutritional status and to determine if nutrition has a role in mycetoma susceptibility. The study included 179 patients with confirmed mycetoma and age and sex-matched 179 controls from their communities. The mean patients' height was 160±14.31cm, and for the control was 166.78±10.97 cm. The patients' body weight mean was 56.09±17.67kg; for the control, it was 67.53±16.41kg, and no statistically significant differences existed. The body mass index showed a higher percentage of underweight individuals in the patients group, which was statistically significant. No significant correlations existed between the study population BMI groups and their demographic characteristics. There were many similarities between the studied patients and the control regarding the dietary habits and diet intake. More in-depth studies are needed to determine the causal and effect relationship between mycetoma and the affected population. Nutritional support and education, while encouraging intake of therapeutic/functional locally available food items, should be fundamental in the different mycetoma management activities and measurements. [ABSTRACT FROM AUTHOR]
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- 2024
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143. Prevalence of undernutrition and associated factors among street adolescents in adama town, oromia regional state, Ethiopia, 2023: A cross sectional study.
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Tesfaye, Tsinukal, Bayana Kebede, Ebissa, Bagilkar, Vinod, and Meseret, Fentahun
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MALNUTRITION in children , *POOR people , *MALNUTRITION , *NUTRITIONAL assessment , *CONVENIENCE sampling (Statistics) , *TEENAGERS , *LOGISTIC regression analysis , *STREET children - Abstract
Background: Undernutrition remains a serious public health problem in developing countries, including Ethiopia. In particular, street adolescents are more at risk for undernutrition because they are the most underprivileged population. However, there is a paucity of information about undernutrition among street adolescents in Ethiopia. Objective: To assess the prevalence of undernutrition (stunting and thinness) and factors associated with undernutrition among street adolescents in Adama town, Oromia regional state, Ethiopia, 2023. Method: A community-based cross sectional study was conducted among 358 street adolescents from January 15–30, 2023. A convenience sampling technique was used to select the required sample size. A structured, interviewer-administered questionnaire was used to collect the data from the respondents. The collected data were checked, coded, entered into Epidata 4.6 and exported to Statistical Package for Social Sciences version 25. Both Bivariable and Multivariable logistic regression analyses were conducted to determine the factors that are associated with thinness and stunting. P values below 0.05 at the 95% confidence interval were considered indicative of a statistically significant association. Finally, statements, graphs, tables and charts were used for result presentation. Result: This study revealed that, the prevalence of undernutrition was 47.2%. Thinness and stunting accounted for 20.4% and 34.1% respectively and 7.3% both thinness and stuting. Age (adusted odd ratio = 1.41; 95% confidence interval: 1.17–1.71), skipped one or more meals per day ((adusted odd ratio = 3.50; 95% confidence interval: 1.23–9.94), drinking unprotected water source ((adusted odd ratio = 3.23; 95% confidence interval: 1.49–6.98) and use of mastish ((adusted odd ratio = 2.91; 95% confidence interval: 1.19–7.12) were factors statistically associated with thinness. Being skipped one or more meals per day ((adusted odd ratio = 4.14; 95% confidence interval: 1.87–9.14), washing hands before meals ((adusted odd ratio = 0.46; 95% confidence interval: 0.26–0.81) and moderate depression ((adusted odd ratio = 2.93; 95% confidence interval: 1.05–8.15) were factors significantly associated with stunting. Conclusion and recommendation: In conculusion, the prevalence of undernutrition (thinness, stunting or both together) was high among street adolescents. To enhance street adolecents' nutritional status, targeted nutritional treatments, providing health services and good hygiene and sanitatios practices are urgently needed. [ABSTRACT FROM AUTHOR]
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- 2024
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144. Outcome of reverse shoulder arthroplasty secondary to rotator cuff arthropathy in a low-income population.
- Author
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Silva, Christine M. M., Teixeira, Gisele Façanha Diógenes, de Brito, Gabriella Cristina Coelho, Lacerda, Marco A. A., and Rocha, Francisco A. C.
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REVERSE total shoulder replacement , *POOR people , *ROTATOR cuff , *TOTAL shoulder replacement , *JOINT diseases , *REOPERATION - Abstract
Background: Reverse shoulder arthroplasty (RSA) is a valuable treatment for rotator cuff arthropathy (RCA) in developed regions. Socioeconomic issues impact access to specialized care and there is a lack of data on RSA outcomes in developing regions. We present our 24-month follow-up on RSA surgeries to treat RCA in our low-income population. Methods: Prospective evaluation of 26 patients subjected to RSA at Hospital Geral de Fortaleza-CE, Brazil, between January 2018 and December 2020. Literacy [>/≤ 8 school years(SY)] and income were documented. Outcomes considered pain (visual analogue scale; VAS) as well as SSV, SPADI, ASES, and UCLA scoring, and range of motion [forward flexion (FF); external rotation (ER)]. Results: Patients were 68.5 ± 7.6 years-old with 16(61.5%) females; 65% had hypertension and 7 (26.9%) had diabetes. Over 90% declared < 900.00 US$ monthly family earnings and 10 (38.4%) patients declared ≤8 SY with > 80% exerting blue-collar jobs. Pain showed a significant reduction from baseline (8 ± 2) to 24 months (2.1 ± 2.3; p < 0.001). UCLA (10.3 ± 5.6 and 28.6 ± 7.2), ASES (16.7 ± 10.8 and 63.1 ± 28.4), SSV (326 ± 311 and 760 ± 234), and SPADI (98.3 ± 26.5) scores significantly improved from baseline to 24 months, achieving minimal clinically important difference. FF (89.2° ± 51.2° to 140.6 ± 38.3°) and ER (19.2° ± 22.5 to 33.4° ± 20.6°) significantly improved from baseline to 24 months (p = 0.004 and 0.027, respectively). There were 5 non-serious adverse events with one surgical revision. All patients returned to daily life activities. Conclusion: This is the first outcome report 2 years following RSA in a low-income population. Data indicate this procedure is justifiable regardless of socioeconomic issues. [ABSTRACT FROM AUTHOR]
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- 2024
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145. Tejidos y ropas para pobres… entre Valladolid y Palencia durante el siglo XVIII.
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GARCÍA FERNÁNDEZ, MÁXIMO
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CIVILIZATION ,POOR people ,MATERIAL culture ,HOSPITALS - Abstract
Copyright of Investigaciones Historicas is the property of Universidad de Valladolid, Facultad de Filosofia y Letras 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.)
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- 2024
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146. Religion and Poverty Alleviation in South Sulawesi: Analysis at the Village Level.
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Hakim, Lukman and Hakim, Azinuddin Ikram
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POOR people ,POVERTY reduction ,VILLAGES ,RELIGIONS ,HEALTH facilities ,INDEPENDENT variables - Abstract
The influence of religion on poverty reduction has become an exciting study in various countries. Several studies have proven no relationship between religious observance and poverty alleviation. However, on the contrary, other studies have proven that religion affects poverty alleviation. In fact, religion should be able to help overcome poverty. Based on this phenomenon, this study will use raw data of Village Potential (Podes) data issued by BPS in 2018 for South Sulawesi Province, with around 3000 villages. The dependent variable of this study is the number of poor people in each village. Poverty data is taken from the number of poverty certificates issued by the village. This data explains the willingness of people to be considered poor, so that it can show voluntary poverty. Meanwhile, the independent variables include the number of religious places of worship, the number of educational institutions, the number of health institutions, the number of electricity customers, and the number of small-scale industries in the village. This study will use a simple regression method to find the relationship between the variables studied. Even though econometrically many variable relationships are not statistically significant which may be due to the completeness and abnormal distribution of the data, there are interesting variable relationships from this study. The relationship between religion and poverty is negative, indicating that religion can reduce poverty. Community-based health services (posyandu) can also reduce poverty. Markets that show economic aspects will also have an impact on reducing poverty. The same thing is technology proxied with electricity customers will also reduce poverty. Meanwhile, the geographic variable proxied by the distance between the village and the sub-district is not significant and the direction is not as expected. [ABSTRACT FROM AUTHOR]
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- 2024
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147. Regional Development Planning Strategy as a Poverty Reduction Solution in Polewali Mandar Regency.
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I. R., Rustan, Nawawi, Juanda, Nara, Nurdin, and Tang Abdulah, Muh.
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REGIONAL development ,REGIONAL planning ,POVERTY reduction ,POOR people ,LITERATURE reviews ,FOOD crops - Abstract
The purpose of this research is to describe regional development planning strategies as a solution to reduce poverty in Polewali Mandar Regency. This research was conducted in Polewali Mandar district from July 2022 – January 2023 by conducting a literature review and Focus Discussion Group with the local government through the Research, Development and Planning Agency of Polewali Mandar Regency, Public Works and Regional Spatial Planning Office, Food Crop Agriculture Service. Based on the results of the study, it can be concluded that poverty alleviation is a priority for the Polewali Mandar district government, bearing in mind that the number of poor people increases every year influenced by topographical and geographical factors in areas that are difficult to reach, so a poverty alleviation strategy is needed as stipulated in Polewali Mandar Regent Regulation No. 25/2009 2020 – 2024 Concerning the Regional Poverty Reduction Strategy for Polewali Mandar Regency. [ABSTRACT FROM AUTHOR]
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- 2024
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148. Introduction: Where Next for Public Service Broadcasting?
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Franks, Suzanne and Seaton, Jean
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PUBLIC broadcasting , *MUNICIPAL services , *DIGITAL media , *POOR people , *PUBLIC utilities , *PUBLIC spaces - Abstract
Good quality information is a public utility: the rich and powerful will always have access to what they need to know, but poor people do not. Indeed, increasing inequalities in access to decent information underlie other more obvious inequalities. Bad information does not respect borders and yet democracy depends on informed citizens. The case for public intervention in what used to be called broadcasting, now including digital media—but which needs to be thought of as a public information space—is at a tipping point. This collection of essays sets out these vital challenges and offers some innovative solutions. [ABSTRACT FROM AUTHOR]
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- 2024
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149. 2023 JGS best paper award and the editors' choice paper volume 26(1).
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Fischer, Manfred M., Paez, Antonio, and Staufer-Steinnocher, Petra
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POOR people , *AWARDS , *TRANSPORTATION geography , *LOCAL transit access , *TRANSPORTATION planning , *INFORMATION science , *PUBLIC transit - Abstract
The Journal of Geographical Systems (JGS) has announced two initiatives to recognize outstanding research published in the journal. The first initiative is the JGS Best Paper Award, which aims to encourage and acknowledge excellent scholarship in the field of GIScience and spatial planning. The second initiative is the Editors' Choice, where the editors select their favorite paper from each issue. The winners of these awards are listed on the journal's website and their papers are made freely accessible for a certain period of time. The 2023 JGS Best Paper Award was given to Luyu Liu, Adam Porr, and Harvey J. Miller for their research on evaluating the reliability of public transit accessibility using real-time data. The paper demonstrates how even small levels of unreliability in transit services can significantly impact accessibility levels, particularly for lower income populations. The paper also promotes open and reproducible research practices. The Editors' Choice for Volume 26(1) is a paper by Chris Jacobs-Crisioni, Ana I. Moreno-Monroy, Mert Kompil, and Lewis Dijkstra, which proposes a sequential approach to estimate school provision, cost, and access using open databases of student counts. The paper provides valuable insights into the balance between cost, access, and residential values in school provision. Both papers are recognized for their significant contributions to the field. [Extracted from the article]
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- 2024
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150. A Voice from the War of Jenkins' Ear: The Journal of Capt. James Stafford, 1740-1741.
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CHAPMAN, CRAIG S.
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WAR , *POOR people , *RACE relations , *EAR , *CINCHONA , *SUMMONS - Abstract
The article titled "A Voice from the War of Jenkins' Ear: The Journal of Capt. James Stafford, 1740-1741" discusses the recruitment efforts and experiences of North Carolina colonists during the War of Jenkins' Ear. The British government sought enlistees from its colonies to form an "American" regiment for an expedition against the Spanish West Indies. Capt. James Stafford, a plantation owner, documented his activities and observations during the expedition in a journal. The journal provides detailed accounts of the preparations, voyage, and military operations, as well as insights into eighteenth-century life. The article also mentions the challenges faced by the North Carolina troops, including disputes over pay and issues with desertion. [Extracted from the article]
- Published
- 2024
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