Search

Objectives: Our objectives were to ascertain: the prevalence and socio-economic distribution of hypertension, as well as the rates of undiagnosed and untreated hypertension; the association between socioeconomic status (SES) and the occurrence of hypertension, as well as the rates of undiagnosed and untreated hypertension; and the factors influencing the poor-non-poor gap in terms of the prevalence, diagnosis, and treatment of hypertension., Design: Cross-sectional nationally representative study., Methods: Data from the 2017-18 Bangladesh Demographic Health Survey were used. 11,776 participants who were 18 years of age or older responded to our analysis. We used the wealth index as a proxy for SES. The prevalence of hypertension, both diagnosed and undiagnosed, as well as its untreated states, were the outcome variables., Results: The age-adjusted prevalence of hypertension, undiagnosed as having hypertension, and untreated cases were 25.1%, 57.2%, and 12.3%, respectively. People in the poor SES groups had a 0.88 times (95% confidence interval [CI] 0.77-0.99) lower likelihood of having hypertension compared to those in the non-poor SES group. Individuals belonging to the poor SES group exhibited a likelihood of 1.68 and 1.53 times greater for having untreated hypertension and being undiagnosed with the condition, respectively, compared to those in the non-poor SES group. The results indicated that BMI played a role in increasing the disparity between the poor and non-poor populations concerning hypertension risk. Additionally, factors such as age, gender, and education were found to exacerbate the gap in the risk of undiagnosed hypertension between these two groups., Conclusion: The results of this study suggest that appropriate policy measures be developed for ongoing care and early identification, especially for older adults, men, and individuals with low levels of education from low socioeconomic backgrounds. Additionally, efforts must be made to reduce the prevalence of overweight and obesity among people in the non-poor SES category., Competing Interests: The authors have no competing interests to declare., (Copyright: © 2024 The Author(s).)

Introduction: Older adults benefit from social connections as it aids in their adjustment to the physical and psychological changes that come with aging, thereby improving their health, well-being, and overall quality of life., Methods: This study utilizes data from the 2020 China Health and Retirement Longitudinal Study (CHARLS) to investigate the influence of Socio-economic Status (SES) on the social activity levels of older persons and the disparities observed among demographic groups, employing the Heckman two-stage analysis and heterogeneity analysis., Results: The results indicate that SES has a significant positive impact on the social engagement of older adults, and this effect varies across different older groups, with women, married individuals living with a spouse, urban residents, those aged 70-79, and individuals with average health conditions., Discussion: To effectively address the social needs of older adults, it is essential to prioritize integrating cohesive structural methods that improve social connections. Establishing solid and sustainable social support mechanisms and meeting the social needs of older adults across various SES and demographic groups are crucial in promoting active and healthy aging., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Li, Zhang, Gao and Tang.)

Emerging evidence underscores the prenatal period's critical role in shaping later cognition and health, influenced by an intricate interplay of parental genetic and environmental factors. Birth weight is commonly used as a retrospective indicator of fetal development, but recent focus has shifted to more specific proxies of neurodevelopment, like cortical sulcal patterns, which are established in utero and remain stable after birth. This study aimed to elucidate the interrelated effects of parental socioeconomic status, brain volume, birth weight, and sulcal patterns in the anterior cingulate cortex. Utilizing structural Magnetic Resonance Imaging (MRI), parental educational attainment, and related polygenic risk scores, the study analyzed 203 healthy right-handed participants aged 9 to 18. Structural equation modeling demonstrated that the anterior cingulate cortex sulcal pattern is influenced by parental socioeconomic status and global brain volume, with socioeconomic status correlating with a polygenic risk score. These findings suggest that prenatal neurodevelopmental processes may mediate the intergenerational transmission of inequalities., (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

Background: Cigarette smoking is the leading cause of preventable mortality. Both neighborhood- and individual-level socioeconomic status (SES) are inversely associated with smoking. However, their joint effect on smoking behavior has not been evaluated., Methods: This cross-sectional study examined the association of education and neighborhood SES (nSES) with smoking among 166,475 Multiethnic Cohort (MEC) participants (African American, Japanese American, Latino, Native Hawaiian, White individuals) recruited between 1993-1996 from Hawaii and LA County. nSES was based on a composite score of 1990 US Census data and assigned to geocoded addresses; nSES quintiles were based on region-specific distributions. The joint education/nSES variable had four categories: high nSES (Quintiles 4-5)/high education (> high school), high nSES/low education (≤ high school), low nSES (Quintiles 1- 3)/high education, and low nSES/low education. Poisson regression estimated state-specific prevalence ratios (PR) for current smoking versus non-smoking across joint SES categories, with subgroup analyses by sex and race/ethnicity., Results: In California, compared to MEC participants with high nSES/high education, the PR for smoking was highest for low nSES/low education (PR = 1.50), followed by low nSES/high education (PR = 1.33) and high nSES/low education (PR = 1.29). All pairwise comparisons between PR were statistically different ( p < 0.0001), except high nSES/low education vs. low nSES/high education. In Hawaii, compared to high nSES/high education, the PR for smoking was also highest for low nSES/low education (PR = 1.41), but followed by high nSES/low education (PR = 1.36), then low nSES/high education (PR = 1.20). All pairwise comparisons were statistically different ( p < 0.0001), except high nSES/low education vs. low nSES/low education. These patterns were consistent across sex and race/ethnicity within each state., Conclusion: In California and Hawaii, individuals with low education living in low SES neighborhoods had the highest smoking prevalence. However, regional differences were noted: in California, both low education and low nSES increased smoking prevalence; whereas in Hawaii, low education had a greater impact., Competing Interests: Competing interests: The authors have no competing interests to declare. Additional Declarations: No competing interests reported.

Peramalan merupakan seni dan ilmu dalam memprediksi sesuatu di masa yang akan datang. Proses peramalan akan melibatkan data historis pada masa lampau (seperti data penjualan tahun lalu) dan memproyeksikan data tersebut pada masa mendatang dengan pemodelan matematika. Peramalan digunakan pada PT. Puri Wira Mahkota untuk menentukan kuantitas produk yang seharusnya disediakan oleh unit produksi pusat melalui kantor cabang selaku pihak distributor. Nilai ramalan yang dihasilkan akan ditinjau tingkat akurasinya melalui grafik perbandingan tingkat fluktuasi hasil ramalan dengan data observasi yang diperoleh. Hasil dari model peramalan naif harus menjadi dasar untuk menentukan apakah nilai ramalan dikatakan bagus (akurat). Tidak digunakan untuk menetapkan target peramalan yang bersifat sewenang-wenang (seperti Mean Absolute Percentage Error 10% dikatakan "Sempurna", Mean Absolute Percentage Error 20% dikatakan "Bagus") tanpa adanya konteks kemampuan peramalan dari data observasi. Jika hasil peramalan yang diperoleh lebih buruk dari peramalan naif (berarti dapat dikatakan sebagai hasil ramalan yang "Buruk"), maka jelas proses peramalan perlu ditingkatkan. Hasil yang buruk dan tidak sesuai dengan data aktual tersebut dapat disebabkan oleh beberapa faktor yang kemudian dianalisis untuk peningkatan proses peramalan dengan tujuan memperoleh hasil yang mendekati akurat.

ObjectivesChaxugeju is a very special Chinese culture following a self-centered and outward expanding social network, which might be a significant culture factor for vaccination behavior. This study aimed to identify the motivation pattern in China, and paid special focus on socio-economic status (SES), region, and migration.MethodsWe used a latent class analysis, with a sample of 12,432 participants collected in China from April to June, to identify the COVID-19 vaccination motivation patterns. Multinomial logistic regression models were utilized to separately explore associations between SES, migration, region, and COVID-19 vaccination motivation patterns.ResultsThree COVID-19 vaccination motivation patterns were identified: Self-protection (41.9%), Trust and Self-protection (38.5%), and Trust and Differential Protection (19.6%). Participants with higher income were more likely to be Trust and Self-protection, and when income is more than 50,000 CNY per month, they are more likely to be self-protection. Professional/white collar were more likely to be Self-protection. Participants from Shenzhen were more likely to be Trust and Differential protection. The moderating effects of gender were found for income and region. Gender does not moderate the associations of occupation or migration and COVID-19 vaccination motivation patterns.ConclusionThree motivational patterns were identified in which the Trust & Differential Pattern followed the traditional self-family-community Chaxu circle. However, the Chaxu motivation pattern was not the dominant one which might be weakened by SES. Migration and Shenzhen preserved the traditional social network, keeping in the trust and differential pattern. All of these factors in various cultural contexts should be considered when promoting vaccines.

The cost of food is an important driver of food choice and most evidence suggests that healthier diets are more costly than less healthy diets. However, current attempts to model the cost of healthy and current diets do not take into account the variation in diets or food prices. We calculated the differential cost between healthy and current diets for households with a low, medium and high education in the Netherlands using the DIETCOST program. The DIETCOST program accounts for variations in dietary patterns and allows for the calculation of the distribution of the cost of bi-weekly healthy and current household diets. Data from the Dutch National Food Consumption Survey 2012–2016 was used to construct commonly consumed food lists for the population as a whole and for households with a low, medium and high education and linked to a local food price database. The average cost of current household diets was €211/fortnight (SD 8.9) and the healthy household diet was on average €50 (24%) more expensive. For households with a low, medium and high education, healthy diets were on average 10% (€17), 26% (€50) and 36% (€72) more expensive compared to current diets, respectively. All healthy diets could be classified as affordable (i.e. requiring less than 30% of the average disposable income) as diets required around 20% of the income. To conclude, while healthy diets were found to be affordable, we found that these were more expensive than current diets, especially for those with a higher educational level. This suggests that individuals will need to spend more money on food if they aim to adhere to dietary guidelines under the assumption that they will minimally adjust their diet. Bridging the gap between the cost of healthy and less healthy foods could be an important strategy for improving population diets.

Use of quantile regression, analysis at different levels of aggregation, and inclusion of covariates were used to assess how different methodologies produced varying results with contradictory implications for policy interventions regarding the relation between school funding and achievement. Results indicated that significantly different relations existed at various quantiles of the distribution of achievement, both for student and school-level outcomes. Further, significant differences were found when outcomes at the school-level were compared to outcomes for individual students. Finally, the inclusion of SES drastically altered the results of every analysis in this study, indicating the importance of controlling for confounds. Taking all of these findings into account, we find that higher levels of funding at the student-level were associated with smaller gaps in growth in achievement by SES for lower achieving students. The opposite finding was found at the school level, with higher levels of funding at the school level being associated with larger gaps in growth in achievement based on SES. We compare our findings to results of existing studies, framing our results and interpretations thereof in weighted-student funding literature. Discussion on how these findings can be translated into quasi-experimental research designs are also included.

Numerous studies have examined the role of socio-economic status on physical activity, obesity, and cognitive performance in youth or older adults, but few studies have examined the role of neighborhood socio-economic status (NSES) on motor or cognitive performance in kindergarten children. This study aimed to examine whether lower NSES (measured by the social data atlas) was associated with lower motor and inhibitory control performance in kindergarten children. One hundred twenty-nine preschoolers were recruited from eight kindergartens in low and high NSES areas in Stuttgart, one of Germany’s largest metropolitan areas. Motor functioning (Movement Assessment Battery for Children, MABC-2; Manual Dexterity, Aiming and Catching, and Balance) and inhibitory control (Flanker Task, Go/NoGo Task) were assessed in a sample of 3- to 6-year-old children within a cross-sectional study. Children from a low NSES background showed the expected difficulties in inhibitory control and motor performance, as indicated by poorer performance than children from a high NSES background. Sex-specific analysis revealed girls from low NSES areas to have the lowest fine motor control; children with low NSES reach a Developmental Coordination Disorder at-risk status of 13% (boys and girls), in contrast to children with high SES (boys 9.1%, girls 0.0%). Motor performance and inhibitory control correlated positively with regard to the group from a low NSES background. Researchers and practitioners are advised to develop a more nuanced picture of motor and academic achievement in heterogeneous neighborhoods when designing early intervention programs, particularly with regard to sex differences, with the most significant disadvantage to girls with lower NSES.

Narrative abilities are an important part of communication, academic success, and healthy relationships. These abilities involve complex language and cognitive skills, such as precise vocabulary, control of the coherence markers, relations of cause-effect, and planning. They are also relevant during the elementary school years and interact with the socio-emotional skills necessary to understand different points of view. Oral narrative production develops dramatically from 3 to 5 years of age and is a key factor in a child's ability to communicate about the world. During this period narratives are a product of increasing linguistic sophistication over the preschool period and there is a complex relationship between early narratives and language proficiency. So far, most research about this topic has been pursued in populations other than Latin American preschoolers. At the same time, a considerably lesser number of studies about narrative abilities development have been carried out comparing typically developing children from different socioeconomic backgrounds. To our knowledge, there are no studies in Uruguay that assess the narrative abilities development in typically developing preschool children who grow up in vulnerable contexts. It is therefore of the utmost relevance to produce empirical evidence for this population. For these reasons, this study aimed at characterizing and comparing narrative abilities and receptive vocabulary in a group of a total of 54 Uruguayan preschoolers from different socioeconomic backgrounds (middle and low socioeconomic status, SES). Children were assessed in receptive vocabulary and narrative abilities across two task conditions: (1) narrative comprehension through a story retelling task which included some final questions about the story; (2) narrative production elicited from a set of thematically related puppets. The examiner gives a child a puppet set and asks him/her to elaborate a narrative using them. After that, puppets are removed and the child is asked to retell the story without puppets. Children's oral productions were video-taped and then transcribed and categorized using the ELAN software (Max Planck Institute for Psycholinguistics, 2019). The verbal information was categorized according to Stein and Glenn's (1979) story grammar and considering the microstructural aspects (productivity and complexity). Analyses showed that both groups performed according to their stage of development in both narrative task conditions. With regards to the narrative comprehension task, no differences in the number of recovered categories, extension, or narrative complexity were observed. Concerning the narrative production task, there were no differences between the groups in narrative sequences, nor in the number of completed episodes in conditions neither with puppets nor without puppets. Results showed that children who grow up in poverty perform more poorly than their peers from middle-income families in receptive vocabulary, in the number of recovered episodes, ask-answer items of narrative comprehension tasks. Moreover, concerning the microstructural parameters analyses showed that children from middle socioeconomic backgrounds scored better in syntactic complexity in the without puppets condition. No differences between the groups were observed in syntactic complexity in the puppets condition. Taken together these results indicate a complex link between vocabulary and narrative abilities. It is worth noting that important differences in vocabulary did not reflect in the children's narrative performance. These findings are also relevant as a contribution to an ongoing debate about the role of vocabulary in the development of narrative abilities. Furthermore, these results could inform the discussion about the ecological validity of the test of cognitive and linguistic development. Finally, to provide some additional evidence to Uruguayan Spanish language about the relationships between oral language and cognitive development allows to carry out early interventions before formal schooling sets children for success in school and life. [ABSTRACT FROM AUTHOR]

The benefits of musical play in cognitive development have recently received an upsurge of interest in the field of early childhood music education research. This study examines the positive learning transfer from a musical play early-learning system® to cognitive development. Specifically, we investigated the effects of early musically enriched multicultural play activities on linguistic and spatial skills once the children have reached school age. Four subtests were selected from the Wechsler's Preschool and Primary Intelligence Scale to assess linguistic and spatial skills. A group of twenty children aged between 50 and 82 months who had been exposed daily to a musical play platform over a period of 24 months (4 or 5 days a week, 45min/day) in daycare centres was selected and compared to a matched group of twenty children aged between 48 and 79 months who had not been exposed to this programme. Results showed that the musical play group obtained significantly higher scores than the non- musical play group in linguistic but not in spatial skills, regardless of parental SES. Linear regression analysis revealed that spatial skills predicted linguistic skills in the musical play group. A broader implementation of this musical play early- learning system® in more daycare settings is suggested. [ABSTRACT FROM AUTHOR]

Executive functions (EF), either conceptualized as skills involved in regulation of cognition and emotion in service of goal‐oriented behavior, or reductively as working memory, flexibility and inhibitory control, are commonly invoked constructs in developmental science. Two main traditions on EFs measurement prevail, one consisting of ratings obtained through questionnaires that inquire on behavior in common situations, the other based on performance in laboratory tasks. Whether both types of assessment actually refer to the same constructs is not consensual. Further, the role of school context in the degree of correspondence between both types of measures remains largely unexplored. Here, we show in a sample of over 220 children (age M = 5.6, SD = 0.4 years), by means of multilevel models, that whether EF tasks can predict BRIEF‐P ratings and vice‐versa, depends on the process considered and on the school SES. Inhibitory control, planning, and global executive functioning are associated with BRIEF‐P ratings in all schools. In contrast, we found no association among measures of flexibility independently of school SES. For working memory, we found that questionnaire rating predicts span only in high SES schools, but span predicts behaviors across schools. Our findings contribute to a growing body of literature that proposes constructs assessed by questionnaires and tasks only partially overlap and suggests that school SES may be a relevant factor to consider when questionnaires are answered by teachers. [ABSTRACT FROM AUTHOR]

Policymakers, conceptualized here as principals, disagree as to whether US student performance has changed over the past half century. To inform conversations, agents administered seven million psychometrically linked tests in math (m) and reading (rd) in 160 survey waves to national probability samples of cohorts born between 1954 and 2007. Estimated change in standard deviations (sd) per decade varies by agent (m: –0.10sd to 0.27sd, rd: –0.02sd to 0.12sd). Consistent with Flynn effects, median trends show larger gains in m (0.19sd) than in rd (0.04sd), though rates of progress for cohorts born since 1990 have increased in rd but slowed in m. Greater progress is shown by students tested at younger ages (m: 0.31sd, rd: 0.08sd) than when tested in middle years of schooling (m: 0.17sd, rd: 0.03sd) or toward the end of schooling (m: 0.06sd, rd: 0.02sd). Young white students progress more slowly (m: 0.28sd, rd: 0.09sd) than Asian (m: 46sd, rd: 0.28sd), black (m: 0.36sd, rd: 0.19sd), and Hispanic (m: 0.29sd, rd: 0.13sd) students. These ethnic differences generally attenuate as students age. Young students in the bottom quartile of the SES distribution show greater progress than those in the top quartile (difference in m: 0.08sd, in rd: 0.15sd), but the reverse is true for older students. Moderators likely include not only changes in families and schools but also improvements in nutrition, health care, and protection from contagious diseases and environmental risks. International data suggest that subject and age differentials may be due to moderators more general than just the United States. [ABSTRACT FROM AUTHOR]

Individuals who grow up in families with lower socioeconomic status (SES) tend to experience disproportionate rates of chronic stress. The "freeze" response, characterized by blunted cardiovascular reactivity and reduced engagement with the environment, is associated with chronic stress and may be utilized when an individual is unable to escape or overcome environmental stressors. Using a diverse community sample of 184 adolescents followed from the age of 13 to 29 years, along with their friends and romantic partners, this study examined links between family SES and stress responses in adulthood. Low family SES at the age of 13 years directly predicted blunted heart rate responding and fewer attempts to answer math problems during a modified version of the Trier Social Stress Task at the age of 29 years. Indirect effects were found from low family SES to blunted respiratory sinus arrhythmia responding and the number of words spoken during a speech task. SES at the age of 29 years mediated many of these relations. Findings held after accounting for a number of potential confounds, including adolescent academic and attachment functioning and body mass index. We interpret these findings as evidence that low familial SES may predict freezing‐type responses in adulthood. [ABSTRACT FROM AUTHOR]

Using a meta-analytic approach, we evaluate the association between socioeconomic status (SES) and children's experiences measured with the Language Environment Analysis (LENA) system. Our final analysis included 22 independent samples, representing data from 1583 children. A model controlling for LENATM measures, age and publication type revealed an effect size of rz=.186, indicating a small effect of SES on children's language experiences. The type of LENA metric measured emerged as a significant moderator, indicating stronger effects for adult word counts than child vocalization counts. These results provide important evidence for the strength of association between SES and children's everyday language experiences as measured with an unobtrusive recording analyzed automatically in a standardized fashion. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to comprehensively investigate the relationship between the survival differences and socioeconomic status (SES) in patients with multiple myeloma (MM) and construct a predictive nomogram to assess clinical outcomes of MM patients. Methods: The Surveillance, Epidemiology, and End Results (SEER) census tractlevel SES database provides two specialized attributes: SES index and rurality. Using this database, 37,819 patients diagnosed with MM between January 2007 and December 2016 were enrolled. We evaluated the effects of SES index on overall survival (OS) and myeloma-specific survival (MSS) using Kaplan-Meier curves and Cox regression analyses. Thereafter, we included 126 patients with MM from two independent medical centers in China and divided them into training (Center 1) and validation (Center 2) cohorts. Univariate and multivariate Cox analyses were used in the training cohort to construct a nomogram for predicting clinical outcomes. Nomogram performance was assessed using the area under the curve (AUC) and calibration curves. Results: In the SEER cohort, lower SES was significantly associated with worse OS rates and MSS rates (both P < 0.001). Multivariate analysis confirmed SES as an independent predictor of survival. Subgroup analysis indicated an increasing linear trend in survival benefits in non-Hispanic White, married, insured, and urban populations with increasing SES (all P < 0.001). In the training cohort, albumin, creatinine, rurality, and SES were confirmed as independent prognostic indicators. A nomogram for OS prediction was developed using these four factors, and it showed satisfactory discrimination and calibration. The 18- and 36-month AUC values of the nomogram were 0.79 and 0.82, respectively. Based on the total nomogram points, patients were categorized into two risk levels with good separation. Conclusion: SES strongly influences survival disparities in patients with MM. Our nomogram consisting of clinical and sociodemographic characteristics can potentially predict survival outcomes. [ABSTRACT FROM AUTHOR]

Objective: Although nonsuicidal self-injury (NSSI) in youth is an important mental health concern worldwide, limited studies have investigated its sociodemographic correlates in early adulthood. This study explored associations between socioeconomic status (SES) and self-harm behaviors, including NSSI and suicidal ideation, in a community-based sample of young adults. Methods: A total of 414 Korean young adults engaged in NSSI and 200 controls completed online self-report questionnaires assessing sociodemographic and clinical characteristics, using logistic regression to estimate the odds ratio and analyzed risk factors for NSSI, especially the independent influence of SES on NSSI risk. Multivariate regression was performed to identify the role of socioeconomic disadvantage in suicidal ideation in NSSI people. Results: Logistic regression showed that low SES significantly increased NSSI risk. Multivariable regression also revealed that lower SES was related to more severe suicidal ideation in young adults with NSSI after controlling for gender and the higher-severity NSSI index, including the number of NSSI methods used and NSSI intrapersonal functions. Conclusions: This is the first study to directly address socioeconomic gradients of a general population of young adults with NSSI and its effects, and socioeconomic status should be considered preemptively when defining suicide risks of this group and when intervening in self-injurious behaviors. [ABSTRACT FROM AUTHOR]

In the past few decades, literature has consistently suggested that bilingual children are at risk for academic failure due to their limited language skills. However, many of these studies included underprivileged bilingual children, and few of them attempted to disentangle the effects of bilingualism from the effects of socio-economic status. Critically, it is not clear how the language and literacy skills of bilingual children develop when they benefit from home support. This paper presents the case study of a child who emigrated from Romania to the United States at the age of 4.8 and enrolled in preschool with no prior knowledge of English. With support from his family, by the end of the 4th grade, his English vocabulary was 2.5 standard deviations above national norms (11th grade level equivalent), and all other standardized language and reading comprehension measures placed him between the 82nd and the 99th percentile. This study suggests that the socio-economic status (in general) and the home language and literacy environment (in particular) has the potential to play an important role in the language and literacy development of bilingual children. [ABSTRACT FROM AUTHOR]

Gendered perceptions may determine the aspirations and expectations, as well as the academic and career choice of young people. This article examines the role of gender stereotypes as a predictor of career choices of students in construction. A survey of 229 conveniently sampled students, enrolled in construction-related programmes was conducted. The objectives of the study are to measure the relationship between gender stereotypes and career choice behaviour, and to measure the effect of gender and socio-economic status on how gender stereotypes influence student's career choices. The Mann-Whitney U and Kruskal-Wallis test were used to test for significant differences between gender and socio-economic status (SES) groups. Results show that, as opposed to men, women seem to perceive gender stereotypes as having more influence on their career choices than men. The study finds statistically significant differences in gender stereotypes among the low and medium socio-economic groups. [ABSTRACT FROM AUTHOR]

The study adopts a naturalistic perspective, looking at the relationship between socio-economic status (SES), activities and variation sets in child-directed speech (CDS) to Spanish-speaking Argentinian toddlers. It aims to determine the effect of SES and type of activity on the proportion of words and utterances in variation sets and on the pragmatic function they serve in interaction. Thirty two children (mean: 14.3 months) and their families were audio-recorded for four hours and the middle two hours were analyzed using CLAN. We developed an automatic algorithm for variation sets extraction that compares noun, verb and adjective lexemes in successive utterances. Mixed-effects beta regression showed SES and activity type effects on the proportion of variation sets and on the pragmatic function served by variation sets. Findings revealed that the contextual variables considered impact on how interlocutors organize the information to young children at the local level of natural at home interactions. [ABSTRACT FROM AUTHOR]

Parental socioeconomic status (SES) strongly influences children's language abilities but less is known about its influence on pragmatic abilities (e.g., inferring intentions from relevance implicatures). Moreover, by focussing on SES, the role of socio-cognitive engagement (e.g., joint parent-child interactions) has been overlooked. We tested four- and six-year-old children (n = 92) with a communication task, a questionnaire assessed parents' SES and socio-cognitive engagement. Socio-cognitive engagement predicted children's communication abilities while the parental educational background and income did not. This emphasizes the notion that communication is a highly socio-cognitive task, one which children perform the better the more frequently they engage in socio-cognitive interactions. [ABSTRACT FROM AUTHOR]

Abstract Background Differences in health care utilization by educational level can contribute to inequalities in health. Understanding health care utilization and health-related quality of life (HRQoL) of educational groups may provide important insights into the presence of these inequalities. Therefore, we assessed characteristics, health care utilization and HRQoL of injury patients by educational level. Method Data for this registry based cohort study were extracted from the Dutch Injury Surveillance System. At 6-month follow-up, a stratified sample of patients (≥25 years) with an unintentional injury reported their health care utilization since discharge and completed the EQ-5-Dimension, 5-Level (EQ-5D-5L) and visual analogue scale (EQ VAS). Logistic regression analyses, adjusting for patient and injury characteristics, were performed to investigate the association between educational level and health care utilization. Descriptive statistics were used to analyse HRQoL scores by educational level, for hospitalized and non-hospitalized patients. Results This study included 2606 patients; 47.9% had a low, 24.4% a middle level, and 27.7% a high level of education. Patients with low education were more often female, were older, had more comorbidities, and lived more often alone compared to patients with high education (p

Abstract Background The accelerated aging trend brought great chronic diseases burdens. Disabled Adjusted Life Years (DALYs) is a novel way to measure the chronic diseases burden. This study aimed to explore the cohort, socioeconomic status (SES), and gender disparities of the DALYs trajectories. Methods A total of 15,062 participants (55,740 observations) comes from China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2018. Mixed growth curve model was adopted to predict the DALYS trajectories in 45–90 years old people influenced by different birth cohorts and SES. Results We find significant cohort, SES (resident place, education level and income) disparities differences in the chronic diseases DALYs. For individuals of earlier cohort, DALYs are developed in a late age but grow fast with age but reversed for most recent cohorts. Living in urban, having higher SES level will decrease the growth rate with age, but converges for most recent cohorts. Meanwhile, DALYs disparities of resident place and education level show gender differentials that those for female are narrowed across cohort but for male are not. Conclusions The cohort effects on chronic diseases DALYs are accumulated with China’s unique social, and political settings. There are large inequalities in early experiences, SES and DALYs. Efforts of reducing these inequalities must focus on the lower SES individuals and those living in rural areas, which greatly benefit individuals from recent cohorts.

SES is a well-established predictor of academic achievement. However, not all students perform according to their SES-background and the predominantly variable-oriented body of research has neglected the investigation of constellations of SES and academic achievement differing from the commonly reported correlational links. This study adopted a person-centered approach to identify different SES-achievement patterns and to compare them in terms of individual psychological characteristics. Data were collected from an SES-diverse sample of 171 French ninth-graders (M age = 14.40 years). We applied latent profile analysis (LPA) to (a) identify the various profiles when considering SES and academic achievement in a national standardized exam, and (b) investigate differences between the profiles regarding individual student characteristics (i.e., school well-being, academic self-concept, text anxiety, executive functions, and metacognition). LPA revealed 4 profiles: Group 1 ('resilient achievers', 19.9% of the sample) was characterized by below-average SES but above-average achievement, Group 2 ('expected high achievers', 42.1%) by above-average SES and achievement, Group 3 ('expected low achievers', 12.9%) by below-average SES and achievement, and Group 4 ('underachievers', 25.1%) by above-average SES and below-average achievement. 'Resilient achievers' displayed higher school happiness, better working memory and metacognitive knowledge than 'underachievers', and higher academic self-concept than 'underachievers' and 'expected low achievers'. Overall, these results suggest that academic resilience of low-SES students is related to socio-emotional, cognitive, and metacognitive resources that should be fostered in all students to promote academic achievement. • Relations between SES and achievement are robust, but only small to moderate. • 45% of students in this study stood out from the expected SES-achievement pattern. • About 20% were resilient achievers with low SES but above-average achievement. • Resilient achievers display cognitive, metacognitive, and socio-emotional resources. • These should be fostered in all students to promote academic achievement. [ABSTRACT FROM AUTHOR]

BackgroundFew studies have addressed retention of minorities, particularly African Americans, in longitudinal research. Our aim was to determine whether there was differential retention between African Americans and Whites in the ARIC cohort and identify cardiovascular disease (CVD) risk factors and indicators of socioeconomic status (SES) associated with these retention differences.Methods15,688 participants, 27% African American and 73% White, were included from baseline, 1987-1989, and classified as having died, lost or withdrew from study contact, or remained active in study calls through 2013. Life tables were created illustrating retention patterns stratified by race, from baseline through visit 5, 2011-2013. Prevalence tables stratified by race, participation status, and center were created to examine CVD risk factors and SES at baseline and visit 5.Results54% of African Americans compared with 62% of Whites were still in follow-up by 2013. This difference was due to an 8% higher cumulative incidence of death among African Americans. Those who remained in follow-up had the lowest baseline CVD risk factors and better SES, followed by those who were lost/withdrew, then those who died. Whites had lower levels of most CVD risk factors and higher SES than African Americans overall at baseline and visit 5; though, the magnitude of visit 5 differences was less.ConclusionsIn the ARIC cohort, retention differed among African Americans and Whites, but related more to mortality differences than dropping-out. Additional research is needed to better characterize the factors contributing to minority participants' recruitment and retention in longitudinal research.

This study shows that time availability is a significant mediator between SES and health. I draw on representative survey data from the Canadian Multinational Time Use Survey and supplement this data source with a second data set containing localized sociodemographic and time availability measures. In addition to testing existing time scarcity measures, I also propose a broader set of new, more inclusive measures. Analyses involve two stages. First, binary logistic regressions evaluate statistically significant relationships. The second stage uses mediation analyses to assess whether time availability is statistically significant in mediating the relationship between SES and self-reported health. I compute direct, indirect, and total effects, independently for each of the objective and subjective time availability measures, for both the nationally representative sample and for the localized sample. My results show that both time scarcity and time excess are important when examining the mechanisms linking SES and health. For example, 12 percent of the effect of household-level SES on health is via discretionary time availability. Further, over 10 percent of the effect of neighborhood-level SES on health is via subjective time scarcity. Objective time poverty mediates about 9 percent. 7.3 percent of the effect of SES on health is via objective time excess. Considering the differing temporal needs of marginalized populations, this work has important health policy implications for sociotemporal disparities in health.

BackgroundDengue fever has been responsible for around 12 countrywide large outbreaks in Pakistan, resulting in 286,262 morbidities and 1,108 deaths. Khyber Pakhtunkhwa (KP) is the most recently impacted province. This study aimed to investigate the molecular, epidemiological, and potential elements that contribute to increasing dengue transmission patterns, and knowledge, attitude, and practice (KAP) toward dengue in KP province.MethodThis cross-sectional community-based study was conducted (June-December, 2021) in two phases. Phase I involved the epidemiological (n = 5,242) and molecular analysis of DENV in 500 randomly collected blood samples of the 2021 dengue outbreak in KP. Phase II focused on assessing dengue-KAP levels in healthy communities (n = 14,745, aged >18 years), adopting a cross-sectional clustered multistage sampling in eight districts (dengue-hotspot vs. non-hotspot) of KP. Chi-square tests and logistic regression analysis were applied.ResultsPeshawar district had the highest dengue cases (60.0%) associated with the predominant co-circulation of DENV-2 (45.8%) and DENV-3 (50.4%) serotypes. A rise in cases was reported in October (41.8%) followed by September (27.9%) and August (14.4%; p < 0.001). Males (63.7%, p < 0.001) and individuals aged 16–30 years (37.0%, p < 0.001) were highly affected. General workers (18.0%), families with a monthly income of 10,000–20,000 Pak rupees (50.5%), unmarried (71.0%), uneducated (31%), families with higher human density (>10 individuals per household), and those (29.0%) who faced power outages for more than 7/24 h were the most affected. Moreover, co-morbidities like renal failure and bronchial asthma were associated with disease severity. A community survey on KAP revealed that an average of 74, 60, and 43% of the participants demonstrated good knowledge, attitudes, and dengue preventive practices, respectively.ConclusionMultiple poor socioeconomic elements are influencing dengue fever transmission in the province. Higher KAP levels may explain the low frequency of dengue in non-hotspot districts. Our study emphasizes the need for effective and long-term public health education, strengthened vector surveillance, and expanded laboratory capacity for better diagnosis and management of dengue cases to better predict the burden and seasonality of disease in the country.

Abstract Background Greater cognitive performance has been shown to be associated with better mental and physical health and lower mortality. The present study contributes to the existing literature on the linkages of self-perceived income sufficiency and cognitive impairment. Study also provides additional insights on other socioeconomic and health-related variables that are associated with cognitive impairment in older ages. Methods Data for this study is derived from the 'Building Knowledge Base on Population Ageing in India'. The final sample size for the analysis after removing missing cases was 9176 older adults. Descriptive along with bivariate analyses were presented to show the plausible associations of cognitive impairment with potential risk factors using the chi-square test. Also, binary logistic regression analysis was performed to provide the relationship between cognitive impairment and risk factors. The software used was STATA 14. Results About 43% of older adults reported that they had no source of income and 7.2% had income but not sufficient to fulfil their basic needs. Older adults with income but partially sufficient to fulfil their basic needs had 39% significantly higher likelihood to suffer from cognitive impairment than older adults who had sufficient income [OR: 1.39; OR: 1.21–1.59]. Likelihood of cognitive impairment was low among older adults with asset ownership than older adults with no asset ownership [OR: 0.83; CI: 0.72–0.95]. Again, older adults who work by compulsion (73.3%) or felt mental or physical stress due to work (57.6%) had highest percentage of cognitive impairment. Moreover, older adults with poor self-rated health, low instrumental activities of daily living, low activities of daily living, low subjective well-being and low psychological health were at increased risk for cognitive impairment. Conclusion The study highlights the pressing need for care and support and especially financial incentives in the old age to preserve cognitive health. Further, while planning geriatric health care for older adults in India, priority must be given to financially backward, with no asset ownership, with poor health status, older-older, widowed, and illiterate older individuals, as they are more vulnerable to cognitive impairment.

This longitudinal study investigated whether classroom norm salience toward aggression moderated the association between parental education and children’s overt aggressive behavior development from third to sixth grade of elementary school. Children (N = 1,205, 51% girls) from 46 Dutch elementary schools were annually followed from third to sixth grade. Norm salience was operationalized by within-classroom correlations between individual children’s peer-nominated social preference and aggression scores. Results from multilevel latent growth models showed that norm salience development from third to sixth grade, but not norm salience in third grade, was a significant moderator. That is, results suggested that in third grade, children of lower-educated parents showed higher levels of overt aggressive behavior than children of higher-educated parents, irrespective of the norm. However, in classrooms where norm salience became more favorable toward aggression over time, children of lower-educated parents showed a slower growth rate of overt aggressive behavior than children of higher-educated parents from third to sixth grade. In classrooms where norm salience became less favorable toward aggression over time, the development of overt aggressive behavior was similar for all children. Findings suggest that classroom norm salience may become more important in the later elementary school years and that children of higher-educated parents may be more able to adapt their behavior toward the classroom norm. [ABSTRACT FROM AUTHOR]

This study tested potential mediating effects of household screen media experience (HSME) on the relationship between SES and six aspects of preschooler's sociality: social cognition, independence, aggression, social adaptivity, peer relationship and emotional control. A total of 471 parents of 3- to 6-year-old children completed an online questionnaire on SES, household screen media experience and social behaviours of children. Our results revealed that the effects of SES on Social Cognition, Independence and Aggression were partly mediated by HSME. Specifically, higher SES predicted lower HSME scores, which predicted better Social Cognition, higher Independence and lower Aggression. HSME did not appear to mediate the effects of SES on Social Adaptivity, Peer Relationship, and Emotional Control. This study affords novel insights into the role of screen use in children's sociality development. [ABSTRACT FROM AUTHOR]

People are quick to form impressions of others' social class, and likely adjust their behavior accordingly. If social class is linked to prosociality, as literature suggests, then an interaction partner's class should affect prosocial behavior, especially when costs or investments are low. We test this expectation using social mindfulness (SoMi) and dictator games (DG) as complementary measures of prosociality. We manipulate target class by providing information regarding a target's (a) position on a social class ladder, and (b) family background. Three studies using laboratory and online approaches (N overall = 557) in two nations (the Netherlands [NL], the UK), featuring actual and hypothetical exchanges, reveal that lower class targets are met with greater prosociality than higher class targets, even when based on information about the targets' parents (Study 3). The effect of target class was partially mediated by compassion (Studies 2 and 3) and perceived deservingness of the target (Study 3). Implications and limitations are discussed. [ABSTRACT FROM AUTHOR]

Social interactions are essential for infant brain development, yet we know little about how infant functional connectivity differs between social and nonsocial contexts, or how sensitivity to differences between contexts might be related to early distal and proximal environmental factors. We compared 12‐month‐old infants' intrahemispheric electroencephalographic (EEG) coherence between a social and a nonsocial condition, then examined whether differences between conditions varied as a function of family economic strain and two maternal behaviors at 6 months, positive affect and infant‐directed speech. We found lower EEG coherence from the frontal region to the central, parietal, temporal, and occipital regions during the social condition, but only for infants from higher‐income families and infants whose mothers used higher proportions of infant‐directed speech. In contrast, there were no differences between social and nonsocial conditions for infants from economically strained families or infants whose mothers used lower proportions of infant‐directed speech. This study demonstrates that neural organization differs between a nonsocial baseline and a social interaction, but said differentiation is not present for infants from less privileged backgrounds. Our results underscore the importance of examining brain activity during species‐typical contexts to understand the role of environmental factors in brain development. [ABSTRACT FROM AUTHOR]

Objectives: People raised in low-socioeconomic status (SES) households are at an increased risk for physical illness in adulthood. A shift in gene expression profiles in the immune system is one biological mechanism thought to account for elevated disease susceptibility, with a frequently investigated profile being the conserved transcriptional response to adversity (CTRA), characterized by increased expression of pro-inflammatory genes and decreased expression of antiviral and antibody-related genes. Methods: The present study investigated, in a sample of at-risk midlife adults (N = 88), whether those randomized to learn loving-kindness meditation (LKM) in a 6-week workshop would show a reduction in CTRA gene expression, compared to those randomized to learn mindfulness meditation (MM). We assessed emotions daily and hypothesized positive emotions to account for the expected effect of LKM on gene expression. Results: Results showed significant group differences from pre- to post-intervention, yet in the opposite direction as hypothesized: Participants randomized to the MM group showed significant declines in CTRA gene expression, whereas those in the LKM group showed significant increases in CTRA gene expression. Both groups showed increases over the 6 weeks in daily reports of positive emotions (b =.007, p <.001) alongside decreases in negative emotions (b = −.005, p <.001). Thus, positive emotions were not pursued as a candidate mediator of observed group effects. Conclusions: This study is the first to examine whether the biological impact of childhood low SES can be reversed in midlife through meditation interventions. Results suggest mindfulness meditation may be a viable option for improving health outcomes in this at-risk population. Trial Registration: ClinicalTrials.gov Identifier: NCT02400593. [ABSTRACT FROM AUTHOR]

Copyright of Revista Lusofona de Educacao is the property of Universidade Lusofona de Humanidades e Tecnologias, CEIEF 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.)

Abstract Background Improvement in maternal healthcare is a public health priority. Unfortunately, in spite of the efforts made over time regarding universal coverage, there remain issues with accessibility and use of healthcare services up to now. In this study, we examined inequalities in out-of-pocket health expenditure among women of reproductive age in Ghana. We analyzed secondary data collected in Ghana Demographic and Health Survey (GDHS) - 2014. A total of 9,002 women of reproductive age were included in this study. Lorenz curves and the concentration index were used to examine neighborhood socioeconomic disadvantage inequalities in out-of-pocket expenditure for maternal healthcare utilization Results About two thirds (66.0%) of women of reproductive age in Ghana were covered by health insurance. In sum, women of high neighborhood socioeconomic disadvantage status had the least out-of-pocket expenditure for total healthcare utilization, laboratory investigations, antenatal care visits, post-natal care visits, care for new born for up to 3 months, and other healthcare services. The converse was however true for family planning service utilization. Using Concentration Index, we quantified the degree of neighborhood socioeconomic disadvantage inequalities in healthcare service utilizations. Conclusion This study showed a gap in health insurance coverage among women of reproductive age. There were also inequalities in out-of-pocket expenditure for healthcare services utilization. It is expedient for stakeholders in the healthcare system to make policies targeted at bridging the neighborhood socioeconomic differences in maternal healthcare use and develop programs to improve women’s financial protection. Moreover, enlightenment on health insurance availability and coverage should focus on women at risk of out-of-pocket expenditure.

Background: Osteoarthritis (OA) and cardiovascular disease (CVD) are prevalent in India. However, there is dearth of literature among Indians studying the relationship between the two. This study was carried out to assess various cardiovascular (CV) risk factors in patients with knee OA with an objective to investigate their association, screening and management. Methods: In total, 225 patients were included in this cross-sectional study. Participants were diagnosed with knee OA on the basis of the Kellgren and Lawrence (K-L) classification of their radiograph. Participants were also assessed for CV risk factors; age, body mass index, systolic blood pressure, diabetes mellitus, total cholesterol, high-density lipoprotein, smoking. Joint British Society QRisk3 calculator (JBS3) a comprehensive risk score calculator as well as a screening tool, which produces three more variables, namely 10-years risk of developing CVD, physiological heart age and life expectancy, was used. Chi Square, Fishers exact test and one-way ANOVA tests were used to compare the categorical and quantitative variables, respectively.. Multiple regression analysis was done to adjust the multiple con-founders and determine their significance. Results: Patients with severe knee OA had a statistically significantly higher prevalence of CV risk factors (p Conclusions: Our study concluded that there is a strong relation between knee OA and CVD, with CV risk score being positively correlated to the severity of OA.

Environmental exposures and socioeconomic status (SES) are associated with asthma and chronic obstructive pulmonary disease (COPD) morbidity and mortality. Despite efforts to reduce the impact of environmental exposures through regulation and education, knowledge gaps remain. We sought to understand how adults with asthma and COPD perceive and seek information about environmental factors, and how these responses varied by disease or socioeconomic characteristics. Participants with self-reported asthma or COPD enrolled in a digital platform for respiratory disease self-management, consisting of sensors to track medication use and a companion smartphone app, completed an electronic survey exploring perceptions of environmental factors. Using mixed-method analyses, we evaluated differences in responses by disease (asthma vs. COPD), education (≤ vs. > some college), annual household income (< vs. ≥ $50,000), and mean annual residential air pollutant exposure (> vs. ≤80th percentile). Survey responses from 698 participants [500 asthma (72%) and 198 COPD (28%)] were analyzed. A high percentage of participants perceived that environmental factors could influence their symptoms, including: pollen (93% for asthma vs. 86% for COPD), mold (89 vs. 85%), second-hand smoke (89 vs. 83%), and air pollution (84% for both). Participants reported seeking environmental information daily from an average of three sources, preferring mobile apps and television (TV) programs. Significant differences were identified by disease.ConclusionParticipants with asthma and COPD perceive a relationship between their respiratory symptoms and their environment and regularly seek out environmental information. This information can help inform digital health development for respiratory education and self-management.

Prior research has demonstrated links between academic achievement and family socioeconomic status SES, such that students from wealthier families generally exhibit higher academic performance. Recent work has also shown that students who attend schools with greater SES inequality and lower average family income also tend to have lower achievement test scores. Additional research has found that students from poorer nations have lower average achievement test scores. Despite the presence of this evidence supporting individual relationships between SES and achievement test performance, there is less extant information positing a mechanism for how these relationships at different levels interact with one another and are related to achievement test performance. The purpose of the current study was to propose and test two multilevel mediation models of the relationships between national funding for public services such as education, and economic inequality with shortages for educational resources and trained staff, as well as aggregated and individual family SES with academic achievement. Results demonstrated that a partially mediated model yielded good fit to the data with both direct and indirect relationships among national funding for public services and academic achievement, as mediated through school level resource shortages and family SES. Implications of these results are discussed.

ObjectiveWe tested the hypothesis that socioeconomic status (SES) would predict children's physical health problems at the end of kindergarten among children whose parent reported greater parent-child relationship (PCR) negativity and/or who exhibited greater parasympathetic (RSA) reactivity. We also tested whether RSA and PCR negativity mediated the SES-health association.MethodsData were collected from 338 children (mean [SD] age, 5.32 [.32] years) and their primary caregivers (87% biological mothers) during the fall and subsequent spring of kindergarten. In the fall, parents reported income and education level (SES) and PCR negativity, and RSA reactivity was assessed via a standardized challenge protocol for young children. In the fall and then spring, parents reported children's chronic medical conditions and physical health impairments. Multivariate regression was conducted within a structural equation-modeling framework to test hypotheses.ResultsSignificant interactions were found between SES and PCR negativity (b = -0.074, p = .035) and between SES and RSA reactivity (b = 0.169, p = .019) as predicts children's spring health impairment, adjusting for health in the preceding fall. Lower SES was associated with greater health impairment among children whose parents reported more PCR negativity (b = -0.110, p = .024) and children who showed greater RSA reactivity (b = -0.106, p = .011). Socioeconomic status was unrelated to physical health at low PCR negativity or RSA reactivity. Mediation models were not supported.ConclusionParent-child relationship quality and individual differences in stress reactivity may modulate the influence of SES on physical health in childhood.

Social enterprises (SEs) are a new concept, integrating corporate profitability and social purposes. SEs seek to realize sustainable social values, rather than short-term profits. It is therefore important to study the factors that affect the sustainable management of SEs. Corporate social responsibility (CSR) is known to improve corporate image and performance; it can also promote the sustainable development of companies. Innovation has been described as the driving force behind corporate growth and ultimate performance. This study aims to investigate whether CSR can affect sustainability through the economic and social performance of SEs. In addition, it attempts to verify the moderating role of innovativeness in the relationship between CSR and social enterprise (SE) performance. Using survey data from 226 employees of 204 SEs in Korea, we have empirically tested this conceptual framework. The results suggest that, while CSR can improve sustainability through economic and social performance, innovativeness has no moderating effect on the relationship between CSR and SE performance. This study enriches our understanding of the important role played by CSR in driving SE sustainability. It provides new insights into the mechanisms through which SEs can achieve sustainable development. It also contributes to the literature by emphasizing the need for innovation through technical support for SEs. [ABSTRACT FROM AUTHOR]