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The shame of being poor and asking for charity has been a key theme in sociological research on poverty. This article draws on ethnographic research across two charity centres in Australia to address the overemphasis on shame as the dominant feeling of being poor and trying to help. We find that hope and anger are key emotions that sit alongside shame. Service providers tried to cultivate hope for a brighter poverty-free future. Hope was important for people in poverty, but they had smaller versions of hope informed by their everyday struggle. They were also angry at hope lost. Participants co-constructed charity and their experiences of poverty as a messy problem space where difficult and hopeful emotions hang together. The article contributes to the literature by coupling 'negative' and 'positive' feelings of poverty to trace a 'political economy of hope' within the welfare state that nuances people's experiences of charitable help. [ABSTRACT FROM AUTHOR]

Effective vaccines for COVID-19 are already available to humankind. In Peru, 86 million doses were administered to cover the demand for 33 million Peruvian people. Hence, vaccination has been prioritized in groups: health personnel, subjects with pre-existing health conditions and those over 65 years of age. However, given the social problems and the public health situation in Peru, this work defends that the priority of vaccination should be focused on the population living in extreme poverty. The method used was an ethical argumentation on the distribution of scarce antiSARS-CoV2 vaccine in Peru. This argument is based on the analysis of the Peruvian population living in extreme poverty, which presents different layers of vulnerability, and that, in the face of an eventual SARS-CoV2 infection, these would be exacerbated one after the other, through a cascade effect. This scenario would give rise to new vulnerabilities to those already existing, causing greater damage. Vaccination efforts on this key population would give them the opportunity to continue to find ways to bring food to their homes, significantly reducing the risk of contagion in their environment and mitigating the devastating effect of the local diseases to which they are already exposed. Four objections related to this argument are raised with their corresponding responses. Priority access to the vaccine would significantly reduce the humanitarian harm to people living in extreme poverty, prevailing the principles of justice and equity. [ABSTRACT FROM AUTHOR]

We aimed to investigate health care needs, health service utilization, and their socio-economic and health-related determinants in people with spinal cord injury (SCI) living in Jiangsu and Sichuan Provinces of China. A total of 1355 participants with SCI living in the community were recruited using a multi-stage stratified random sample and surveyed by telephone or online. Outcomes evaluated included the presence of health care needs, mode of health service utilization, and specific provider types seen within 12 months preceding the survey. The prevalence of healthcare needs was 92%. Needs were higher in Sichuan (98%) as compared to Jiangsu (80%). Of those in need of health care, 38% reported not having utilized care, more in Sichuan (39%) than in Jiangsu (37%). In Jiangsu, inpatient care was more often used than in Sichuan (46% vs. 27%), while in Sichuan outpatient services were utilized more often (33% vs. 17%). On average, 1.6 provider types were seen, with Sichuan reporting fewer different provider types. Considerable differences in the prevalence of health care needs and service utilization patterns were found between provinces, mostly in favour of the economically more developed Jiangsu Province. People with low income, particularly those below the World Bank poverty line for middle-income countries, had increased health care needs but utilized health care less often. Moreover, environmental barriers contributed significantly to unmet health care needs. This implies the necessity to provide better accessible and more affordable rehabilitation services for people with spinal cord injury (SCI) in China such as community-based rehabilitation programming. Policies for alleviation of poverty in the case of SCI including insurance for catastrophic health expenditure should also be reviewed and adapted where applicable. [ABSTRACT FROM AUTHOR]

Drawing on eight waves of the Schools and Staffing Survey and the National Teacher and Principal Survey, we used a difference-in-differences research design to examine special education teachers' (SETs) responses to No Child Left Behind (NCLB) and the subsequent reauthorization of the Individuals with Disabilities Education Act (IDEA). IDEA was associated with decreases in the proportion of SETs with special education as a field of study and graduate degrees, an increase in co-teaching, and a decrease in the proportion of SETs working in a resource delivery model, with no evidence that NCLB influenced these outcomes. Little consistent evidence was found to indicate these federal policies influenced SETs' job attitudes (e.g., job satisfaction). We identified differences in these associations based on school poverty status and grade level. These findings help to better understand the status and challenges of the current SET workforce and the unintended consequences of federal reform policies. [ABSTRACT FROM AUTHOR]

Access to social protection in old age is crucial and yet contingent upon negotiations between the social structures of the welfare states and the personal networks within which individuals are embedded. International migration, changing family dynamics, and the transformation of care and other welfare policies in the global North make it challenging for older migrants to negotiate social protection. Drawing on 45 semi-structured interviews with first-generation older Turkish migrants in London and 13 semi-structured interviews with professional service providers for the community, the paper aims to investigate the assemblages of formal and informal social protection in the lives of older migrants. Findings indicate the complexity in accessing informal social protection and the navigation of formal care support in the UK for first generation older Turkish migrants and the contingency of access to formal care services on informal support networks for participants. It has been demonstrated that built infrastructure and policies aimed at older adults have great influence on assemblages of care, highlighting the need for more age-friendly and integrated policies to facilitate access to social protection for diverse groups of older adults. [ABSTRACT FROM AUTHOR]

There is a disconnect between the abundant resources at the national level and the severe poverty at individual and household levels in Nigeria. Information and communication technology is an efficient tool that the Asian economies have used to alleviate poverty. Information and communication technology is regarded as a tool which helps create an information and communication technology-based economy. This quantitative study examined how Nigeria can use information and communication technology to alleviate the enormous poverty levels. Data were sourced from the World Bank and International Telecommunication Union, for the period 1992–2020. In terms of the research methodology, the Autoregressive Distributed Lag model was employed in the research. The empirical findings showed that information and communication technology can have a projected 50% positive effect in reducing poverty. Foreign direct investment had a positive effect on reducing income inequality. Primary research findings depicted that information and communication technology, economic growth, foreign direct investment and private domestic credit were key tools for reducing poverty in Nigeria. Concerning policy recommendations, it was suggested that private domestic credit and foreign direct investment should be channelled to the information and communication technology sector to have a greater impact on poverty alleviation. [ABSTRACT FROM AUTHOR]

This study aimed to discover the prevalence of school nutrition state legislation and to identify the correlates of enactment. An online legislative database, Legiscan, was used to collect bills related to school nutrition from the US from 2010 to 2019. Bills were coded and compiled into a study database with state-level dietary variables (obesity prevalence, fruit, and vegetable intake, sugar-sweetened beverage consumption), community variables (percent White, poverty), and bill-characteristic variables (party affiliation in legislature, strength of language, party of governor, school gardens, vegetable intake, and other salient variables). Multivariable models were built to examine predictors of bill enactment. Of the 462 bills introduced, 38.7% (n = 156) were enacted. In a multivariable model, the strength of bill language, political party affiliation, implementation of school gardens, and vegetable intake were the variables associated with bill passage. Bills with strong language were less likely to be enacted (P <0.001). Bills introduced by Democrats were more likely to be enacted (P = 0.01). This study showed a better understanding of legislative support for child nutrition via policy surveillance of bills and their correlates of enactment. This information can be used to prioritize advocacy efforts and identify ways research can better inform policy. [ABSTRACT FROM AUTHOR]

Background: The present study aimed to investigate the type and timing of ultra‐processed foods (UPF) consumption and its association with dietary intake (DI) and physical activity (PA) in women with obesity living in poverty. Methods: A cross‐sectional study was employed. Obesity was defined by at least two criteria (body mass index, waist circumference or % fat mass). Poverty was defined as the three lowest classes of the Brazilian Economic Classification Criterion. PA was measured with triaxial accelerometers and DI was assessed with three 24‐h dietary recalls. Foods were categorised according to the NOVA classification, with UPF classified into five subgroups, as well as the timing of consumption into six meals. Results: In total, 56 adult women were included. Overall energy intake was 1653.21 (503.22) kcal/day. UPF intake was 21.62% (11.94%) kcal/day, being higher at breakfast (4.91% kcal/day), afternoon snack (5.39% kcal/day) and dinner (5.01% kcal/day). Only UPF subgroup 4 (sandwich biscuits, sweets, or treats) showed a positive association with energy intake (β = 54.40 [27.6, 81.10] kcal/day) and a negative association with protein intake (β = −0.31% [−0.48%, −0.14%] kcal/day). UPF consumption in morning (β = −0.41% [−0.79%, −0.02%] kcal/day) and afternoon (β = −0.18% [−0.33%, −0.04%] kcal/day) snacks was associated with lower protein intake. Furthermore, lunchtime UPF consumption was positively associated with walking time (β = 0.16% [0.02%; 0.30%]) and steps/hour (β = 8.72 [1.50; 15.94] steps/h). Conclusions: Women with obesity living in poverty consume more UPF during breakfast, afternoon snack and dinner. Physical activity is positively associated with UPF consumption at lunch. UPF, such as sandwich biscuits, sweets or treats, contribute to increasing energy intake and reducing protein intake. Key points: The distribution of ultra‐processed foods (UPF) consumption throughout the day was evaluated.UPF were more consumed during main meals compared to snacks.Only sandwich biscuits, sweets and treats were associated with increased energy intake and reduced protein intake.Physical activity measured by triaxial accelerometers was associated with UPF consumption at lunch. [ABSTRACT FROM AUTHOR]

• We investigate the dynamics of low pay in Italy from 1990 to 2018 using a large sample of administrative data on private employees. • We find that the incidence of low pay is high and steeply increased in the last decades when the focus is on annual earnings and weekly wages. • A flat trend emerges when low pay is assessed according to FTE weekly wages, even if the share of low-paid workers remains high. • A major role in the low pay dynamics has been played by the reduction in the number of hours worked by low-paid individuals because of the increasing spread of part-time contracts. We investigate the dynamics of incidence, intensity and persistence of low pay in Italy from 1990 to 2018 by exploiting a large administrative sample of employees in the private sector. We refer to relative and absolute low pay thresholds and assess workers' conditions according to annual earnings, weekly wages and full-time-equivalent (FTE) weekly wages, to depurate low pay dynamics from the influence of changes in worked weeks and hours. Regardless of the chosen threshold, we find that the incidence of low pay is high and steeply increased in the last decades when the focus is on annual earnings and weekly wages. A flat trend emerges instead when low pay is assessed according to FTE weekly wages, signalling that a major role in the low pay dynamics is played by the reduction in the number of hours worked by low-paid individuals because of the increasing spread of part-time contracts. Nevertheless, the share of low-paid workers is rather high even when the focus is on FTE weekly wages. Furthermore, low pay is a persistent status for a large and rising share of workers. These findings reveal a clear worsening of workers' conditions at the bottom of the earnings distribution in Italy. [ABSTRACT FROM AUTHOR]

• We construct a multidimensional poverty index for chinese counties. • We establish a staggered DID model that controls for selection bias. • Highways significantly reduce county poverty. • The poverty-reduction effect of highways is conditional. • The poverty-reduction effect of highways diminishes with increasing altitude. This paper establishes a staggered difference-in-differences (DID) model to estimate the impact of highways on regional poverty using county-level panel data from China. We construct a multidimensional poverty index and use satellite-monitored night light brightness as a proxy indicator. The results demonstrate that highways significantly reduce county poverty and that the poverty reduction effect becomes increasingly pronounced over time. This result remains robust after controlling for non-random highway route selection. Furthermore, the poverty reduction effect of highways is conditional, with a significant poverty reduction effect in the less economically-developed western regions and non-municipal counties, and no significant poverty reduction effect in the economically-developed eastern and central regions and municipal districts. Moreover, the poverty reduction effect of highways gradually decreases as the average altitude of counties increases. Our tests provide empirical evidence for effective road investments in developing countries that incorporate poverty alleviation targets. [ABSTRACT FROM AUTHOR]

• The paper engages with the devastating consequences that the belated neoliberal reformation of the Greek welfare state – initiated after the 2009 economic crisis – had on income inequality and poverty. • It is argued that these reformations rely on the manner with which Greece has developed its relations within the global – mostly European – capitalist division of labor as a peripheral economy. Greece's economic affairs are approached as intimately conditioned by a multifaceted institutional structure of dependencies that outstrips its ability to exercise economic policy for its own interest. • Essentially built upon premises of a core-periphery dependency paradigm, the paper takes the view that since the onset of the 2008 global crisis, the EU anti-labor agenda is extended to country-members – such as Greece – which were long regarded as being poorly integrated or "lagged behind". The large-scale reformation of the Greek welfare state is exemplified and a novel interpretation of estimating the country's poverty level with attention paid to the ineffectiveness of the implemented reforms, is offered. • New estimation methods show the failure of neoliberal welfare policy in assisting even the most vulnerable members of the population, a process known as "targeting". This last part is further supported by genuine evidence drawn from several waves of microdata surveys (see Section 6) illustrating the uneven relation between Greece and the EU. • Three different measures of poverty and efficiency are presented based on original analyses of the official datasets, showing the extent of the overall income loss and the widening gap between Greece and the EU. The paper holds a critical view on EU austerity policies, with particular emphasis given to Greece. It is maintained that the main causes for the implementation of neoliberal reforms should be examined in the manner with which the Greek economy has developed in relation with the European capitalist division of labor as a peripheral economy. Greece is approached as intimately conditioned by a multifaceted institutional structure of dependencies that outstrips the country's ability to exercise economic policy for its own social interests. Essentially built upon the premises of a core-periphery dependency paradigm, the periodic post-war reconfigurations of the EU architectural design offered enough room to the formation of a stricter policy framework along these lines. By developing a set of differentiated indices on European poverty, the devastating consequences of the belated neoliberal reformation of the country's welfare state are highlighted. All calculations are based on microdata sets of EUSILC surveys. [ABSTRACT FROM AUTHOR]

Food insecurity means that a person does not have access to sufficient nutritious food for normal growth and health. Food insecurity can lead to many health problems such as obesity, heart disease, diabetes, and other long term health conditions. People living with a severe mental illness are more likely to experience food insecurity than people without mental illness. Peer‐led in‐depth interviews were conducted with adults with severe mental illness from Northern England, during which their experiences of food insecurity and strategies to tackle food insecurity were discussed. Interviews took place between March and December 2022, with interviews being transcribed and analysed using deductive and inductive thematic analysis. Thirteen interviews were conducted, finding that food insecurity in adults with severe mental illness was often a long‐standing issue. Unemployment, the cost‐of‐living crisis and fuel poverty impacted on experiences of food insecurity. Difficulties accessing food banks such as transport, stigma, and the limited selection of available food was also discussed. Strategies to tackle food insecurity centred on making food banks more accessible and improving the quality of available food. Future research should aim to eradicate food insecurity for adults with severe mental illness, as limited research and action focuses on this population group over and above 'mental illness' or 'poor mental health'. Removing barriers to accessing food such as lack of transport, and providing food which is of adequate nutritional quality, should be prioritised, as well as tackling the stigma and accessibility issues surrounding food banks use. [ABSTRACT FROM AUTHOR]

Few studies examine the effectiveness of community-based early interventions in unselected samples of autistic children, especially those from minoritized backgrounds. These types of studies require attention to strategies for recruitment, retention, data collection, and support for community providers beyond those used in university-based trials. We conducted a pilot trial of Project ImPACT, a promising caregiver-mediated naturalistic developmental behavioral intervention, in partnership with the early intervention system in a poor, large city. We assessed recruitment and retention strategies, training protocol, and measurement battery. We recruited representative provider and family samples, and had good measure completion among retained participants. Retention varied by study arm, providers had relatively poor fidelity to the intervention despite substantial support, and our measures did not appear sensitive to change. Lessons learned include the need for (a) a ramp-up training period prior to starting the study, (b) intensive implementation supports, and (c) additional strategies for family retention. [ABSTRACT FROM AUTHOR]

Unrestrained consumption and a lack of a proper breeding ecosystem have depleted the variety and species count of mithun (Bos frontalis). Indigenous Kuki tribes have a unique relationship with mithun, reared in the semi-domestic countryside. For the Kuki community, a mithun is used during community festivals, as a bride price in marriages, to settle disputes, in land-deed covenants, and at death ceremonies. Mithun-human interrelationship lessens poverty, empowers community survival, guarantees the completion of critical cultural obligations, and maintains marital bonds in the Kuki community. The head of a mithun signifies solemnity and celebration in many cultural underpinnings. A white cock, a dog, a goat, a pig, and a mithun were sacrificial elements to appease the unseen spirits for good health and prosperity. While some Indigenous practices have faded with the arrival of Christianity, the cultural involvement of mithun persists to this date. [ABSTRACT FROM AUTHOR]

China has resolved its overall regional poverty in 2020 by attaining moderate societal prosperity. The country has entered a new development stage designed to achieve its second centenary goal. However, ecological fragility and risk susceptibility have increased the risk of returning to ecological poverty. In this paper, the Liupan Mountain Region of China was used as a case study, and the counties were used as the scale to reveal the spatiotempora differentiation and influcing factors of the risk of returning to poverty in study area. The indicator data for returning to ecological poverty from 2011–2020 were collected and summarized in three dimensions: ecological, economic and social. The autoregressive integrated moving average model (ARIMA) time series and exponential smoothing method (ES) were used to predict the multidimensional indicators of returning to ecological poverty for 61 counties (districts) in the Liupan Mountain Region for 2021–2030. The back propagation neural network (BPNN) and geographic information system (GIS) were used to generate the spatial distribution and time variation for the index of the risk of returning to ecological poverty (RREP index). The results show that 1) ecological factors were the main factors in the risk of returning to ecological poverty in Liupan Mountain Region. 2) The RREP index for the 61 counties (districts) exhibited a downward trend from 2021–2030. The RREP index declined more in medium- and high-risk areas than in low-risk areas. From 2021 to 2025, the RREP index exhibited a slight downward trend. From 2026 to 2030, the RREP index was expected to decline faster, especially from 2029–2030. 3) Based on the RREP index, it can be roughly divided into three types, namely, the high-risk areas, the medium-risk areas, and the low-risk areas. The natural resource conditions in low-risk areas of returning to ecological poverty, were better than those in medium- and high-risk areas. [ABSTRACT FROM AUTHOR]

This study aims to examine how mothers' poverty differently affects young adult children's self-esteem over time. We consider how young adult children's income moderates the between-subject relationship and the within-subject relationship. This study used two data sets such as the NLSY79 and the NLSY79CY. We used six waves from 2004 to 2014. A total of 3975 mother–adult child dyads were chosen. The hybrid model was employed to explore both the between-subject and the within-subject relationship. There was a significant between-subject relationship regarding the effect of mothers' poverty and adult children's income on adult children's self-esteem. In the between-subjects relationship, an interaction effect was found, such that children's income moderated the between-subject relationship between mothers' poverty and children's self-esteem. Long-term anti-poverty programs should be provided to women with children even after they completely are away from poverty. Minimizing inequality in intergenerational economic mobility may be critical to enhance adult children's self-esteem. [ABSTRACT FROM AUTHOR]

BACKGROUND: We examined whether subgroups of adolescents experienced disparate changes in school connectedness—a robust predictor of multiple health outcomes—from before the COVID‐19 pandemic to the first full school year following pandemic onset. METHODS: We used 2 waves of prospective survey data from 7178 students attending 41 Canadian secondary schools that participated during the 2019‐2020 (T1; pre‐COVID‐19 onset) and 2020‐2021 (T2; ongoing pandemic) school years. Fixed effects analyses tested differences in school connectedness changes by gender, race, bullying victimization, socioeconomic position, and school learning mode. RESULTS: Relatively greater declines in school connectedness were reported by students that identified as females, were bullied, perceived their family to be less financially comfortable than their classmates, and attended schools in lower income areas. Marginally greater school connectedness declines resulted among students attending schools that were fully online at T2 than those at schools using a blended model. CONCLUSION: Results point to disparate school connectedness declines during the pandemic, which may exacerbate pre‐existing health inequities by gender and socioeconomic position, and among bullied youth. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Effective strategies to improve school climates for equity denied groups are critical for pandemic recovery and preparedness for future related events. [ABSTRACT FROM AUTHOR]

Nonprofit organizations operating in civil society have become the main channel for social service provision in most neoliberal welfare economies. Social service nonprofits (SSNs) deliver essential services mainly to vulnerable and marginalized populations. Since the outbreak of COVID-19, SSNs have been at the frontline of dealing with its socioeconomic consequences. This paper focuses on the activities and responses to the crisis of SSNs in Israel. Interviews with SSN directors (N = 17) show that they dealt with growing demands for services due to the social implications of the pandemic, along with operational difficulties, such as deterioration in clients' condition, disruption in service continuity, and reduced funding and staff. Next to these difficulties, the findings highlighted the social innovations adopted by SSNs to maintain service provision, such as implementing remote service technologies, forming collaborations, and recruiting volunteers. Implications for the social services and policies are presented and discussed. [ABSTRACT FROM AUTHOR]

Previous literature has established that lesbian, gay, and bisexual (LGB) people are at least as likely to be poor as heterosexual people, standing in contrast to myths of “gay affluence.” These findings have used datasets limited by either sample size or using partnership status to infer sexual orientation. Using U.S. data from the Household Pulse Survey, which allows us to identify large samples of individuals who self-identify as lesbian, gay, or bisexual, we find that bisexuals have lower incomes and are more likely to experience poverty, and bisexual individuals, gay men, and lesbian women are more likely to report financial hardship. Additionally, we find that LGB people utilize government assistance at higher rates than heterosexual people, even when allowing for selection into poverty status. We propose several explanations for these differentials, drawing on the program non-participation literature, and suggest that social network effects, lessened stigma, and increased reliance on public programs may explain these differences. Finally, we examine receipt of the enhanced child tax credit and find evidence that gay men and lesbian women with children were less likely to receive it than heterosexual men and women with children. [ABSTRACT FROM AUTHOR]

Summary: Objective: To prospectively evaluate the relationship between cumulative environmental stress and cardiometabolic risk in middle childhood, and to examine whether hair cortisol, a measure of hypothalamic pituitary adrenal‐axis activity, mediates this relationship. Methods: In a cohort of children from low‐income households (n = 320; 59% Hispanic, 23% Black, body mass index (BMI) percentile >50th at enrollment), environmental stressors including family and neighbourhood factors representing disadvantage/deprivation, and cortisol concentrations from hair samples, were measured over five timepoints beginning when children were 2–4 years old. Cardiometabolic risk factors (i.e., BMI, blood pressure, lipids, blood sugar, C‐reactive protein) were measured at the final timepoint when children were 7–11 years of age. Results: In adjusted logistic regression models, greater cumulative environmental stress was associated with a higher likelihood of elevated cardiometabolic risk in middle childhood (p = 0.01). Children from minoritized racial/ethnic groups had a higher prevalence of both stressors and cardiometabolic risk factors. Cumulative environmental stress was associated with higher hair cortisol concentrations (p < 0.01). However, hair cortisol was not directly associated with cardiometabolic risk factors and did not explain the association between environmental stress and cardiometabolic risk in causal mediation analysis. Conclusions: The influence of cumulative stress on cardiometabolic health can be observed in middle childhood and may contribute to cardiometabolic health disparities, highlighting the importance of public health interventions to mitigate disadvantage. [ABSTRACT FROM AUTHOR]

The American Journal of Health Promotion has published an article recognizing exceptional professionals in the health promotion field who are under the age of forty. The selection process focused on diversity and inclusion, with honorees chosen based on their influential roles in health improvement, program development, teaching, research, and ethical standards. The article also discusses the importance of mentorship, including nontraditional and diverse relationships. The professionals highlighted in the article come from diverse backgrounds and have training in various disciplines, working in different sectors. They exemplify excellence in health promotion and contribute to addressing global health inequities. [Extracted from the article]

Purpose: The primary objective of the paper is to examine the asymmetric Cointegration and asymmetric causality between financial development and poverty alleviation on annual data in Indian context over the period from 1980 to 2019. Design/methodology/approach: First nonlinearity test by Brooks et al. (1999) is applied to ascertain the nonlinear behavior of the variables used. Once the nonlinear behavior of variables is confirmed, asymmetric and nonlinear unit root tests by Kapetanios and Shin (2008) are applied to check for the order of integration of selected variables. Next, nonlinear autoregressive distributed lag model (NARDL) is employed to analyze the asymmetric Cointegration. Finally, Hatemi-j- asymmetric causality tests is applied to work out the direction of asymmetric causality. Findings: The empirical findings document the existence of asymmetries in the short-run as well as long-run between poverty and financial development. The asymmetry reveals that negative financial development shocks leave a more profound impact on poverty alleviation than their positive equivalents. The findings of Wald's test also confirm the presence of asymmetric Cointegration. The asymmetric cumulative dynamic multipliers used to examine the behavior of asymmetries and adjustments with respect to time lend credence to the results calculated using NARDL estimator. This result exhibits the robustness of the model. Furthermore, the result emanating from recently introduced asymmetric causality test reveals a unidirectional asymmetric causality between negative shocks in financial development and poverty. The findings of the present study necessitate the need for investigating asymmetric and nonlinear effects in finance–poverty nexus, which existent literature has completely neglected, in order to have relevant policy conclusions. Research limitations/implications: The study used "Per capita consumption expenditure" as a measure for poverty due to lack of continuous time series data on headcount ratio. In future, researchers can extend this study by incorporating headcount ratio as a measure of poverty in their respective works. There is further scope of research on this issue by finding out the impact of formal and informal sources of credit on poverty separately. A panel data study for developing countries over a period of time could further confirm/negate the findings of the present study. Originality/value: To the best of the authors' knowledge none of the studies in Indian context has scrutinized asymmetric and nonlinear impact of financial development on poverty. To dredge up asymmetric structures at work, the authors have used the highly celebrated NARDL estimator. To enrich the existent body of knowledge along the lines of asymmetric (nonlinear) linkages, the authors have also used recently introduced asymmetric causality test by Hatemi-j-(2012) to find out the direction asymmetric causality. [ABSTRACT FROM AUTHOR]

Background: Ohio ranks 43rd in the nation in infant mortality rates (IMR); with IMR among non-Hispanic black infants is three times higher than white infants. Objective: To identify the social factors determining the vulnerability of Ohio counties to IMR and visualize the spatial association between relative social vulnerability and IMR at county and census tract levels. Methods: The social vulnerability index (SVICDC) is a measure of the relative social vulnerability of a geographic unit. Five out of 15 social variables in the SVICDC were utilized to create a customized index for IMR (SVIIMR) in Ohio. The bivariate descriptive maps and spatial lag model were applied to visualize the quantitative relationship between SVIIMR and IMR, accounting for the spatial autocorrelation in the data. Results: Southeastern counties in Ohio displayed highest IMRs and highest overall SVIIMR; specifically, highest vulnerability to poverty, no high school diploma, and mobile housing. In contrast, extreme northwestern counties exhibited high IMRs but lower overall SVIIMR. Spatial regression showed five clusters where vulnerability to low per capita income in one county significantly impacted IMR (p = 0.001) in the neighboring counties within each cluster. At the census tract-level within Lucas county, the Toledo city area (compared to the remaining county) had higher overlap between high IMR and SVIIMR. Conclusion: The application of SVI using geospatial techniques could identify priority areas, where social factors are increasing the vulnerability to infant mortality rates, for potential interventions that could reduce disparities through strategic and equitable policies. Significance: Prior studies have recognized the impact of social determinants on infant mortality and explored the spatial distribution in the state of Ohio. This study introduces a novel integration of the Social Vulnerability Index with geospatial analysis to pinpoint where social vulnerabilities overlap with high infant mortality rates. By mapping these intersections at the county and census tract levels, our research identifies specific areas in Ohio that are priority targets for intervention. This contribution not only advances the understanding of spatial patterns but also strategizes a prioritized response to addressing social determinants to reduce disparities in infant mortality. [ABSTRACT FROM AUTHOR]

Objectives: To assess changes in young parents' health behaviors following implementation of New York State's Paid Family Leave Program (NYSPFL). Methods: We used synthetic control (N = 117,552) and difference-in-differences (N = 18,973) models with data from the nationally representative Behavioral Risk Factor Surveillance System (BRFSS) from 2011 to 2019 to provide individual-level estimates of the effects of NYSPFL on self-reported exercise in the past month and average daily sleep of adults aged 21–30 years living with one or more children under 18 years of age in New York and comparison states. Results: Synthetic control model results indicate that the NYSPFL increased the likelihood of exercise in the past month among mothers, single parents, and low-income parents by 6.3–10.3% points (pp), whereas fathers showed a decrease in exercise (7.8 pp). Fathers, single parents, and those with two or more children showed increases in daily sleep between 14 and 21 min per day. Conclusions for practice: State paid family and medical leave laws may provide benefits for health behaviors among young parents with children under 18, particularly those in low-income and single-parent households. [ABSTRACT FROM AUTHOR]

Objectives: To determine whether Latina women's upward economic mobility from early-life residence in impoverished urban neighborhoods is associated with preterm birth (< 37 weeks, PTB). Methods: Multivariate logistic regression analyses were performed on the Illinois transgenerational birth-file with appended US census income information for Hispanic infants (born 1989–1991) and their mothers (born 1956–1976). Results: In Chicago, modestly impoverished-born Latina women (n = 1,674) who experienced upward economic mobility had a PTB rate of 8.5% versus 13.1% for those (n = 3,760) with a lifelong residence in modestly impoverished neighborhoods; the unadjusted and adjusted (controlling for age, marital status, adequacy of prenatal care, and cigarette smoking) RR equaled 0.65 (0.47, 0.90) and 0.66 (0.47, 0.93), respectively. Extremely impoverished-born Latina women (n = 2,507) who experienced upward economic mobility across their life-course had a PTB rate of 12.7% versus 15.9% for those (n = 3,849) who had a lifelong residence in extremely impoverished neighborhoods, the unadjusted and adjusted RR equaled 0.8 (0.63. 1.01) and 0.95 (0.75, 1.22), respectively. Conclusions for Practice: Latina women's upward economic mobility from early-life residence in modestly impoverished urban neighborhoods is associated with a decreased risk of PTB. A similar trend is absent among their peers with an early-life residence in extremely impoverished areas. Significance: What is Already Known on this Subject?: Robust literature supports a life-course conceptual model of birth outcome. Prior studies have demonstrated associations between upward economic mobility from poverty and decreased rates of preterm birth in non-Latina Black and White women. What this Study Adds?: Upward economic mobility is associated with decreased rates of preterm birth in US-born Latina women. This finding adds context to the life-course conceptual model of birth outcomes and may be salient to understanding the increased risk of adverse birth outcome among US-born (versus foreign-born) Latina women. [ABSTRACT FROM AUTHOR]

Dogs can negatively affect the wellbeing of people and nature, but if this changes along a socioeconomic gradient, then social inequity might be at fault. Here, we identify environmental injustice at the city scale by modeling differences in the density of urban dog populations according to varying levels of socioeconomic development across municipalities of Chile's capital, Santiago. Our analysis demonstrates a strong relation between dog density and social inequity, specifically because dog density increases along with poverty, but decreases in municipalities with higher municipal income. We offer specific proposals to ameliorate and reverse this inequity. These results expose another aspect of the impacts people and nature are subjected to by dogs, adding a new social lens to address the dog problem worldwide. [ABSTRACT FROM AUTHOR]

Covid-19 presents many social and economic challenges and exacerbates existing ones. One of these challenges is global poverty. Prior to the epidemic, poverty affected the rural population traditionally. Global poverty can spread to urban areas now with COVID-19 outbreak. Poverty increased in the United States in 2020 as the coronavirus outbreak, affecting the economy and rising unemployment. New figures confirm that the recession may have widened the gap between rich and poor, with those at the bottom of the economic ladder suffering the most, such as the rural population. In this study, we examine the relationship between Covid outbreak, governance and economic performance and its impact on number in poverty. To this end, data from the Center for American Progress is analyzed over 10 years (from 2011–2020) among the 49 states in America through spatial econometric techniques for panel data. The effect of each state's condition was examined on neighboring states. The results showed that the governance index (with a negative sign) and Income inequality variable (with a positive sign), have the greatest impact on poverty. The unemployment, Gender wage gap, Hunger and food insecurity, Health insurance, Population and Higher education also have an impact on poverty. The policy recommendations of this study are that because the variable of governance (accountability and responsibility of the government to compensate for the damage caused by the covid outbreak) is one of the most effective variables to control poverty. [ABSTRACT FROM AUTHOR]

This research analyzes trajectories of rights violations at the intersections of impoverishment, racism and patriarchal violence against mothers and sisters of young Black women murdered in Ceará, a state in Northeastern Brazil. The persistence and protagonism of these women are documented through three interviews with and three field diaries of family members of murdered young women. The data was analyzed using the qualitative analysis software Atlas Ti 7.0. Three cross-cutting, dominant themes include the psychosocial impacts of poverty, the impacts of homicide on the health and social life of Black women, and violations of the rights of family members. [ABSTRACT FROM AUTHOR]

Six interprofessional (IP) poverty simulations were conducted at a mid-sized university from 2017 through 2019. Fifteen participants from five majors were interviewed to explore experiences, emotions, thoughts, attitudes, and applications to practice after the simulations. Themes related to poverty included empathy, thinking differently about poverty, demonstrating humility/respect, knowing/teaching resources, and profession-specific applications to practice. Interprofessional-related themes included the importance of the IP team, communication, and roles and responsibilities. The study found reflection with classroom and clinical content integration was critical to the participants' learning and transformation process. [ABSTRACT FROM AUTHOR]

Understanding poverty and related social determinants is an important component of health profession training so that students understand how to care for under-resourced communities. This study assessed the impact of poverty simulations on students' self-efficacy to practice in vulnerable communities. We used a retrospective study to evaluate the influence of a poverty simulation students' knowledge, skills, and intent to serve in under resourced communities. Data analysis (n = 650) demonstrated significant improvements around care team collaboration and how a patient's background impacts their overall health care. The project identified an effective strategy to help students build self-efficacy to practice in under-resourced communities. [ABSTRACT FROM AUTHOR]

Objective: This article intends to reveal the long-term effects of physical maltreatment in childhood on depressive symptoms in later life in China. Methods: Data were drawn from the China Health and Retirement Longitudinal Study (CHARLS). 8676 respondents aged 45 and older were included in the study. In this study, we use ordinary least squares (OLS) regression models to estimate the long-term impact on children of physical punishment from their parents. Results: We found that individuals who recalled being hit by their mother in early life reported more depressive symptoms than those who recalled being punished by their father. Difficult family contexts (e.g., comparative poverty, family violence, and parent's poor mental health) had a weak association with higher risk of reporting physical maltreatment and more depressive symptoms among respondents in later life. Conclusion: This article extended the exploration of the long-term impact of child physical maltreatment beyond adolescence and into until later adult life. Effective policies to protect children from maltreatment in the form of physical punishment require further attention to the challenges posed by tradition and culture. [ABSTRACT FROM AUTHOR]

Background: Drawing on the family stress model (Conger and Donnellan in Ann Rev Psychol 58:175–199, 2007. https://doi.org/10.1146/annurev.psych.58.110405.085551), parenting programs typically support caregivers' nurturing and cognitively stimulating practices to mitigate the effects of poverty on child development, with small-to-moderate intervention effect sizes. Objective: This study evaluated a nonrandomized parenting program in Turkiye for low-income pregnant women and mothers of infants. The program utilized home visiting (HV) implemented by local municipalities for the first time. It was hypothesized that program mothers would engage in cognitively-stimulating practices more often at child age 9 months, and thereby expand their child's vocabulary at 18 months of age. Subgroup analyses based on maternal depression were also conducted. Methods: Using a quasi-experimental design, 526 mothers were allocated to one of two groups: HV intervention (n = 282, 77% pregnant) vs. control (n = 244, 69% pregnant). Mothers completed questionnaires on family and environmental risk at enrollment (T1), on depression and stimulating parenting at infant age 9 months (T2), and child vocabulary at 18 months (T3). Results: HV mothers reported stimulating parenting more frequently than controls at T2. Enrollment in HV predicted larger child vocabulary at T3 through stimulating parenting at T2. Subgroup differences were not detected. Conclusions: Results suggested that HV is a promising strategy to offer parent coaching to economically disadvantaged Turkish families. Though the present study made statistical adjustments to minimize group nonequivalence in baseline, selection bias might pose a threat to internal validity. A randomized controlled trial is warranted to examine its impact more rigorously prior to wider scale implementation. [ABSTRACT FROM AUTHOR]

Economic abuse is a significant gender-based problem in Ghana and sub-Saharan Africa, but few studies explore the consequences of this type of abuse on women's lives and their coping strategies. This study examined the narratives of 16 Ghanaian women in intimate relationships who experienced economic abuse in the Greater Accra, Ashanti, and Upper East regions of Ghana. Results indicate economic abuse negatively affected female survivors' jobs, businesses, and food security and led to physical violence and adverse health implications. Some women coped by relying on external family networks, religion, and theft from husbands, while others trivialized their experiences. [ABSTRACT FROM AUTHOR]

This study investigates the prevalence and predictors of wife-beating endorsements among never-in-union male and female African youths, aged 15–24 years. Demographic and Health Survey data from 14 Sub-Saharan African countries (female = 55,387; male = 29,128) were analyzed using multiple logistic regression analyses. Approximately 37% of male and 42% of female African youths justified wife-beating, ranging from Mali (female = 71.1%, male = 58.7%) to Malawi (female = 21.4%, male = 22.3%). Young age, low education, limited Internet access, poverty, and rural residence were commonly associated with acceptance. Eliminating violence against women in Africa requires timely and adequate interventions. [ABSTRACT FROM AUTHOR]

This article introduces fiscal impoverishment as a framework for comparative poverty research. We invert standard analyses of welfare state policy and household poverty by focusing not on poverty alleviation but poverty creation and exacerbation. Using harmonized household survey data, we show how the income and payroll taxes most rich countries rely on to finance the public sector serve to push households (further) into poverty. We estimate that across rich democracies on average about one in four households in poverty are made poorer on net after taxes and transfers; with fiscal impoverishment levels ranging from <10% in some countries to more than 70% in others, revealing extreme cross-national variation in how the pocketbooks of poor households are impacted by national tax and transfer policy. We go on to show that fiscal impoverishment does not track with standard measures of welfare state generosity but is instead largely determined by design of income tax systems, particularly a country's relative reliance on (regressive) payroll taxes versus (progressive) income taxes. We consider the implications of fiscal impoverishment for assessing welfare state performance and for comparative poverty research. [ABSTRACT FROM AUTHOR]

Objective Background Method Results Conclusion Implications Drawing on life course frameworks, this study examines how never married older adults differ from their married, cohabiting, divorced, and widowed peers with respect to three dimensions of late‐life economic security, and gender differences in these associations.Lifelong singlehood has become increasingly common over the past five decades, although little is known about the economic security of never married older adults relative to their currently and formerly married peers.Data are from the Wisconsin Longitudinal Study (WLS), which tracked Wisconsin high school graduates from ages 18 (1957) to 72 (2011). The 2011 analytic sample includes 5269 persons (2498 men and 2711 women). OLS and logistic regressions are used to predict total household income, wealth, and poverty status at age 72, adjusted for covariates.Lifelong single men have higher poverty rates and lower income than men in all other marital categories, although divorced men evidence the lowest levels of wealth. Lifelong single women fare worse than married and cohabiting women but better than divorced women. Older men are more financially secure than women in every marital status category except lifelong singles.By centering the experiences of never married older adults, results reveal the economic precarity of lifelong single men and distinctions among subgroups of unmarried women. We document the persistence of gender inequality, where men consistently fare better than women across marital statuses.Public policies should recognize growing heterogeneity in older adults' marital statuses and the implications thereof for their late‐life economic security. [ABSTRACT FROM AUTHOR]

East Asian (EA) social welfare has been described as productivist, where social policies are subordinate to economic development. However, EA comparative studies often focus on a few select social policies and seldom examine welfare programs as a bundle. We contribute to the depiction of divergent features of EA safety nets by exploring welfare content (generosity, coverage, protective vs. productive, and work incentives) and welfare outcomes (poverty reduction and income redistribution) for lower‐income populations in the largest city in mainland China, Hong Kong, Japan, Singapore, South Korea, and Taiwan. We collected model family (MF) data and analyzed the data through descriptive statistics and regression models. We found that Taiwan and Hong Kong, followed by Japan, have more generous programs for reducing poverty, while Korea focuses on productive programs; Singapore offers wide coverage and strong work incentives for low‐income families yet lags behind in generosity; and China appears to be a laggard in welfare provision in the region. Our findings reveal heterogeneity within EA welfare systems, and our synthesis of welfare features using MF data offers a promising, innovative strategy for conducting comparative research in regions with limited comparable data. [ABSTRACT FROM AUTHOR]

Background: Despite the resources and personnel mobilized in Latin America and the Caribbean to reduce the maternal mortality ratio (MMR, maternal deaths per 100 000 live births) in women aged 10–54 years by 75% between 2000 and 2015, the region failed to meet the Millenium Development Goals (MDGs) due to persistent barriers to access quality reproductive, maternal, and neonatal health services. Methods: Using 1990–2019 data from the Global Burden of Disease project, we carried out a two-stepwise analysis to (a) identify the differences in the MMR temporal patterns and (b) assess its relationship with selected indicators: government health expenditure (GHE), the GHE as percentage of gross domestic product (GDP), the availability of human resources for health (HRH), the coverage of effective interventions to reduce maternal mortality, and the level of economic development of each country. Findings: In the descriptive analysis, we observed a heterogeneous overall reduction of MMR in the region between 1990 and 2019 and heterogeneous overall increases in the GHE, GHE/GDP, and HRH availability. The correlation analysis showed a close, negative, and dependent association of the economic development level between the MMR and GHE per capita, the percentage of GHE to GDP, the availability of HRH, and the coverage of SBA. We observed the lowest MMRs when GHE as a percentage of GDP was close to 3% or about US$400 GHE per capita, HRH availability of 6 doctors, nurses, and midwives per 1,000 inhabitants, and skilled birth attendance levels above 90%. Conclusions: Within the framework of the Sustainable Development Goals (SDGs) agenda, health policies aimed at the effective reduction of maternal mortality should consider allocating more resources as a necessary but not sufficient condition to achieve the goals and should prioritize the implementation of new forms of care with a gender and rights approach, as well as strengthening actions focused on vulnerable groups. [ABSTRACT FROM AUTHOR]

Background: Mental illness poses a substantial global public health challenge, including in Thailand, where exploration of access to mental health services is limited. The spatial and temporal dimensions of mental illness in the country are not extensively studied, despite the recognized association between poor mental health and socioeconomic inequalities. Gaining insights into these dimensions is crucial for effective public health interventions and resource allocation. Methods: This retrospective study analyzed mental health service utilization data in Thailand from 2015 to 2023. Temporal trends in annual numbers of individuals visiting mental health services by diagnosis were examined, while spatial pattern analysis employed Moran's I statistics to assess autocorrelation, identify small-area clustering, and hotspots. The implications of our findings for mental health resource allocation and policy were discussed. Results: Between 2015 and 2023, mental health facilities documented a total of 13,793,884 visits. The study found anxiety, schizophrenia, and depression emerged as the top three illnesses for mental health visits, with an increase in patient attendance following the onset of the COVID-19 outbreak. Spatial analysis identified areas of significance for various disorders across different regions of Thailand. Positive correlations between certain disorder pairs were found in specific regions, suggesting shared risk factors or comorbidities. Conclusions: This study highlights spatial and temporal variations in individuals visiting services for different mental disorders in Thailand, shedding light on service gaps and socioeconomic issues. Addressing these disparities requires increased attention to mental health, the development of appropriate interventions, and overcoming barriers to accessibility. The findings provide a baseline for policymakers and stakeholders to allocate resources and implement culturally responsive interventions to improve mental health outcomes. [ABSTRACT FROM AUTHOR]

Background: Ethiopia, like many low-income countries, faces significant challenges in providing accessible and affordable healthcare to its population. Health expenditure is a critical factor in determining the quality and accessibility of healthcare. However, high health expenditure can also have detrimental effects on households, potentially leading to impoverishment. To the best knowledge of investigators, no similar study has been conducted in Ethiopia. Therefore, this systematic review and meta-analysis aimed to determine the pooled burden of health expenditure on household impoverishment in Ethiopia. Methods: This systematic review and meta-analysis used the updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. PubMed, Cochrane Library, HINARI, Google Scholar and Epistemonikos electronic databases were searched systematically. Moreover, direct manual searching through google was conducted. The analysis was performed using STATA version 17 software. Heterogeneity and publication bias were assessed using I2 statistics and Egger's test, respectively. The trim and fill method was also performed to adjust the pooled estimate. Forest plots were used to present the pooled incidence with a 95% confidence interval of meta-analysis using the random effect model. Results: This systematic review and meta-analysis included a total of 12 studies with a sample size of 66344 participants. The pooled incidence of impoverishment, among households, attributed to health expenditure in Ethiopia was 5.20% (95% CI: 4.30%, 6.20%). Moreover, there was significant heterogeneity between the studies (I2 = 98.25%, P = 0.000). As a result, a random effect model was employed. Conclusion: The pooled incidence of impoverishment of households attributed to their health expenditure in Ethiopia was higher than the incidence of impoverishment reported by the world health organization in 2023. [ABSTRACT FROM AUTHOR]

Problem This study aimed to determine the prevalence of depressive symptoms, pain (headache, abdominal pain, back pain) and analgesic use among Turkish adolescents. Additionally, it aimed to examine the association between depressive symptoms and pain and analgesic use in adolescents. Methods: This cross‐sectional, correlational study was conducted in Izmir, Turkey with 954 adolescents aged 11–19 years. Data were collected with the "socio‐demographic questionnaires" and the "Center for Epidemiologic Studies Depression Scale for Children". Analyzes were performed using descriptive statistics and multiple logistic regression analysis. Findings Of the adolescents, 632 (66.2%) showed depressive symptoms. Of the adolescents, 424 (44.4%) experienced headache, 256 (26.8%) experienced abdominal pain, and 343 (36.0%) experienced back pain. A total of 309 (32.4%) adolescents used analgesics for headaches, 132 (13.8%) abdominal pain, and 47 (4.9%) for back pain. Female gender, high level maternal education, bad economic status, poor health perception, bad school success, pain and analgesic use were the correlated variables with adolescent depression. Conclusions: The depressive symptoms, headache and back pain, and use of analgesics especially for headaches were common among adolescents. The results showed depression in adolescent correlated with pain (headache, abdominal pain, and back pain) and analgesic use. Regular screening is needed to assure early intervention of depression among adolescents. [ABSTRACT FROM AUTHOR]

While Paul Holloway's scholarship on Philippians has been important, his classification of Philippians as a letter of consolation has gained relatively little traction. Interestingly, however, Holloway follows Karl Barth in labelling a large section of the letter, Phil 1:27–2:16, a 'hortatory digression', which could be seen to diminish the extent of consolation in this part of the letter. In this article, I seek to develop Holloway's work to argue that the Christ encomium in Phil 2:6–11 has elements of consolatory discourse that relates to other parts of the letter. Phil 2:6–11 illustrates and exemplifies how comfort (παράκλησις), consolation (παραμύθιον), and joy (χαρά) can be derived by individuals and communities in the face of opposition or destitution (cf. Phil 1:27–2:4). I propose that Christ undergoes a form of voluntary desolation in 2:6–8 but then receives something different from consolation in his glorious exaltation and the bestowal of the divine name. Although Paul and the Philippians will not receive universal worship like Christ, they can imitate him by following in this trajectory of becoming like God, thus receiving divine consolation and transformation. [ABSTRACT FROM AUTHOR]

In this paper we argue that there is a 'missing middle' between policies to ameliorate poverty of those in need and the experience of poverty. Drawing on interviews with respondent poor(er) households in Brunei's 'water village' of Kampong Ayer and with officials and local leaders, the paper details a complex and well‐funded system of support for those in need. It then shows how this impressive architecture of welfare does not always meet the needs of those it seeks to support. Through rendering poverty technical, policies implicitly ascribe persistent destitution as arising from the failure of the poor to take advantage of the opportunities made available to them. The paper suggests that this gap could be bridged by giving non‐governmental organizations (NGOs), social enterprises and informal businesses a greater role in the delivery of support. Kampong Ayer's experience has its parallels in other places and situations: the tendency to bureaucratize poverty and its amelioration; the desire to simplify poverty but complicate programmes for poverty eradication; and the expectation that the onus for adaptation should be on—and with—the poor. When the poor fail to adapt and to respond in the manner desired, they are blamed for their enduring poverty. [ABSTRACT FROM AUTHOR]

Response to intervention (RTI) is a method for providing academic support to students and for identifying specific learning disabilities (SLDs). Using interrupted time series and hazard models, we examined if statewide RTI adoption in the U.S. state of Tennessee was associated with changes in rates of SLD and first-time SLD identification in elementary schools, and if these associations varied across student groups. Response to intervention was associated with an initial decline in the percentage of students with SLD in the state that continued over time, with larger decreases for students who were Black or economically disadvantaged. Response to intervention was associated with a 61% average decrease in the odds of first-time SLD identification by third grade (about a 0.006 change in the predicted probability), with greater declines for students who were Black or economically disadvantaged. We discuss these results in the context of disproportionality in special education and the need for research examining whether declines in SLD were due to improved academic outcomes, as opposed to delays in identification. [ABSTRACT FROM AUTHOR]

Background & objectives The U.S. Army fell 25% short of its recruitment goal in 2022 and therefore, increasing the eligibility pool for potential recruits is of interest. Raising the body mass index (BMI) standards for eligibility presents a path to increase the recruitable population; however, there may be additional costs incurred due to attendant health risks that may be present in individuals with higher BMI. Methods We filtered the 2017-2020 National Health and Nutrition Examination Survey by age (17-25 years) and BMI (up to 30 kg/m2). A k-means cluster analysis was performed on the filtered dataset for the variables used to determine metabolic syndrome. Metabolic syndrome Clusters were characterized through summary statistics and compared over clinical measurements and questionnaire responses. Results Five distinct clusters were identified and mean BMI in two clusters (Clusters1 and 3) exceeded the current U.S. Army BMI thresholds. Of these two clusters, Cluster 1 members had metabolic syndrome. Cluster 3 members were at higher risk for metabolic syndrome compared to members of Clusters 2, 4, and 5. Mean waist circumference was slightly lower in Cluster 3 compared to Cluster 1. None of the clusters had significant differences in depression scores, poverty index, or frequency of dental visits. Conclusions Potential recruits from Cluster 1 have excessive health risk and may incur substantial cost to the U.S. Army if enlisted. However, potential recruits from Cluster 3 appear to add little risk and offer an opportunity to increase the pool for recruiting. [ABSTRACT FROM AUTHOR]