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Background: The World Health Organization recognizes that physical activity (PA) during childhood is crucial for healthy development, aligning well with the achievement of several United Nations (UN) Sustainable Development Goals (SDGs). This study aimed to explore the associations between 10 key indicators of PA for children and adolescents assessed in the Global Matrix 4.0 project, and the UN SDGs. Methods: Data from 57 countries/jurisdictions of the Global Matrix 4.0 project were used. The UN SDG indicators were sourced from the SDG Transformation Center, which publishes each country's performance on each of the 17 SDGs. Given the robust evidence supporting plausible links between PA and SDGs 3 (good health and well-being), 9 (industry, innovation, and infrastructure), 11 (sustainable cities and communities), 13 (climate action), and 16 (peace, justice, and strong institutions), these SDGs were investigated. Results: Countries/jurisdictions with good and moderate performance in achieving SDG 3, SDG 9, SDG 11, and SDG 16 had higher grades than countries/jurisdictions with fair performance in achieving these SDGs for the following indicators: Organized Sports and PA, Community and Environment, and Government Investments and Strategies. However, countries/jurisdictions with good performance in achieving SDG 13 had lower grades than countries/jurisdictions with fair performance in achieving SDG 13 for the following indicators: Organized Sports and PA, Community and Environment, and Government Investments and Strategies. Conclusions:Organized Sports and PA, Community and Environment, and Government Investments and Strategies were the indicators that demonstrated differences between countries/jurisdictions with good and poor performance in achieving the SDGs. [ABSTRACT FROM AUTHOR]

This paper uses the method of concerned photography to examine the reproduction and disruption of gender status through urbanscapes comprising statues, outdoor advertisements, mural artworks, and other materialized gender displays in public spaces. We propose the sensitizing concept of 'massive gender displays' to analyse our corpus of photographs from cities in European countries and in the USA. Massive gender displays are subtypes of 'gender displays' understood, in a Goffmanian sense, as communicative acts that perform and reconstruct the social structure of gender. Relative to overall representations of gender in public settings, massive gender displays are remarkable either through size, as very large objects ('colossal displays'), or through repetition, as collections of representations that are scattered in space ('distributed displays') or concentrated and visible at-a-glance ('choral displays'). As a rule, massiveness has an empowering effect in the public display of masculine characters; yet it is often a disempowering feature in the portrayal of women, accentuating absence, marginality, devaluation, exceptionality, and vulnerability. Still, massive displays may disrupt gender status hierarchies, in exceptional cases. Therefore, we invite all people who experience city life, be it as citizens, residents, researchers, students, designers, policy makers, activists, workers, tourists, or otherwise, to pay attention to displays' massiveness as a feature that ambivalently reproduces and disrupts gender status and inequalities of power, and thus partakes in the construction of gender as a social institution. [ABSTRACT FROM AUTHOR]

The demarcation between leisure activities and volunteering is not clearly visible and the divide between them is vague. We hypothesize that these fields are interrelated and are not mutually exclusive in peoples' way of life. In the empirical analysis, we use a survey with a nationwide and representative probability sample of young people in Hungary (Hungarian Youth 2020 Survey). In the first step, we carried out exploratory factor analysis based on the location of leisure activities. In accordance with the theory of cultural omnivores, we identified two factors of leisure time use: high-culture omnivore and recreational omnivore. In the second step, we applied a logistic regression model with young people's odds of volunteering as the dependent variable, and socio-demographic variables and the resulting factors as independent variables. The results are in accordance with our hypothesis about the compatibility of volunteering and leisure time use, as both resulting factors positively correlated with volunteering in the sample of young people we analysed. A further result is that the effect of the recreational factor was slightly more pronounced than the high-culture factor, which suggests the possibility of promoting young people's volunteering by emphasizing the social and recreational elements of volunteering activities. [ABSTRACT FROM AUTHOR]

Rapidly, scholars and practitioners are recognizing the need for the radical incorporation of justice into conservation interventions. Critical environmental justice is an attractive avenue for integrating justice and wildlife crime prevention within the illegal wildlife trade. As coined by David Pellow, critical environmental justice delineates dynamics of inequality related to intersecting social categories, multi-scalarity, racial expendability, and state power. Within IWT, these pillars of critical environmental justice offer opportunities to contend with futures otherwise and to pursue IWT intervention with a grounded understanding of communities, wildlife, and each other. This article demystifies the critical EJ literature and analyzes IWT through a critical EJ lens. Grounding IWT prevention and study in a critical EJ approach can facilitate a more seamless, radical, and transformative integration of justice principles into IWT intervention. [ABSTRACT FROM AUTHOR]

Background: The increasing use of anxiolytics, hypnotics, and sedatives (AHS) among adolescents is a growing public health concern. Social determinants such as gender or socioeconomic status have a significant influence on consumption levels. However, whether trends in adolescent AHS use show socioeconomic and gender disparities is unknown. The aim of this study is to examine the trends in gender and socioeconomic inequalities in secondary school students' AHS use in Spain from 2010 to 2021. Methods: A repeated cross-sectional analysis was conducted using data from the Survey on Drug Use in Secondary Education in Spain (n = 192,656), targeting students aged 14–18 years during 2010–2021. Gender-specific prevalences of AHS use were calculated according to the educational and occupational status of the mother, the father, and both parents. Chi-squared tests assessed statistical significance of the observed social gradients. The Relative Index of Inequality (RII) and Slope Index of Inequality (SII) with 95% confidence intervals were used to measure inequality magnitudes. Consumption trends were examined through prevalence ratios (PR) derived from age-adjusted robust variance Poisson models. Results: Statistically significant social inequalities in AHS use were identified among girls, which increased over time. These inequalities were particularly pronounced when considering maternal educational level (e.g. 2021: 21.5% vs. 16.3%; RII2021 = 1.37 [1.16–1.62]) and paternal occupational status (e.g. 2021: 23.2% vs. 16.5%). Trends showed a significant increase among all groups in both male and female students (e.g. both parents with primary education: PR2021 = 1.74 [1.23–2.47] and PR2021 = 1.83 [1.49–2.25], respectively). Conclusions: The findings highlight the necessity for developing equity-focused public health policies addressing adolescent AHS use, especially among disadvantaged female students. Further research is needed to explore the social determinants of adolescent AHS use, considering inequalities from an intersectional perspective. [ABSTRACT FROM AUTHOR]

Objectives: Cross-national differences in long-term trends in social inequalities in adolescents' mental health remain poorly understood, as does the impact of societal changes. We tested (1) whether the association between family socioeconomic status and psychological and somatic complaints changed between 2002 and 2022, (2) the extent to which these trends varied across countries, and (3) whether changes in income inequality, schoolwork pressure, and internet activity within countries were related to these trends. Methods: Using data from 903,344 adolescents across 32 countries from the Health Behaviour in School-aged Children (HBSC) study between 2002 and 2022, we employed multilevel models to investigate the research questions. Results: We observed a nonlinear increase in psychological and somatic complaints over time. On average, social inequalities in both outcomes remained stable across countries, although the trends varied from one country to another. Only income inequality explained the differences between countries in these trends. In countries where income inequality increased over time, social inequalities in psychological complaints became smaller. Conclusion: Our study highlights ongoing global disparities in adolescents' mental health problems, urging for more effective health policies. [ABSTRACT FROM AUTHOR]

Decades of research suggest that higher levels of parental education are related to more active and effective parental involvement (PI) practices. At the same time, schools' policies and practices facilitate family-school-community partnerships (FSCPs) to support students in attaining successful outcomes. However, it is unclear which school policies are effective in equitably involving parents with lower educational attainment. This study aims to examine the relationships between different types of FSCP practices of Hungarian majority and minority schools in Central and Eastern Europe (CEE) and create more equitable experiences for parents with lower educational attainment. We formulated the following hypotheses: H1. Higher levels of parental education relate to more active home-based and school-based parental involvement. H2. Parent educational attainment relates to parents' perceptions of FSCP practices. H3. Parents' perceptions of FSCP have a stronger relationship to PI than individual student and parent characteristics. The study included parents of Hungarian primary and middle school students in three CEE countries (N = 1002). Our findings suggest that parents with lower educational attainment perceive community development policies and special support as more significant compared to parents with higher educational attainment. Moreover, parents' perceptions of FSCP practices have a stronger relationship to PI than individual factors. To create a more equitable experience for families, it is proposed that demand-driven practices be developed in schools. [ABSTRACT FROM AUTHOR]

This study explored the association between subjective well-being (measured by life satisfaction) and ethnoracial characteristics (i.e. self-ascription, skin color, and speaking an Indigenous language) in Mexico and the role of socioeconomic inequalities in mediating this relationship. The emerging questions were: 'What are the associations between subjective well-being and ethnoracial characteristics in Mexico?' and 'Are these associations affected by socioeconomic inequalities?.' A multinomial logistic analysis was conducted, which estimates associations among multiple categories and predictor variables, using the data from the 2019 Project on Ethnoracial Discrimination in Mexico (PRODER, N = 7,037). The results indicated that Indigenous and white self-ascriptions were positively related to life satisfaction, whereas Mestizo and African Mexican identification did not have any association. Concerning skin color, the digital colorimeter measurements indicated that those with a lighter skin color had greater probabilities of having higher levels of life satisfaction. Additionally, those who reported speaking or who have parents speaking an Indigenous language were less likely to be in higher categories of life satisfaction. These results have central implications for the design and implementation of inclusive public policies, and for the design and modification of public programs. [ABSTRACT FROM AUTHOR]

Childhood obesity is a growing global concern due to its long-term health consequences. Yet, more research relying on multiple time-point BMI measurements is warranted to gain further insight into obesity's temporal trends. We aimed to identify BMI trajectories in children aged 2–10 years and evaluate their association with sociodemographic factors. This retrospective cohort study utilized data from the PEDIANET registry, containing sociodemographic, clinical, and prescribing information on patients assisted by Italian family pediatricians, linked to the corresponding area deprivation index. 29,576 children with at least 10 years of follow-up, born at term with normal birthweight, and at least three plausible BMI measurements were identified. BMI z-score trajectories were calculated using Group-Based Trajectory Modeling, and mixed multinomial logistic regression was used to assess their association with the sociodemographic factors. A secondary analysis examined BMI trajectories from ages 2–7 years (n = 58,509). Four BMI z-scores trajectories, all with quadratic shape, were identified as the optimal fit: "stable-low-weight" (27.5%), "normal-weight" (40.9%), "stable-moderate-increase" (24.2%), and "overweight-to-obese" (7.5%). Females, children residing in Southern and Island regions, and those from more deprived socioeconomic areas had a higher probability of following the "overweight-to-obese" group compared to the "normal-weight" trajectory. Sex and area of residence had similar effects on the "stable-moderate-increase" trajectory. Conversely, females and children residing in Central Italy were less likely to belong to the "stable-low-weight trajectory". This study highlighted a considerable heterogeneity in BMI trajectories in pediatric age, emphasizing the effect of sociodemographic inequalities on growth patterns with models capable of capturing the dynamic nature of the phenomenon. [ABSTRACT FROM AUTHOR]

Objectives: Discrimination poses a threat to the mental health of university students, especially those affected by social inequality, yet understanding its intersectional impact remains limited. This study examines the intersection of social inequalities with perceived discrimination to explore differences in mental health among students in Germany. Methods: Data from the cross-sectional project "Survey on study conditions and mental health of university students" (n = 14,592) were analysed using Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA). Depressive symptoms, cognitive stress symptoms, and exhaustion were examined across 48 intersectional strata based on gender, first academic generation, family care tasks, and perceived discrimination. Results: The MAIHDA analysis revealed substantial between strata variance, with most of it explained by additive rather than intersectional interaction effects. Perceived discrimination, diverse or female gender, first academic generation, and family care tasks (for exhaustion only) were associated with worse mental health outcomes. Conclusion: The profound associations between perceived discrimination and the mental health among university students call for urgent attention and intervention within university settings. Adopting an intersectional lens is key to identifying and addressing inequalities. [ABSTRACT FROM AUTHOR]

Limited research has examined whether accumulation of discrimination over time is associated with worse mental health and whether such experiences are related to socioeconomic status (SES). A sample of UK adults with self-reported discrimination experiences (n = 3863) was taken from three waves of the UK Household Longitudinal Study (2015–2020). Multinomial logistic regression assessed associations between SES (income, education, occupation) and cumulative discrimination (number of timepoints discrimination was reported). Logistic regression models assessed prospective associations between cumulative discrimination and probable mental health problems (GHQ-12; 4+ threshold). Those with lower income were more likely to report discrimination at one timepoint (vs. none). No SES measures were associated with experiencing discrimination at multiple timepoints. Participants who reported one timepoint of discrimination (vs. no experiences) were significantly more likely to report probable mental health problems (OR = 1.47, p <.001, 95% CI 1.20–1.80). Moreover, compared to those experiencing one timepoint, participants reporting multiple timepoints of discrimination were significantly more likely to report probable mental health problems (OR = 1.46, p =.002, 95% CI 1.15–1.86), indicating a cumulative association between discrimination and mental health. There was limited evidence that SES moderated this cumulative association. Mental health measures were based on self-report questionnaires and not a clinical diagnosis. Amongst a sample of UK adults, perceiving discrimination at multiple timepoints increased the likelihood of experiencing probable mental health problems. There was limited evidence that this cumulative association differed by SES. National measures designed to reduce discrimination may benefit mental health. • Accumulation of discriminatory experiences over time were studied. • Odds of cumulative discrimination differ by some demographics, but not SES. • Cumulative discrimination is associated with worse mental health. • Limited evidence effect of cumulative discrimination on mental health differ by SES. [ABSTRACT FROM AUTHOR]

Background: We hypothesized that differences in access to disease-modifying treatments (DMTs) could explain the association between socioeconomic status and disability progression in multiple sclerosis (MS). Objective: This study aimed to analyze the association between education level and DMT use in France. Methods: All patients from OFSEP network with MS onset over 1996–2014 and aged ⩾ 25 years at onset were included. Three time-to-event outcomes were investigated using flexible parametric survival regression models: time from MS onset to first DMT (any) and to platform therapy, and time from platform therapy to switch to high-efficacy therapy. Results: Overall, 7563 patients were included (mean follow-up 12.6 ± 5.9 years). The percentages of patients aged less than 40 years at MS onset and who initiated treatment before the age of 40 years were significantly higher in the groups with a higher education level. The time-to-event outcomes showed no major difference in DMT practices according to education level, except for women who had a significantly shorter time to DMT initiation in medium to very high education level groups versus low, at 5 years from MS clinical onset. Conclusion: Our results suggest that the association between education level and MS disability progression does not solely reflect different therapeutic practices, particularly in men. [ABSTRACT FROM AUTHOR]

This article aims to identify the relationship between material deprivation and mortality from breast, cervical, and prostate neoplasms in the Brazilian adult population and the relationship between ethnicity/skin color and material deprivation. This cross-sectional ecological study calculated the mean mortality rate per 100,000 inhabitants, and deaths were standardized by age and gender and redistributed per to ill-defined causes, stratified by age group and ethnicity/skin color. We applied the Negative Binomial model, containing the interaction between ethnicity/skin color and the Brazilian Deprivation Index (IBP). We analyzed 85,903 deaths, and the most prevalent were those due to female breast neoplasms. The risk of death from cervical cancer was 8.5% higher for Black women than white women. In other places, mortality was higher among white people. For all causes, mortality increased with age. There was a significant interaction between ethnicity/skin color and IBP for all causes. Only deaths due to cervical neoplasms increased with higher IBP, while a decline was observed in other causes but was less significant among Black people. The IBP offers a multidimensional view of the socioeconomic conditions of the Brazilian population, allowing a better understanding of how social determinants operate on selected neoplasms. [ABSTRACT FROM AUTHOR]

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Copyright of GENDER: Zeitschrift für Geschlecht, Kultur und Gesellschaft is the property of Verlag Barbara Budrich GmbH 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.)

The paper examines the perception of the American Dream in American society during the Second World War as presented in Charles Bukowki’s Factotum (1975). The article defines the notion of the American Dream in the 1940s and discusses it as a divisive force in the American society. The research identifies different perspectives on the Dream held by members of various social classes, with particular emphasis on the views presented by the main protagonist, Henry Chinaski. The Dream, which was a once unifying factor, seems to have been a source of deepening fissures in the picture of a coherent American population. Factotum presents an idiosyncratic story of negotiating the meaning of the American Dream in the mind of a troubled individual. Influenced by the pervasive belief in the Dream in the 1940s US, he tries to reconcile his inner beliefs with the surrounding reality, in an attempt to find his place in the community. This seems to be an impossible quest: the American Dream is presented to be an oppressive factor that eventually forces him to resign himself to the demi world of American outcasts.

The early childhood education, a stage within the school education system, presents many aspects to be problematized and implemented, especially when considering the implementation of this stage in the rural context. Among these aspects, the socio-cultural and historical context in which the child develops as a person and social being stands out, consisting of unique experiences, distinct from other spaces, demanding from the formal education planning a commitment to the local way of being. With this contextual characterization, the objective of this study is to analyze whether the educational principle of early childhood education in rural areas contributes/leads towards a socio-cultural emancipation education or towards confirming the inequalities between rural and urban areas. Drawing from a bibliographical study, this production has as its theoretical framework the contributions of Bauman (2008), Dubet (2001, 2004), Kramer (1982), Reay (2013), Sawaia (1999), Vincent, Lahire, and Thin (2001), among others, as well as legal documents relevant to Early Childhood Education in rural areas, texts analyzed according to the guidelines of critical discourse analysis technique. As results, we present the proposal of an early childhood education in rural areas with an emancipatory educational principle, supported by practices and discourses of inclusion, holistic human formation, and combating social inequalities.

Abstract Background As compared to men, older women´s higher rates of depression diagnosis and antidepressant use are widely reported. We aimed to: a) explore whether there is a potential gender bias in the clinical diagnosis of depression and antidepressant prescription in an older population from Stockholm; and 2) analyze if such gender bias differs by patients’ age and socioeconomic status. Methods We used data from the Swedish National Study on Aging and Care in Kungsholmen, SNAC-K (N = 2,941). We compared gender differences in: (a) clinical diagnosis of depression according to the Swedish National Patient Register (ICD-10 codes F32-F34; F412) (“register-based diagnosis”); (b) SNAC-K-based diagnosis of depression, partially gender-blind, using the Comprehensive Psychopathological Rating Scale (CPRS) and the DSM-IV-TR (“SNAC-K based diagnosis); and (c) antidepressant use (ATC code N06A). To analyze the magnitude of the gender bias in the register-based diagnosis of depression and in antidepressant use, and the role of potential moderating factors, prevalence ratios (PR) were calculated using Poisson regression models. Models were run separately by age and social class. Results Women had a 63% higher probability of having a register-based diagnosis of depression (PR = 1.63[1.23–2.15]) and a 79% higher probability of using antidepressants (PR = 1.79[1.34–2.40]). No gender differences were observed in the SNAC-K-based diagnosis of depression. The gender differences in the register-based diagnosis were narrowed, although remained significant, after considering age, depressive symptoms, and health services use (PR = 1.44[1.10–1.88]), as well as the register-based diagnosis in the case of antidepressant use (PR = 1.31[1.04–1.64]). This gender bias was larger among the younger-old and the most advantaged social class. Conclusion A gender-bias was identified in the diagnosis and treatment of depression in older adults within the Swedish healthcare setting, which could imply that health services may be contributing to the medicalization of women’s mental health. Gender-sensitive clinical and public health interventions are essential to reduce gender disparities in mental healthcare, also in old age.

Abstract Background This study aims to assess which population groups experienced the heaviest mortality burden during the first three COVID-19 waves in Belgium; and investigate potential changes in social differences in all-cause mortality during the epidemic and compared to the pre-COVID period. Methods Exhaustive all-cause mortality information (2015–2021) from the Belgian population register was linked to demographic and socioeconomic census and register data. Annual cohorts consisting of 6.5 million to 6.8 million persons were created selecting persons aged 35 and older. Excess mortality was investigated comparing the 137,354 deaths observed during the first three COVID-19 waves with mortality in the reference period 2015–2019. Methods of analysis include direct standardization and Poisson regression analyses. Results Elderly men experienced the highest absolute mortality burden during all three COVID-waves, followed by elderly women, middle-aged men, and middle-aged women. Care home residents consistently experienced higher mortality rates during the first and second wave compared to peers living in other living arrangements. In wave 3, care home residents showed significant absolute mortality deficits compared to the reference period. When adjusting for all demographic and socioeconomic factors, the traditional pattern of educational and income mortality inequalities was found among the elderly population during the COVID-waves. In contrast, the educational mortality gap among middle-aged persons deepened during COVID-waves 2 and 3 with excess mortality between 19 and 30% observed among mainly lower-educated persons. Income mortality inequalities among middle-aged women and men remained stable or even diminished for some specific groups in some waves. Conclusion The widening educational mortality gap among middle-aged persons in successive waves suggest an important role of knowledge and associated educational resources during the COVID-19 epidemic. Belgium’s broad implementation of public health control and prevention measures may have successfully averted a further widening of social mortality inequality between income groups and among the elderly population.

Abstract Background Vulnerable social groups have greater difficulty in accessing care and a lower quality of care. Health systems focused on primary care appear to be more effective, efficient and equitable. However, difficulties in accessing primary care are persisting. We focused on primary care screening for cervical cancer through Cervico-Uterine Smear (CUS), which has been shown to be effective in reducing disease incidence and mortality. In this study, we aimed to investigate the characteristics of women who undergo CUS according to the category of health professionals (general practitioners or gynaecologists) performing CUS and to analyse potential differences in access to care in terms of socioeconomic and geographical characteristics. Methods This was a retrospective observational study based on data from the main health insurance schemes in France, allowing analysis of health care consumption according to socioeconomic levels and proximity to health care services. We included women aged 25 to 64 years in 2012 for whom CUS would be a relevant procedure (695,694). The sociodemographic and territorial indicators were age, geographical area deprivation, and the availability of gynaecological care. The analysis was performed using multinomial logistic regression. Results A total of 202,271 (29%) patients underwent CUS; of whom 68% underwent CUS administered by gynaecologists and 28% were administered by general practitioners (GPs). However, inequalities in CUS screening rates were observed, with a decrease in the number of CUSs performed with increased age, a rural location, deprivation, and sparse health care provisions. Deprived people seemed less penalised by GPs. Conclusions Involvement of General Practitioners may improve cervical screening equality in France. The organisation of health systems around primary care may allow a better access to care and to account for the specific needs of deprived populations.

Abstract Background Social inequalities in child mental health are an important public health concern. Whilst previous studies have examined inequalities at a single time point, very few have used repeated measures outcome data to describe how these inequalities emerge. Our aims were to describe social inequalities in child internalising and externalising problems across multiple countries and to explore how these inequalities change as children age. Methods We used longitudinal data from eight birth cohorts containing participants from twelve countries (Australia, Belgium, Denmark, France, Germany, Greece, Italy, Netherlands, Poland, Norway, Spain and the United Kingdom). The number of included children in each cohort ranged from N = 584 (Greece) to N = 73,042 (Norway), with a total sample of N = 149,604. Child socio‐economic circumstances (SEC) were measured using self‐reported maternal education at birth. Child mental health outcomes were internalising and externalising problems measured using either the Strengths and Difficulties Questionnaire or the Child Behavior Checklist. The number of data collection waves in each cohort ranged from two to seven, with the mean child age ranging from two to eighteen years old. We modelled the slope index of inequality (SII) using sex‐stratified multi‐level models. Results For almost all cohorts, at the earliest age of measurement children born into more deprived SECs had higher internalising and externalising scores than children born to less deprived SECs. For example, in Norway at age 2 years, boys born to mothers of lower education had an estimated 0.3 (95% CI 0.3, 0.4) standard deviation higher levels of internalising problems (SII) compared to children born to mothers with high education. The exceptions were for boys in Australia (age 2) and both sexes in Greece (age 6), where we observed minimal social inequalities. In UK, Denmark and Netherlands inequalities decreased as children aged, however for other countries (France, Norway, Australia and Crete) inequalities were heterogeneous depending on child sex and outcome. For all countries except France inequalities remained at the oldest point of measurement. Conclusions Social inequalities in internalising and externalising problems were evident across a range of EU countries, with inequalities emerging early and generally persisting throughout childhood.

To examine changes and socioeconomic patterns in indicators of a poor indoor environment in 2000 and 2021. Cross-sectional data from the Danish Health and Morbidity Survey in 2000 and 2021. The study included 27,068 participants. Indicators of indoor environment (annoyances from mould, temperature, draught, traffic and neighbour noise, and presence of water damage) were obtained from questionnaires (2021) and partly by interview (2000). Socioeconomic status included home ownership, educational level, and household income. The degree of social inequality in the indoor environment was estimated using the concentration index of inequality. The prevalence of annoyances due to draught, temperature, and noise increased significantly from 2000 to 2021 (e.g., temperature 5.9%–25.1%, odds ratio (OR) 6.72, 95% confidence interval (CI) 6.12–7.38), whereas the prevalence of water damage decreased (17.7%–13.8%, OR 0.85, 95% CI 0.76–0.96). No difference was seen in annoyances due to mould (3.1% in 2000 and 2.5% in 2021, OR 0.90, 95% CI 0.69–1.17). Social inequality was present for thermal conditions, annoyances due to noise and presence of water damage when assessed by income but not by educational level. Conditions were more prevalent among individuals with low income in both 2000 and 2021. The proportion of individuals reporting a poor indoor environment due to thermal conditions and noise increased in the period 2000–2021. Social inequality was observed in all indicators of a poor indoor environment for household income, whereas the inequality was less pronounced when assessed by educational level. [ABSTRACT FROM AUTHOR]

While informal sport may appear to be a poor relation of formal sport, participation in informal sport is now more popular than organised club sport. The special issue provides an opportunity to showcase international leisure studies research which variously explores the meaning and implications of informal sport as a growing form of collective leisure activity and the wider social affordances – and strains – of collective leisure practices. The Editors' Introduction focuses on the ways in which informal sport and leisure depend on sometimes hard-won public (parks, city squares, designed leisure spaces) and reused incidental urban space (e.g. post-industrial areas). It sets out the ways in which informal sport and leisure involves marginalised and precarious urban populations, gives rise to co-ethnic and ethnically diverse identifications, secures senses of belonging and citizenship, is gender and age ex/inclusive and is attractive to policy actors. It outlines how the articles collected in the special issue address what are still under-examined aspects of the informal sport phenomenon. [ABSTRACT FROM AUTHOR]

Simple Summary: This study uses an individual socioeconomic status index to analyse social inequalities in the Valencia Region Colorectal Cancer Screening Programme. Analysing the social determinants of cancer and ensuring health equity are some of the main challenges faced by developed countries in recent years, and these aspects are also the main focus of policies in many territories. Furthermore, given that the European Commission has highlighted the importance of evaluating inequalities in colorectal cancer (CRC) screening programmes, this study is highly relevant. This paper contributes to the existing literature on inequalities in cancer screening, and the insights provided herein could potentially influence policies and interventions to promote equity in CRC screening programmes. Background/Objectives: An individual socioeconomic status index (ISESI) was used to analyse inequalities in participation and colonoscopy acceptance in the Valencia Region Colorectal Cancer Screening Programme (VR-CRCSP). Methods: This is a cross-sectional study of men and women aged 50–69 who had been invited to participate in the VR-CRCSP as of February 2020 (N = 1,066,763). The variables included in the ISESI were nationality, employment status, disability, healthcare coverage, risk of vulnerability, and family size. The ISESI was categorised into quartiles (Qs), with Q4 corresponding to the lowest socioeconomic status (SES). Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using mixed logistic regression models. Results: The results showed that Q2 (OR = 1.30, CI = 1.28–1.33) and Q3 (OR = 1.07, CI = 1.05–1.09) are more likely to participate in the CRCSP than Q1 (the highest SES), and that Q4 (OR = 0.77, CI = 0.76–0.78) is less likely to participate than Q1. In addition, Q2 (OR = 2.03, CI = 1.78–2.32), Q3 (OR = 1.90, CI = 1.67–2.16), and Q4 (OR = 1.55, CI = 1.36–1.76) are more likely to accept a colonoscopy than Q1. The following socioeconomic characteristics were related to both non-participation and colonoscopy refusal: not Spanish, disabled, no family unit, at risk of social vulnerability, and private mutual health insurance. Conclusions: Inequalities were observed in VR-CRCSP participation and colonoscopy acceptance. [ABSTRACT FROM AUTHOR]

Written by a geographer, but in close connection with other fields such as political philosophy, psichoanalysis, and political science, this essay is part of my project of analysing the bolsonarism and its ideological effects on Brazil. To do so, I realized that a critique of neoliberalism enhanced by the concept of necropolitics will shed some light on three intertwined aspects of the Brazilian reality: the social aftermaths of neoliberalism, the re-emergency of the far-right in Brazil, and the tragedy of modernity. [ABSTRACT FROM AUTHOR]

This paper focuses on exploring the transition South African learners make from Grade 7 to Grade 8, emphasising the experiences of teachers, parents and learners in two school cultures during this transition phase. This qualitative exploratory research project was placed in a constructivist research paradigm. The data were systematically analysed in an exploratory and interpretative way by identifying segments responsive to our research questions. The participants in the two purposively selected South African schools included a voluntary sample of 12 teachers, 19 parents, and 19 learners in Grade 8 using the draw-and-write technique and focus group interviews with each learner group based on the interpretation of their drawings. Focus group interviews were also conducted with a small group of the parents and teachers of the Grade 8 learners in the two schools, and individual interviews were conducted with the school principals. Findings indicate some common ground but also qualitative differences between the two schools with specific reference to the quality of educational opportunities and socio-emotional challenges that may influence social inequalities in future. [ABSTRACT FROM AUTHOR]

In France, the prevailing discourse on the concept of “sustainable” food is met with a range of reactions that vary across society, from enthusiastic endorsement to outright rejection. In order to analyze the perceptions of these discourses and the way they are experienced in everyday life, this article focuses on the emotions related to so-called “sustainable” and “industrial” food. To investigate these emotions, an ethnographic study was conducted using semi-structured interviews (52), participant observation of meals at home (14), and observation of meals filmed in an experimental kitchen (13). Firstly, the emotional responses indicate that normative discourses on “sustainable food” can arouse resistance and be perceived as intrusive and moralizing if they fail to adequately consider the social and cultural diversity. Secondly, the emotions evoked illustrate disparate prospective scenarios, different desired future worlds, characterized by divergent conceptions of nature, technology and time. [ABSTRACT FROM AUTHOR]

Background: As compared to men, older women´s higher rates of depression diagnosis and antidepressant use are widely reported. We aimed to: a) explore whether there is a potential gender bias in the clinical diagnosis of depression and antidepressant prescription in an older population from Stockholm; and 2) analyze if such gender bias differs by patients’ age and socioeconomic status. Methods: We used data from the Swedish National Study on Aging and Care in Kungsholmen, SNAC-K (N = 2,941). We compared gender differences in: (a) clinical diagnosis of depression according to the Swedish National Patient Register (ICD-10 codes F32-F34; F412) (“register-based diagnosis”); (b) SNAC-K-based diagnosis of depression, partially gender-blind, using the Comprehensive Psychopathological Rating Scale (CPRS) and the DSM-IV-TR (“SNAC-K based diagnosis); and (c) antidepressant use (ATC code N06A). To analyze the magnitude of the gender bias in the register-based diagnosis of depression and in antidepressant use, and the role of potential moderating factors, prevalence ratios (PR) were calculated using Poisson regression models. Models were run separately by age and social class. Results: Women had a 63% higher probability of having a register-based diagnosis of depression (PR = 1.63[1.23–2.15]) and a 79% higher probability of using antidepressants (PR = 1.79[1.34–2.40]). No gender differences were observed in the SNAC-K-based diagnosis of depression. The gender differences in the register-based diagnosis were narrowed, although remained significant, after considering age, depressive symptoms, and health services use (PR = 1.44[1.10–1.88]), as well as the register-based diagnosis in the case of antidepressant use (PR = 1.31[1.04–1.64]). This gender bias was larger among the younger-old and the most advantaged social class. Conclusion: A gender-bias was identified in the diagnosis and treatment of depression in older adults within the Swedish healthcare setting, which could imply that health services may be contributing to the medicalization of women’s mental health. Gender-sensitive clinical and public health interventions are essential to reduce gender disparities in mental healthcare, also in old age. [ABSTRACT FROM AUTHOR]

Background: This study aims to assess which population groups experienced the heaviest mortality burden during the first three COVID-19 waves in Belgium; and investigate potential changes in social differences in all-cause mortality during the epidemic and compared to the pre-COVID period. Methods: Exhaustive all-cause mortality information (2015–2021) from the Belgian population register was linked to demographic and socioeconomic census and register data. Annual cohorts consisting of 6.5 million to 6.8 million persons were created selecting persons aged 35 and older. Excess mortality was investigated comparing the 137,354 deaths observed during the first three COVID-19 waves with mortality in the reference period 2015–2019. Methods of analysis include direct standardization and Poisson regression analyses. Results: Elderly men experienced the highest absolute mortality burden during all three COVID-waves, followed by elderly women, middle-aged men, and middle-aged women. Care home residents consistently experienced higher mortality rates during the first and second wave compared to peers living in other living arrangements. In wave 3, care home residents showed significant absolute mortality deficits compared to the reference period. When adjusting for all demographic and socioeconomic factors, the traditional pattern of educational and income mortality inequalities was found among the elderly population during the COVID-waves. In contrast, the educational mortality gap among middle-aged persons deepened during COVID-waves 2 and 3 with excess mortality between 19 and 30% observed among mainly lower-educated persons. Income mortality inequalities among middle-aged women and men remained stable or even diminished for some specific groups in some waves. Conclusion: The widening educational mortality gap among middle-aged persons in successive waves suggest an important role of knowledge and associated educational resources during the COVID-19 epidemic. Belgium's broad implementation of public health control and prevention measures may have successfully averted a further widening of social mortality inequality between income groups and among the elderly population. [ABSTRACT FROM AUTHOR]

Eradicating poverty is a fundamental objective of social work, both at local and at global levels. After COVID-19, the United Nations Commission for Social Development and Sustainable Development Goals, the global agenda developed by the International Association of Schools of Social Work, the International Council on Social Welfare and the International Federation of Social Workers have placed the fight against poverty and the role of decent work at the forefront of the public agenda. We analyse most recent publications on decent work, highlighting two strategies to promote poverty eradication from social work: participation and education. [ABSTRACT FROM AUTHOR]

Background: Social inequalities in child mental health are an important public health concern. Whilst previous studies have examined inequalities at a single time point, very few have used repeated measures outcome data to describe how these inequalities emerge. Our aims were to describe social inequalities in child internalising and externalising problems across multiple countries and to explore how these inequalities change as children age. Methods: We used longitudinal data from eight birth cohorts containing participants from twelve countries (Australia, Belgium, Denmark, France, Germany, Greece, Italy, Netherlands, Poland, Norway, Spain and the United Kingdom). The number of included children in each cohort ranged from N = 584 (Greece) to N = 73,042 (Norway), with a total sample of N = 149,604. Child socio‐economic circumstances (SEC) were measured using self‐reported maternal education at birth. Child mental health outcomes were internalising and externalising problems measured using either the Strengths and Difficulties Questionnaire or the Child Behavior Checklist. The number of data collection waves in each cohort ranged from two to seven, with the mean child age ranging from two to eighteen years old. We modelled the slope index of inequality (SII) using sex‐stratified multi‐level models. Results: For almost all cohorts, at the earliest age of measurement children born into more deprived SECs had higher internalising and externalising scores than children born to less deprived SECs. For example, in Norway at age 2 years, boys born to mothers of lower education had an estimated 0.3 (95% CI 0.3, 0.4) standard deviation higher levels of internalising problems (SII) compared to children born to mothers with high education. The exceptions were for boys in Australia (age 2) and both sexes in Greece (age 6), where we observed minimal social inequalities. In UK, Denmark and Netherlands inequalities decreased as children aged, however for other countries (France, Norway, Australia and Crete) inequalities were heterogeneous depending on child sex and outcome. For all countries except France inequalities remained at the oldest point of measurement. Conclusions: Social inequalities in internalising and externalising problems were evident across a range of EU countries, with inequalities emerging early and generally persisting throughout childhood. [ABSTRACT FROM AUTHOR]

Background: Vulnerable social groups have greater difficulty in accessing care and a lower quality of care. Health systems focused on primary care appear to be more effective, efficient and equitable. However, difficulties in accessing primary care are persisting. We focused on primary care screening for cervical cancer through Cervico-Uterine Smear (CUS), which has been shown to be effective in reducing disease incidence and mortality. In this study, we aimed to investigate the characteristics of women who undergo CUS according to the category of health professionals (general practitioners or gynaecologists) performing CUS and to analyse potential differences in access to care in terms of socioeconomic and geographical characteristics. Methods: This was a retrospective observational study based on data from the main health insurance schemes in France, allowing analysis of health care consumption according to socioeconomic levels and proximity to health care services. We included women aged 25 to 64 years in 2012 for whom CUS would be a relevant procedure (695,694). The sociodemographic and territorial indicators were age, geographical area deprivation, and the availability of gynaecological care. The analysis was performed using multinomial logistic regression. Results: A total of 202,271 (29%) patients underwent CUS; of whom 68% underwent CUS administered by gynaecologists and 28% were administered by general practitioners (GPs). However, inequalities in CUS screening rates were observed, with a decrease in the number of CUSs performed with increased age, a rural location, deprivation, and sparse health care provisions. Deprived people seemed less penalised by GPs. Conclusions: Involvement of General Practitioners may improve cervical screening equality in France. The organisation of health systems around primary care may allow a better access to care and to account for the specific needs of deprived populations. [ABSTRACT FROM AUTHOR]

This article seeks to contribute to ongoing debates on geographies of marketization, which are used in social and geographical research on education to account for the performativity and inherent inconsistencies of markets. This case study draws on students' transition to the state-funded academically focused school track of Gymnasium in Zurich, Switzerland, which merges intellectual and social selectivity in a central entrance examination. This situation has fostered both a flourishing market of costly private preparation courses offered by educational entrepreneurs and free school courses. We elaborate a detailed picture of this educational market by showcasing the entanglement of public education, private supplementary education and parents obliged to advance their children's educational careers and well-being. For this purpose, we draw linkages between these groups of actors and three key elements of geographies of marketization: problematization, commodification and calculative agents. Our findings show how this complex set of actors interacts in a constant reproduction and contestation of this market. The issues of social inequalities and subtle forms of resistance appear recurrently in our findings, and we argue that a geographies of marketization approach enables a fuller picture to be drawn of this educational transition market. In our conclusion, we suggest that this approach might also be helpful in critically questioning the borders between state-funded education and private supplementary education to improve the chances of transition to Gymnasium for all aspiring children regardless of their social or migration background. [ABSTRACT FROM AUTHOR]

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Background: Caries experience in Argentine children is quite high and no national data are present. Aim: This cross-sectional observational survey aimed to assess the oral health status of schoolchildren in Buenos Aires (CABA) using CTNI and to evaluate the ecological association between health inequalities and caries prevalence. Design: Data were collected, via a clustered procedure, during the 2016–2018 school years. Children were examined at school to determine dental status according to the CTNI performed under standardized conditions, using light, dental mirrors, WHO probes and magnification (2.5×). Secondary sources were used to acquire socio-demographic and epidemiological data. A hierarchical cluster analysis was carried out with the municipalities of the CABA as the dependent variable and the socio-demographic factors. Results: The study population consisted of 62,904 schoolchildren, 43,571 of whom were enrolled into the study. Total caries prevalence was 67.78% while severe caries prevalence was 28.29%, which was statistically associated with the year of the survey (p < 0.01). Four territorial conglomerates from a socio-epidemiological standpoint outline homogeneous areas of social risk; cluster 1 had the highest social risk. The prevalence of severe caries (CTNI 7–14) was highest in cluster 1 (44.7–53.2% of the population). Conclusion: The social inequalities between municipalities of the CABA were statistically associated with high inequalities in oral health needs. [ABSTRACT FROM AUTHOR]