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Compared with working-class parents, middle-class parents increasingly promote sports performance for their children as part of a larger strategy of ensuring that their children are upwardly mobile and likely to attend and graduate from college. However, we need to learn more about the distribution of youth sports performance in specific sports and whether it relates to social class. In this study, we test for a relationship between social class and performance in girls soccer by examining the success of high school girls soccer teams in 16,091 contests. We find that schools with more working-class youth consistently lose by many goals. The relationship between performance and social class is weaker in predominantly Latinx schools than in predominantly Black and predominantly White ones, likely reflecting the community cultural wealth in soccer in Latinx immigrant communities. We discuss the practical and theoretical implications of these findings. [ABSTRACT FROM AUTHOR]

Purpose: School recess provides a valuable opportunity for children's daily moderate- to vigorous-intensity physical activity (MVPA). This study aimed to quantify MVPA during school recess in a representative sample of Scottish children and examine whether recess MVPA varied by gender, socioeconomic status, season, urban/rural residency, and recess length. Method: Five-day accelerometry MVPA data were analyzed from 773 children (53.9% girls, 46.1% boys, 10- to 11-y-olds) from 471 schools. Binary logistic regression explored associations between meeting/not meeting the recommendation to spend 40% of recess time in MVPA and the aforementioned risk factors. Descriptive recess data were also analyzed. Results: Participants spent an average of 3.2 minutes (SD 2.1) in MVPA during recess. Girls engaged in 2.5 minutes (SD 1.7) of MVPA compared with 4.0 minutes (SD 2.2) for boys. Only 6% of children met the recess MVPA recommendation. The odds of girls (odds ratio 0.09; 95% confidence interval, 0.04–0.25) meeting the recommendation was lower (P <.001) compared with boys. No statistically significant differences were observed in meeting the recommendation for the other risk factors. Conclusion: Levels of MVPA during school recess are very low in Scottish children, and interventions aimed at increasing MVPA during recess are needed. [ABSTRACT FROM AUTHOR]

Objectives: To assess the effect of Community Water Fluoridation (CWF) in the prevalence of dental caries and dental fluorosis in 12-year-old children living in Israel. Considering that CWF is important in the prevention of dental caries. Between 2002 and 2014, the water in communities of at least 5,000 individuals was fluoridated. In 2014, CWF in Israel stopped. Method and materials: Data on 12-year-old children from all areas in Israel from the national cross-sectional epidemiological survey conducted in 2011 to 2012 were stratified by city water fluoridation and by city and school socioeconomic status. Two dependent variables were defined: (1) DMFT index of caries experience in the permanent dentition; (2) dental fluorosis in central incisors using the Thylstrup-Fejerskov classification of fluorosis. Results: Data from 2,181 12-year-olds were analyzed. The average DMFT was 1.17 ± 1.72, and 49% were caries-free. Based on DMFT, the caries experience was significantly higher in nonfluoridated cities (1.38 vs 0.98 in fluoridated cities) and there were more caries-free children in fluoridated cities (56.4% vs 40.6% in nonfluoridated). DMFT was higher in cities with lower socioeconomic status than high socioeconomic status (1.29 vs 1.05, respectively, P < .001) and there were fewer caries-free children in low socioeconomic status cities (44.5% vs 53.0% in high socioeconomic status cities, P < .0001). Almost all the 10.3% of children with signs of fluorosis (scoring at least 1 in the Thylstrup-Fejerskov index), had questionable to mild fluorosis (9.3%). Conclusions: CWF is a cheap, simple method of dental health protection that reaches all socioeconomic levels, and cessation of water fluoridation reduced the health of Israel's children. Clinical significance: Water fluoridation provides substantial caries prevention, by reaching a substantial number of people. The relevance of this work is for policymakers to consider CWF as clinically proven method for reducing health inequalities. [ABSTRACT FROM AUTHOR]

We theorize that ally work (actions by employees belonging to advantaged social groups to support employees belonging to disadvantaged social groups) can be organized into three modalities: self ally work that is oriented toward developing skills and capabilities, relational ally work that is focused on building positive work relationships, and organizational ally work aimed at changing organizational practices to support disadvantaged coworkers. Drawing from the theory of political ideology as motivated cognition, across multiple pre-registered field studies we found that employees who were more liberal-leaning (vs. conservative-leaning) reported higher engagement in all three modalities. We also examined whether contextual affordances amplified the liberalism effect. Specifically, we tested whether personal accountability for diversity, colleague diversity, and organizational ideology directed liberals toward greater engagement in self, relational, and organizational work, respectively. As hypothesized, more liberal-leaning employees reported higher engagement in organizational ally work in more ideologically liberal organizations. However, the hypothesized effects of personal accountability were not supported. Notably, personal accountability had a positive effect on self ally work among more conservative-leaning employees. The moderating effects of colleague diversity were also mixed across studies. Highlighting both the plurality and politics of ally work, we discuss theoretical and practical implications of our findings. [ABSTRACT FROM AUTHOR]

Objectives: Compare mental health, stress, and well-being in the Swedish population as measured before and during the COVID-19 pandemic. Methods: Repeated cross-sectional design using data measured before (Jan-2019; n = 2791) and during (Oct/Nov-2020; n = 2926) COVID-19 pandemic in Swedish population-representative cohorts. Following constructs were measured: anxiety (Beck Anxiety Inventory), depression (Beck Depression Inventory-II), stress (Perceived Stress Scale-10 items), health-related quality of life (HRQOL[Functional Assessment of Cancer Therapy–General Population]) and self-rated health (SRH) was assessed with a single-item question. Results: When adjusting for age, sex, education, and income there were significantly higher levels of anxiety (M̂ = 9.15 vs. 8.48, p < 0.01) and depression (M̂ = 3.64 vs. 3.30, p = 0.03), lower levels of stress (M̂ = 14.06 vs. 14.91, p < 0.001), but worsened HRQOL (M̂ = 76.40 vs. 77.92, p < 0.01) and SRH (M̂ = 6.91 vs. 7.20, p < 0.001), observed in 2020 compared to 2019. For the negative effects seen in anxiety, depression, HRQOL, and SRH, higher income and education had a protective effect. The decrease in stress was also correlated with higher income. Conclusions: The COVID-19 pandemic led to a small but significant worsening in mental health and well-being in the general Swedish population, where higher socioeconomic status seemed to have a protective effect. [ABSTRACT FROM AUTHOR]

The development of math skills is widely studied, but there is a lack of longitudinal studies investigating person-oriented developmental patterns of math skills. The present study aims to describe profiles of students with various calculation and word-problem solving skills from Grades 1 to 9, as well as the developmental trajectories of these profiles, how profiles are related to students' further educational pathways, and whether having a specific skill profile in Grade 9 is related to the results of math and language exams at the end of Grade 12. The sample included 1,023 Estonian students who completed calculation and word-problem solving tests in Grades 1, 3, 6, and 9 (ages 6–16 years old). Educational pathway information and results of the math and language exam in Grade 12 were retrieved from the Estonian Education Information System's registry. Socioeconomic status was determined via parental education level. Overall, results indicated that math skills were positively interrelated between the school years. However, person-oriented approach demonstrated that less than half of students tended to stay in a similar profile from Grades 1 to 9. This suggests that, in terms of math skills, most students have diverse developmental trajectories from elementary school through the end of middle school. Profiles were also related to further educational pathways and high school exam results. This study complements previous variable-oriented research to provide unique and valuable information regarding the development of math skills. Public Significance Statement: The study suggests that there are distinct math skills developmental trajectory groups between Grades 1 and 9, and these trajectories also relate to math achievement in Grade 12. Additionally, a low level of early math skills is not deterministic; however, math skills at the end of elementary school may be more important, as these skills may have a stronger impact on further development in middle school. [ABSTRACT FROM AUTHOR]

Background sounds at home—namely those from television, communication devices, music, appliances, transportation, and construction—can support or impede infant language interactions and learning. Yet real-time connections at home between background sound and infant–caregiver language interactions remain unexamined. We quantified background sounds in the home environment, from 1- to 2-hr video recordings of infant–mother everyday activities (infants aged 8–26 months, 36 female) in two samples: European-American, English-speaking, middle-socioeconomic status (SES) families (N = 36) and Latine, Spanish-speaking, low-SES families (N = 40). From videos, we identified and coded five types of background sound: television/screens, communication devices, music, appliances, and transportation/construction. Exposure to background sounds varied enormously among homes and was stable across a week, with television/screens and music being the most dominant type of background sounds. Infants' vocalizations and mothers' speech to infants were reduced in the presence of background sound (although effect sizes were small), highlighting real-time processes that affect everyday language exchanges. Over the course of a day, infants in homes with high amounts of background sounds may hear and produce less language than infants in homes with less background sounds, highlighting potential cascading influences from environmental features to everyday interactions to language learning. Public Significance Statement: Numerous features of the home environment affect infants' learning. In two samples, we video-recorded infants and mothers during everyday activities and examined associations between background sounds and language interactions. Infants experienced a variety of background sounds, including sounds from music, television, and appliances. Mothers and infants were less likely to talk in the presence than in the absence of background sounds, suggesting reduced opportunities for infants to hear and learn from language in "noisy" environments. [ABSTRACT FROM AUTHOR]

Auditory statistical learning, or the ability to detect statistical regularities in continuously presented stimuli, is thought to be one element that underlies language acquisition. Prior studies have uncovered behavioral and neural correlates of statistical learning, yet additional work is needed from low- and middle-income countries to explore whether statistical learning varies across cultures or underlies associations often found between socioeconomic status (SES) and language outcomes. In the present study, we explored the feasibility of using functional near-infrared spectroscopy (fNIRS) to explore auditory statistical learning in Bangladesh, a lower-middle-income country. Participants were 102 2-year-old (M = 25.72 months, SD = 2.07 months) and 125 5-year-old children (M = 62.35 months, SD = 2.46 months) living in a low-income urban neighborhood of Dhaka (average family income of 28,145.13 Bangladeshi Takas or 260.06 U.S. dollars per month). We also collected measures of SES and language outcomes. Brain responses during the statistical learning paradigm could be detected with fNIRS in both two- and 5-year-olds, with 2-year-olds exhibiting a higher response to predictable sequences and 5-year-olds exhibiting higher responses to unpredictable sequences. fNIRS correlates of statistical learning were not related to language outcomes but were associated with SES in the 5-year-old cohort. This study demonstrates the utility of employing fNIRS to study the neural correlates of statistical learning in low- and middle-income countries and the feasibility of expanding the representativeness of the existing literature. These findings also highlight potential areas for inquiry into how SES may relate to individual differences in statistical learning responses. Public Significance Statement: Two- and 5-year-old-children living in profound poverty in Dhaka, Bangladesh, showed different brain responses to familiar and novel auditory patterns. These brain responses were not associated with language outcomes in either age group but, for 5-year-olds only, were related to socioeconomic status. These results show the utility of brain imaging techniques in uncovering how children's early environments may relate to auditory processing during different periods of development. [ABSTRACT FROM AUTHOR]

Purpose: Patients and healthcare professionals overestimate the risks of using antidepressants during pregnancy. According to current literature, approximately half of people stop taking an anti-depressant medication when they become pregnant. Discontinuing antidepressants during pregnancy increases risks of postnatal relapses. Factors like socioeconomic status, education, and planned pregnancies play a role in the decision to continue antidepressant medication, which can worsen disparities in maternal and child health. Our aim was to identify the sociodemographic factors associated with antidepressant continuation after awareness of pregnancy. Methods: We used representative data from the Adolescent Brain Cognitive Development (ABCD) study that captures maternal medication during pregnancy. We identified women who used antidepressants before awareness of their pregnancy. We calculated crude and adjusted associations between sociodemographic factors and continuation of antidepressant medication during pregnancy. Our model included age, education, ethnicity, first language, household income, living with a partner, having planned the pregnancy, pregnancy duration and smoking during pregnancy. Results: In total, 199 women continued antidepressants and 100 discontinued. The logistic regressions resulted in only one significant factor: first language. Native English speakers were more likely to continue medication than other mothers (adjusted OR = 14.94, 95% CI = [2.40; 291.45], p =.015). Conclusions: Language differences were associated with continuation of antidepressants. Non-native English speakers were more likely to discontinue antidepressants, which may lead to health inequities. This finding should be taken into account to reinforce information about the limited risks of antidepressants among people with non-English speaking backgrounds in the USA. [ABSTRACT FROM AUTHOR]

Based on a longitudinal and ethnographic study, this research examines how women experience the emotional aspects of their maternal foodwork in England across social classes. Maternal foodwork is linked to guilt and anxiety due to intense gendered and class-related ideals of proper feeding within the context of responsibilising discourses. This article contributes to the literature by introducing a temporal perspective, exploring how emotions beyond anxiety transform as caregiving arrangements evolve over time. It reveals that middle-class mothers adopt a downscaling strategy to counter maternal guilt when maintaining the standards set by intensive feeding ideology proves to be challenging with time. Working-class mothers adopt the same strategy to counteract feelings of inadequacy tied to persistent institutional surveillance and the challenge of embodying middle-class dispositions. The study underscores women's capacity to cultivate agentic responses, albeit within the boundaries of their class habitus, crafting pockets of resistance against intensive feeding ideals. [ABSTRACT FROM AUTHOR]

In this paper I introduce and explicate the concept of "class blindness," and show how it works to obscure and justify class inequality even in a small community in which social divisions are well recognized. Similar to the concept of color-blind racism, class blindness is a discursive strategy to erase and minimize class privilege and the social processes by which class inequality is created and perpetuated. Denial of these processes, and the social-structural roots of class advantage and disadvantage, undermines efforts to effectively address societal problems born of social class inequality. I show how class blindness allows those with privilege to police their social positions and secure resource hoarding within a community while holding the disadvantaged personally responsible for their struggles. I further describe how class blindness allows advantaged individuals to express concern about social problems including poverty and inequality in the abstract, while acting in ways that contribute to its perpetuation on the micro and the macro levels. This qualitative case study, based in 84 interviews and 10 months of participant observation with individuals across the class spectrum, illustrates the processes that contribute to the reproduction of social inequality even among those whose ideological stances include commitment to its reduction. [ABSTRACT FROM AUTHOR]

Background: The use of computer‐assisted reading comprehension is of critical importance in the context of promoting effective and engaging literacy education in the digital age. It provides students with the opportunity to work at their own pace and convenience, thereby facilitating self‐directed learning and accommodating various learning preferences and schedules. Objectives: The objective of the study was to investigate the impact of computer‐assisted and direct strategy teaching on reading comprehension, reading comprehension self‐efficacy and reading comprehension metacognitive awareness. An experimental application based on the SQ4R strategy was conducted in the direct strategy teaching (DST) and computer‐assisted strategy teaching (CAST) programmes. In the DST group, the implementation of the SQ4R strategy was conducted through direct strategy teaching, whereas in the CAST group, the same activities were carried out with the assistance of computer‐based resources. The principal objective of the study was to evaluate the efficacy of computer‐assisted strategy instruction. Methods: This study employed a combined sequential descriptive design, integrating qualitative and quantitative research models. The study was conducted with 61 fourth‐grade students, enrolled in three classrooms of a public school situated in the central district of Kastamonu, Turkey, which is characterised by a moderate socioeconomic level. The quantitative component of the study was designed as a pre‐test–post‐test control group experimental study. The qualitative component of the study comprised focus group interviews and observation. Two experimental groups and one control group were established in the course of this study. In the quantitative dimension of the combined sequential descriptive model, the Reading Comprehension Test, Metacognitive Reading Comprehension Scale, and Reading Comprehension Self‐Efficacy Scale were employed as data collection instruments. In order to collect data in the qualitative dimension, semi‐structured interview and observation forms were employed. Furthermore, the researcher's diaries, maintained throughout the research process, were employed as a data source. The quantitative data were analysed using the following techniques: arithmetic mean, frequency, percentage, standard deviation, ANOVA and covariance analysis (ANCOVA). A descriptive analysis was employed for the evaluation of the qualitative data. Results and Conclusions: Upon examination of the post‐test scores of the CAST, DST and control group students in the Reading Comprehension Test, it was observed that the CAST group exhibited the highest average. A statistically significant difference was also identified between the CAST group and the control group. Nevertheless, no statistically significant difference was identified between the DST group and the control group. Nevertheless, an examination of the mean scores reveals that the DST group exhibited considerably higher Reading Comprehension Test scores. Lay Description: Computer aided tools can be used to teachvarious reading strategies.CAST can help students improve their readingcomprehension.CAST can contribute to students' reading andcomprehension motivation.CAST can offer customised learning materialsaccording to the individual needs of the students. [ABSTRACT FROM AUTHOR]

This article addresses a lack of alignment between the material interests and economic preferences of the working class. It argues that the link between class interest and support for specific economic policies that benefit the working class becomes stronger when it is made clear that the policy targets the rich. Working‐class support for the repealed and unpopular inheritance tax in Norway is chosen as a hard test of this argument. Employing two straightforward survey experiments, this article demonstrates that clarifying who will pay the tax raises support in general and is especially important for ensuring the support of the working class. Further analysis shows that class differences, when the tax is explicitly redistributive, can be accounted for by general redistributive orientation. Additionally, differences in education levels partly explain why clearer class differences in tax support are not observed. This study underscores the importance of considering both the demand and supply sides when examining the economic preferences of social classes and highlights that clearly formulating who pays the tax is crucial for garnering support from working‐class voters. [ABSTRACT FROM AUTHOR]

Background: An earlier study in a school in England found that a series of brief values affirmation writing exercises, performed over the course of a school year by students aged 11–14, increased the mathematics attainment of students of low socioeconomic status (SES). Aims: This pre‐registered follow‐up of the original study aims to investigate the long‐term effects of values affirmation on low‐SES students' attainment. Sample: The sample consisted of all students in the analytical sample of the original study who remained at the school and for whom the necessary data were available, N = 409 (95 low‐SES). Methods: The students' results in high‐stakes national standardized assessments at age 16, taken two to four years after the affirmation, were analysed. Results: The evidence did not support the pre‐registered hypotheses that values affirmation would raise the attainment of low‐SES students in mathematics and English. However, exploratory analyses suggested that for low‐SES students in two of the three‐year groups, the intervention increased Attainment 8, a broad policy‐relevant measure of academic attainment, and increased the attainment of boys in English (in particular English Literature) but reduced the corresponding attainment of girls. Conclusions: The results suggest that the benefits of values affirmation can differ by student cohort and by school subject and that they might be time‐limited in some circumstances. This suggests a set of hypotheses that future research could test in order to advance understanding of when values affirmation is, and is not, successful for school students over a sustained period. [ABSTRACT FROM AUTHOR]

Background: According to the risk and resilience perspective, protective factors can attenuate the effect of risks and challenges on children's adjustment. For immigrant and refugee children, supportive relationships in the new context can be particularly beneficial. We expected that supportive school relationships play a protective role for the school adjustment of first‐generation immigrant and refugee and non‐immigrant children, by moderating the effect of one acculturative challenge (i.e., school language proficiency). Aims: We investigated the moderating roles of teacher–child and peer relationship quality on the association between German language proficiency and school adjustment (i.e., school achievement and belongingness) among first‐generation immigrant and refugee and non‐immigrant children. Sample: We recruited n = 278 fourth grade children (Mage = 10.47, SDage =.55, 53.24% female; 37% first‐generation immigrant and refugee children). Methods: Questionnaires assessed children's reported teacher–child and peer relationship quality and school belongingness. One vocabulary test measured children's German proficiency. School achievement was assessed by their grade point average (GPA) and by a reading comprehension test. To investigate our hypotheses, we performed path analyses. Results: Teacher–child relationship mitigated the effect of German proficiency on children's reading comprehension among all children and on GPA among immigrant and refugee children only. Peer relationship buffered the negative effect of German proficiency on school belongingness. Conclusions: Teacher–child and peer relationship quality can be beneficial for the school adjustment of both first‐generation immigrant and refugee children and non‐immigrant children. [ABSTRACT FROM AUTHOR]

Background: Parent involvement strongly correlates with children's educational attainment. Sociocultural shifts in parenting roles and shared responsibilities have driven an increase in the need for involvement of fathers in activities to support their children's educational development. Several factors are thought to influence father involvement in children's education; however, the most salient factors remain unclear. Aims: To examine which variables correlate with father involvement in their children's education using a combination of demographic, parent‐related and employment‐related variance. Sample: A total of 166 fathers of at least one child aged 6–17 years and residing across five industrialized Western countries participated in an online survey. Method: Hierarchical multiple regression analysis (HMRA) was performed to examine the total and incremental variance using regression models including demographic, parenting‐ and employment‐related variables linked to educational involvement. Results and Conclusions: The variables included in the current study could explain a large and statistically significant 34% of the variability in fathers' educational involvement. Of these variables, only four were statistically significant in the final model. Specifically, fathers were more likely to be engaged in their children's education when their children were younger, and when parent self‐efficacy, positive work‐to‐family interface and financial anxiety were high. The study's findings indicate that a positive work environment can help fathers better support their children's education, offering a new focus for future interventions and policies. This includes those focused on targeting work‐related constructs to optimize family functioning. [ABSTRACT FROM AUTHOR]

Despite globalization's distributional impacts, we know little about (potentially differential) tax preferences of trade winners and losers, especially within social classes. We assess tax burden preferences to sustain public good provision using a vignette experiment with randomized tax instruments in the context of a liberalizing economy. More specifically, we analyze data from an original, randomized household survey of 1008 individuals in Sao Paulo State, Brazil, in 2019. We study preferences for increases in personal income, value-added, or corporate income taxes to improve funding for the universal health care system after Brazil adopts its free trade deal with the European Union. Findings reveal that the trade-losing poor support progressive taxes, whereas the trade-winning poor favor regressive instruments. By dividing the poor, globalization may create a barrier against more progressive fiscal strategies in emerging economies. [ABSTRACT FROM AUTHOR]

Objective: In 2018, the United States Preventive Services Task Force promoted shared decision making between healthcare provider and patient for men aged 55 to 69. This study aimed to analyze rates of prostate-specific antigen (PSA) testing across racial and ethnic groups following this new recommendation. Methods: A secondary analysis was conducted of the 2020–2021 Behavioral Risk Factor Surveillance System database to assess men aged 55 or older without a history of prostate cancer. We defined four race-ethnicity groups: non-Hispanic Whites (NHWs), non-Hispanic Blacks (NHBs), Hispanics, and Other. The primary outcome was the most recent PSA test (MRT), defined as the respondent's most recent PSA test occurring pre-2018 or post-2018 guidelines. Logistic regression adjusted for covariates including age, socioeconomic status factors, marital status, smoking history, and healthcare access factors. Results: In the age 55 to 69 study sample, NHW men had the greatest proportion of MRT post-2018 guidelines (n = 15,864, 72.5%). NHB men had the lowest percentage of MRT post-2018 guidelines (n = 965, 66.6%). With NHW as referent, the crude odds of the MRT post-2018 guidelines was 0.68 (95% confidence interval (CI) = 0.53–0.90) for NHB. The maximally adjusted odds ratio was 0.78 (0.59–1.02). Conclusions: We found that NHB aged 55 to 69 reported decreased rates of PSA testing after 2018 when compared to NHW. This was demonstrated on crude analysis but not after adjustment. Such findings suggest the influence of social determinants of health on preventative screening for at-risk populations. [ABSTRACT FROM AUTHOR]

Objectives. To (1) compare responses to 2 survey questions designed to measure sexual orientation and (2) understand how variation in responses is associated with mental health. Methods. Data were from the National Longitudinal Study of Adolescent to Adult Health (Add Health) Sexual Orientation/Gender Identity, Socioeconomic Status, and Health Across the Life Course (SOGI-SES) study (2020–2021) in the United States. We used the adjusted Wald test to compare proportions of respondents who were (1) categorized as heterosexual or straight and sexual minorities using the sexual orientation questions designed for the Add Health study and the National Health Interview Survey (NHIS) and (2) diagnosed with depression or anxiety or panic disorder. Results. The Add Health question detected more than twice as many sexual minority respondents as the NHIS question. Those who responded as sexual minorities to the Add Health question but as heterosexual or straight to the NHIS question, primarily "mostly heterosexuals," had mental health outcomes that were more like those who were consistently classified as sexual minorities versus those consistently classified as heterosexual or straight. Conclusions. Current measures of sexual orientation in national-level surveys may underestimate the sexual minority population and sexual orientation‒related health disparities. Public Health Implications. Results illustrate the need for further research to expand measurement of sexual orientation on population-based health surveys. (Am J Public Health. 2024;114(12):1375–1383. https://doi.org/10.2105/AJPH.2024.307839) [ABSTRACT FROM AUTHOR]

This study aimed to synthesize current literature regarding the impact of social vulnerability on pregnancy-related substance use detection in the United States and highlight disparities in substance use detection practices. Clinicaltrials.gov, Google Scholar, PubMed (includes MEDLINE), and Cochrane Library databases were searched using the following Medical Subject Headings (MeSH): (["pregnancy" or "prenatal"] AND ["substance use screening" or "urine toxicology testing" or "toxicology testing" or "urine drug screening" or "CRAFFT" or "4P's" or "4P's Plus" or "NIDA Quick Screen" or "DAST-10" or "SURP-P" or "WIDUS"], AND ("bias" or "disparities" or "social vulnerability"]). The search included systematic reviews, prospective and retrospective studies, randomized controlled trials, case studies, and qualitative and quantitative research from January 2014 through November 2023. Selected literature was limited to studies published in English, which included a study population of either pregnant individuals or pregnancy health care providers in the United States, and that were focused on inequities in pregnancy substance use detection. Using Covidence, three authors screened abstracts, and two screened full articles for inclusion. The included studies were evaluated for quality of evidence using the mixed methods appraisal tool. The search yielded 4,188 manuscripts; 37 were eligible for full review. A total of 18 manuscripts were included based on the relevancy of the topic. The most common social vulnerability domain identified was minority status (17/18), followed by socioeconomic status (11/18), household characteristics (8/18), and housing type (1/18). Social vulnerability plays a role in substance use detection among pregnant individuals. Most notably, race and ethnicity, age, and public insurance lead to increased rates of detection, though most individual factors need to be studied in greater depth. This study was registered with PROSPERO (PROSPERO ID CRD42022352598), the International Prospective Register of Systematic Reviews. Key Points Socially vulnerable pregnant individuals are more likely to receive substance use screening or urine toxicology testing. Race, ethnicity, age, and insurance influence substance use detection disparities. More research is needed to understand how other characteristics influence disparities in substance use detection. [ABSTRACT FROM AUTHOR]

Early exposure to socioeconomic distress is hypothesized to reinforce decision making that prioritizes immediate, relative to delayed, rewards (i.e., delay discounting); yet these relations have not been examined longitudinal across the vulnerable adolescent period. This study is one of the first to utilize objective and subjective measures to evaluate the relative effects of environmental disadvantage and the potential protective effects of perceived environmental support on delay discounting. A diverse (48.4% White; 46.7% female) sample of participants (N = 246) reported on their home addresses at baseline when they were, on average, 11.96 years old (SDage = 0.88); Youth then reported perceived environmental supports at baseline and delay discounting annually from ages 13 to 18. A socioeconomic distress index was derived from census tract rates of unemployment, income, educational attainment, and lone parenthood. Greater socioeconomic distress was associated with a greater propensity to discount delayed rewards at baseline. Findings also suggest greater perceived higher environmental support was associated with decreasing rates of delay discounting across adolescence for youth from highly socioeconomically distressed areas. These results highlight potential future avenues for preventative and intervention efforts to improve positive youth outcomes. [ABSTRACT FROM AUTHOR]

It is unclear how delay discounting and substance use develop across adolescence and whether contextual factors alter their trajectories. The present study used a longitudinal design to examine whether socioeconomic status is related to developmental trajectories of delay discounting and substance use across adolescence. The sample included 167 adolescents (Mage = 14 at Time 1; 53% male) and their parents who participated annually across four years. Parents reported SES at Time 1 and adolescents completed delay discounting behavioral assessments and substance use questionnaires at Times 1 to 4. Bivariate latent growth curve modeling revealed that low SES was related to steeper increases in substance use from age 14 through 17, mediated through elevated delay discounting at age 14. The findings clarify the mediating role of delay discounting in linking family economic environment to the progression of substance use. [ABSTRACT FROM AUTHOR]

Purpose: Macronutrient intakes vary across people and economic status, leading to a disparity in diet-related metabolic diseases. This study aimed to provide insight into this by: (1) identifying dietary patterns in adults using reduced rank regression (RRR), with macronutrients as response variables, and (2) investigating the associations between economic status and macronutrient based dietary patterns, and between dietary patterns with central obesity (waist circumference) and systemic inflammation (C-reactive protein [CRP]). Methods: 41,849 US participants from the National Health and Nutrition Examination Survey (NHANES), 1999–2018 were included. The percentages of energy from protein, carbohydrates, saturated fats, and unsaturated fats were used as response variables in RRR. Multivariable generalized linear models with Gaussian distribution were employed to investigate the associations. Results: Four dietary patterns were identified. Economic status was positively associated with both the high fat, low carbohydrate [βHighVsLow = 0.22; 95% CI: 0.16, 0.28] and high protein patterns [βHighVsLow = 0.07; 95% CI: 0.03, 0.11], and negatively associated with both the high saturated fat [βHighVsLow = -0.06; 95% CI: -0.08, -0.03] and the low alcohol patterns [βHighVsLow = -0.08; 95% CI; -0.10, -0.06]. The high saturated fat pattern was positively associated with waist circumference [βQ5VsQ1 = 1.71; 95% CI: 0.97, 2.44] and CRP [βQ5VsQ1 = 0.37; 95% CI: 0.26, 0.47]. Conclusion: Macronutrient dietary patterns, which varied by economic status and were associated with metabolic health markers, may explain associations between economic status and health. [ABSTRACT FROM AUTHOR]

The aim of our study was twofold: (1) to explore the role of value preferences on peer relations in school classes (selection effect) and (2) to explore the role of peers' values on adolescents' values (influence or socialization effect) in three types of networks (friendship, advice, and trust). To answer these questions, we used a longitudinal social network approach in a study of N = 903 adolescents (57% girls) from 34 secondary school classes in Poland. Pupils began participating in the study when they joined their secondary school and were followed over two and a half years. Panel data were collected at six measurement time points during this period. Values were conceptualized according to the values theory proposed by Schwartz and measured by the Portrait Value Questionnaire. The collection of network data followed a roster design. Pupils were asked to evaluate the strength of their friendships, as well as the frequency with which they approached peers to ask for advice about school or homework or to talk about things that are important to them in the last 2 weeks. We found empirical support for both selection and socialization effects, especially for protection values (Conservation and Self-enhancement). The selection effect was most evident in advice and trust networks and the socialization effect was particularly prevalent in friendship and trust networks. [ABSTRACT FROM AUTHOR]

We start out from Harriet Zuckerman's study of the US scientific ultra-elite of Nobel laureates, in which Robert Merton's idea of 'Matthew effects' as a key mechanism in the creation of social inequalities was first introduced. We then consider two issues arising from critical commentary on this study by Elisabeth Crawford, a historian of science. First, how far can a scientific ultra-elite be shown to exist as a collectivity that is socially distinctive? Second, how far is Zuckerman's account of the formation of the US ultra-elite trough 'bilateral associative selection' between scientific masters and their would-be apprentices historically specific to the US? In the UK case, we compare the social origins and educational careers of members of two possible scientific ultra-elites, defined by differing degrees of stringency, with those of other elite scientists. We find that as one moves from the elite to the less stringently defined ultra-elite, there is little evidence of increasing social stratification but that such evidence does emerge in moving to the more stringently defined ultra-elite. We also show through two contrasting Cambridge case studies, that the underlying social processes that Zuckerman identifies in ultra-elite formation in the US are also present in these UK contexts. [ABSTRACT FROM AUTHOR]

Based on nationally representative data from the 2019 and 2021 Chinese Social Survey, this study examined the relationship between perceptions of upward and downward social mobility (PUSM/PDSM) and political trust by using the diagonal reference model and ordinary least squares model. We found that PUSM was positively related to political trust, while PDSM was negatively related to it after excluding the influence of social positions of origin and destination. We also provided evidence that perceived fairness mediated the nexus between PUSM/PDSM and political trust. Our findings underscored the pivotal role of perceived social mobility in shaping the political trust of Chinese citizens and elucidate the micro-level psychological mechanisms underlying this relationship. Hence, we advocate for the implementation of policies geared towards fostering upward mobility and alleviating inequality, aimed at addressing potential crises in political trust. Considering the decline in overall social mobility and the exacerbation of inequality following the COVID-19 epidemic, this research holds heightened contemporary significance. [ABSTRACT FROM AUTHOR]

How does competition for school resources, along with racial and socioeconomic biases, shape parental preferences for schools? In this article, I investigate how school attributes affect preferences and choice, which sheds light on the processes that maintain school segregation. To do so, I conduct a survey experiment that explores parental preferences and the tradeoffs inherent in the process of school selection using school profiles that resemble those available on widely used education data platforms. I find that parents hold the strongest positive preferences for learning opportunities and overall school achievement compared to other attributes, including school racial and socioeconomic composition. Additionally, though parents prefer schools that have higher equity rankings, highly equitable schools are less desirable to parents than schools with more status and learning opportunities. However, parents also hold independent racial and socioeconomic preferences and —on average—avoid schools with more students of color and low-income students. Furthermore, results suggest they are largely unwilling to make tradeoffs that would result in schools with higher fractions of students of color or low-income students. Taken together, this study links prior studies on the segregating effects of educational data with literatures on school segregation by illustrating the specific dimensions that drive school choice. [ABSTRACT FROM AUTHOR]

Why do some people express optimism about their future social mobility, while others have a pessimistic view? This paper examines whether and how local wealth inequality is associated with individuals' pessimistic or optimistic expectations of their future social mobility in South Korea. It argues that people in districts with greater economic inequality will have more pessimistic views of their future upward mobility, as high local inequality raises concerns among the public that their opportunities to move up the social ladder may be receding. Using economic inequality at the local level calculated using actual real estate transaction prices in South Korea from 2011 to 2018, the empirical results confirm the negative association between local inequality and individuals' assessments of their future social mobility, particularly among residents in less affluent districts, those with low incomes, and those with a subjective awareness of belonging to a lower social class. [ABSTRACT FROM AUTHOR]

Popular explanations of inequality as the result of individual failings rather than structural processes are powerful cultural mechanisms that legitimize and reproduce inequality in the United States. How might individuals' experiences of downward or upward mobility shape the explanations they give? We argue that perceived experiences of economic mobility may not only shape how Americans understand economic inequality but may also impact their beliefs about social inequalities more broadly. Using proportionally representative survey data of 1110 U.S. residents, we find that those who perceive that they currently occupy a lower economic class than when they were growing up (i.e. they experienced subjective downward mobility) were more likely than class-stable individuals to reject individualistic explanations of economic inequality and embrace structural ones. By contrast, the upwardly mobile were more likely to reject structural explanations. We find that mobility is similarly related to the likelihood of giving individualistic or structural explanations for race and gender inequality as well. Downward mobility is also associated with greater support of redistributive policies related to economic as well as gender and race inequality. These findings suggest that economic mobility may influence popular explanations of inequality and support for redistributive policy not only related to class inequality but for multiple axes of inequality. [ABSTRACT FROM AUTHOR]

Supplemental Digital Content is Available in the Text. Introduction: Doctor of Physical Therapy (DPT) students have considerable educational debt upon graduation with suspected low levels of financial literacy, limited financial self-efficacy, and elevated stress and anxiety. The purpose of this study was to determine the relationships between financial knowledge, financial anxiety, financial stress, and financial self-efficacy with socioeconomic determinants in DPT students. Subjects: Five hundred seventy-eight DPT students, surveyed through a cross-sectional sample of convenience. Methods: Participants responded to a 40-item demographic questionnaire providing a self-assessment of their current financial literacy, financial self-efficacy, financial anxiety, financial stress, and level of general social support. Pairwise correlations were used to determine the relationship between independent variables and composite scores on self-assessment tools. Multiple regression analyses were conducted to predict financial knowledge, self-efficacy, anxiety, stress, and social support by socioeconomic indicators and educational debt status. Results: While there was a moderate, positive association between presence of debt and financial self-efficacy and financial anxiety for all students (r =.55), there was no statistically significant difference in financial knowledge, self-efficacy, anxiety, stress, or social support for students based on race/ethnicity. There was a negligible to weak correlation between financial knowledge, financial self-efficacy, and level of financial anxiety based on age, race/ethnicity, gender, socioeconomic background, debt load, risk tolerance, and retirement reflection. When subjected to multiple regression analysis, the level of education-related debt could explain a large proportion of the variance in multiple measures, including financial self-efficacy, anxiety, and stress. Economic background explained a large proportion of variance in the general social support students felt. Discussion and Conclusion: We found a strong, positive correlation between the presence of debt and financial stress and anxiety for all DPT student respondents. While there is no difference in financial literacy and self-efficacy based on race and ethnic background, there is a moderate correlation between self-efficacy and financial anxiety for all students. Education on strategies to manage debt load may reduce both factors. [ABSTRACT FROM AUTHOR]

Background: Factors associated with suboptimal interdialytic weight gain have long been established. However, the influence of cultural and linguistic diversity on interdialytic weight gain among patients receiving haemodialysis is not well‐understood. Objective: This study examined the relationship between interdialytic weight gain and cultural and linguistic diversity among patients receiving haemodialysis. Design: Retrospective cross‐sectional study. Participants and Measurements: Demographic and clinical data were collected from electronic medical records of patients receiving haemodialysis at five dialysis units. Logistic regression analysis was performed to determine factors associated with suboptimal interdialytic weight gain. Results: Two hundred and sixty‐nine patients, 62% of whom were female, with mean ± age of 65.8 ± 14.8 years, were studied. Most were from culturally and linguistically diverse backgrounds (60%) and a significant number belonged to the most disadvantaged socioeconomic group. Patients from culturally and linguistically diverse backgrounds had significantly higher relative interdialytic weight gain (2.40% ± 1.45%) compared to those from nonculturally and linguistically diverse backgrounds (1.83 ± 1.09%) (mean difference: 0.57%, 95% CI: 0.25–0.90, p = 0.001). Being from culturally and linguistically diverse backgrounds was associated with increased odds of higher relative interdialytic weight gain (OR: 2.40; 95% CI: 1.38–4.17, p < 0.01). Conclusion: Among patients on maintenance haemodialysis, individuals from culturally and linguistically diverse backgrounds had higher interdialytic weight gain compared to those from nonculturally and linguistically diverse backgrounds. Future research focusing on co‐developing culturally sensitive interventions to improve self‐management capability of patients on maintenance haemodialysis from culturally and linguistically diverse backgrounds is needed. [ABSTRACT FROM AUTHOR]

This article applies an ecocritical approach to the analysis of the nature/culture divide in Oscar Wilde's "The Young King" and "The Star-Child". These two tales contrast the realm of nature, embodied in the forest, and the realm of civilisation, represented by the city. Both stories focus on the protagonists' journey from wilderness to the city, where not only do they need to become civilised subjects, but they are expected to govern as kings. This physical journey is matched by an internal one since both characters simultaneously undergo a transition from an animal-like state to a human one. I argue that these tales' use of the nature/culture and animal/human dichotomies is closely connected to Wilde's reflections about the Victorian social class system included in The Soul of Man under Socialism. Class struggle is indeed a major preoccupation in traditional folktales, where protagonists tend to magically escape from an initial disadvantaged position. Applying an ecocritical perspective to "The Young King" and "The Star-Child" helps to illustrate how these two tales manage to question the legitimacy of the hierarchical social structure by blurring the lines that separate the civilised subject from the animal one. [ABSTRACT FROM AUTHOR]

In this article, childhood is conceptualised in relation to the geography and materiality of place, the navigation of public space and the ways in which places and spaces are experienced. The article compares two middle-class girlhoods – in the 1920s and the late 1940s/early 1950s, respectively. The girls, Jo and Julia, shared a family ancestry (aunt and niece) and a similar experience of place; they lived in the same part of North London. Both were eldest children and both had parents in middle-class occupations though in different sectors. The article examines the geography and housing of the two girls’ childhoods at particular periods of history, their negotiations of, and mobilities in, public space, and the ways in which they experienced place and public spaces. To do this it draws on personal diaries written in Jo’s teenage years and on Julia’s memories of growing up in an earlier life course phase that are recollected in late adulthood. [ABSTRACT FROM AUTHOR]

Aim: Birth order, sibship size, breastfeeding, daycare attendance, and delivery method are known to influence the development of gut microbiota and the immune system, affecting the risk of many infectious diseases. This study aims to explore the impact of these factors, along with socioeconomic background and familial factors, on gingivitis and oral hygiene practices in early adulthood among the Turkish population. Materials and methods: Patients were diagnosed using periodontal clinical and radiographic assessments, adhering to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The study included 18-year-old individuals diagnosed with either generalized gingivitis or clinical gingival health. Data collected included sociodemographic factors, birth order, sibship size, delivery methods, breastfeeding duration, daycare attendance, and oral hygiene behaviors. Binary logistic regression was employed to analyze the associations between these factors and the presence of generalized gingivitis. Results: A total of 178 individuals were evaluated, including 124 with generalized gingivitis and 54 with clinical gingival health. Daycare attendance was significantly associated with gingival health. Among those with gingival health, 55.6% had attended daycare, whereas only 29% of participants with generalized gingivitis had attended daycare. Conversely, 71% of those with generalized gingivitis did not attend daycare, compared to 44.4% in the gingival health group (p = 0.001). Univariate logistic regression identified a significant association between daycare attendance and a reduced risk of generalized gingivitis (Odds Ratio [OR] = 0.327, p = 0.001). Later birth order was associated with a reduced risk of gingivitis (OR = 0.470, p = 0.037). Sibship size, delivery methods, and breastfeeding duration showed no clear associations with gingivitis (p > 0.05). Conclusions: The findings indicate a potential association between oral health status in adulthood and early childhood exposures, such as daycare attendance and birth order. Further research is necessary to confirm these associations and elucidate the mechanisms involved, even though these factors may contribute to gingival health in early adulthood. These insights may enhance our understanding of how early-life exposures relate to oral health outcomes and suggest that considering such factors could be beneficial in future oral health management strategies. Trial registration: Trial registration is also available at clinicaltrail.gov. Clinical Trials-ID: NCT06240247. Registration Date: 22.01.2024. [ABSTRACT FROM AUTHOR]

Northern Thailand and its neighbouring regions are home to several minority ethnic groups known as hill tribes, each with their own language and customs. Hill tribe communities live mostly in remote agricultural communities, face barriers in accessing health, and have a lower socio-economic status compared to the main Thai ethnic group. Due to their increased risk of infectious diseases, they are often participants in our research projects. To make sure our work is in line with the interests of hill tribe communities and respects their beliefs and customs, we set up a hill tribe community advisory board. We consult the members before, during, and after our projects are carried out. This manuscript recounts how we set up the community advisory board and our reflections following one year of activities. Our experience strongly supports engaging with community advisory boards when working with minority ethnic groups in lower and middle-income settings. In particular, we found that over time, as researchers and members familiarise with one another and their respective environments, exchanges gain meaning and benefits increase, stressing the advantages of long-term collaborations over short or project-based ones. [ABSTRACT FROM AUTHOR]

Changes in the social mobility of men in Scotland between the late‐19th and the late‐twentieth century are examined using new individual‐level data from nineteenth‐century censuses, linking records of men aged 0–19 in 1871 to their records in 1901, and then comparing their patterns with the social mobility of men aged 30–49 in 1974 and in 2001 as recorded in social surveys at these dates. The extent of social mobility in the nineteenth century was large. In particular, the social origins of people in the highest classes—the salariat—were very varied, indicating a society that was more open than is sometimes supposed. There was a slow growth in social mobility between then and 2001. In both periods, class inheritance—sons in the same social class as their father—was strongest in the economically declining sectors, which were agriculture and fisheries in 1901 and industry in 1974 and 2001. In the 1901 data, however, the transition to a non‐agricultural economy induced strong outward mobility from agriculture. [ABSTRACT FROM AUTHOR]

In the 1960s, people across the West started imagining that they were in a societal transition. Crucially, in these future-oriented discussions, social class was often transformed into educational attainment as the main dividing line. These future studies garnered attention across the political spectrum, including the Swedish Conservative Party. This article aims to investigate the Conservative Party’s considerations on the societal and future role of education during the 1960s and 1970s. I show how the Conservative Party was one of the first proponents in articulating visions of the post-industrial society in Sweden. It saw the societal changes it brought about as its chance to realign the electorate and the political landscape in its favour. The educated voter was constructed by the Conservative Party as a new leading class in a society centred around education. The article contributes to the history of educational ideas of the 1960s and 1970s, educational classifications, futurology and post-industrial ideas. [ABSTRACT FROM AUTHOR]

Social class researchers in social psychology have pushed the field to become more focused on and attentive to the critical role of sociocultural contexts. In this article, we label and articulate the key ingredients of the approach that many social psychological researchers have come to use: what we refer to as a social‐class‐in‐context perspective. This perspective means attending to the contextual differences in resources that create social class differences in psychology and behavior. We also suggest some additional steps that researchers can take to become even more attentive to and responsive to the important role of contexts in creating social class. As a first step, we suggest the importance of adopting a definition of social class that directly explicates its relationship to similar constructs, such as power and status, and also links it to the contexts that produce it. Second, building on this definition of social class, we then describe the importance of taking a multi‐level approach to understanding how different social class contexts shape psychology and behavior. Finally, we articulate the important implications and future directions that emerge from intentionally adopting this perspective. [ABSTRACT FROM AUTHOR]

Purpose: To identify barriers and facilitators to accessing post-stroke rehabilitation services six months after discharge from the stroke unit of a Brazilian public hospital. Materials and Methods: This cross-sectional and descriptive study collected sociodemographic and clinical-functional data during hospitalization. Then, barriers and facilitators for accessing the post-stroke rehabilitation services were collected six months after discharge. We considered economic conditions and displacement, the quality and organization of post-stroke rehabilitation services, and personal conditions. Results: A total of 174 patients were included. Among the 20 aspects analyzed, 17 (85.0%) were reported as facilitators, while three (15.0%) were as barriers. The identified barriers included financial income available for healthcare (49.4%), waiting time to schedule or to be seen (47.0%), and process to scheduling (45.4%). The main facilitators (> 79.0%) were the expectation of the patient with the treatment and assistance from family and friends. Moreover, most patients indicated as facilitators all aspects related to the quality of post-stroke rehabilitation services. Conclusion: Access to post-stroke rehabilitation services presented more facilitators than barriers. Public policies to subsidize health costs, optimize waiting time, and process for scheduling post-stroke rehabilitation services should be considered to reduce barriers. Likewise, human and financial resources must promote the facilitators. Implications for Rehabilitation: Public policies to subsidize health costs, optimize waiting times and scheduling in post-stroke rehabilitation services should be considered to facilitate access to rehabilitation services for post-stroke patients. The involvement of family and friends in the treatment of post-stroke patients should be encouraged. Patients' motivation and positive expectations can facilitate access to post-stroke rehabilitation services. [ABSTRACT FROM AUTHOR]

Purpose: Asian children and youth with disabilities often experience multiple barriers and discrimination in education, healthcare, and social settings, which influence their well-being, especially the transition to adulthood. This review aims to explore the types, factors affecting and impact of ableism on Asian children and youth with disabilities and their caregivers. Methods: We conducted a systematic review and a narrative synthesis whereby we searched the literature from six international databases, including Healthstar, Ovid Medline, Embase, PsycInfo, Scopus, and Web of Science. Results: Twenty-nine studies were included in the review, and three themes were identified that related to ableism: (1) types and rates of ableism (i.e., stigma, bullying and victimization, and discrimination and inequalities); (2) factors affecting ableism (i.e. sociodemographic factors, familial factors, and societal factors); and (3) impacts of ableism (i.e. mental health, family impacts, and societal impacts). Conclusions: Our review highlights that ableism has various types and can be influenced by multiple factors, influencing social and health outcomes of Asian families with children and youth with disabilities. This review also emphasizes the importance of increasing the public's awareness regarding disabilities to reduce ableism among Asian families with children with disabilities. Implications for Rehabilitation: Asian children and youth with disabilities often experience bullying and victimization, therefore it is necessary to develop educational materials to raise awareness of disabilities. Healthcare providers should consider developing more educational programs for caregivers to reduce self-stigma and affiliate stigma and promote mental health. Healthcare service providers should consider creating and implementing more inclusive programs to reduce health disparities and the influence of socio-demographic factors. [ABSTRACT FROM AUTHOR]

Background: Physical inactivity has been identified as a risk factor for pain. Objective: The main objective was to analyze the relationships between leisure time physical activity frequency (PAF) and pain prevalence, pain level, pain impairment, daily life pain impairment, and analgesic use in Spanish adults. In addition, risk factors such as sex, body mass index, marital status and social class were assessed for these pain variables in addition to PAF. Method: Cross-sectional study based on data from the 2014 and 2020 European Health Surveys in Spain residents. The Chi-square test was used to analyze the relationship of dependence between the variables of interest. A correlation study calculating Spearman's rho and a multiple logistic regression were performed to assess risk factors for pain variables. Results: 20,113 and 19,196 subjects with a median age of 49 and 52 years old in 2014 and 2020 European Health Surveys, respectively, were analyzed. Dependence relationships were found between PAF and pain variables (p<0.001). The prevalence of: pain, high levels of pain, pain impairment, high level of pain impairment and use analgesic were higher in the inactive population than in the rest of the PAF levels (36.7–53%) vs (18.6–44.3%), p<0.05. Weak correlations were found between PAF and pain variables (-0.177 ≤ Rho ≤ -0.107) (p<0.001). Logistics regression show that being active or very active reduces the odds of pain, the intensity of pain and being affected in daily activities due to pain by 0.524 to 0.776 times. Likewise, being active or very active reduces the odds of taking pain medication by 0.661 to 0.755 times. Also age, low social class, being a woman, and being obese increase of odds of pain, pain affectation and use of analgesics in both surveys by 1.008 to 2.202 times. Conclusions: Physical inactivity was related to a higher prevalence of: pain, higher levels of pain, higher pain involvement and higher analgesic use. In addition, lower social class, being female, older age, and obesity were factors for higher odds of pain, pain involvement, and analgesic use in both surveys. [ABSTRACT FROM AUTHOR]

Background: Subjective socioeconomic status (SES), an individual's beliefs about his or her social class, is anticipated to be related to future orientation. This study proposed a moderation model to examine the relationship between subjective SES on future orientation and the protective role of low fatalism. Methods: Two studies were conducted to test the proposed model. Specifically, in Study 1, the structured questionnaires were administered to a sample comprising 217 Chinese participants (192 females, Mage = 18.24 ± 0.63). In Study 2, the structured questionnaires and an Imaginative Scenario Test were administered to collect data among 244 Chinese participants (167 females, Mage = 18.44 ± 0.73). Regression analyses were used to explore the moderating role of fatalism in the association between subjective SES on future orientation. The Bootstrap methods were used to test the significance of these moderating effects. Results: The results revealed two primary findings: (1) Fatalism moderated the pathway from subjective SES to future orientation. Specifically, low fatalism served as a protective factor, making low subjective SES less disruptive to their future orientation. (2) The moderating effect was primarily attributed to the "luck dimension", which was the belief that luck plays a pivotal role in determining one's fate. Conclusions: The findings contribute to enriching the current understanding of the subjective SES on future orientation and the protective role of low fatalism. [ABSTRACT FROM AUTHOR]

Background: Residents' sense of social class identity is of great significance for enhancing self-happiness and maintaining social stability. As a spiritual force, religious beliefs can significantly influence residents' subjective perceptions. Methods: Based on this, using data from the 2021 Chinese General Social Survey (CGSS 2021), this paper explores the impact of religious beliefs on residents' sense of social class identity through the probit model and Ordinary Least Squares (OLS) method, and analyzes potential mechanisms. Results: The baseline regression results indicate that religious beliefs significantly enhance residents' sense of social class identity(p < 0.05), a conclusion that holds true even after rigorous robustness tests. Furthermore, female residents(p < 0.05), residents with lower education levels(p < 0.05), and those who believe in domestic religions(p < 0.05) exhibit higher social class identification compared to those who believe in foreign religions. Mechanism analysis suggests that economic capital and social capital play mediating roles, indicating that religious beliefs enhance the economic(p < 0.01) and social capital of believers(p < 0.01), thereby increasing their sense of social class identity. Conclusions: Therefore, this paper suggests respecting residents' religious beliefs, while religious organizations should actively adapt to the needs of social development, providing spiritual comfort and moral guidance to residents. [ABSTRACT FROM AUTHOR]

In this article we explore caring practices for older persons from multiple care perspectives related to organizing home-based care. We employed a scoping review method and searched 5 electronic database using relevant key words and identified 62 articles for codebook thematic analysis. Our analysis identified 6 key themes in older people's care: gender issues; socio-economic status; psychological; cultural issues; elder abuse; and legal, ethical, and human rights concerns. Findings show that despite notable research progress made in recent years on home-based care for older people, research gaps still exist. Researchers and practitioners are encouraged to consider viewing home-based care for older people from multiple perspectives to ensure a holistic understanding of an individual's needs and circumstances and organize care accordingly. Future research and practice should seek to understand the lived experiences of care givers and receivers from multiple care perspectives, to help inform responsive and effective home-based care policies and programs. [ABSTRACT FROM AUTHOR]

Background: This study investigates breast cancer screening disparities among Mexican immigrant women in rural and urban U.S. communities, focusing on cultural beliefs, healthcare access, and geographical differences. Methods: A cross-sectional study of 350 Mexican immigrant women aged 40+ without prior cancer diagnosis was conducted in rural (<2000 population) and urban parts of the U.S. in 2015. Culturally tailored surveys during household visits, clinic appointments, and community meetings assessed cultural beliefs, mammography engagement, and family support. Comparative analyses t -tests and chi-square tests were conducted, with significance set at P <.05. Results: Rural women demonstrated higher adherence to spiritualismo (M = 4.31, SD = 1.13) compared to their urban counterparts (M = 3.91, SD = 1.36), marianismo (M = 3.33, SD = 0.45 vs M = 3.21, SD = 0.48), and machismo (M = 3.02, SD = 0.52 vs M = 2.80, SD = 0.61). The rural women also reported higher mammography rates (54.4% vs 45.6%), with 60.4% undergoing four or more mammograms. Despite barriers such as doctor non-recommendation (55.0% rural vs 45.0% urban) and embarrassment (67.9% rural vs 32.1% urban), rural women engaged more in family discussions about cancer screenings (61.7% vs 38.3%) and received more family assistance in finding health information (59.8% vs 40.2%). Conclusions: This study elucidates significant rural-urban disparities in cultural adherence and family support among Mexican immigrant women, underscoring the necessity for culturally tailored interventions to enhance breast cancer screening rates and health outcomes. [ABSTRACT FROM AUTHOR]

Background: This study aims to evaluate the 5-year impact of a Health Empowerment Program (HEP) on mitigating problematic conducts and enhancing the health-related quality of life (HRQOL) among children living in poverty. Methods: A prospective cohort study (N = 239, Intervention group: n = 124, Comparison group: n = 115) was established with participants recruited between July 2013 and March 2016 and followed until November 2021. During the 5-year study period, children and their parents from the intervention group were invited to join a multi-dimensional HEP. At baseline and follow-up, both intervention and comparison groups were assessed using the Chinese Strengths and Difficulties Questionnaire (SDQ) and Chinese Child Health Questionnaire Parent Form 28 (CHQ-PF28). Multiple linear regressions were conducted to identify changes in outcome variables as the effect of the HEP. Results: Upon completion of the 5-year follow-up, children in the intervention group showed a larger decline in conduct problems (B = − 0.66, p <.001), hyperactivity inattention (B = − 0.67, p =.005), and total difficulties score (B = − 1.89, p =.002) of SDQ, a greater increase in prosocial behavior of SDQ (B = 0.53, p =.040), and more substantial enhancement in CHQ-PF28's psychosocial summary score (B = 2.75, p =.017) compared to the comparison group. Conclusions: HEP is effective in mitigating behavioral problems and improving psychosocial HRQOL of children of low-income families, as evident by this 5-year cohort study. Trial Registration: This study received approval (UW 12–517) from the Institutional Review Board of the University of Hong Kong/Hospital Authority Hong Kong West Cluster. [ABSTRACT FROM AUTHOR]

Despite the increasing morbidity and mortality associated with fungal diseases in low-income and sub-Saharan Africa countries, it is apparent that most of the fungal pathogens involved have been omitted from the dilated list of neglected and emerging tropical diseases (NETDs). Because most of these pathogens are inextricably linked with other underlying diseases such as tuberculosis and AIDS, the main fungal pathogens causing diseases viz. Pneumocyctosis and meningitis are categorized as deadly AIDS-associated opportunistic infections, and they most often coexist with tuberculosis. In addition, other infections like candidiasis, keratitis, histoplasmosis, and mycetoma often cause deforming and debilitating illnesses that affect the working class in rural communities, largely due to underlying comorbidities. Inadequate diagnostic tests prevent easy identification of the burden associated with these diseases making treatment very difficult. Likewise, the rise of resistance to most antifungal medications currently accessible in Africa is still extremely concerning, as observed in other locations. To expatiate on the destructive impact of fungal infections on the socioeconomic and health status of sub-Saharan Africa's skint populace and to improve the menace posed by these pathogens, there is a need to stop trivializing and underestimating fungal pathogens of health importance. This viewpoint is intended to revisit threats associated with neglected, emerging, and re-emerging fungal pathogens (NEFPs) in sub-Saharan Africa. As a result, information needed to prioritize strategies for the diagnosis, prevention, and control of neglected fungal pathogens and emerging superbugs will be presented. Revisiting threats and possible diagnoses associated with NEFPs could serve as a better leverage toward curbing the effects of opportunistic pathogens on individuals living with either an underlying health condition or impaired immunological status in sub-Saharan Africa/ low-income countries. Article Highlights: Structural presentation of deforming and debilitating illnesses associated with NEFPs. Reassessment of important therapeutic antibodies against NEFPs. Improved diagnostic methods for the diagnosis, prevention, and control of neglected fungal pathogens and emerging superbugs. [ABSTRACT FROM AUTHOR]

Transnational motherhood and Latin-American migrants in the U.S. have been explored in the literature primarily in the context of labor migration and marginalized identities. Existing research delves into how mothers negotiate the challenges and opportunities posed by migration in their parenting journeys. However, scholars advocate to look closer at how the social location of individuals create specific sets of experiences. Using the lenses of transnationalism and translocational positionalities, I look at the motherhood identities of 32 mothers in the U.S. who belong to higher socioeconomic levels in Colombia. I find that through their motherhood practices and discourses, participants perform class distinctions to distance themselves from negative stereotypes associated with migrants from Latin America and white U.S. American culture. Addressing the nuances of motherhood, class, and race within the context of migration is a step toward understanding how identities and ideologies transcend transnational boundaries and the role they play in simultaneously fostering and hindering social inequalities. [ABSTRACT FROM AUTHOR]