生态贫困视角下的贫困县多维贫困综合度量

作为国家扶贫开发决策实施的重要单元,贫困县贫困程度及其致贫原因的识别和评估是国家“精准扶贫”战略实施的前提和保障.本文从生态贫困的视角,设计了顾及自然环境-经济-社会可持续协调发展的县级别多维贫困度量指标体系,构建基于贫困指数-最小方差模型(PI-MVM)的县级多维贫困度量模型,以6个连片特困区的249个县为典型研究区,系统揭示片区-县级层面上的贫困程度、致贫原因及其空间分布特征.结果显示: 各片区的综合贫困程度由北向南逐渐加重,各片区县存在“从北向南、从东到西,贫困程度逐渐加重”的趋势;乌蒙片区西部、秦巴片区西北部各县贫困程度的高-高聚集现象突出;秦巴中南部以及乌蒙片区受自然环境因素影响较大,贫困程度较深.一般致贫型片区县较多,主导致贫型片区县聚集在贫困程度较低的片区;经济因素对贫困的缓解作用逐渐下降,自然环境、社会发展因素的影响逐渐明显.研究结果可以更加精准地全面把握贫困县的贫困区划特征,为指导研究区早日脱贫提供辅助决策技术支撑.     

Women's social power, child nutrition and poverty in Mali

While the macro-level association between poverty and child malnutrition is well-established, the concept of 'poverty' and its operationalization in terms of measures of socioeconomic status shed little or no light on the mechanisms through which malnutrition is created and/or prevented. This paper investigates a woman's social power, one such mechanism that may mediate the impact of poverty on childhood nutrition. This micro-level factor is examined using survey data on 402 children 5 years of age and younger and their 261 Fulbe mothers in rural Mali. A conceptual model of social power is developed and used to test the hypothesis that a mother's social power can predict her child's nutritional status.     

Polygyny and child survival in West Africa

This study examines the relationship between polygyny and child survival in light of conflicting findings reported in a number of studies. Using data from the Demographic and Health Surveys from six West African countries, the risks of neonatal, postneonatal, and overall infant mortality are estimated. Controlling for a set of social and bio-demographic factors, it is found that substantial risks of mortality are associated with polygyny. A separate analysis explores the possibility that polygyny's impact could differ from country to country. No significant interaction effects are detected, leading to the conclusion that regardless of the country in which it is practiced, polygyny still poses a challenge to the survival chances of West African children.     

Adequacy of dietary intakes and poverty in India: Trends in the 1990s

Linear programming methods, indicators of nutritional adequacy from the Indian Council of Medical Research and household expenditure survey data from the National Sample Survey Organization were used to construct poverty lines for India. Poverty ratios were calculated for 1993--1994 and 1999--2000 on the basis of nutritional adequacy poverty lines and compared to official estimates of poverty based on energy requirements. Nutritional adequacy poverty lines are higher than official poverty lines, particularly in rural areas. The application of nutritional adequacy poverty lines points to greater rural-urban poverty differences than in official estimates. Declines in rural poverty during the 1990s were also slower under the nutritional adequacy definition, especially in south India. There is a greater degree of rural-urban and regional bias in nutritional adequacy poverty reduction than suggested by official data. Inter-state variations in changes in nutritional poverty and official poverty in the 1990s are largely explained by differences in assumptions on overall price movements. However, relative price movements in food items also played a role, particularly the slow increase in prices of cereals and edible oils in comparison to the prices of pulses, and in some southern states, compared to milk and vegetable prices as well.     

Mate selection and its impact on female marriage age, pregnancy wastages, and first child survival in Tamil Nadu, India

Marriage in Indian society is a religious duty. Consanguineous marriage is common, where individuals prefer to marry within their clan (a unilateral kin group based on either matrilineal or patrilineal descent). Keeping in mind that this form of marriage has certain disadvantages for social and biological as well as demographic aspects of individuals and families, the present study examines the influence of mate selection (i.e., close relatives, distant relatives, not related) on female age at marriage, pregnancy wastages, and survival status of the first child. The study was designed based on the information collected on a sample size of 3,948 married women aged 13-49 in Tamil Nadu, India, by the National Family Health Survey (NFHS), 1992. Results suggest that 48 per cent of women in Tamil Nadu marry their relatives. This practice of marrying relatives is high in rural areas, among Hindus, Scheduled Castes/tribes, and illiterate women as compared to urban areas, among non-Hindus, non-SC/ST, and educated women, respectively. The bivariate analysis reveals that women marrying their close relatives had low age at marriage and experienced a higher per cent of pregnancy wastage and child loss (first child) as compared to those women marrying their distant relatives or nonrelatives. The result is found to be consistent even after controlling for selected background variables through multivariate techniques (applied separately for age at marriage, pregnancy wastages, and the survival status of first child). Hence, this study suggests that steps should be taken to inform people about the problems of marrying close relatives through appropriate IEC programs in Tamil Nadu.     

The life-history trade-off between fertility and child survival

Evolutionary models of human reproduction argue that variation in fertility can be understood as the local optimization of a life-history trade-off between offspring quantity and ‘quality’. Child survival is a fundamental dimension of quality in these models as early-life mortality represents a crucial selective bottleneck in human evolution. This perspective is well-rehearsed, but current literature presents mixed evidence for a trade-off between fertility and child survival, and little empirical ground to evaluate how socioecological and individual characteristics influence the benefits of fertility limitation. By compiling demographic survey data, we demonstrate robust negative relationships between fertility and child survival across 27 sub-Saharan African countries. Our analyses suggest this relationship is primarily accounted for by offspring competition for parental investment, rather than by reverse causal mechanisms. We also find that the trade-off increases in relative magnitude as national mortality declines and maternal somatic (height) and extrasomatic (education) capital increase. This supports the idea that socioeconomic development, and associated reductions in extrinsic child mortality, favour reduced fertility by increasing the relative returns to parental investment. Observed fertility, however, falls considerably short of predicted optima for maximizing total offspring survivorship, strongly suggesting that additional unmeasured costs of reproduction ultimately constrain the evolution of human family size.     

虑及生态环境的十四片区贫困县多维贫困度量

贫困县监测作为新阶段国家扶贫战略格局的重要组成部分,也是国家“精准扶贫”战略实施的前提和保障.本研究充分考虑片区内脆弱生态环境与经济贫困的共生共存关系,以全国14个集中连片特困区内的724个县为研究区,设计体现经济状态(贫困表象)、社会状态(生活保障能力)和生态环境状态(区域发展潜在能力)的县级多维贫困度量指标体系,多尺度多角度分析贫困县的贫困程度、贫困类型、致贫原因及其空间分布特征.结果表明: 研究区内各县贫困程度为较低贫困和中度贫困多、低度贫困和高度贫困少的 “橄榄型”分布结构;空间上表现为西高东低的“阶梯状”异质性格局,同时存在不同量级、“星点”式贫困核心,贫困县多维贫困存在较强的全局空间依赖性,局部呈现为高-高与低-低集中式分布、高-低与低-高离散分布;胡焕庸线两侧的贫困分布特征差异明显;七因素综合型贫困县数量最多,区位优势、地形条件、扶贫绩效等是影响减贫发展的显著性因素,生态环境恶化、自然禀赋恶劣所导致的生态贫困已经成为我国大部分地区贫困的区域性特征.     

Health care utilization, socioeconomic factors and child health in India

This paper models the proximate determinants of height, weight and haemoglobin concentration of over 25,000 Indian children using data from the National Family Health Survey-3. The effects of public and private health care service utilization, food consumption patterns and maternal health status on child health were investigated in a multidisciplinary framework. Methodological issues such as potential endogeneity of explanatory variables and the appropriateness of combining height and weight as the body mass index were tackled. The results from models for children's heights and weight showed beneficial effects of child vaccinations against DPT, polio and measles, and negative effects of not utilizing government health facilities. The models for children's haemoglobin concentration indicated beneficial effects of food consumption patterns and treatment against intestinal parasites. The results provide several insights for improving child health in India.     

Cancer pattern and survival in a rural district in South India

Background: Cancer pattern data are rare and survival data are none from rural districts of India. Methods: The Dindigul Ambilikkai Cancer Registry (DACR) covering rural population of 2 millions in Dindigul district, Tamil Nadu state, South India, registered 4516 incident cancers during 2003–2006 by active case finding from 102 data sources for studying incidence pattern, of which, 1045 incident cancers registered in 2003 were followed up for estimating survival. House visits were undertaken annually for each registered case for data completion. Cancer pattern was described using average annual incidence rates and survival experience was expressed by computing observed survival by actuarial method and age-standardized relative survival (ASRS). Results: The average annual age-standardized rate per 100,000 of all cancers together was higher among women (62.6) than men (51.9) in DACR. The most common cancers among men were stomach (5.6), mouth (4.2) and esophagus (3.7). Cervical cancer (22.1) was ranked at the top among women followed by breast (10.9) and ovary (3.3). DACR incidence rates were lesser by at least two folds and 5-year survival were on par or lower than Chennai metropolitan registry for most cancers. Five-year age-standardized relative survival (%) in DACR was as follows: all cancers (29%), larynx (48), mouth (42), breast/tongue (38) and cervix (37). Conclusion: Cancer incidence was significantly lower, cancer patterns were markedly different and population-based cancer survival was lower in rural areas than urban areas thus providing valuable leads in estimating realistic cancer burden and instituting cancer control programs in India.     

Son preference and child replacement in Bangladesh: a new look at the child survival hypothesis

Birth history data from women in the 1975-76 Bangladesh Fertility Survey were used to search for intentions to replace dead children. The median intervals between successive births of orders (i) and (i + 1) were not shorter when some siblings of orders below (i) had died. Nor was the median duration between the death of a child and the first posthumous birth shorter when the dead child was a boy or when it was survived by fewer than two brothers. The median intervals were generally shorter when the mother lived in an urban rather than a rural area but this difference was attributable only to the shorter duration of breast-feeding by urban women. These results disputed the notions that the timing of births was deliberately quicker to replace a dead child, that attempts at replacement were sex-selective, or that child replacement intentions were stronger in urban than in rural populations.     

Infant and child mortality in three culturally contrasting states of India.

Using cross-sectional, individual-level survey data from Maharashtra, Tamil Nadu and Uttar Pradesh collected under the Indian National Family Health Survey programme of 1992-93, statistical modelling was used to analyse the impact of a range of variables on the survival status of children during their first 2 years of life. Attention was focused on the potential impact of the mother's autonomy. The strongest predictors of mortality were demographic and biological factors, breast-feeding behaviour, and use and knowledge of health services. Variables that can be interpreted as being related to maternal autonomy, such as the presence of a mother-in-law in the household, did not have a significant direct effect on child survival at the individual level, and their indirect effects were very limited.     

Grandpaternal care and child survival in a pastoralist society in western China

Human parents require significant support to raise multiple, highly dependent offspring. Grandmothers are often highlighted as key allomothers (non-maternal caregivers) and their presence is frequently associated with increased child survivorship, leading some to describe humans as cooperative breeders. Equally well documented is the diversity of human childcare systems, where a wide range of individuals support parents including male kin. However, the role of grandfathers has been less well documented, and they seem to have an inconsistent relationship with child survivorship, dependent on socio-ecological factors. Here, we explore the relationship between grandparental allomothering and child survivorship using demographic and time budget data from a pastoralists community in western China. We find that under-five mortality is negatively associated with grandpaternal, but not grandmaternal, living status. Pastoralists in Maqu have recently transitioned from mobile to half-settled livelihoods in which women are more economically active than males. As a result, women's childcare workloads have decreased, while older men (who are excluded from the household economy) supervise children. Our results suggest that patterns of childcare are flexible and highlight the need to consider social and ecological factors to understand allomothering and child survival.     

Effect of child survival on contraceptive use in Bangladesh.

A study in Bangladesh showed that couples who lost a child often stopped practising contraception in order to have another child. Logistic regression analysis revealed that contraceptive continuation was related to maternal age, parity, husband's education and the sex of the last child.     

Parents' age at birth of their offspring and child survival

This study presents some new results on parental age as a risk factor for child survival. The study is based on individual registration forms for live births and infant deaths collected in Hungary from 1984 to 1988. Logistic regression models have been fitted for early neonatal and neonatal mortality on the one hand, and post-neonatal mortality on the other hand. Children of older males and females have significantly higher early neonatal and neonatal mortality rates compared to those of younger males and females. The impact of age of both parents remains, however, slighter than that of other biological characteristics such as previous number of fetal deaths, induced abortions, or live births. The authors discuss possible biological explanations.