Child growth and the economic value of children in rural Bolivia

Previous investigations have yielded contradictory conclusions concerning the importance of the economic contribution of children to households in agricultural societies. The present study evaluates the significance of children 's economic input in rural Ancoraimes, Bolivia by using child growth as an indirect indicator of the economic value of children. Children whose households differed in size and age composition were compared on the basis of five anthropometric measurements. Children from households with many young, nonproducing children were found to be significantly smaller for their age than children from households with few nonproducing children. Absolute household size had no major effect on child growth. While young children have a negative effect on the growth of children in the household, the positive effect of children as they grow older appears to make up for this loss. In terms of child growth, children are neither a net liability nor a net asset to agricultural households in Ancoraimes.     

Everyday Politics of (In)formal Marital Dissolution in Cambodia and Indonesia

Placing contemporary marriage and its dissolution at its heart, this paper explores rural women's experiences of customary and legal unions in Cambodia and Indonesia. We contend that women's navigation in-between ‘informal’ ethics and morals versus ‘formal’ state-sponsored legal doctrine constitute a form of ‘everyday politics’ that has been unduly neglected. Critiquing the taken-for-granted nature of marriage in academic scholarship, we show how the axiomatic notion that marriage registration is inherently beneficial to women is complicated by the nonlinear and mobile trajectories of conjugality in our two case study communities. In turn, we call for marriage and its breakdown to receive more sustained and nuanced analysis as the primary unit of Southeast Asian life.     

Pyrazinamide Resistance,Mycobacterium tuberculosis Lineage and Treatment Outcomes in San Francisco,California

Background

Pyrazinamide (PZA) is a first line agent for the treatment of active tuberculosis. PZA is also considered a potent companion drug for newer regimens under development. There are limited data on the demographic, clinical, and pathogen characteristics of PZA resistant tuberculosis.

Methods

Using a retrospective cohort study design, we evaluated all PZA resistant M. tuberculosis (M.tb) and M. bovis cases reported in San Francisco from 1991 to 2011. Demographic, clinical, and molecular data were analyzed. M.tb lineage was determined for all PZA resistant strains and compared to PZA susceptible strains.

Results

PZA resistance was identified in 1.8% (50 of 2,842) of mycobacterial isolates tested, corresponding to a case rate of 0.3 per 100,000 in the population. Monoresistant PZA infection was associated with the Hispanic population ([OR], 6.3; 95% [CI], 1.97–20.16) and 48% of cases were due to M. bovis. Infection with monoresistant PZA was also associated with extrapulmonary disease ([OR], 6.0; 95% [CI], 2.70–13.26). There was no statistically significant difference between treatment failure and mortality rates in patients infected with PZA monoresistance compared to pansusceptible controls (4% vs. 8%, p = 0.51), or those with PZA and MDR resistance (PZA-MDR) compared to MDR controls (18% vs. 29%, p = 0.40). PZA resistance was not associated with M.tb lineage.

Conclusions

Across two decades of comprehensive epidemiologic data on tuberculosis in San Francisco County, PZA resistance was uncommon. PZA resistance caused predominantly extrapulmonary disease and was more common in Hispanics compared to other ethnicities, with nearly half the cases attributed to M. bovis. No association was found between PZA monoresistance and M.tb lineage. Treatment outcomes were not adversely influenced by the presence of PZA resistance.     

Current Status and Tasks of Child,Developmental, and Educational Psychology

In the period between the Fifth and Sixth Congresses of the All-Union Society of Psychologists (1978-1983), child, developmental, and educational psychology-indeed, all Soviet psychology-successfully developed in accordance with the historic ideas and resolutions of the 26th Congress of the CPSU.     

Investigations on Educational and Child Psychology in Armenia

The leading Soviet psychology journal, Problems of Psychology, which is a major source of articles for this journal, regularly contains summary articles on research. Sometimes these reviews summarize a particular topic of research (e.g., programmed instruction); sometimes, as in the case of this article on Armenian psychology, the review covers research from a particular locale.     

Procreation,Personhood and ethnic difference in Highland Bolivia

Academic debates on the difference between ‘indians’ and ‘non‐indians’ in highland Latin America typically revolve around issues of race, ethnicity and class understood from an etic perspective. Although there may be a consensus as to where the boundary between one status and the other lies, how this boundary is understood varies dramatically between scholars, as well as between actors on each side of the boundary. This paper examines the identity of those denominated ‘indian’ from an emic perspective. It argues that ‘race’, ‘ethnicity'and ‘class’ are insufficient in themselves to explain this level of social difference. At the root of the difference between jaqi (indians) and q'ara (non‐indians) are understandings of personhood. An examination of procreation beliefs and understandings of personhood sheds light on how identity is understood. The dyads indian/non‐indian and jaqi/q'ara are not, of course, generated independently of each other and this paper also examines how the one articulates with the other. Although the category ‘indian’ is one imposed historically from outside, this does not preclude people's ability to generate a different understanding of that category from within.     

Medicinal ethnobotany in Huacareta (Chuquisaca, Bolivia)

ABSTRACT: BACKGROUND: The aim of this study was to document the types of diseases treated by the use of medicinal plants, their main applications and also to have a report of the major diseases treated at the Hospital of St. Paul of Huacareta (Chuquisaca Bolivia). METHODS: We conducted semi-structured interviews on the use medicinal plants with 10 local informants, and categorized the kinds of diseases treated by traditional medicine. We obtained reports of cases treated at the Hospital of Huacareta in order to compare the use frequency of traditional medicine and allopathic medicine for the treatment of recurrent diseases in the area. RESULTS: Our survey identified 258 traditional medicine uses, spanning a total of 13 diseases categories and including 91 native and exotic plant species and one unidentified sample plant type. Gastrointestinal disorders (55%) were most frequently treated with medicinal plants, followed by afflictions of the musculoskeletal system (25%) and dermatological disorders (24%). Hospital information indicates that the most common diseases are acute respiratory infections (47%) and acute diarrheal diseases (37%). The herbal remedies were mostly used in the form of teas and decoctions. The informants used mainly native plant species, although exotic species has been introduced to the pharmacopoeia. CONCLUSIONS: The treatment of gastrointestinal disorders is the primary objective of the medical ethnobotany of the inhabitants of Huacareta, while respiratory system diseases are mostly treated in the hospital. Looking at the data from the Hospital records we can infer that gastrointestinal disorders are among the most common diseases in the study area. For most respondents, traditional medicine is a reliable choice for the care of their illnesses. However, the preference of the population for either traditional medicine or allopathic medicine needs to be clarified in future comparative studies to obtain more convincing results. The results presented can be used as a base for subsequent work related to traditional medicine and its contribution to allopathic medicine in San Pablo de Huacareta. Introduccion El objetivo del presente estudio fue documentar los tipos de enfermedades tratadas mediante el uso de plantas medicinales, sus aplicaciones principales y tambien tener un reporte de las enfermedades mayormente atendidas en el Hospital de San Pablo de Huacareta (Chuquisaca, Bolivia). Metodos Se realizaron encuestas semiestructuradas a 10 informantes locales anotando los usos atribuidos a sus plantas medicinales, se agruparon las plantas por categorias de enfermedades tratadas en la medicina tradicional. Se obtuvieron reportes de casos tratados en el Hospital de Huacareta para poder relacionar el tratamiento de enfermedades recurrentes en la zona entre la medicina tradicional y la medicina occidental. Resultados Se reportaron 91 especies nativas y exoticas, ademas de un especimen indeterminado exotico que intervienen en un total de 258 aplicaciones medicinales, las cuales son empleadas en un total de 13 categorias de enfermedades. Los desordenes gastrointestinales (55%) son mayormente tratados mediante plantas medicinales, seguidas de las afecciones al sistema esqueleto-muscular (25%) y enfermedades dermatologicas (24%). La informacion del Hospital indica que las enfermedades mas frecuentes son Infecciones Respiratorias Agudas (47%) y Enfermedades Diarreicas Agudas (37%). Los remedios vegetales se emplean en forma de infusiones y cocciones principalmente. Se emplean mayormente plantas nativas, tambien se introdujo en la farmacopea medica el uso de plantas exoticas al lugar. Conclusiones El tratamiento de trastornos gastrointestinales constituye el objetivo primordial de la etnobotanica medica de los habitantes de Huacareta, las enfermedades del sistema respiratorio, son mayormente tratadas en el Hospital. Observando los datos del libro de consultas del Hospital, se puede inferir que los desordenes gastrointestinales estan entre las enfermedades mas frecuentes en el area estudiada. Para la mayoria de los entrevistados, la medicina tradicional es una opcion confiable para la atencion de sus enfermedades. Sin embargo, la preferencia de los habitantes entre la medicina tradicional y la medicina alopatica podria ser clarificada a partir de futuros estudios comparativos que permitan obtener resultados mas convincentes. Los resultados expuestos pueden ser usados como una base de datos para posteriores trabajos relacionados a la medicina tradicional y su contribucion con la medicina alopatica en San Pablo de Huacareta.     

Urban transmission of Chagas disease in Cochabamba, Bolivia

Chagas disease is a major public health problem in Bolivia. In the city of Cochabamba, 58% of the population lives in peripheral urban districts ("popular zones") where the infection prevalence is extremely high. From 1995 to 1999, we studied the demographics of Chagas infections in children from five to 13 years old (n = 2218) from the South zone (SZ) and North zone (NZ) districts, which differ in social, environmental, and agricultural conditions. Information gathered from these districts demonstrates qualitative and quantitative evidence for the active transmission of Trypanosoma cruzi in urban Cochabamba. Seropositivity was high in both zones (25% in SZ and 19% in NZ). We observed a high risk of infection in children from five to nine years old in SZ, but in NZ, a higher risk occurred in children aged 10-13, with odds ratio for infection three times higher in NZ than in SZ. This difference was not due to triatomine density, since more than 1,000 Triatoma infestans were captured in both zones, but was possibly secondary to the vector infection rate (79% in SZ and 37% in NZ). Electrocardiogram abnormalities were found to be prevalent in children and pre-adolescents (SZ = 40%, NZ = 17%), indicating that under continuous exposure to infection and re-infection, a severe form of the disease may develop early in life. This work demonstrates that T. cruzi infection should also be considered an urban health problem and is not restricted to the rural areas and small villages of Bolivia.     

Wattled Curassows in Bolivia: abundance,habitat use,and conservation status

ABSTRACT The Wattled Curassow (Crax globulosa) is a globally threatened species restricted to humid várzea forest (seasonally flooded forest along white‐water rivers) in low‐lying regions of Amazonia. The Wattled Curassow were thought to have been extirpated from the Beni area of Bolivia, but were rediscovered near the Río Negro River in 2001. Our objectives were to determine the size of this population, examine habitat use, and based on our results, assess the conservation status of the Wattled Curassow. During July and August 2006, we used distance sampling to estimate the population density in our study area. We estimated the density of Wattled Curassows at 3.4 (95% CI: 1.4–8.1) individuals/km² and all were observed within 300 m of the river. Based on the availability of suitable habitat (18 km² of riparian várzea habitat within 300 m of the river), we estimated that the breeding population of Wattled Curassows in our study area consisted of 61 individuals. The specialized habitat requirements of the Wattled Curassow has important conservation implications because previous population estimates were based on the availability of várzea forest rather than the availability of water edge habitat within várzea forest. As a result, the current global population estimate (2500–9999) is higher than our estimate (500–2500) that takes the specialized habitat requirements of the Wattled Curassow into account. Given this low estimated population, along with the severely fragmented state of the few remaining populations and their dependence on a specialized and vulnerable habitat, we recommend that the status of the Wattled Curassow be upgraded from Vulnerable to Endangered.     

Structural Pathways between Child Abuse,Poor Mental Health Outcomes and Male-Perpetrated Intimate Partner Violence (IPV)

Background

Violent trauma exposures, including child abuse, are risk factors for PTSD and comorbid mental health disorders. Child abuse experiences of men exacerbate adult male-perpetrated intimate partner violence (IPV). The relationship between child abuse, poor mental health and IPV perpetration is complex but research among the general population is lacking. This study describes the relationship and pathways between history of child abuse exposure and male-perpetrated IPV while exploring the potentially mediating effect of poor mental health.

Methods

We analysed data from a randomly selected, two-stage clustered, cross-sectional household survey conducted with 416 adult men in Gauteng Province of South Africa. We used multinomial regression modelling to identify associated factors and Structural Equation Modelling (SEM) to test the primary hypothesis that poor mental health (defined as abusing alcohol or having PTSD or depressive symptoms) mediates the relationship between child abuse and IPV perpetration.

Results

Eighty eight percent of men were physically abused, 55% were neglected, 63% were emotionally abused and 20% were sexually abused at least once in their childhood. Twenty four percent of men had PTSD symptoms, 24% had depressive symptoms and 36% binge drank. Fifty six percent of men physically abused and 31% sexually abused partners at least once in their lifetime. Twenty two percent of men had one episode and 40% had repeat episodes of IPV perpetration. PTSD symptomatology risk increased with severity of child trauma and other trauma. PTSD severity increased the risk for binge drinking. Child trauma, other trauma and PTSD symptomatology increased the severity of depressive symptoms. PTSD symptomatology was comorbid with alcohol abuse and depressive symptoms. Child trauma, having worked in the year before the survey, other trauma and PTSD increased the risk of repeat episodes of IPV perpetration. Highly equitable gender attitudes were protective against single and repeat episodes of IPV perpetration. There was a direct path between the history of child trauma and IPV perpetration and three other indirect paths showing the mediating effects of PTSD, other trauma and gender attitudes.

Conclusions

Child trauma is a risk factor for both poor mental health and male-perpetrated IPV among men in Gauteng. Male-perpetrated IPV in these settings should be explained through a combination of the Trauma, Feminist, and Intergenerational Transmission of Family Violence theories. Prevention interventions for male- perpetrated IPV in South Africa need to incorporate strategies and therapies to address poor mental health conditions.     

Instrumental social support and women's body composition in El Alto,Bolivia

Instrumental social support, or aid in the form of labor or money, may exert a positive influence on economic welfare and food security. Several investigators have found a positive relationship between social support and nutritional status, while others have found a negative association between social support and central adiposity. In the rural Andes, extra‐household economic cooperation has long been an important adaptive strategy, and the breakdown of these relationships is one reason for high rates of rural‐to‐urban migration, including to the Bolivian city of El Alto. This research investigates the influence of instrumental support on women's body composition. Information was collected on individual perception of instrumental support and anthropometric indicators of nutritional status including percent body fat (bioelectrical impedance analysis (BIA)), BMI, and distribution of fat on trunk relative to limbs (Ratio of subscapular to triceps skinfold (STR)), and multiple linear regression analysis used to test the prediction that instrumental social support is positively related to body fat stores. Controlling for age and household socioeconomic status, perceived access to one or more sources of instrumental support was positively and significantly related to overall levels of adiposity. There is no evidence that STR mediates the relationship between instrumental social support and body composition. This analysis offers support for the prediction that economic social support has direct effects on women's energy stores. The interpretation of these results is somewhat ambiguous given the high levels of overweight and obesity in this population. Am J Phys Anthropol 152:51–57, 2013. © 2013 Wiley Periodicals, Inc.     

Marital Quality and Stress in Pregnancy Predict the Risk of Infectious Disease in the Offspring: The Norwegian Mother and Child Cohort Study

Objectives

The aim of this study was to explore the degree to which couples’ relationship dissatisfaction and stressful life events during pregnancy predict the risk of infectious disease in the offspring during their first year of life.

Methods

Data were obtained from the Norwegian Mother and Child Cohort Study, conducted by the Norwegian Institute of Public Health. Pregnant women completed questionnaires in week 30 of pregnancy concerning the couples’ relationship satisfaction and stressful life events. In follow-up questionnaires, the women reported whether their children (n = 74,801) had been subject to various categories of infectious disease: the common cold, throat infection, bronchitis, RS virus, pneumonia, pseudocroup, gastric flu, ear infection, conjunctivitis and urinary tract infection. Reports from two age groups of infants were used. Associations between the predictor and outcome variables were assessed via logistic regression and linear regression analyses.

Results

Separate logistic regression analyses for each disease and age group showed that prenatal relationship dissatisfaction and stressful life events were significantly associated with all reported categories of infectious disease. After controlling for socioeconomic factors, social support, smoking, breastfeeding, maternal depression, the sex of the offspring, and use of child care, 29 out of 32 tested associations were statistically significant. Finally, multivariate linear regression analyses showed that prenatal relationship dissatisfaction and stressful life events were significantly associated with the frequency, as well as the variety, of infectious disease in the offspring.     

Soothsayers, Cigars and San Simon

Soothsayers, Cigars and San Simon. Copyright 1996, released in 1998. 58 minutes, color. film by Monica Zaac and Bo Ohlen. For more information, contact Filmakers Library. 124 East 40th St., New York. NY 10016.     

Gender,Ethnicity, Marital Status,and Body Weight in the United States

Married individuals tend to be heavier than those who are unmarried, particularly men, and individuals in different ethnic categories vary in their involvement in marriage and in their body weights. We examined gender and ethnic differences in relationships between marital status and body weight using cross‐sectional data from the 1999–2002 National Health and Nutrition Examination Survey (NHANES) for 3,947 women and 4,019 men. The findings revealed that compared to married men in the same ethnic category, white divorced men, black never‐married men, and all Hispanic men except for widows had lower odds of being overweight. Compared to married women in the same ethnic category, white women's weights did not significantly differ by marital status, black separated women had greater odds of being overweight, and Hispanic never‐married women had lower odds of being overweight. Associations of marriage with body weight appear to be at least partly contingent upon gender and ethnicity, which may reflect larger societal patterns of involvement in marriage, commitment to family, and body‐weight norms and expectations.