Mental Health Following Acquisition of Disability in Adulthood—The Impact of Wealth

BackgroundAcquisition of a disability in adulthood has been associated with a reduction in mental health. We tested the hypothesis that low wealth prior to disability acquisition is associated with a greater deterioration in mental health than for people with high wealth.MethodsWe assess whether level of wealth prior to disability acquisition modifies this association using 12 waves of data (2001–2012) from the Household, Income and Labour Dynamics in Australia survey–a population-based cohort study of working-age Australians. Eligible participants reported at least two consecutive waves of disability preceded by at least two consecutive waves without disability (1977 participants, 13,518 observations). Fixed-effects linear regression was conducted with a product term between wealth prior to disability (in tertiles) and disability acquisition with the mental health component score of the SF–36 as the outcome.ResultsIn models adjusted for time-varying confounders, there was evidence of negative effect measure modification by prior wealth of the association between disability acquisition and mental health (interaction term for lowest wealth tertile: -2.2 points, 95% CI -3.1 points, -1.2, p<0.001); low wealth was associated with a greater decline in mental health following disability acquisition (-3.3 points, 95% CI -4.0, -2.5) than high wealth (-1.1 points, 95% CI -1.7, -0.5).ConclusionThe findings suggest that low wealth prior to disability acquisition in adulthood results in a greater deterioration in mental health than among those with high wealth.     

The Changing Role of The Giveaway Ceremony in Contemporary Lakota Life

Abstract

Gift-giving in the context of the giveaway ceremony of the Lakota was indigenously both an economic institution in which goods were exchanged and wealth redistributed as well as religious expression of a native ceremony. Today, gift-giving has practically lost both its religious and economic functions. The ceremony, however, continues to thrive in a new context. Focusing on the distribution of goods common to all, the giveaway has become a primarily social event which continues to play a crucial role in contemporary Indian life. This paper examines the changes which have taken place in this institution .over the last century and analyzes the new role it plays in. reservation society.     

Are the Rates of Hypertension and Diabetes Higher in People from Lower Socioeconomic Status in Bangladesh? Results from a Nationally Representative Survey

ObjectiveA well-established belief regarding inequalities in health around the world is that hypertension and diabetes are higher in groups of lower socioeconomic status. We examined whether rates of hypertension, diabetes, and the coexistence of hypertension and diabetes are higher in people from a lower socioeconomic status than in those from a higher socioeconomic status in Bangladesh.MethodsWe investigated a nationally representative dataset from the 2011 Bangladesh Demographic and Health Survey with objective measures for hypertension and diabetes. A wealth index was constructed from data on household assets using principal components analysis. Chi-square tests and logistic regressions were performed to test the associations between wealth level, hypertension and diabetes.FindingsPeople from the highest wealth quintile were significantly more likely to have hypertension (Adjusted odds ratios [AOR] = 1.65, 95% confidence interval [CI] = 1.22-2.25), diabetes (AOR = 1.81, 95% CI = 1.21-2.71), and the coexistence of hypertension and diabetes (AOR = 2.17, 95% CI = 1.05-4.49) than people from the lowest wealth quintile. The odds of having hypertension, diabetes, and their coexistence were higher for older people, women, people who engaged in less physical labor, and people who were overweight and obese.ConclusionWealthier people, particularly people from the fourth and highest wealth quintiles, should be careful to avoid unhealthy lifestyles to prevent hypertension and diabetes. Health policy makers and planners are urged to target wealthier strata in terms of hypertension and diabetes initiatives while paying special attention to older people, women, people who engage in less physical labor, and individuals who are overweight.     

Rural/Urban and Socioeconomic Differentials in Quality of Antenatal Care in Ghana

BackgroundApproximately 800 women die of pregnancy-related complications every day. Over half of these deaths occur in sub-Saharan Africa (SSA). Most maternal deaths can be prevented with high quality maternal health services. It is well established that use of maternal health services vary by place of residence and socioeconomic status (SES), but few studies have examined the determinants of quality of maternal health services in SSA. The purpose of this study is to examine the determinants of antenatal care (ANC) quality in Ghana–focusing on the role of place of residence and SES (education and wealth). The analysis also examines the interactions of these variables and the mediating role of ANC timing, frequency, facility type, and provider type.MethodsThe data are from the Ghana Maternal Health Survey (N = 4,868). Analytic techniques include multilevel linear regression with mediation and moderation analysis.ResultsUrban residence and higher SES are positively associated with higher ANC quality, but the urban effect is completely explained by sociodemographic factors. Specifically, about half of the urban effect is explained by education and wealth alone, with other variables accounting for the remainder. The effects of education are conditional on wealth and are strongest for poor women. Starting ANC visits early and attending the recommended four visits as well as receiving ANC from a higher level facility and from a skilled provider are associated with higher quality ANC. These factors partially explain the SES differentials.ImplicationsGhanaian women experience significant disparities in quality of ANC, with poor illiterate women receiving the worst care. Targeted efforts to increase quality of ANC may significantly reduce maternal health disparities in Ghana and SSA. A particularly crucial step is to improve ANC quality in the lower level health facilities, where the most vulnerable women are more likely to seek ANC.     

High-Resolution Spatial Distribution and Estimation of Access to Improved Sanitation in Kenya

BackgroundAccess to sanitation facilities is imperative in reducing the risk of multiple adverse health outcomes. A distinct disparity in sanitation exists among different wealth levels in many low-income countries, which may hinder the progress across each of the Millennium Development Goals.MethodsThe surveyed households in 397 clusters from 2008–2009 Kenya Demographic and Health Surveys were divided into five wealth quintiles based on their national asset scores. A series of spatial analysis methods including excess risk, local spatial autocorrelation, and spatial interpolation were applied to observe disparities in coverage of improved sanitation among different wealth categories. The total number of the population with improved sanitation was estimated by interpolating, time-adjusting, and multiplying the surveyed coverage rates by high-resolution population grids. A comparison was then made with the annual estimates from United Nations Population Division and World Health Organization /United Nations Children''s Fund Joint Monitoring Program for Water Supply and Sanitation.ResultsThe Empirical Bayesian Kriging interpolation produced minimal root mean squared error for all clusters and five quintiles while predicting the raw and spatial coverage rates of improved sanitation. The coverage in southern regions was generally higher than in the north and east, and the coverage in the south decreased from Nairobi in all directions, while Nyanza and North Eastern Province had relatively poor coverage. The general clustering trend of high and low sanitation improvement among surveyed clusters was confirmed after spatial smoothing.ConclusionsThere exists an apparent disparity in sanitation among different wealth categories across Kenya and spatially smoothed coverage rates resulted in a closer estimation of the available statistics than raw coverage rates. Future intervention activities need to be tailored for both different wealth categories and nationally where there are areas of greater needs when resources are limited.     

Latino/a professionals as entrepreneurs: how race,class, and gender shape entrepreneurial incorporation

ABSTRACT

This paper examines how race, class, and gender intersect to shape professional Latinos’ entrepreneurial incorporation, as observed by the conditions that prompt professional Latinos to start a business, including access to capital and experiences with discrimination. In-depth interviews with professional Latino business owners in Los Angeles reveal that individual human capital – via resources and wealth accrued through corporate careers – facilitates entrepreneurial activity. Race, ethnicity, and gender, as intersectional social group identities, combine with class to shape variegated impacts on access to capital and business experiences by gender and target market. Ethnicity is a resource for those serving the coethnic community and is more significant in shaping business ownership experiences for men who target a racially/ethnically diverse clientele, whereas gender and race are more salient for women outside the coethnic community. This study contributes to the ethnic enterprise literature by going beyond ethnicity to demonstrate that multiple dimensions of identity shape professional Latino/as’ entrepreneurial incorporation.     

The Inhibition of Nucleoside Transport in Human Erythrocytes by Mioflazine Analogues

Abstract

Kinetic analysis of the transport protein (both influx and efflux), usually performed with radiolabelled nucleosides such as adenosine and uridine, has provided a wealth of information regarding the various kinetic and equilibrium parameters (1).     

Biphasic Regulation in Ligand-Receptor Interactions

Abstract

A model is examined in which an excess of activator may inhibit the response in a ligand-receptor interaction. The equation accounts for biphasic responses in which an effector stimulates the response at low concentrations and then inhibits the response at higher concentrations, towards a limit that can be higher, identical or lower than the initial value. Reciprocal features could be observed according to the values of the involved parameters. A maximum 7 dimensions can be found in the space of the parameters of the equation which is of the simple form: v = (A + B + C). Sⁿ/(H + Sⁿ).     

Pest problems: The view of New Zealand federated farmers

Abstract

Agriculture is fundamental to the well being of the New Zealand economy. We are very much a trading nation and will continue, for the foreseeable future, to depend upon primary production for the generation of New Zealand's wealth.     

Evolution and classification of palms: new perspectives

Abstract

All recent studies of the family and of its relationships with other monocotyledons seem to indicate or confirm that the family represents a discrete monophyletic line, apparently quite isolated from other families.

Modern studies have provided a wealth of information that has called into question some of the groupings in Genera Palmarum (UHL & DRANSFIELD, 1987) and the integrity of some of the genera recognised. The autor propose to discuss some of the more outstanding problem groupings and attempts to give some idea of the wealth of continuing studies that affect our perception of relationships within the palms and between them and other families of monocots.     

综合性三级医院公益性评价的灰关联聚类分析

摘要 目的 对不同地区的7家综合性三级医院进行公益性水平的初步评价与分析。方法 运用灰关联聚类分析。 结果 7家三级医院的公益性水平总体偏低,仅各有一家医院经灰关联聚类分析归类为好与中,其余5家医院均归类为欠佳,不同地区三级医院公益性水平有一定差别。结论 灰关联聚类分析证明公立三级综合性医院公益性水平亟待加强,应从公益性的影响因素入手提高与改善公立三级医院的公益性水平。     

‘Beach-Boy Elders’ and ‘Young Big-Men’: Subverting the Temporalities of Ageing in Kenya's Ethno-Erotic Economies

ABSTRACT

In the 1980s, Samburu men from northern Kenya began migrating to coastal tourist resorts to sell souvenirs and perform traditional dances for European tourists. Many of them engaged in transactional sex or marriages with European women attracted to the image of the exotic African young male warrior. Through relationships with European women, some Samburu men managed to rapidly accumulate wealth, becoming so-called ‘young big-men’. As a way to transform their wealth into more durable forms of respectability, these men used their money to marry local women and speed up their ritual initiation into elderhood. Meanwhile, there also emerged the figure of ‘beach-boy elders’, men who aged before accumulating sufficient wealth. They returned to coastal tourist resorts, dressed as young warriors, and waited to find European partners. In the article, I argue that beach-boy elders and young big-men produce queer moments in the temporalities of ageing, in that they subvert normative expectations of ageing at the very same time that they seek to produce them.     

Behavioral and Network Origins of Wealth Inequality: Insights from a Virtual World

Almost universally, wealth is not distributed uniformly within societies or economies. Even though wealth data have been collected in various forms for centuries, the origins for the observed wealth-disparity and social inequality are not yet fully understood. Especially the impact and connections of human behavior on wealth could so far not be inferred from data. Here we study wealth data from the virtual economy of the massive multiplayer online game (MMOG) Pardus. This data not only contains every player''s wealth at every point in time, but also all actions over a timespan of almost a decade. We find that wealth distributions in the virtual world are very similar to those in Western countries. In particular we find an approximate exponential distribution for low wealth levels and a power-law tail for high levels. The Gini index is found to be , which is close to the indices of many Western countries. We find that wealth-increase rates depend on the time when players entered the game. Players that entered the game early on tend to have remarkably higher wealth-increase rates than those who joined later. Studying the players'' positions within their social networks, we find that the local position in the trade network is most relevant for wealth. Wealthy people have high in- and out-degrees in the trade network, relatively low nearest-neighbor degrees, and low clustering coefficients. Wealthy players have many mutual friendships and are socially well respected by others, but spend more time on business than on socializing. Wealthy players have few personal enemies, but show animosity towards players that behave as public enemies. We find that players that are not organized within social groups are significantly poorer on average. We observe that “political” status and wealth go hand in hand.     

Familial Accumulation of Social Anxiety Symptoms and Maladaptive Emotion Regulation

BackgroundSocial anxiety is thought to be strongly related to maladaptive emotion regulation (ER). As social anxiety symptoms accumulate in families, we hypothesize that maladaptive ER is also more prevalent in families with anxious children. Thus, we analyze differences in emotion regulation of both child and mother in relation to social anxiety, as well as both their ER strategies in dealing with anxiety. Further, a positive relation between child and maternal ER strategies is assumed.MethodChildren (aged 9 to 13 years) with social, anxiety disorder (SAD; n = 25) and healthy controls (HC, n = 26) as well as their mothers completed several measures of social anxiety and trait ER strategies towards anxiety. As ER of children is still in development, age is considered as covariate.ResultsSAD children and their mothers reported more maladaptive ER strategies than HC dyads. Maternal maladaptive ER was related negatively to child adaptive ER which was further moderated by the child’s age.DiscussionMaladaptive ER strategies seem to contribute to the exacerbation of social anxiety in both mother and child. Mothers reporting maladaptive ER may have difficulties supporting their child in coping with social anxiety while simultaneously also experiencing heightened levels of anxiety. Deeper understanding of interactional processes between mothers and children during development can assist the comprehension of factors maintaining SAD. Implications for future research and possible consequences for interventions are discussed.     

Socioeconomic position in childhood and adulthood and insulin resistance: cross sectional survey using data from British women's heart and health study

ObjectiveTo assess the associations between childhood and adulthood social class and insulin resistance.DesignCross sectional survey.Setting23 towns across England, Scotland, and Wales.Participants4286 women aged 60-79 years.ResultsBelonging to manual social classes in childhood and in adulthood was independently associated with increased insulin resistance, dyslipidaemia, and general obesity. The association between childhood social class and insulin resistance was stronger than that for adult social class. The effect, on insulin resistance and other risk factors, of belonging to a manual social class at either stage in the life course was cumulative, with no evidence of an interaction between childhood and adult social class. Women who were in manual social classes in childhood remained at increased risk of insulin resistance, dyslipidaemia, and obesity—even if they moved into non-manual social classes in adulthood—compared with women who were in non-manual social classes at both stages.ConclusionsAdverse social circumstances in childhood, as well as adulthood, are strongly and independently associated with increased risk of insulin resistance and other metabolic risk factors.

What is already known on this topic

Poor childhood social circumstances are, independently of adult social circumstances, associated with increased cardiovascular disease riskThey are associated with some components of the insulin resistance syndrome, and adverse childhood environmental factors, possibly poor nutrition, may lead to insulin resistance and to adult cardiovascular diseaseEvidence on the association between childhood social circumstances and insulin resistance in adulthood, and between childhood social circumstances and cardiovascular disease risk factors in women, is scarce

What this study adds

Belonging to manual social classes in childhood and in adulthood is independently associated with increased insulin resistance, dyslipidaemia, and obesity in older womenWomen who were in manual social classes in childhood remained at increased risk of insulin resistance, dyslipidaemia, and obesity, even if they had moved into non-manual social classes in adulthood     

社会资本进入公立医院政策演进分析

目的 对我国公立医院利用社会资本的有关政策进行阐述和分析。方法 基于国内公立医院发展现况,通过个案调查、访谈、文献查阅等形式,对公立医院的融资过程进行政策分析。结果 公立医院对社会资本引入的尝试,已形成了一些具有若干特点的融资模式,如银行贷款、融资租赁、慈善捐赠等。结论 我国公立医院为实现可持续发展,多渠道引入社会资本已经成为必然的发展趋势。但从整体上讲,还未形成满足各种社会资本状况的政策体系。     

Social life cycle assessment: in pursuit of a framework for assessing wood-based products from bioeconomy regions in Germany

Purpose

With many policies in Germany steering towards a bioeconomy, there is a need for analytical tools that assess not only the environmental and economic implications but also the social implications of a transition to a bioeconomy. Wood is expected to become a major biomass resource in bioeconomy regions. Therefore, this paper develops a social life cycle assessment (sLCA) framework that can be applied specifically to a wood-based production system in one of Germany’s bioeconomy regions.

Methods

This paper reviews and analyses existing sLCA approaches, in terms of how applicable they are for assessing a wood-based production system in a German bioeconomy regional context. The analysis is structured according to the standard phases of environmental life cycle assessment (LCA). However, we use the term social effects rather than social impacts, to acknowledge the unknown cause–effect relationship between an organisation’s activities and its social impacts. We also consider the establishment of regional system boundaries, as well as the relationship between the social effects and the product being assessed. Additionally, an approach for the development and selection of social indicators and indices is outlined. Furthermore, we discuss data requirements and present an approach for a social life cycle impact assessment method.

Results and discussion

A new conceptual framework for a context-specific sLCA to assess wood-based products manufactured in a bioeconomy region was developed. It enables sLCA practitioners to identify “social hotspots” and “social opportunities” from a regional perspective. The location and characteristics of these social hotspots and opportunities can be analysed, in particular, for major production activities in a bioeconomy region in Germany. Therefore, according to this framework, the development of social indices and indicators, the collection of data and the approach used for characterising social effects need to relate to the geographical context of the product being assessed. The proposed framework can, thus, help to identify, monitor and evaluate the social sustainability of wood-based bioeconomy chains in a regional context.

Conclusions

This framework requires a high level of detail in the social inventory and impact assessment phase, in order to assess the regional foreground activities in a German wood-based bioeconomy region. It enables sLCA studies to identify which social hotspots and social opportunities occur and where they are located in the wood-based production system of a regional bioeconomy.

     

Socioeconomic inequalities in prevalence and development of multimorbidity across adulthood: A longitudinal analysis of the MRC 1946 National Survey of Health and Development in the UK

BackgroundWe aimed to estimate multimorbidity trajectories and quantify socioeconomic inequalities based on childhood and adulthood socioeconomic position (SEP) in the risks and rates of multimorbidity accumulation across adulthood.Methods and findingsParticipants from the UK 1946 National Survey of Health and Development (NSHD) birth cohort study who attended the age 36 years assessment in 1982 and any one of the follow-up assessments at ages 43, 53, 63, and 69 years (N = 3,723, 51% males). Information on 18 health conditions was based on a combination of self-report, biomarkers, health records, and prescribed medications. We estimated multimorbidity trajectories and delineated socioeconomic inequalities (based on childhood and adulthood social class and highest education) in multimorbidity at each age and in longitudinal trajectories.Multimorbidity increased with age (0.7 conditions at 36 years to 3.7 at 69 years). Multimorbidity accumulation was nonlinear, accelerating with age at the rate of 0.08 conditions/year (95% CI 0.07 to 0.09, p < 0.001) at 36 to 43 years to 0.19 conditions/year (95% CI 0.18 to 0.20, p < 0.001) at 63 to 69 years. At all ages, the most socioeconomically disadvantaged had 1.2 to 1.4 times greater number of conditions on average compared to the most advantaged. The most disadvantaged by each socioeconomic indicator experienced an additional 0.39 conditions (childhood social class), 0.83 (adult social class), and 1.08 conditions (adult education) at age 69 years, independent of all other socioeconomic indicators. Adverse adulthood SEP was associated with more rapid accumulation of multimorbidity, resulting in 0.49 excess conditions in partly/unskilled compared to professional/intermediate individuals between 63 and 69 years. Disadvantaged childhood social class, independently of adulthood SEP, was associated with accelerated multimorbidity trajectories from age 53 years onwards.Study limitations include that the NSHD cohort is composed of individuals of white European heritage only, and findings may not be generalizable to the non-white British population of the same generation and did not account for other important dimensions of SEP such as income and wealth.ConclusionsIn this study, we found that socioeconomically disadvantaged individuals have earlier onset and more rapid accumulation of multimorbidity resulting in widening inequalities into old age, with independent contributions from both childhood and adulthood SEP.

Amal Khanolkar and co-workers study associations between multimorbidity and socioeconomic position in the UK.     

Explaining the Role of Proximate Determinants on Fertility Decline among Poor and Non-Poor in Asian Countries

ObjectivesWe examined the overall contributions of the poor and non-poor in fertility decline across the Asian countries. Further, we analyzed the direct and indirect factors that determine the reproductive behaviour of two distinct population sub-groups.DesignData from several new rounds of DHS surveys are available over the past few years. The DHS provides cross-nationally comparable and useful data on fertility, family planning, maternal and child health along with the other information. Six selected Asian countries namely: Bangladesh, India, Indonesia, Nepal, Philippines, and Vietnam are considered for the purpose of the study. Three rounds of DHS surveys for each country (except Vietnam) are considered in the present study.MethodsEconomic status is measured by computing a “wealth index”, i.e. a composite indicator constructed by aggregating data on asset ownership and housing characteristics using principal components analysis (PCA). Computed household wealth index has been broken into three equal parts (33.3 percent each) and the lowest and the highest 33.3 percent is considered as poor and non-poor respectively. The Bongaarts model was employed to quantify the contribution of each of the proximate determinants of fertility among poor and non-poor women.ResultsFertility reduction across all population subgroups is now an established fact despite the diversity in the level of socio-economic development in Asian countries. It is clear from the analysis that fertility has declined irrespective of economic status at varying degrees within and across the countries which can be attributed to the increasing level of contraceptive use especially among poor women. Over the period of time changing marriage pattern and induced abortion are playing an important role in reducing fertility among poor women.ConclusionsFertility decline among majority of the poor women across the Asian countries is accompanied by high prevalence of contraceptive use followed by changing marriage pattern and induced abortion.