scholarly journals Social patterning of acute respiratory illnesses in the Household Influenza Vaccine Evaluation (HIVE) Study 2014–2015

2019 ◽  
Vol 147 ◽  
Author(s):  
Ryan E. Malosh ◽  
Grace A. Noppert ◽  
Jon Zelner ◽  
Emily T. Martin ◽  
Arnold S. Monto
Keyword(s):  
Influenza Vaccine ◽  
Respiratory Illness ◽  
Household Composition ◽  
Respiratory Illnesses ◽  
Household Level ◽  
Individual Level ◽  
Working Adults ◽  
Highly Educated ◽  
The Individual ◽  
Univariate Analyses

AbstractSocial patterning of infectious diseases is increasingly recognised. Previous studies of social determinants of acute respiratory illness (ARI) have found that highly educated and lower income families experience more illnesses. Subjective social status (SSS) has also been linked to symptomatic ARI, but the association may be confounded by household composition. We examined SSS and ARI in the Household Influenza Vaccine Evaluation (HIVE) Study in 2014–2015. We used SSS as a marker of social disadvantage and created a workplace disadvantage score for working adults. We examined the association between these measures and ARI incidence using mixed-effects Poisson regression models with random intercepts to account for household clustering. In univariate analyses, mean ARI was higher among children <5 years old (P < 0.001), and females (P = 0.004) at the individual level. At the household level, mean ARI was higher for households with at least one child <5 years than for those without (P = 0.002). In adjusted models, individuals in the lowest tertile of SSS had borderline significantly higher rates of ARI than those in the highest tertile (incidence rate ratio (IRR) 1.34, 95% confidence interval (CI) 0.98–1.92). Households in the lowest tertile of SSS had significantly higher ARI incidence in household-level models (IRR 1.46, 95% CI 1.05–2.03). We observed no association between workplace disadvantage and ARI. We detected an increase in the incidence of ARI for households with low SSS compared with those with high SSS, suggesting that socio-economic position has a meaningful impact on ARI incidence.

scholarly journals Understanding Food Waste, Food Insecurity, and the Gap between the Two: A Nationwide Cross-Sectional Study in Saudi Arabia

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 681
Author(s):  
Nora A. Althumiri ◽  
Mada H. Basyouni ◽  
Ali F. Duhaim ◽  
Norah AlMousa ◽  
Mohammed F. AlJuwaysim ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Food Insecurity ◽  
Food Waste ◽  
Cross Sectional ◽  
Household Level ◽  
Individual Level ◽  
Factors Associated ◽  
Household Factors ◽  
Cooked Food ◽  
The Individual

Background: Food waste and food insecurity may co-exist in various balances in developing and developed countries. This study aimed to explore the levels of food waste and food insecurity, the factors associated with them, and their relationships at the household and individual levels in Saudi Arabia. Methods: This study was a nationwide cross-sectional survey conducted via computer-assisted phone interviews in January 2021. Quota sampling was utilized to generate balanced distributions of participants by gender across all the administrative regions of Saudi Arabia. Data collection included household demographics, food waste and disposal, the Food Insecurity Experience Scale (FIES), and the Household Food Insecurity Access Scale (HFIAS). Results: Out of the 2807 potential participants contacted, 2454 (87.4%) completed the interview. The mean age was 31.4 (SD = 11.7; range = 18–99) and 50.1% were female. The weighted prevalence of uncooked food waste in the last four weeks was 63.6% and the cooked food waste was 74.4%. However, the food insecurity weighted prevalence at the individual level (FIES) was 6.8%. In terms of food insecurity at the household level (HFIAS), 13.3% were in the “severely food insecure” category. Moreover, this study found that “moderately food insecure” households were associated with an increased likelihood to waste uncooked food (relative risk (RR) = 1.25), and the “mildly food insecure” (RR = 1.21) and “moderately food insecure” (RR = 1.17) households were associated with an increased likelihood to waste cooked food. However, “food secure” households were associated with a decreased likelihood to waste cooked food (RR = 0.56). Finally, this study identified four household factors associated with food waste and three household factors that were associated with “severe food insecurity.” Conclusions: This first national coverage study to explore food waste and food insecurity at the individual level and household level, identified household factors associated with food waste and food insecurity and identified new associations between food waste and food insecurity in Saudi Arabia. The associations found between food waste and food insecurity are potential areas of intervention to reduce both food waste and food insecurity at the same time, toward achieving the Sustainable Development Goal (SDG) targets related to food waste and food security.

scholarly journals Urban–Rural Disparities in the Magnitude and Determinants of Stunting among Children under Five in Tanzania: Based on Tanzania Demographic and Health Surveys 1991–2016

2021 ◽  
Vol 18 (10) ◽  
pp. 5184
Author(s):  
Wenjun Zhu ◽  
Si Zhu ◽  
Bruno F. Sunguya ◽  
Jiayan Huang
Keyword(s):  
Urban Areas ◽  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Household Level ◽  
Individual Level ◽  
Child Stunting ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Urban Rural ◽  
The Individual

Our study aims to examine the disparity of under-5 child stunting prevalence between urban and rural areas of Tanzania in the past three decades, and to explore factors affecting the rural–urban disparity. Secondary analyses of Tanzania Demographic and Health Surveys (TDHS) data drawn from 1991–1992, 1996, 1999, 2004–2005, 2009–2010, and 2015–2016 surveys were conducted. Under-5 child stunting prevalence was calculated separately for rural and urban children and its decline trends were examined by chi-square tests. Descriptive analyses were used to present the individual-level, household-level, and societal-level characteristics of children, while multivariable logistic regression analyses were performed to examine determinants of stunting in rural and urban areas, respectively. Additive interaction effects were estimated between residence and other covariates. The results showed that total stunting prevalence was declining in Tanzania, but urban–rural disparity has widened since the decline was slower in the rural area. No interaction effect existed between residence and other determinants, and the urban–rural disparity was mainly caused by the discrepancy of the individual-level and household-level factors between rural and urban households. As various types of determinants exist, multisector nutritional intervention strategies are required to address the child stunting problem. Meanwhile, the intervention should focus on targeting vulnerable children, rather than implementing different policies in rural and urban areas.

Freiwilliges Engagement in der „Lebensphase Alter“. Eine kontrastierende Betrachtung von niedrig- und ­hochgebildeten Personen in der Altersgruppe 50+ mit dem Freiwilligensurvey 2014

2020 ◽  
Vol 69 (5) ◽  
pp. 349-374
Author(s):  
Frank Micheel
Keyword(s):  
Old Age ◽  
Healthcare Provision ◽  
Individual Values ◽  
Individual Level ◽  
Highly Educated ◽  
Freiwilliges Engagement ◽  
Political Implications ◽  
Educational Groups ◽  
The Individual ◽  
Low Educated

Zusammenfassung Aus der Literatur ist bekannt, dass der Zugang zum Freiwilligenbereich in der „Lebensphase Alter“ durch Bildungsnachteile systematisch erschwert wird. Dieser Beitrag diskutiert, welche Faktoren ein freiwilliges Engagement von älteren Niedriggebildeten begünstigen und wie stark sie im Vergleich zu Hochgebildeten wirken. Auf Basis des Freiwilligensurveys aus dem Jahr 2014 wird nach differenzierenden Merkmalen (demografische Merkmale, Ressourcen, persönliche Werte sowie kontextuelle Aspekte) zur Erklärung freiwilliger Aktivitäten innerhalb der beiden Bildungsgruppen untersucht. Aus den multivariaten Analysen lassen sich folgende politische Implikationen ableiten: Strukturelle Verbesserungen in der gesundheitlichen Versorgung, in den ostdeutschen Regionen sowie in der Stadt- und Sozialplanung erhöhen die Chancen für Niedriggebildete zur sozialen Teilhabe im Freiwilligenbereich. Auf der individuellen Ebene ist die Stärkung der wahrgenommenen Erwartungskompetenz ein vielversprechender Ansatz. Abstract: Volunteering in Old Age: A Comparison Between Low and Highly Educated Individuals Aged 50+ It is known from literature that access to volunteering in old age is systematically restricted by educational disadvantages. This article discusses which factors enable older people with low education to volunteering compared to highly educated people. Based on the German Survey on Volunteering from 2014, empirical investigations explore differentiated characteristics (demographics, resources, individual values and social aspects) explaining volunteering within both educational groups. The following political implications are derived from multivariate analyses: Structural improvements in the areas of healthcare provision, in Eastern Germany, as well as urban and social planning raise the odds for volunteering among the low educated. On the individual level, improving perceived self-efficacy is a promising approach.

Redistribution under the Social Security benefit formula at the individual and household levels, 1992 and 2004

2012 ◽  
Vol 12 (1) ◽  
pp. 1-27 ◽  
Author(s):  
ALAN L. GUSTMAN ◽  
THOMAS L. STEINMEIER ◽  
NAHID TABATABAI
Keyword(s):  
Social Security ◽  
Labor Force Participation ◽  
Social Security Benefit ◽  
Household Level ◽  
Individual Level ◽  
The Social ◽  
High Earning ◽  
Using Data ◽  
The Individual ◽  
Over Time

AbstractStudies using data from the early 1990s suggested that while the progressive Social Security benefit formula succeeded in redistributing benefits from individuals with high earnings to individuals with low earnings, it was much less successful in redistributing benefits from households with high earnings to households with low earnings. Wives often earned much less than their husbands. As a result, much of the redistribution at the individual level was effectively from high earning husbands to their own lower earning wives. In addition, spouse and survivor benefits accrue disproportionately to women from high income households. Both factors mitigate redistribution at the household level. It has been argued that with the increase in the labor force participation and earnings of women, Social Security now should do a better job of redistributing benefits at the household level. To be sure, when we compare outcomes for a cohort with a household member age 51 to 56 in 1992 with those from a cohort born twelve years later, redistribution at the household level has increased over time. Nevertheless, as of 2004 there still is substantially less redistribution of benefits from high to low earning households than from high to low earning individuals.

scholarly journals Choice of influenza vaccine in people over 65 years old. Analysis of reports from international vaccination advisory committees

2021 ◽  
Author(s):  
Alberto Pérez-Rubio ◽  
◽  
José Javier Castrodeza ◽  
José María Eiros
Keyword(s):  
Influenza Vaccine ◽  
Influenza Vaccines ◽  
High Dose ◽  
Advisory Committees ◽  
Individual Level ◽  
Age Appropriate ◽  
Working Groups ◽  
Flu Vaccine ◽  
The Individual ◽  
The Uk

Introduction. Annual recommendations on influenza vaccine use in different countries are developed by influenza-specific working groups within their Immunization Advisory Committees. Adults aged 65 years and over are included in the groups for which vaccination against influenza is particularly recommended due to the morbidity associated. A variety of influenza vaccines are available, some of which boosted immunity, are licensed for use only in this specific age group, where the immune response to traditional influenza vaccines may be suboptimal. We analyze the main annual recommendations on the use of the influenza vaccine issued by advisory committees on immunization for the population over 65 years of age. Material and methods. The latest influenza vaccination guidelines have been selected and the recommendations for people over 65 years of age published by the main vaccination advisory committees have been reviewed. Results. The UK Advisory Committee (JCVI) recommends the use of Quadruvalent Inactivated Influenza Vaccine with Adjuvant (aQIV) or High Dose Quadrivalent Inactivated Influenza Vaccine (QIV-HD). The US committee (ACIP) does not express a preference for any type of vaccine. The Australian committee (ATAGI) preferably recommends adjuvanted influenza vaccine. The advisory committees of Canada and Germany (NACI, STIKO) and the European Center for Disease Control (Ecdc) recommend using any of the age-appropriate flu vaccines available, although they bet on the use of inactivated quadrivalent flu vaccine high dose at the individual level for those over 65 years. Conclusion. It is necessary further studies and improvement in their quality that analyze the different vaccines available and their comparability, although the use of reinforced immunity vaccines is generally recommended in the population over 65 years of age.

scholarly journals How education mitigates the realisation of fertility intentions: Is sub-Saharan Africa different?

2018 ◽  
Author(s):  
Melanie Channon ◽  
SARAH HARPER
Keyword(s):  
Educational Achievement ◽  
Fertility Transition ◽  
Population Level ◽  
Fertility Intentions ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Individual Level ◽  
Highly Educated ◽  
Sub Saharan ◽  
The Individual

The gap between achieved fertility and fertility ideals is notably higher in sub-Saharan Africa (SSA) than elsewhere, relating to both under- and overachievement of fertility ideals. We consider the extent to which the relationship between fertility ideals and achieved fertility is mitigated by educational achievement. Further, we consider if the effect of education acts differently in SSA, and thereby hypothesise how increasing levels of education in SSA may decrease fertility.We use 227 Demographic and Health Surveys from 57 countries worldwide to look at population- and individual-level measures of achieving fertility ideals. Population level measures are used to assess whether the correspondence between fertility intentions and achievements differ by level of education. We then look at the individual-level determinants of both under- and overachieving fertility intentions. An average of 40% of women in SSA underachieve their stated fertility intentions compared to 26% in non-SSA countries. Furthermore, the educational gradient of underachievement is different in SSA where higher levels of education are not related to better correspondence between fertility intentions and achievements. We argue that the phenomenon of underachieving fertility ideals (or unrealized fertility) may be of particular importance for the ongoing fertility transition throughout SSA, especially for highly educated groups.

Determining the odds of employment in Pakistan

2019 ◽  
Vol 12 (2) ◽  
pp. 229-241
Author(s):  
Izza Aftab ◽  
Umair Mazher
Keyword(s):  
Economic Geography ◽  
Google Earth ◽  
Living Standard ◽  
Asset Ownership ◽  
Content Type ◽  
Household Level ◽  
Individual Level ◽  
Income Sources ◽  
Jobless Growth ◽  
The Individual

Purpose The paper aims to identify the determinants of employment in Pakistan. In light of the jobless growth Pakistan has experienced starting from 2000, this is a valid concern. The paper discusses the structural relationship between employment and growth in Pakistan and analyzes it empirically within an economic geography framework. Design/methodology/approach The paper applies a Logit regression analysis to data from Pakistan Social and Living Standard Measurement Survey for the years 2010, 2012 and 2014. While this survey is published annually, the paper uses data at the district level, which is available only every alternate year. Data are collected at the individual level and can be mapped back to the household level. Each wave of data covers at least 70,000 households. The survey provides data on employment status, health, education, sanitation, economic situation and asset ownership. The analysis is conducted using Stata. The paper uses computer vision to present and trace changing employment patterns in Pakistan over time. To do so, the paper uses MATLAB. The data are transformed to KMV format and the plotting is done using Google Earth. Findings The paper shows how household characteristics affect the odds of employment in Pakistan, finding evidence of provincial disparities. Moreover, the paper shows that non-wage income from assets reduces the odds of being employed. The paper identifies the various income thresholds for the five income sources examined to have an impact on the odds of employment. Originality/value The novelty of this research is the identification of the determinants of employment in Pakistan and their analysis from the perspective of economic geography. This paper should be useful for policymakers and international financial organizations concerned with structural change in Pakistan.

AREA VARIATIONS IN USE OF MODERN CONTRACEPTION IN RURAL BANGLADESH: A MULTILEVEL ANALYSIS

1999 ◽  
Vol 31 (3) ◽  
pp. 327-341 ◽  
Author(s):  
NASHID KAMAL ◽  
ANDREW SLOGGETT ◽  
JOHN G. CLELAND
Keyword(s):  
Contraceptive Use ◽  
Household Head ◽  
Educational Levels ◽  
Household Level ◽  
Individual Level ◽  
Rural Bangladesh ◽  
Levels Of Use ◽  
Cluster Variation ◽  
The Individual ◽  
Different Levels

This study in Bangladesh found that inter-cluster variation in the use of modern reversible methods of contraception was significantly attributable to the educational levels of the female family planning workers working in the clusters. Women belonging to clusters served by educated workers had a higher probability of being contraceptive users than those whose workers had only completed primary education. At the household level, important determinants of use were socioeconomic status and religion. At the individual level, the woman being the wife of the household head and having some education were positively related to her being a user. The model also found that inter-household variation was significantly greater than inter-cluster variation. Finally, the study concludes that after controlling for various covariates at all three levels, the clusters do not have significantly different levels of use of modern reversible methods of contraception. There are, however, some special areas where contraceptive use is dramatically low, and these contribute significantly to the observed inter-cluster variation.

Enacting Border Governance through Multi-scalar Violence: Exclusion and discrimination of Rohingya people in Rakhine state

2021 ◽  
pp. 1-36
Author(s):  
NYANA YONI
Keyword(s):  
Family Relationships ◽  
Multiple Scales ◽  
National Level ◽  
Household Level ◽  
Individual Level ◽  
Political Boundary ◽  
Armed Violence ◽  
The Individual ◽  
Systemic Discrimination ◽  
Everyday Discrimination

Abstract While international focus has been on armed violence and Rohingya refugee flows from Rakhine state, this article pays attention to the myriad forms of ‘everyday discrimination’ that Muslim Rohingya people have experienced over a prolonged time. These forms of discrimination were observed by the author and reported by Rohingya informants in three areas of Rakhine state during research conducted in 2015. The article argues that systemic discrimination against Rohingya people can be understood as the violent enactment of bordering processes by both state and non-state actors at multiple scales, thus contributing to border governance. Bordering processes can be observed at the national level through the construction of citizenship in law and documentation; at the sub-national level through the restriction of travel and mobility at the township and village levels in Rakhine state; at the household level through household registrations and the control of births, marriages, and family relationships; as well as at the individual level through arrests, detention, and acts of violence. The border is enacted through such processes, with Rohingya people treated as an embodiment of both a political boundary between Myanmar and Bangladesh, and a social boundary constructing the Muslims as ‘fearsome and disgusting others’ by the country's non-Rohingya groups, particularly by the majority Bamar Buddhist population.

Costs of Ambulatory Medical Care Over the Long Term in the Quebec Medicare System

1995 ◽  
Vol 14 (2) ◽  
pp. 391-413 ◽  
Author(s):  
François Béland
Keyword(s):  
Medical Care ◽  
The Elderly ◽  
Fee For Service ◽  
Household Level ◽  
Individual Level ◽  
Universal Health Care System ◽  
The Individual ◽  
Ambulatory Medical Care ◽  
Number Of Individuals

ABSTRACTThis paper examines the question of whether the costs of ambulatory medical care (AMCC) in a universal health care system, such as that in Quebec, are related to household income. Questionnaires completed by 32,000 respondents for the Enquête Santé-Québec, 1987 (ESQ87) were matched with records in the Quebec Medicare system (La Régie d'Assurance-maladie du Québec, RAMQ). Approximately 90 per cent of the individuals were matched. Respondents living in remote regions were excluded from the study since a major portion of medical care in these regions is not reimbursed through fee for service; visits to physicians not on fee for service are not recorded in RAMQ files. At the individual level, the costs of ambulatory medical care over a two-year period decreased slightly with income, but at the household level, costs increased for those with higher incomes since the number of individuals in the households increased with income. These associations disappeared when the age of the respondents was taken into account. State of health is directly related to costs of care. Among health risks, availability of social support decreases costs of AMCC for both children and adults, while unemployment increases costs for adults only. Education of parents is linked with higher levels of costs for children, but AMCC decreases with increased education of adults. Finally, costs are lower for children in larger families compared with those in smaller families. To conclude, income does not affect costs of AMCC in Quebec, although variables associated with income, such as education, unemployment and family size, do have definite effects on costs. The absence of a link between psychological distress and costs for the elderly is a matter of concern since it confirms the difficulty the elderly experience in accessing psychiatric care.

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