School Attendance in Nigeria: Understanding the Impact and Intersection of Gender, Urban‐Rural Residence, and Socioeconomic Status

The Sustainable Development Goal (SDG) 17.18 recommends efforts to increase the availability of data disaggregated by income, gender, age, race, ethnicity, migratory status, disability and geographic location in developing countries. Surveys will continue to be the leading data source for disaggregated data for most dimensions of inequality. We discuss potential advances in the disaggregation of data from national surveys, with a focus on the coverage of reproductive, maternal, newborn and child health indicators (RMNCH). Even though the Millennium Development Goals were focused on national-level progress, monitoring initiatives such as Countdown to 2015 reported on progress in RMNCH coverage according to wealth quintiles, sex of the child, women’s education and age, urban/rural residence and subnational geographic regions. We describe how the granularity of equity analyses may be increased by including additional stratification variables such as wealth deciles, estimated absolute income, ethnicity, migratory status and disability. We also provide examples of analyses of intersectionality between wealth and urban/rural residence (also known as double stratification), sex of the child and age of the woman. Based on these examples, we describe the advantages and limitations of stratified analyses of survey data, including sample size issues and lack of information on the necessary variables in some surveys. We conclude by recommending that, whenever possible, stratified analyses should go beyond the traditional breakdowns by wealth quintiles, sex and residence, to also incorporate the wider dimensions of inequality. Greater granularity of equity analyses will contribute to identify subgroups of women and children who are being left behind and monitor the impact of efforts to reduce inequalities in order to achieve the health SDGs.

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The Incidence of Methylphenidate Use by Canadian Children: What is the Impact of Socioeconomic Status and Urban or Rural Residence?

The Canadian Journal of Psychiatry ◽

10.1177/070674370605101306 ◽

2006 ◽

Vol 51 (13) ◽

pp. 847-854 ◽

Cited By ~ 5

Author(s):

Marni D Brownell ◽

Teresa Mayer ◽

Daniel Chateau

Keyword(s):

Socioeconomic Status ◽

Rural Residence ◽

The Impact

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Ethnicity, socioeconomic status, and eating disorder symptomatology in Canada: implications for mental health care

Ethnicity and Inequalities in Health and Social Care ◽

10.1108/eihsc-10-2013-0038 ◽

2014 ◽

Vol 7 (4) ◽

pp. 158-177 ◽

Cited By ~ 1

Author(s):

Jennifer A. Boisvert ◽

W. Andrew Harrell

Keyword(s):

Socioeconomic Status ◽

Eating Disorder ◽

White Women ◽

Future Research ◽

Unique Contribution ◽

Access To Treatment ◽

Content Type ◽

Urban Rural ◽

Eating Disorder Symptomatology ◽

The Impact

Purpose – There is a gap in the understanding of relationships between socioeconomic status (SES), urban-rural differences, ethnicity and eating disorder symptomatology. This gap has implications for access to treatment and the effectiveness of treatment. The paper aims to discuss these issues. Design/methodology/approach – Data are presented from a major Canadian survey, analyzing the impact of body mass index (BMI), urban-non-urban residency, income, and ethnicity on eating disorder symptomatology. Findings – One of the strongest findings is that high income non-White women expressed less eating disorder symptomatology than lower income non-White women. Research limitations/implications – Future research needs to consider how factors such as urban residency, exposure to Western “thinness” ideals, and income differentials impact non-White women. Practical implications – Effective treatment of ethnic minority women requires an appreciation of complicated effects of “culture clash,” income and BMI on eating disorder symptomatology. Originality/value – This study makes a unique contribution to the literature by examining relationships between SES (income) and eating disorder symptomatology in White and non-White Canadian women. The review of the scientific literature on ethnic differences in eating disorder symptomatology revealed a disparity gap in treatment. This disparity may be a by-product of bias and lack of understanding of gender or ethnic/cultural differences by practitioners.

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Voting on Prohibition: Disentangling Preferences on Alcohol and Decentralization

Social Science History ◽

10.1017/ssh.2018.34 ◽

2018 ◽

Vol 43 (1) ◽

pp. 113-130 ◽

Cited By ~ 1

Author(s):

John Dinan ◽

Jac C. Heckelman

Keyword(s):

Local Control ◽

Decentralized Control ◽

Alcohol Policy ◽

Rural Residence ◽

Home Rule ◽

Immigrant Status ◽

Urban Rural ◽

Role Of Religion ◽

The Impact

We contribute to an understanding of the determinants of voter support for US prohibition policies in the early 1900s, by separating substantive preferences for wet versus dry policies from preferences for centralized versus decentralized control. Prior studies of prohibition referenda have generated various conclusions about which groups supported and opposed prohibition, whether regarding the role of religion, urban/rural residence, immigrant status, gender, or class. But none of these studies has considered the impact of preferences regarding decentralization on voter support for prohibition measures. We exploit a combination of referenda unique to the 1933 Ohio ballot, where voters considered prohibition-repeal measures alongside a county home-rule amendment. By viewing support for home rule as a proxy for decentralization preferences we clarify and explain anomalies in prior studies regarding determinants of support for prohibition and its repeal, especially regarding urban counties and some evangelical denominations, which are shown to have been guided by a preference for local control of alcohol policy, and counties with larger proportions of women, which are associated with greater support for more centralized and uniform alcohol policy.

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Practices and perceptions of adolescent girls regarding the impact of dysmenorrhea on their routine life: a comparative study in the urban, rural, and slum areas of Chandigarh

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2014-0063 ◽

2016 ◽

Vol 28 (1) ◽

pp. 3-9

Author(s):

Alka Rani ◽

Manoj Kumar Sharma ◽

Amarjeet Singh

Keyword(s):

Adolescent Girls ◽

School Attendance ◽

Cross Sectional Study ◽

Hot Water ◽

Common Symptom ◽

Cross Sectional ◽

Sickness Absenteeism ◽

Urban Rural ◽

The Impact ◽

Slum Areas

Abstract To estimate the prevalence, to compare the impact of dysmenorrhea on routine life among adolescent girls, to compare the practices and perceptions regarding Dysmenorrhea and to ascertain the reason for difference if any, a cross-sectional study was conducted in urban, rural and slum areas of Chandigarh, India. 300 girls in age group of 11–18 years, who had attained menarche were included in the study. A questionnaire including the Demographic and Family profile, menstrual history, Symptoms of Dysmenorrhea, Effect of pain on daily activities, Faces scale, Practices regarding Dysmenorrhea, Beliefs about menstruation was used. Analysis was done by percentage and chi square prevalance of dysmenorrhea was 61.33%. Sickness absenteeism due to dysmenorrhea was reported in 24.45% girls. Most common symptom experienced by the girls was stomach ache which was experienced by 139 girls; others symptoms experienced during menstruation were backache (107), and general body pain (80). Only 11.63% of the girls ever visited physician due to pain during menstruation. During menstruation only 10 girls use hot water bottle, 71 skip meal. Due to poor knowledge the practices were not optimal for pain management, which affected their school attendance. Formal as well as informal channels of communication, such as mothers and peers, need to be emphasized for the delivery of such information particularly linking instructions on menstrual hygiene to an expanded programme of health education in schools.

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AB0142 SOCIOECONOMIC STATUS (SES) AND MEDICATION USE IN RHEUMATOID ARTHRITIS (RA): A SCOPING REVIEW

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3439 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1098.2-1099

Author(s):

O. Russell ◽

S. Lester ◽

R. Black ◽

C. Hill

Keyword(s):

Rheumatoid Arthritis ◽

Socioeconomic Status ◽

Scoping Review ◽

Research Training ◽

Medication Use ◽

Study Group ◽

Knowledge Gaps ◽

Coverage Area ◽

Race Ethnicity ◽

The Impact

Background:Socioeconomic status (SES) influences disease outcomes in rheumatoid arthritis (RA) patients. (1, 2) Differences in medication use could partly explain this association. (3) A scoping review was used to identify research conducted on this topic and determine what knowledge gaps remain.Objectives:To determine what research has been conducted on this topic, how this research has defined SES and medication use, and establish what knowledge gaps remain.Methods:MEDLINE, EMBASE and PsychInfo were searched from their inception until May 2019 for studies which assessed SES and medication use as outcome variables. Studies were included if they measured medication use and incorporated an SES measure as a comparator variable.SES was defined using any of the “PROGRESS” framework variables (4) including patients’ stated gender, age, educational attainment, employment, occupational class, personal income, marital status, health insurance coverage, area- (neighbourhood) level SES, or patients’ stated race and/or ethnicity. Medication use was broadly defined as either prescription or dispensation of a medicine, medication adherence, or delays in treatment. Data was extracted on studies’ primary objectives, measurement of specific SES measures, patients’ medication use, and whether studies assessed for differences in patients’ medication use according to SES variables.Results:1464 studies were identified by this search from which 74 studies were selected for inclusion, including 52 published articles. Studies’ publication year ranged from 1994-2019, and originated from 20 countries; most commonly from the USA.Studies measured a median of 4 SES variables (IQR 3-6), with educational achievement, area level SES and race/ethnicity the most frequently recorded.Likelihood of disease modifying antirheumatic drug (DMARD) prescription was the most frequent primary objective recorded.96% of studies reported on patients’ use of DMARDs, with glucocorticoids and analgesics being reported in fewer studies (51% and 23% respectively.)Most included studies found at least one SES measure to be significantly associated with differences in patients’ medication use. In some studies, however, this result was not necessarily drawn from the primary outcome and therefore may not have been adjusted for covariates.70% of published studies measuring patients’ income (n=14 of 20) and 58% of those that measured race/ethnicity (n=14 of 24) documented significant differences in patients’ medication use according to these SES variables, although the direction of this effect – whether it led to ‘greater’ or ‘lesser’ medication use – varied between studies.Conclusion:Multiple definitions of SES are used in studies of medication use in RA patients. Despite this, most identified studies found evidence of a difference in medication use by patient groups that differed by an SES variable, although how medication use differed was found to vary between studies. This latter observation may relate to contextual factors pertaining to differences in countries’ healthcare systems. Further prospective studies with clearly defined SES and medication use measures may help confirm the apparent association between SES and differences in medication use.References:[1]Jacobi CE, Mol GD, Boshuizen HC, Rupp I, Dinant HJ, Van Den Bos GA. Impact of socioeconomic status on the course of rheumatoid arthritis and on related use of health care services. Arthritis Rheum. 2003;49(4):567-73.[2]ERAS Study Group. Socioeconomic deprivation and rheumatoid disease: what lessons for the health service? ERAS Study Group. Early Rheumatoid Arthritis Study. Annals of the rheumatic diseases. 2000;59(10):794-9.[3]Verstappen SMM. The impact of socio-economic status in rheumatoid arthritis. Rheumatology (Oxford). 2017;56(7):1051-2.[4]O’Neill J, Tabish H, Welch V, Petticrew M, Pottie K, Clarke M, et al. Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health. J Clin Epidemiol. 2014;67(1):56-64.Acknowledgements:This research was supported by an Australian Government Research Training Program Scholarship.Disclosure of Interests:None declared

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Sociodemographic profile of psychoactive substance use among selected secondary school students in rural Nigeria

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2020-0086 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Chioma N. P Mbachu ◽

Joy C. Ebenebe ◽

Ikechukwu I. Mbachu ◽

Chizalu I. Ndukwu ◽

Jacinta C. Elo-Ilo ◽

...

Keyword(s):

Socioeconomic Status ◽

Secondary School ◽

Secondary School Students ◽

School Attendance ◽

Intravenous Drug Use ◽

Psychoactive Substance ◽

Psychoactive Substances ◽

School Students ◽

Anambra State ◽

Sociodemographic Profile

AbstractObjectivesUse of Psychoactive substances by young people poses an important public health threat despite mass campaigns and education. There have been documentations of rise in prevalence and use of psychoactive substances by Nigerian adolescents in urban areas of Nigeria. Few reports exist on in-school adolescents in rural areas, and differences in their sociodemographic profile such as public/private school attendance, day/boarding status and socioeconomic status of students. The study determined the rate and sociodemographic profile of psychoactive substance use among secondary school students in selected rural communities in Anambra state, Nigeria.MethodsThis was a cross-sectional study in which multistage sampling was used to select 494 students from selected secondary schools in Anambra state. Data on age, gender, socioeconomic status, student status, school category, alcohol, tobacco and intravenous drug use were obtained using pretested semi-structured questionnaires. Analysis of data was done using IBM SPSS statistics software version 20.0, frequency, percentages and means were calculated, with cross-tabulation done for variables (Chi-square and Fishers exact test where applicable). Level of significance for tests of association set at 5%.ResultsA total of 494 participants were studied of which 48.8% (n=241) were males. The mean age was 14.5 ± 1.8 years. The prevalence of lifetime use of psychoactive substance was 22.5%. Prevalence for individual substances were 21.9% (n=108), 1.8% (n=9) and 0.8% (n=4) respectively for alcohol, tobacco and illicit intravenous drugs. Neither gender {6 males (2.5%), 3 females (1.2%), p=0.890}, age {10–13 years (1.3%), 14–16 years (2.1%), >16 years (1.7%), p=0.329}, student status {day (2.6%), boarding (1.2%), p=0.320}, social class {upper (0.9%), middle (0.6%), lower (3.1%), p=0.208 } nor school category {private (1.5%), public (2.1%), p=0.742} of students was significantly associated with smoking and respectively. More males (73/241=30.3%, p<0.001) took alcohol than females (35/253 = 13.8%) and this was statistically significant. Participants from the lower socioeconomic class (30.3%, p<0.001) had a significantly higher rate of alcohol consumption than those from the upper (11.8%) and middle classes (16.7%) respectively. Higher rate was noted among those who attended public schools (30.8%, p<0.001) compared to those who attended private schools (13.8%). Day students (30.2%, p<0.001) indulged more in alcohol than boarding students (14.3%). There was no association between either the class (junior=22.5%, senior=21.3%, p=0.759) or age of participants (10–13 years=20.7%, 14–16 years=20.1%, >16 years=33.3%, p=0.071) and alcohol consumption. No association was found between age (0.7%, 1.1%, p=1.000), gender (male=1.2%, female=0.4%, p=0.362), social class (lower=1.3%, upper=0.9%, p=0.443), student status (day=0.9%, boarding=0.8%, p=1.000), school category (junior=0.8%, senior=0.8%, p=1.000) and intravenous drug use.ConclusionsThe rate of about 22% alcohol use by secondary school students in rural south eastern Nigeria, which is strongly associated with male gender, low socioeconomic status, day student status and public school attendance is high.

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