scholarly journals Legal status as a life course determinant of health: parent status, adjudication stages, and HIV knowledge among highlanders in Thailand

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephanie M. Koning ◽  
Amanda Flaim ◽  
Leo Baldiga ◽  
David A. Feingold
Keyword(s):  
Public Health ◽  
Human Rights ◽  
Logistic Regression ◽  
Life Course ◽  
Ethnic Group ◽  
Protective Factor ◽  
Legal Status ◽  
Ordinal Logistic Regression ◽  
Hiv Knowledge ◽  
The Life Course

Abstract Background Rising nativism and political volatility worldwide threaten to undermine hard-won achievements in human rights and public health. Risks are particularly acute for hundreds of millions of migrants, minorities, and Indigenous peoples, who face disproportionately high health burdens, including HIV/AIDS, and precarious legal status (LS). While LS is receiving increasing attention as a social determinant of health and HIV, understandings are still limited to select immigrant communities. Its effects on health among stateless communities, particularly in the Global South, remain largely unknown. Moreover, widespread limitations in census measures of LS reduce its complexity to a simplistic citizen/non-citizen binary or insufficient proxies. Thailand’s ethnolinguistically diverse highlander population experiences disproportionately high HIV prevalence and comprises one of the world’s largest and most protracted cases of statelessness, an acute condition of precarious LS. As such, analysis of LS and health outcomes among highlanders is both critically warranted, and useful as a case study outside of the migration paradigm. Methods Drawing on the UNESCO Highland Peoples Survey II (2010), an unprecedented and unique cross-sectional census of highlanders in Thailand, we mobilize complex measures of LS in adjusted ordinal logistic regression models to assess how parent citizenship and LS adjudication over the early life course condition adult HIV knowledge—a key protective factor against transmission (n = 8079). Results Adjusted ordinal logistic regression on knowledge scores reveal that parent citizenship predicts odds of greater knowledge by 1.4- to 2.2-fold, depending on ethnic group. This is partially explained by divergent stages of LS adjudication between birth and adulthood, including successful birth registration and adult citizenship acquisition, along with secondary school completion. Precisely how these factors contribute to HIV knowledge varies by ethnic group. Conclusions This study advances knowledge of LS outside of the migration paradigm, reveals heretofore unexamined connections between LS and access to public health information, and elucidates how instabilities in LS adjudication stages underlie health inequalities over the life course. Findings indicate that securing success in public health and human rights agendas requires attention to how states adjudicate and deploy LS in multiple stages across the life course to structure access and exclusion among migrant and non-migrant communities alike.

scholarly journals Legal Status as a Life Course Determinant of Health: Parent Status, Adjudication Stages, and HIV Knowledge Among Highlanders in Thailand

2021 ◽  
Author(s):  
Stephanie M. Koning ◽  
Amanda Flaim ◽  
Leo Baldiga ◽  
David A. Feingold
Keyword(s):  
Public Health ◽  
Human Rights ◽  
Logistic Regression ◽  
Life Course ◽  
Ethnic Group ◽  
Protective Factor ◽  
Legal Status ◽  
Ordinal Logistic Regression ◽  
Hiv Knowledge ◽  
Cross Sectional

Abstract Background: Rising nativism and political volatility worldwide threaten to undermine hard-won achievements in human rights and public health. Risks are particularly acute for hundreds of millions of migrants, minorities, and Indigenous peoples, who face disproportionately high health burdens, including HIV/AIDS, and precarious legal status (LS). While LS is receiving increasing attention as a social determinant of health and HIV, understandings are still limited to select immigrant communities. Its effects on health among stateless communities, particularly in the Global South, remain largely unknown. Moreover, widespread limitations in census measures of LS reduce its complexity to a simplistic citizen/non-citizen binary or insufficient proxies. Thailand’s ethnolinguistically diverse highlander population experiences disproportionately high HIV prevalence and comprises one of the world’s largest and most protracted cases of statelessness, an acute condition of precarious LS. As such, analysis of LS and health outcomes among highlanders is both critically warranted, and useful as a case study outside of the migration paradigm.Methods: Drawing on the UNESCO Highland Peoples Survey II (2010), an unprecedented and unique cross-sectional census of highlanders in Thailand, we mobilize complex measures of LS in adjusted ordinal logistic regression models to assess how parent citizenship and LS adjudication over the early life course condition adult HIV knowledge—a key protective factor against transmission (n=8,079). Results: Adjusted ordinal logistic regression on knowledge scores reveal that parent citizenship predicts more complete knowledge by 32 to 88 percent, depending on ethnic group. This is partially explained by divergent stages of LS adjudication between birth and adulthood, including successful birth registration and adult citizenship acquisition, along with secondary school completion. Precisely how these factors contribute to HIV knowledge varies by ethnic group. Conclusions: This study advances knowledge of LS outside of the migration paradigm, reveals heretofore unexamined connections between LS and access to public health information, and elucidates how instabilities in LS adjudication stages underlie health inequalities over the life course. Findings indicate that securing success in public health and human rights agendas requires attention to how states deploy LS at birth, and beyond, to structure access and exclusion among migrant and non-migrant communities alike.

ADA at 25 and People With Cognitive Disabilities: From Voice to Action

Inclusion ◽  
2015 ◽  
Vol 3 (2) ◽  
pp. 46-54 ◽  
Author(s):  
Peter Blanck
Keyword(s):  
Human Rights ◽  
Life Course ◽  
Americans With Disabilities Act ◽  
Paradigm Shift ◽  
Medical Model ◽  
Special Issue ◽  
25Th Anniversary ◽  
Self Identity ◽  
The Past ◽  
The Life Course

Abstract The Americans With Disabilities Act (ADA) of 1990, and the ADA Amendments Act (ADAAA) of 2008, are effecting dramatic changes in the perception of cognitive and other disabilities, from primarily viewing disability as a medical state to be cured and pitied toward acceptance of disability as an element of human experience and self-identity. The ADA's modern understanding of disability is as much shaped by diversity in biology, local culture, and self-identity over the life course, as it is by the barriers to inclusion we build and maintain in society. This view reflects the paradigm shift from the prior and dominating medical model to a social and environmental approach to disability civil and human rights. This two-part special issue of the journal Inclusion examines the ADA at its 25th anniversary. The articles reflect on the past 25 years, examine the present, and anticipate the future to ensure continued progress towards the civil and human rights of individuals with cognitive and other disabilities.

scholarly journals Public health approach to hearing across the life course: a call-for-papers

2018 ◽  
Vol 96 (9) ◽  
pp. 592-592 ◽  
Author(s):  
Shelly Chadha ◽  
Alarcos Cieza ◽  
Karen Reyes
Keyword(s):  
Public Health ◽  
Life Course ◽  
Public Health Approach ◽  
The Life Course

Religion, Aging, and Public Health

2021 ◽  
Author(s):  
Jeff Levin ◽  
Ellen Idler
Keyword(s):  
Public Health ◽  
Life Course ◽  
Perinatal Care ◽  
Geriatric Medicine ◽  
Healthcare Delivery ◽  
Well Being ◽  
Age Cohorts ◽  
Wide Range ◽  
The Life Course ◽  
Health And Well Being

Religion, in both its personal and institutional forms, is a significant force influencing the health of populations across the life course. Decades of research have documented that expressions of faith and the practice of spiritual pursuits exhibit significantly protective effects for physical and mental health, psychological well-being, and population rates of morbidity, mortality, and disability. This finding has been observed across sociodemographic categories, across nations and cultures, across specific disease outcomes, and regardless of one’s religious affiliation. A salutary religious effect on health and well-being is especially apparent among older adults, but is also observed across generations and age cohorts. Moreover, this association has been persistently found for various religious indicators, including attendance at worship services, prayer and other private practices, subjective feelings of religiosity, and numerous measures of religious behaviors, attitudes, beliefs, and experiences. Finally, a protective or primary preventive effect of religion has been observed in clinical, epidemiologic, social, and behavioral studies, regardless of research design or methodology. Faith-based organizations also have contributed to the health of populations, in partnerships or alliances with medical institutions and public health agencies, many of these dating back many decades. Examples include congregational health promotion and disease prevention programs and community-wide interventions, especially targeting the health and well-being of older congregants and those in less well-resourced communities, as well as faith–health partnerships in healthcare delivery, public health policymaking, and legislative advocacy for healthcare reform. Religious denominations and institutions also play a substantial role in global health development throughout the world, individually and in partnership with national health ministries, transnational medical mission organizations, and established nongovernmental agencies. These efforts focus on a wide range of goals and objectives, including building public health infrastructure, addressing ongoing environmental health needs, and responding to acute public health challenges and crises, such as infectious disease outbreaks. Constituencies include at-risk populations and cohorts throughout the life course, and programming ranges from perinatal care to maternal and child healthcare to geriatric medicine.

The sociology of sleep

2018 ◽  
Author(s):  
Robert Meadows ◽  
Simon J. Williams ◽  
Jonathan Gabe ◽  
Catherine Coveney ◽  
Sara Arber
Keyword(s):  
Public Health ◽  
Social Context ◽  
Life Course ◽  
Social Factors ◽  
Public Health Intervention ◽  
Health Intervention ◽  
The Life Course ◽  
Gender Impacts

Sleep occurs in a social context and is socially, culturally, and historically variable. It is influenced by numerous social factors across the life course, as well as by transitions, such as marriage or cohabitation, parenthood, and widowhood. Gender impacts on sleep, and on the nature of power in negotiations about sleep. Sleep is a complex, if not contradictory, case of medicalization and is also a thoroughly moralized matter within contemporary societies. Understanding sleep requires the use of qualitative as well as quantitative methodologies, and a relational or dyadic focus on couples’ sleep is also called for. Sociology highlights arenas for public health intervention.

Navigating human rights across the life course

2008 ◽  
Vol 13 (3) ◽  
pp. 348-356 ◽  
Author(s):  
Marie Connolly ◽  
Tony Ward
Keyword(s):  
Human Rights ◽  
Life Course ◽  
The Life Course

scholarly journals Frequency and factors associated with sustained exergaming in adolescents (Preprint)

2019 ◽  
Author(s):  
Erin O'Loughlin ◽  
Tracie A. Barnett ◽  
Jennifer McGrath ◽  
Mia Consalvo ◽  
Lisa Kakinami
Keyword(s):  
Logistic Regression ◽  
Life Course ◽  
Self Report ◽  
Clinical Settings ◽  
Factors Associated ◽  
Longitudinal Investigation ◽  
Multivariable Logistic Regression ◽  
Grade 5 ◽  
Viable Approach ◽  
The Life Course

BACKGROUND Exergaming is increasing in popularity, but little is known about sustained exergaming. OBJECTIVE The objectives of this study were to describe the frequency and correlates/predictors of sustained exergaming. METHODS Data were available in AdoQuest (2005-11), a longitudinal investigation of 1843 grade 5 students in in Montréal, Canada. This analysis uses data from grade 9 and 11. Participants at T1 (mean age 14 (0.8) years) who reported past-week exergaming (n = 186), completed mailed self-report questionnaires at T2 (mean age 16 (0.8) years). Independent correlates (from T2)/predictors (from T1 or earlier) were identified using multivariable logistic regression. RESULTS Of 186 exergamers at T1, 81 (44%) reported exergaming at T2. Being female and having higher introjected regulation (i.e., a type of PA motivation indicative of internalization of PA as a behaviour) were independent correlates.. None of the predictors investigated were associated with sustained exergaming. CONCLUSIONS Almost 50% of grade 9 exergamers sustained for 2-3 years. In non-clinical settings, exergaming may be a viable approach to help adolescents maintain PA during adolescence, a period in the life course when PA generally declines. Sex and PA motivation should be considered in the design of exergaming interventions. CLINICALTRIAL N\A

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