Demographic Variation in Health Insurance Coverage: United States, 2020

This report presents national estimates of different types of health insurance coverage and lack of coverage (uninsured). Estimates are presented by selected sociodemographic characteristics, including age, sex, race and Hispanic origin, family income, education level, employment status, and marital status.

Explanatory Variables of Dropout in Colombian Public Education: Evolution Limited to Coronavirus Disease

<p style="text-align: justify;">Student dropout, defined as the temporary or definitive suspension of the exercise of the right to education, is attributable to multiple variables classified into individual, academic, institutional, and socioeconomic determinants which may be exacerbated in the context of the Coronavirus disease (COVID-19) pandemic. Consequently, this work aims to synthesize, from the available evidence, the behaviour and influence of the explanatory variables of school dropout in infant school, primary school and, high school in Colombia for the period 2014-2019 compared to the period 2020-2021 under the COVID-19 pandemic conditions. The research methodology consisted of a systematic review of 125 indexed articles for 2014-2019 and 32 reports related to dropout in Colombian Basic education for the 2020-2021 period. The systematic review of the 157 articles revealed that dropout was studied and explained in both time periods, mainly from the academic determinant whose most cited explanatory variables were: ‘teachers’, ‘curriculum’ and ‘methodologies used’. Moreover, it could be perceived that in the period 2014-2019, the socioeconomic variable was the second dropout determinant, considering ‘family income” as the most important indicator, while in 2020-2021 the “infrastructure” and the ‘political environment’ remained as the most dominant. Lastly, in 2020-2021, the variable ‘teachers’ was highly cited showing that their practice made students maintain their interest despite the physical distance.</p>

Discrimination Experiences during COVID-19 among a National, Multi-Lingual, Community-Based Sample of Asian Americans and Pacific Islanders: COMPASS Findings

Reports of escalated discrimination among Asian Americans and Pacific Islanders (AAPIs) due to COVID-19 are alarming, making this a public health priority. However, there are limited empirical studies on the scope and impact of COVID-19-related discrimination among AAPIs. Using the COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) data (N = 4971; survey period: October 2020–February 2021), which is a U.S.-wide multi-lingual survey, we examined the prevalence of, and factors associated with discrimination experiences attributable to being an AAPI during the COVID-19 pandemic. Overall, 60.7% reported experiencing discrimination; the group prevalence ranged from 80.0% (Hmong) to 40.5% (Native Hawaiians and Pacific Islanders). Multivariable logistic regression models revealed that COVID-19-related factors were associated with many discrimination experiences: having a shelter-in-place order of ≥1 month, living in areas with perceived similar/higher COVID-19 severity, and negative impact in family income/employment due to COVID-19. Additionally, being Asian American (versus Native Hawaiians and Pacific Islanders), females, non-heterosexuals, younger, more severe effect on family income, living in the non-West, and poorer health were significantly correlated with discrimination experiences. Findings may assist in formulating anti-AAPI-discrimination policies and programs at the local, state, and federal levels. Culturally appropriate programs and policies to combat this are urgently needed.

Level of Stress and Coping Strategies Seen Among Parents of Neonates Admitted in NICU

Aim To assess the level of stress and coping strategies in parents of neonates admitted in Neonatal Intensive Care Unit (NICU) at a tertiary care centre in North India. Materials and methods It was a descriptive/observational cross-sectional study of 3 year duration with a sample size of 224. All parents willing to participate and who could understand English or Hindi were included in the study after the informed consent. Stress levels and coping strategies were assessed using a validated questionnaire between 2nd to 7th day of admission. Demographic data was collected and parental stress and coping was quantified using likert scale. The data was analyzed using SPSS Version 20.0. Results Most of the parents were moderately stressed (93.3%). The most impactful stress domain was ‘Emotional’ and the most impactful question out of that domain was ‘constant fear of child’s recovery’. Of all the coping strategies, cognitive strategy was mostly used by parents. There was a negative correlation between stress and coping strategies (r = –0.09) but the result was statistically insignificant (p-value = 0.16). Of all the demographic variables, the birth order of the baby was significantly related to stress (p-value < 0.05), while parent’s education, monthly family income and area of residence were significantly related to coping (p-value < 0.05, <0.05 and <0.001, respectively). Conclusion Most of the parents were moderately stressed, with cognitive strategy being the most used by parents as the coping mechanism.

The Influence of Decision Making on Social Inclusion of Persons with Disabilities: A Case Study of Khyber Pakhtunkhwa

Decision making is an essentially social process adopted by individuals or groups to identify and choose the best choice among several alternatives. Decision-making choices are influenced by the preferences, values, and beliefs of the individuals or groups involved in the decision-making process. This study was conducted to analyze the social inclusion of Persons with Disabilities (PWDs) in the context of their participation in decision making. The study area consisted of 8028 PWDs registered with the government of Pakistan, from which a sample of 488 PWDs was selected through a multistage stratified random sampling technique. These PWDs included physically disabled, blind, crippled, and deaf persons; however, the data were collected from those who were able to be interviewed. Chi-square and Kendall’s Tau-b tests were used to determine the strength, level, and direction of association among variables. At the multivariate level, the study found a spurious relation between social inclusion and participation in decision making when controlling for gender, monthly family income, and level of disability of the PWDs. The results highlighted that participation in decision making improved the social inclusion of male and moderately disabled PWDs more positively. However, participation in decision making was a universal feature explaining the social inclusion of PWDs irrespective of their monthly family income. The logistic regression model explained that the social inclusion of PWDs was more likely to occur when PWDs were married, had high monthly family income (PKR 16,500 and above), belonged to a joint family, and actively participated in decision making. The study recommends that ensuring the participation of PWDs in decision making in family, community, school, and other relevant institutions ultimately enhances their social inclusion.

Public Investments and Class Gaps in Parents’ Developmental Expenditures

Families and governments are the primary sources of investment in children, providing access to basic resources and other developmental opportunities. Recent research identifies significant class gaps in parental investments that contribute to high levels of inequality by family income and education. State-level public investments in children and families have the potential to reduce class inequality in children’s developmental environments by affecting parents’ behavior. Using newly assembled administrative data from 1998 to 2014, linked to household-level data from the Consumer Expenditure Survey, we examine how public-sector investment in income support, health, and education is associated with the private expenditures of low- and high-SES parents on developmental items for children. Are class gaps in parental investments in children narrower in contexts of higher public investment for children and families? We find that more generous public spending for children and families is associated with significantly narrower class gaps in private parental investments. Furthermore, we find that equalization is driven by bottom-up increases in low-SES households’ developmental spending in response to progressive state investments of income support and health, and by top-down decreases in high-SES households’ developmental spending in response to universal state investment in public education.

Examining Elementary School Children’s Knowledge about Food and Nutrition in Southwestern Ontario, Canada

Purpose: Knowledge is fundamental to helping children make nutritional choices that support lifelong healthy behaviours. This study (i) investigates elementary school children’s knowledge about food and nutrition and (ii) identifies sociodemographic factors influencing children’s reported knowledge. Methods: In 2017–2019, a survey was administered to 2443 students (grades 5–8) at 60 schools across southwestern Ontario, Canada, and a parent survey was used to validate self-reported sociodemographics. Multiple regression was used to analyse children’s knowledge scores and related sociodemographic factors. A total knowledge score was calculated by summing correct responses derived from 46 individual questions in the student survey. Results: Mean total knowledge score was 29.2 out of a possible 46 points (63.5% correct). Students demonstrated some knowledge and awareness of strategies to encourage fruit and vegetable consumption, healthy food selection, nutrition, and food preparation skills, although knowledge of food guide recommendations and locally sourced produce were limited. Female sex, family income, and rurality were associated with higher knowledge scores. Conclusions: Results provide insight regarding strengths and gaps in elementary-school children’s food and nutrition knowledge. Poor performance of students on specific food guide-related questions suggests that the general guidance of the 2019 Canada’s Food Guide might be better understood by children and adolescents.

Identification of stressors and validation of a questionnaire survey to quantify the stress among Veterinary Students of India

Background As an intensive professional training program veterinary education presents high academic and non-academic stressors to students. Identifying the stressors responsible and measuring the stress among veterinary students can prove useful to design any coping strategies to safeguard the mental health of students. Methods With the aim to identify the stressors responsible, measure the level of stress, relation of stress with variables such as gender and family income 44 item based cross sectional questionnaire survey was designed and distributed among veterinary students of India. Results The questionnaire yielded high internal consistency. More than 95% students were found to be under stress. Maximum students reported high stress due to academic related stressors. Female students reported high overall stress, academic stress, and intrapersonal and interpersonal related stress than male students. Students with lower family incomes experienced more overall stress as well as family responsibilities related stress. Conclusions Gender, family income, academic stressors, intrapersonal, interpersonal and conflict related stressors, and social activities related stressors positively predicted the overall stress among the students and thus these factors can be given special emphasis while designing any stress combating or reducing measures for veterinary students of India.

Identification of stressors and quantification of stress among veterinary students in India using a cross-sectional questionnaire survey

As an intensive professional training program veterinary education presents high academic and non-academic stressors to students. Identifying the stressors responsible and measuring the stress among veterinary students can prove useful to design any coping strategies to safeguard the mental health of students. The study aimed to identify the responsible stressors, measure the level of stress caused by each kind of stressor, the relation of stress with variables such as gender and family income. For this, 44 items based cross-sectional questionnaire survey was designed and distributed among veterinary students of India. On statistical analysis, the questionnaire yielded high internal consistency. More than 95% of students were found to be under stress. Maximum students reported the highest stress due to academic-related stressors. Female students reported high overall stress, academic stress, and intrapersonal and interpersonal-related stress than male students. Students with lower family incomes experienced more overall stress as well as family responsibilities-related stress. Gender, family income, academic stressors, intrapersonal, interpersonal, and conflict-related stressors, and social activities-related stressors positively predicted the overall stress among the students and thus these factors should be given special emphasis while designing any stress combating or reducing measures for veterinary students of India.

From success to unrest: the social impacts of tourism in Barcelona

Purpose This study aims to examine the main factors and the related impacts that have caused a negative shift in the social perception of tourism among residents of Barcelona. Namely, it contextualises the recent evolution of the impacts and the social perception of tourism among the city’s residents; analyses the relationship between the social perception of tourism and different tourist, real estate, demographic and economic factors; and lastly, it identifies the social impacts that majorly influence the negative perception among residents in every neighbourhood. Design/methodology/approach This study applies quantitative and qualitative techniques to a selection of five neighbourhoods of Barcelona. First, the character of the neighbourhoods was analysed, and external statistical information was later provided to understand the state and evolution of the factors that shape perceptions of tourism. Secondly, representatives of the community movements were interviewed in-depth. This consecutive qualitative approach enabled the comprehension of how these factors shape the residents’ perception. Findings The results showed that residents generally shared similar perceptions despite variations among neighbourhoods. Perceived negative effects included not only the most direct consequences of tourism such as anti-social behaviour and congestion of public spaces but also indirect ones such as population displacement and the weakening of social structures. Originality/value This study’s innovation lies in linking objective statistical data that describe the reality of a tourist neighbourhood (housing prices, number of available beds, family income, etc.), to the subjective perceptions of its residents. Thus, it is possible to identify the perceived impacts of tourism (which have an impact on the local population’s satisfaction), and relate these to the true evolution of tourism variables in the neighbourhood. This contrasted reading between perception and reality is important for future initiatives for the regulation of tourism in the city.