Socioeconomic Status and Group Belonging: Evidence from Early-Nineteenth-Century Colonial West Africa

This study provides a novel analysis of occupational stratification in Sierra Leone from a historical perspective. By employing census data for early-nineteenth-century colonial Sierra Leone, the present study offers a valuable snapshot of a colony characterized by a heterogenous population of indigenous and migratory origin. The study shows that an association between colonial group categorization and socioeconomic status existed despite the colony being of very recent foundation implying a hierarchical structure of the society. Although Europeans and “mulattoes” occupied most high-status positions, as common in the colonies, indigenous immigrants were also represented in high socioeconomic strata thanks to the opportunities stemming from long- and short-distance trading. However, later arrivals, especially liberated slaves, belonged within the lowest socioeconomic strata of the society and worked as farmers or unskilled labor, suggesting that the time component may also have influence socioeconomic opportunities.

How Inclusive Is the Transgender Persons Act? Evidence From the Ground

The transgender community of India faces numerous challenges and is struggling hard for their survival. They generally beg at signals, impart blessings at religious ceremonies, and engage in sex work for their livelihood. A majority of the individuals of this community belong to low or lower-middle socioeconomic strata. For older adults, survival becomes very hard as they do not have any biological filial relationships or access to formal, steady employment like most of the heteronormative population. It is difficult for the younger transgender women within a gharana (adoptive family) to nourish the elderly and care for all financial needs. Despite the Transgender Persons (Protection of Rights) Act, 2019, hardly any research focuses on the needs of older adults. The authors have attempted to bring the attention of academic researchers and policymakers to one of the most vulnerable communities using a case study of an elderly transgender.

Trends in Cancer Diseases Prevalence by Different Socioeconomic Strata in the United States

Background Income disparity among different socioeconomic strata in the United States has widened sharply in recent decades. Take into account the well-established link between income and health, this widening income gap may provide insight into the dynamics of the cancer disease burden in American adults. Assess the temporal trends of the 20-year predicted absolute cancer risk in American adults at different socioeconomic classes. Methods The cross-sectional analyses were carried out using data from adults aged 20 to 85 years between the 1999 and 2018 NHANES. Socioeconomic status was divided into three groups based on the family income to poverty ratio (PIR): high income (PIR ≥ 4), middle income (> 1 and <4), or at or below the federal poverty level (≤ 1). Results The analysis included 49 720 participants. The prevalence of lung cancer was lower in high-income participants than in middle-income participants (0.15% [n= 19] vs 0.35% [n= 92], p <0.001). For the low-income stratum, the prevalence of breast cancer was 1.12% [n = 117], but the number of adults in the middle (1.48% [n = 391], p = 0.009) and high-income levels (1.71% [n = 219], p <0.001) has increased. Conclusions The study found that the prevalence of cancer diseases was increasingly different among participants of different socioeconomic classes of NHANES from 1999 to 2018. Further research is required on the dynamics and health impact of income inequality, as well as public health policies and efforts to reduce these inequalities.

CASE SERIES OF MEGALOBLASTIC ANEMIA DUE TO VITAMIN 12 DEFICIENCY IN A TERTIARY CARE TEACHING HOSPITAL

We report herein an interesting case series of pediatric patients presenting with vitamin B12 deciency. It includes eight th patients admitted with us from 15 November 2020 to 15th January 2021.Our patients can be classied into less than or equal to 2 years age group and those more than or equal to 10 years age group, for having different clinical presentation. Out of the 8 patients,5 were females and 3 were males. In a span of less than 2months (post covid situation with economic crisis), these patients from low socioeconomic strata presented in emergency department with severe anaemia with or without neurological involvement. All patients were either exclusively breast fed or vegetarians. Vitamin B12 deciency may lead to serious neurological decits in addition to megaloblastic anaemia. Persistent neurological damage can be prevented with early diagnosis and treatment. We believe that a thorough clinical and neurological assessment might prevent failure to notice rare but possible vitamin B12 deciency in infants with neurological decits and neurodevelopmental retardation.

Analysis of suicide hanging deaths in South Bangalore: A three-year retrospective study

Hanging is the most frequently encountered asphyxial death in forensic medicine practice. It is the second most common method employed to commit suicide in India. Easy availability and presence of wide range of ligature materials at home itself makes hanging a preferred method of committing suicide. This study was done at Kempegowda Institute of Medical Sciences & hospital Bangalore with an aim to evaluate suicidal hangings through perusal of postmortem reports retrospectively during the study period between Jan 2011 to Dec 2013. During the 3-year study period the study population had a total of 519 decedents ranging between age 11 years to 77 years. Victims of both sexes comprised the study population. Suicidal hangings with reference to age, sex, socioeconomic status of the decedents, educational qualification, motive, time, type of suspension and position of knot were studied to evaluate the relationship between different parameters. 62.63% of the decedents were males. The most common age group affected were in their third decade of life, who made 43.35 population 66.1% of victims died in complete suspension and remainder 33.0952% of victims had typical know placement while 47.6% had atypical knot placement. 58.38% of victims belonged to lower socioeconomic strata of which a majority shared an educational qualification up to pre-university weighing a percentage of 26%. The motive in majority of the deaths remained unknown (38.15%), family disputes ranked second with a percentage of 36.03.

O rural civilizado: a experiência do hipismo no Jacarepaguá Tênis Clube (Rio de Janeiro; 1940-1957) = El rural civilizado: La experiencia de la hípica en el Jacarepaguá Tênis Clube (Rio de Janeiro; 1940-1957) = The civilized rural: The equestrian experience of Jacarepaguá Tênis Clube (Rio de Janeiro; 1940-1957)

ResumoFundado em 1939, o Jacarepaguá Tênis Clube foi uma das únicas agremiações dos subúrbios cariocas a ter uma equipe de hipismo, modalidade usualmente praticada por gente de estrato socioeconômico alto. Este artigo tem por objetivo discutir essa experiência esportiva considerando que as iniciativas associativas são relevantes indicadores dos processos de urbanização, conformação de identidades e constituição do território. Adotou-se o recorte temporal de 1941 a 1957, período em que a equitação existiu no clube investigado. Como fontes, foram utilizados revistas e jornais publicados no Rio de Janeiro. Ao final, conclui-se que o incentivo ao esporte equestre foi mobilizado no sentido de forjar uma boa imagem para o clube, o apresentando como expressão do rural civilizado que caracterizaria o bairro. ResumenFundado en 1939, Jacarepaguá Tênis Clube fue uno de los únicos clubes de los suburbios de Río de Janeiro que contó con un equipo de hípica, modalidad que habitualmente practican personas de alto nivel socioeconómico. Este artículo tiene el objetivo de discutir, desde su repercusión pública, la experiencia de esta sociedad deportiva considerando que las iniciativas asociativas son indicadores relevantes de los procesos de urbanización, conformación de identidades y producción del espacio. Se adoptó el marco temporal de 1941 a 1957, período en el que existía la equitación en el club investigado. Como fuentes se utilizaron principalmente revistas y periódicos publicados en Río de Janeiro. Al final, se concluye que el incentivo al deporte ecuestre se movilizó con el fin de forjar una buena imagen para el club, presentándolo como una expresión de lo rural civilizado que caracterizaría al barrio. AbstractFounded in 1939, Jacarepaguá Tênis Clube was one of the only clubs in the suburbs of Rio de Janeiro that had a team of horse riding, a sport usually practiced by people from high socioeconomic strata. This article aims to discuss, from its public repercussion, the experience of this sports society considering that associative initiatives are important indicators of processes of the urbanization, formation of identities and space production. The time frame from 1941 to 1957 was adopted, a period in which horse riding existed in the investigated club. As sources, they were used mostly magazines and newspapers published in Rio de Janeiro. It is concluded that the incentive to equestrian sport was mobilized in order to build a good image for the club, presenting it as an expression of the civilized rural that would characterize the neighbourhood.

1247Low-calorie sweeteners consumption: a population-based study from Campinas, Brazil

Background The addition of low-calorie sweeteners (LCS) has been increasingly used by industry but their metabolic effects are controversial. Objectives: to estimate the consumption of foods and beverages with LCS among adolescents, adults and the elderly and to verify which food categories most contribute to this consumption. Methods Cross-sectional study. We used data from the Campinas Health Survey (ISACamp 2014-15) and the Food Consumption and Nutritional Status Survey (ISACamp-Nutri 2015-16) of 2570 individuals from 10 years old. We estimated the prevalence of LCS consumption and described the food categories that most contributed to this consumption. Using regression analysis, we verified which population groups had the highest consumption of products with LCS. Results More than 40% of adolescents, adults and the elderly consumed at least one product with LCS, mainly coming from sweetened beverages, tabletop sweeteners, and yogurt and other dairy beverages. The consumption of LCS was evenly found across adolescents and elderly from all socioeconomic strata, and whether elderly participants presented overweight and/or diabetes. Among adults, greater prevalence of foods and beverages with LCS consumption was found in those with higher education but did not vary by the presence of overweight and/or diabetes. Conclusions We found similar consumption of foods and beverages with LCS in most socioeconomic strata, and in participants with and without overweight or diabetes. Key messages The results can contribute to the development of public policies on clearer information of LCS addition in food labels.

1019Socioeconomic inequities in 5-year weight trajectories in association with baseline weight-related perceptions: a longitudinal study

Background Recognition of overweight may be a necessary pre-cursor for weight-reduction, but some suggest under-perceiving overweight may be protective against obesity. Differential responses may occur across socioeconomic strata. Methods Five-year body mass index (BMI) trajectories were examined using multilevel models of 8174 participants stratified by gender, neighbourhood socioeconomic circumstances, baseline BMI and perceived weight status, adjusting for potential confounders. Results At baseline, weight-related dissatisfaction and perceived overweight were associated with higher mean BMI, regardless of whether people were classified as ‘normal’ or overweight by WHO criteria. Mean BMI did not decrease among people classified as overweight who perceived themselves as overweight, or expressed weight-related dissatisfaction. Among those with ‘normal’ BMI at baseline but dissatisfied with their weight, mean BMI increased disproportionately among people in disadvantaged areas. Mean BMI also rose disproportionately for people in disadvantaged areas among those feeling overweight, despite having a ‘normal’ BMI, compared to people with the same over-perception but living in affluent areas. Conclusions No evidence was found to suggest accurate recognition of overweight or expressing weight-related dissatisfaction leads to a lower BMI. However, there was evidence of an increase in mean BMI among people who felt dissatisfied with, or over-perceived their ‘normal’ weight, especially in socioeconomically disadvantaged areas. Key messages Correction of under-perceptions may not drive weight loss, but circumstances contributing to over-perception and dissatisfaction with weight status may contribute to increased weight gain and exacerbate socioeconomic inequities in BMI.

Intergenerational nutrition benefits of India’s national school feeding program

India has the world’s highest number of undernourished children and the largest school feeding program, the Mid-Day Meal (MDM) scheme. As school feeding programs target children outside the highest-return “first 1000-days” window, they have not been included in the global agenda to address stunting. School meals benefit education and nutrition in participants, but no studies have examined whether benefits carry over to their children. Using nationally representative data on mothers and their children spanning 1993 to 2016, we assess whether MDM supports intergenerational improvements in child linear growth. Here we report that height-for-age z-score (HAZ) among children born to mothers with full MDM exposure was greater (+0.40 SD) than that in children born to non-exposed mothers. Associations were stronger in low socioeconomic strata and likely work through women’s education, fertility, and health service utilization. MDM was associated with 13–32% of the HAZ improvement in India from 2006 to 2016.