Science.gov

Sample records for area level socioeconomic

  1. Do relationships between environmental attributes and recreational walking vary according to area-level socioeconomic status?

    PubMed

    Sugiyama, Takemi; Howard, Natasha J; Paquet, Catherine; Coffee, Neil T; Taylor, Anne W; Daniel, Mark

    2015-04-01

    Residents of areas with lower socioeconomic status (SES) are known to be less physically active during leisure time. Neighborhood walkability has been shown to be related to recreational walking equally in low and high SES areas. This cross-sectional study tested whether associations of specific environmental attributes, measured objectively and subjectively, with walking for recreation were moderated by area-level SES. The data of the North West Adelaide Health Study collected in 2007 (n = 1500, mean age 57) were used. Self-reported walking frequency was the outcome of the study. Environmental exposure measures included objectively measured walkability components (residential density, intersection density, land use mix, and net retail area ratio) and perceived attributes (access to destinations, neighborhood esthetics, walking infrastructure, traffic/barriers, and crime safety). Participants' suburbs were categorized into low and high SES areas using an indicator of socioeconomic disadvantage. Low SES areas had lower scores in residential density, neighborhood esthetics, walking infrastructure, traffic/barriers, and crime safety. Recreational walking was associated with residential density, access to destinations, esthetics, traffic/barriers, and crime safety. Effect modification was observed for two attributes (out of nine): residential density was associated with walking only in low SES areas, while walking infrastructure was associated with walking only in high SES areas. The associations of neighborhood environmental attributes with recreational walking were largely consistent across SES groups. However, low SES areas were disadvantaged in most perceived environmental attributes related to recreational walking. Improving such attributes in low SES neighborhoods may help close socioeconomic disparities in leisure time physical activity. PMID:25604935

  2. Area-Level Socioeconomic Characteristics, Prevalence and Trajectories of Cardiometabolic Risk

    PubMed Central

    Ngo, Anh D.; Paquet, Catherine; Howard, Natasha J.; Coffee, Neil T.; Taylor, Anne W.; Adams, Robert J.; Daniel, Mark

    2014-01-01

    This study examines the relationships between area-level socioeconomic position (SEP) and the prevalence and trajectories of metabolic syndrome (MetS) and the count of its constituents (i.e., disturbed glucose and insulin metabolism, abdominal obesity, dyslipidemia, and hypertension). A cohort of 4,056 men and women aged 18+ living in Adelaide, Australia was established in 2000–2003. MetS was ascertained at baseline, four and eight years via clinical examinations. Baseline area-level median household income, percentage of residents with a high school education, and unemployment rate were derived from the 2001 population Census. Three-level random-intercepts logistic and Poisson regression models were performed to estimate the standardized odds ratio (SOR), prevalence risk ratio (SRR), ratio of SORs/SRRs, and (95% confidence interval (CI)). Interaction between area- and individual-level SEP variables was also tested. The odds of having MetS and the count of its constituents increased over time. This increase did not vary according to baseline area-level SEP (ratios of SORs/SRRs ≈ 1; p ≥ 0.42). However, at baseline, after adjustment for individual SEP and health behaviours, median household income (inversely) and unemployment rate (positively) were significantly associated with MetS prevalence (SOR (95%CI) = 0.76 (0.63–0.90), and 1.48 (1.26–1.74), respectively), and the count of its constituents (SRR (95%CI) = 0.96 (0.93–0.99), and 1.06 (1.04–1.09), respectively). The inverse association with area-level education was statistically significant only in participants with less than post high school education (SOR (95%CI) = 0.58 (0.45–0.73), and SRR (95%CI) = 0.91 (0.88–0.94)). Area-level SEP does not predict an elevated trajectory to developing MetS or an elevated count of its constituents. However, at baseline, area-level SEP was inversely associated with prevalence of MetS and the count of its constituents, with the association of area-level education

  3. Area-level socioeconomic status in relation to outcomes in γ-hydroxybutyrate intoxication

    PubMed Central

    ANDERSON, ILENE B.; KIM-KATZ, SUSAN Y.; DYER, JO ELLEN; EARNEST, GILLIAN E.; LAMB, JOHN P.; BLANC, PAUL D.

    2009-01-01

    Background Area-level socioeconomic status (SES) may play an important role in drug abuse patterns, including related health outcomes. This may be particularly relevant for γ-hydroxybutyrate (GHB), which is prototypical of “party” drug abuse. Methods We retrospectively reviewed GHB-related cases reported to the California Poison Control System (CPCS; January 1, 1999 through June 30, 2007). We limited analysis to CPCS calls containing a residential zip code (ZC). The CPCS data were extracted for key case characteristics, including the residential ZC. We linked cases to corresponding 2000 U.S. Census data for area-level measures of SES and demographics. We used multiple logistic regression analysis to test the associations between area-level SES and GHB case severity, taking into account area-level demographics and individual-level GHB high-risk behaviors. Results We analyzed 210 cases. Taking into account area-level demographics (age and racial mix; urbanicity) and GHB-related high-risk behaviors (use of GHB congeners; GHB-dependence; co-ingestion of other agents), we associated higher area-level SES with greater GHB case severity. There was 40% increased likelihood of major GHB adverse health outcomes for every $100,000 incremental increase in median home values (OR 1.41; 95% CI 1.1–1.8). For median annual household income (per $10,000), the association was similar (OR 1.39; 95% CI 1.0–1.9). Conclusion Higher area-level SES is associated with greater GHB-related case severity. This study may serve as a model using a geographic information system (GIS) approach to study the population-based correlates of drugs of abuse reported through poison control surveillance. PMID:18787999

  4. Area-level socioeconomic deprivation, nitrogen dioxide exposure, and term birth weight in New York City.

    PubMed

    Shmool, Jessie L C; Bobb, Jennifer F; Ito, Kazuhiko; Elston, Beth; Savitz, David A; Ross, Zev; Matte, Thomas D; Johnson, Sarah; Dominici, Francesca; Clougherty, Jane E

    2015-10-01

    Numerous studies have linked air pollution with adverse birth outcomes, but relatively few have examined differential associations across the socioeconomic gradient. To evaluate interaction effects of gestational nitrogen dioxide (NO2) and area-level socioeconomic deprivation on fetal growth, we used: (1) highly spatially-resolved air pollution data from the New York City Community Air Survey (NYCCAS); and (2) spatially-stratified principle component analysis of census variables previously associated with birth outcomes to define area-level deprivation. New York City (NYC) hospital birth records for years 2008-2010 were restricted to full-term, singleton births to non-smoking mothers (n=243,853). We used generalized additive mixed models to examine the potentially non-linear interaction of nitrogen dioxide (NO2) and deprivation categories on birth weight (and estimated linear associations, for comparison), adjusting for individual-level socio-demographic characteristics and sensitivity testing adjustment for co-pollutant exposures. Estimated NO2 exposures were highest, and most varying, among mothers residing in the most-affluent census tracts, and lowest among mothers residing in mid-range deprivation tracts. In non-linear models, we found an inverse association between NO2 and birth weight in the least-deprived and most-deprived areas (p-values<0.001 and 0.05, respectively) but no association in the mid-range of deprivation (p=0.8). Likewise, in linear models, a 10 ppb increase in NO2 was associated with a decrease in birth weight among mothers in the least-deprived and most-deprived areas of -16.2g (95% CI: -21.9 to -10.5) and -11.0 g (95% CI: -22.8 to 0.9), respectively, and a non-significant change in the mid-range areas [β=0.5 g (95% CI: -7.7 to 8.7)]. Linear slopes in the most- and least-deprived quartiles differed from the mid-range (reference group) (p-values<0.001 and 0.09, respectively). The complex patterning in air pollution exposure and deprivation

  5. Inequalities in Croatian pupils' risk behaviors associated to socioeconomic environment at school and area level: a multilevel approach.

    PubMed

    Pavic Simetin, Ivana; Kern, Josipa; Kuzman, Marina; Pförtner, Timo-Kolja

    2013-12-01

    The socioeconomic inequality in pupils' risk behaviors has been the topic of many studies with quite contradictory findings. Furthermore, the role of socioeconomic environment has been analyzed much less often than the role of individual socioeconomic status (SES). This study examined the association between school/area-level socioeconomic environment and Croatian pupils' risk behaviors (tobacco use, drunkenness, cannabis use, early sexual initiation and fighting). Data from the WHO-Collaborative 'Health Behavior in School-aged Children' study conducted in Croatia in 2006 (1601 secondary schools' pupils, aged 15) and census data were used. Multilevel logistic regression analyses, adjusted by gender, were performed. The individual level of SES explained the majority of differences in all risk behaviors among adolescents. Differences in tobacco use, early sexual initiation and fighting were more closely attributed to school level than area level, which was more closely associated with differences in adolescent drunkenness and cannabis use. At the individual level, high individual SES was associated with higher probability for tobacco use and drunkenness compared to low individual SES. Furthermore, school heterogeneity (compared to school homogeneity) and medium school-level SES (compared to low school-level SES) were associated with higher probability for cannabis use. Compared to the most advanced schools (gymnasiums), attending the least advanced schools (industrial and crafts schools) was associated with higher probability for fighting. Compared to low area-level SES, medium area-level SES was associated with higher probability for cannabis use and fighting. Conclusively, it was found that low SES at individual, school and area levels, school homogeneity and advanced school attendance play a protective role against risk behaviors. To reduce inequalities in pupils' risk behaviors, there is a need for community and school-based programs that take into consideration

  6. Area-Level Socioeconomic Factors Are Associated With Noncompletion of Pediatric Preventive Services.

    PubMed

    Jones, Margaret N; Brown, Courtney M; Widener, Michael J; Sucharew, Heidi J; Beck, Andrew F

    2016-07-01

    We examined 4872 infants born consecutively, 2011-2012, and seen at 3 primary care centers to determine whether area-based socioeconomic measures were associated with noncompletion of common preventive services within the first 15 months. Addresses were geocoded and linked to census tract poverty, adult educational attainment, and household vehicle ownership rates. The quartile of patients in the highest poverty (adjusted odds ratio [aOR] 1.25; 95% confidence interval [CI] 1.01-1.54) and lowest vehicle ownership tracts (aOR 1.32; 95% CI 1.07-1.63) had significantly increased odds of service noncompletion. There were significant spatial clusters of low completion in Cincinnati's urban core. These findings have implications for preventive service delivery. PMID:26883436

  7. Composite Measures of Individual and Area-Level Socio-Economic Status Are Associated with Visual Impairment in Singapore

    PubMed Central

    Wah, Win; Earnest, Arul; Sabanayagam, Charumathi; Cheng, Ching-Yu; Ong, Marcus Eng Hock; Wong, Tien Y.; Lamoureux, Ecosse L.

    2015-01-01

    Purpose To investigate the independent relationship of individual- and area-level socio-economic status (SES) with the presence and severity of visual impairment (VI) in an Asian population. Methods Cross-sectional data from 9993 Chinese, Malay and Indian adults aged 40–80 years who participated in the Singapore Epidemiology of eye Diseases (2004–2011) in Singapore. Based on the presenting visual acuity (PVA) in the better-seeing eye, VI was categorized into normal vision (logMAR≤0.30), low vision (logMAR>0.30<1.00), and blindness (logMAR≥1.00). Any VI was defined as low vision/blindness in the PVA of better-seeing eye. Individual-level low-SES was defined as a composite of primary-level education, monthly income<2000 SGD and residing in 1 or 2-room public apartment. An area-level SES was assessed using a socio-economic disadvantage index (SEDI), created using 12 variables from the 2010 Singapore census. A high SEDI score indicates a relatively poor SES. Associations between SES measures and presence and severity of VI were examined using multi-level, mixed-effects logistic and multinomial regression models. Results The age-adjusted prevalence of any VI was 19.62% (low vision = 19%, blindness = 0.62%). Both individual- and area-level SES were positively associated with any VI and low vision after adjusting for confounders. The odds ratio (95% confidence interval) of any VI was 2.11(1.88–2.37) for low-SES and 1.07(1.02–1.13) per 1 standard deviation increase in SEDI. When stratified by unilateral/bilateral categories, while low SES showed significant associations with all categories, SEDI showed a significant association with bilateral low vision only. The association between low SES and any VI remained significant among all age, gender and ethnic sub-groups. Although a consistent positive association was observed between area-level SEDI and any VI, the associations were significant among participants aged 40–65 years and male. Conclusion In this

  8. Area-Level Socioeconomic Gradients in Overweight and Obesity in a Community-Derived Cohort of Health Service Users – A Cross-Sectional Study

    PubMed Central

    Bonney, Andrew; Mayne, Darren J.; Jones, Bryan D.; Bott, Lawrence; Andersen, Stephen E. J.; Caputi, Peter; Weston, Kathryn M.; Iverson, Don C.

    2015-01-01

    Background Overweight and obesity lead to higher probability of individuals accessing primary care but adiposity estimates are rarely available at regional levels to inform health service planning. This paper analyses a large, community-derived clinical database of objectively measured body mass index (BMI) to explore relationships with area-level socioeconomic disadvantage for informing regional level planning activities. Materials and Methods The study included 91776 adults who had BMI objectively measured between 1 July 2009 and 30 June 2011 by a single pathology provider. Demographic data and BMI were extracted and matched to 2006 national census socioeconomic data using geocoding. Adjusted odds-ratios for overweight and obesity were calculated using sex-stratified logistic regression models with socioeconomic disadvantage of census collection district of residence as the independent variable. Results The prevalence of overweight or obesity was 79.2% (males) and 65.8% (females); increased with age to 74 years; and was higher in rural (74%) versus urban areas (71.4%) (p<0.001). Increasing socioeconomic disadvantage was associated with increasing prevalence of overweight (p<0.0001), obesity (p<0.0001) and overweight or obesity (p<0.0001) in women and obesity (p<0.0001) in men. Socioeconomic disadvantage was unrelated to overweight (p = 0.2024) and overweight or obesity (p = 0.4896) in males. Conclusion It is feasible to link routinely-collected clinical data, representative of a discrete population, with geographic distribution of disadvantage, and to obtain meaningful area-level information useful for targeting interventions to improve population health. Our results demonstrate novel area-level socioeconomic gradients in overweight and obesity relevant to regional health service planning. PMID:26317861

  9. Racial disparities in individual breast cancer outcomes by hormone-receptor subtype, area-level socio-economic status and healthcare resources.

    PubMed

    Akinyemiju, Tomi; Moore, Justin Xavier; Ojesina, Akinyemi I; Waterbor, John W; Altekruse, Sean F

    2016-06-01

    The aim of the study is to determine the influence of area-level socio-economic status and healthcare access in addition to tumor hormone-receptor subtype on individual breast cancer stage, treatment, and mortality among Non-Hispanic (NH)-Black, NH-White, and Hispanic US adults. Analysis was based on 456,217 breast cancer patients in the SEER database from 2000 to 2010. Multilevel and multivariable-adjusted logistic and Cox proportional hazards regression analysis was conducted to account for clustering by SEER registry of diagnosis. NH-Black women had greater area-level access to healthcare resources compared with women of other races. For instance, the average numbers of oncology hospitals per million population in counties with NH-Black, NH-White, and Hispanic women were 8.1, 7.7, and 5.0 respectively; average numbers of medical doctors per million in counties with NH-Black, NH-White, and Hispanic women were 100.7, 854.0, and 866.3 respectively; and average number of Ob/Gyn in counties with NH-Black, NH-White, and Hispanic women was 155.6, 127.4, and 127.3, respectively (all p values <0.001). Regardless, NH-Black women (HR 1.39, 95 % CI 1.36-1.43) and Hispanic women (HR 1.05, 95 % CI 1.03-1.08) had significantly higher breast cancer mortality compared with NH-White women even after adjusting for hormone-receptor subtype, area-level socio-economic status, and area-level healthcare access. In addition, lower county-level socio-economic status and healthcare access measures were significantly and independently associated with stage at presentation, surgery, and radiation treatment as well as mortality after adjusting for age, race/ethnicity, and HR subtype. Although breast cancer HR subtype is a strong, important, and consistent predictor of breast cancer outcomes, we still observed significant and independent influences of area-level SES and HCA on breast cancer outcomes that deserve further study and may be critical to eliminating breast cancer outcome

  10. Racial disparities in individual breast cancer outcomes by hormone-receptor subtype, area-level socio-economic status and healthcare resources

    PubMed Central

    Akinyemiju, Tomi; Moore, Justin Xavier; Ojesina, Akinyemi I.; Waterbor, John W.; Altekruse, Sean F

    2016-01-01

    The aim of the study is to determine the influence of area-level socio-economic status and healthcare access in addition to tumor hormone-receptor subtype on individual breast cancer stage, treatment, and mortality among Non-Hispanic (NH)-Black, NH-White, and Hispanic US adults. Analysis was based on 456,217 breast cancer patients in the SEER database from 2000 to 2010. Multilevel and multivariable-adjusted logistic and Cox proportional hazards regression analysis was conducted to account for clustering by SEER registry of diagnosis. NH-Black women had greater area-level access to healthcare resources compared with women of other races. For instance, the average numbers of oncology hospitals per million population in counties with NH-Black, NH-White, and Hispanic women were 8.1, 7.7, and 5.0 respectively; average numbers of medical doctors per million in counties with NH-Black, NH-White, and Hispanic women were 100.7, 854.0, and 866.3 respectively; and average number of Ob/Gyn in counties with NH-Black, NH-White, and Hispanic women was 155.6, 127.4, and 127.3, respectively (all p values <0.001). Regardless, NH-Black women (HR 1.39, 95 % CI 1.36–1.43) and Hispanic women (HR 1.05, 95 % CI 1.03–1.08) had significantly higher breast cancer mortality compared with NH-White women even after adjusting for hormone-receptor subtype, area-level socioeconomic status, and area-level healthcare access. In addition, lower county-level socio-economic status and healthcare access measures were significantly and independently associated with stage at presentation, surgery, and radiation treatment as well as mortality after adjusting for age, race/ethnicity, and HR subtype. Although breast cancer HR subtype is a strong, important, and consistent predictor of breast cancer outcomes, we still observed significant and independent influences of area-level SES and HCA on breast cancer outcomes that deserve further study and may be critical to eliminating breast cancer outcome

  11. Socio-economic benefits from protected areas in southeastern Australia.

    PubMed

    Heagney, E C; Kovac, M; Fountain, J; Conner, N

    2015-12-01

    International case studies of protected area performance increasingly report that conservation and socio-economic outcomes are interdependent. Effective conservation requires support and cooperation from local governments and communities, which in turn requires that protected areas contribute to the economic well-being of the communities in which they are sited. Despite increasing recognition of their importance, robust studies that document the socio-economic impacts of protected areas are rare, especially in the developed world context. We proposed 3 potential pathways through which protected areas might benefit local communities in the developed world: the improved local housing value, local business stimulus, and increased local funding pathways. We examined these pathways by undertaking a statistical longitudinal analysis of 110 regional and rural communities covering an area of approximately 600,000 km(2) in southeastern Australia. We compared trends in 10 socio-economic indicators describing employment, income, housing, business development and local government revenue from 2000 to 2010. New protected areas acquisitions led to an increased number of new dwelling approvals and associated developer contributions, increased local business numbers, and increased local government revenue from user-pays services and grants. Longer-term effects of established protected areas included increased local council revenue from a variety of sources. Our findings provide support for each of our 3 proposed benefit pathways and contribute new insights into the cycling of benefits from protected areas through the economy over time. The business and legislative models in our study are typical of those operating in many other developed countries; thus, the benefit pathways reported in our study are likely to be generalizable. By identifying and communicating socio-economic benefits from terrestrial protected areas in a developed world context, our findings represent an important

  12. Evaluating area-level spatial clustering of Salmonella Enteritidis infections and their socioeconomic determinants in the greater Toronto area, Ontario, Canada (2007 – 2009): a retrospective population-based ecological study

    PubMed Central

    2013-01-01

    Background There have been only a few region-level ecological studies conducted in Canada investigating enteric infections in humans. Our study objectives were to 1) assess the spatial clustering of Salmonella enterica serotype Enteritidis (S. Enteritidis) human infections in the Greater Toronto Area, and 2) identify underlying area-level associations between S. Enteritidis infection rates and socioeconomic status (SES) indicators that might explain the clustering of infections. Methods Retrospective data on S. Enteritidis infections from 2007 to 2009 were obtained from Ontario’s reportable disease surveillance database and were grouped at the forward sortation area (FSA) - level. A spatial scan statistic was employed to identify FSA-level spatial clusters of high infection rates. Negative binomial regression was used to identify FSA-level associations between S. Enteritidis infection rates and SES indicators obtained from the 2006 Census of Canada. Global Moran’s I statistic was used to evaluate the final model for residual spatial clustering. Results A spatial cluster that included nine neighbouring FSAs was identified in downtown Toronto. A significant positive curvilinear relationship was observed between S. Enteritidis infection rates and FSA-level average number of children at home per census family. Areas with high and areas with low average median family income had higher infection rates than FSAs with medium average median family income. Areas with a high proportion of visible minority population had lower infection rates than FSAs with a medium proportion of visible minority population. The Moran’s I statistic was not significant, indicating that no residual spatial autocorrelation was present after accounting for the SES variables in the final model. Conclusions Our study demonstrated that FSAs with high and low average median family income, medium proportion of visible minority population, and high average number of children at home per census

  13. Teaching Technology in Low Socioeconomic Areas

    ERIC Educational Resources Information Center

    Thomas, Dianne

    2007-01-01

    For all students to become successful, productive citizens in the future, it is apparent that they must be well educated in technology. Those students who come from lower socioeconomic backgrounds have further to go in attaining that education because they often do not have the capabilities at home to practice technology nor do they have the…

  14. Interactions between Sex, Socioeconomic Level, and Children's Cognitive Performance.

    PubMed

    Alves, Ana-Filipa; Martins, Ana; Almeida, Leandro S

    2016-04-01

    This study assesses the interactions between sex, socioeconomic level, and children's cognitive performance. Cognitive performance was measured for a sample of 453 Portuguese children, aged between 4 and 10 years, with 218 boys and 235 girls; verbal and nonverbal cognitive ability and intelligence quotient were measured by the Cognitive Skills Scale for Children. Multivariate analysis of variance assessed the effects of sex and family's socioeconomic level on intelligence quotient. A statistically significant interaction between sex and socioeconomic level was observed for nonverbal intelligence quotient, total intelligence quotient, and two subtests. Socioeconomic level had more influence than sex on most of the cognitive tests. PMID:27154374

  15. Drivers and Socioeconomic Impacts of Tourism Participation in Protected Areas

    PubMed Central

    Liu, Wei; Vogt, Christine A.; Luo, Junyan; He, Guangming; Frank, Kenneth A.; Liu, Jianguo

    2012-01-01

    Nature-based tourism has the potential to enhance global biodiversity conservation by providing alternative livelihood strategies for local people, which may alleviate poverty in and around protected areas. Despite the popularity of the concept of nature-based tourism as an integrated conservation and development tool, empirical research on its actual socioeconomic benefits, on the distributional pattern of these benefits, and on its direct driving factors is lacking, because relevant long-term data are rarely available. In a multi-year study in Wolong Nature Reserve, China, we followed a representative sample of 220 local households from 1999 to 2007 to investigate the diverse benefits that these households received from recent development of nature-based tourism in the area. Within eight years, the number of households directly participating in tourism activities increased from nine to sixty. In addition, about two-thirds of the other households received indirect financial benefits from tourism. We constructed an empirical household economic model to identify the factors that led to household-level participation in tourism. The results reveal the effects of local households' livelihood assets (i.e., financial, human, natural, physical, and social capitals) on the likelihood to participate directly in tourism. In general, households with greater financial (e.g., income), physical (e.g., access to key tourism sites), human (e.g., education), and social (e.g., kinship with local government officials) capitals and less natural capital (e.g., cropland) were more likely to participate in tourism activities. We found that residents in households participating in tourism tended to perceive more non-financial benefits in addition to more negative environmental impacts of tourism compared with households not participating in tourism. These findings suggest that socioeconomic impact analysis and change monitoring should be included in nature-based tourism management systems

  16. Drivers and socioeconomic impacts of tourism participation in protected areas.

    PubMed

    Liu, Wei; Vogt, Christine A; Luo, Junyan; He, Guangming; Frank, Kenneth A; Liu, Jianguo

    2012-01-01

    Nature-based tourism has the potential to enhance global biodiversity conservation by providing alternative livelihood strategies for local people, which may alleviate poverty in and around protected areas. Despite the popularity of the concept of nature-based tourism as an integrated conservation and development tool, empirical research on its actual socioeconomic benefits, on the distributional pattern of these benefits, and on its direct driving factors is lacking, because relevant long-term data are rarely available. In a multi-year study in Wolong Nature Reserve, China, we followed a representative sample of 220 local households from 1999 to 2007 to investigate the diverse benefits that these households received from recent development of nature-based tourism in the area. Within eight years, the number of households directly participating in tourism activities increased from nine to sixty. In addition, about two-thirds of the other households received indirect financial benefits from tourism. We constructed an empirical household economic model to identify the factors that led to household-level participation in tourism. The results reveal the effects of local households' livelihood assets (i.e., financial, human, natural, physical, and social capitals) on the likelihood to participate directly in tourism. In general, households with greater financial (e.g., income), physical (e.g., access to key tourism sites), human (e.g., education), and social (e.g., kinship with local government officials) capitals and less natural capital (e.g., cropland) were more likely to participate in tourism activities. We found that residents in households participating in tourism tended to perceive more non-financial benefits in addition to more negative environmental impacts of tourism compared with households not participating in tourism. These findings suggest that socioeconomic impact analysis and change monitoring should be included in nature-based tourism management systems

  17. Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study

    PubMed Central

    Brennan-Olsen, Sharon L.; Williams, Lana J.; Holloway, Kara L.; Hosking, Sarah M.; Stuart, Amanda L.; Dobbins, Amelia G.; Pasco, Julie A.

    2015-01-01

    Background The social gradient of health and mortality is well-documented. However, data are scarce regarding whether differences in mortality are observed across socio-economic status (SES) measured at the small area-level. We investigated associations between area-level SES and all-cause mortality in Australian women aged ≥ 20 years. Methods We examined SES, obesity, hypertension, lifestyle behaviors and all-cause mortality within 10 years post-baseline (1994), for 1494 randomly-selected women. Participants' residential addresses were matched to Australian Bureau of Statistics Census data to identify area-level SES, and deaths were ascertained from the Australian National Deaths Index. Logistic regression models were adjusted for age, and subsequent adjustments made for measures of weight status and lifestyle behaviors. Results We observed 243 (16.3%) deaths within 10 years post-baseline. Females in SES quintiles 2–4 (less disadvantaged) had lower odds of mortality (0.49–0.59) compared to SES quintile 1 (most disadvantaged) under the best model, after adjusting for age, smoking status and low mobility. Conclusions Compared to the lowest SES quintile (most disadvantaged), females in quintiles 2 to 5 (less disadvantaged) had significantly lower odds ratio of all-cause mortality within 10 years. Associations between extreme social disadvantage and mortality warrant further attention from research, public health and policy arenas. PMID:26844110

  18. Environmental resources of selected areas of Hawaii: Socioeconomics

    SciTech Connect

    Saulsbury, J.W.; Sorensen, B.M.; Reed, R.M.; Schexnayder, S.M.

    1995-03-01

    This report has been prepared to make available and archive the background information on socioeconomic resources collected during the preparation of the environmental impact statement (EIS) for Phases 3--4 of the Hawaii Geothermal Project (HGP) as defined by the state of Hawaii in its April 1989 proposal to Congress. The USDOE published a notice withdrawing its Notice of Intent to prepare the HGP EIS. Since the state of Hawaii is no longer pursuing or planning to pursue the HGP, DOE considers the project to be terminated. This document provides background information on socioeconomic resources in Hawaii County, with particular emphasis on the Puna District. Information is being made available for use by others in conducting future socioeconomic impact assessments in this area. this report describes existing socioeconomic resources in the areas studied and does not represent an assessment of environmental impacts. The socioeconomic resources described are primarily those that would be affected by employment and population growth associated with any future large-scale development. These resource categories are population, housing, land use, economic structure, infrastructure and public services, local government revenues and expenditures, and tourism and recreation.

  19. Environmental Resources of Selected Areas of Hawaii: Socioeconomics (DRAFT)

    SciTech Connect

    Saulsbury, J.W.; Sorensen, B.M.; Schexnayder, S.M.

    1994-06-01

    This report has been prepared to make available and archive the background information on socioeconomic resources collected during the preparation of the Environmental Impact Statement (EIS) for Phases 3 and 4 of the Hawaii Geothermal Project (HGP) as defined by the state of Hawaii in its April 1989 proposal to Congress. The U.S. Department of Energy (DOE) published a notice in the Federal Register on May 17, 1994 (Fed. Regis. 5925638), withdrawing its Notice of Intent (Fed Regis. 57:5433), of February 14, 1992, to prepare the HGPEIS. Since the state of Hawaii is no longer pursuing or planning to pursue the HGP, DOE considers the project to be terminated. This document provides background information on socioeconomic resources in Hawaii County, with particular emphasis on the Puna District (Fig. 1). Information is being made available for use by others in conducting future socioeconomic impact assessments in this area. This report describes existing socioeconomic resources in the areas studied (i.e., the affected environment) and does not represent an assessment of environmental impacts. The socioeconomic resources described are primarily those that would be affected by employment and population growth associated with any future large-scale development. These resource categories are (1) population, (2) housing, (3) land use, (4) economic structure (primarily employment and income), (5) infrastructure and public services (education, ground transportation, police and fire protection, water, wastewater, solid waste disposal, electricity, and emergency planning), (6) local government revenues and expenditures, and (7) tourism and recreation.

  20. A small-area index of socioeconomic deprivation to capture health inequalities in France.

    PubMed

    Havard, Sabrina; Deguen, Séverine; Bodin, Julie; Louis, Karine; Laurent, Olivier; Bard, Denis

    2008-12-01

    In the absence of individual data, ecological or contextual measures of socioeconomic level are frequently used to describe social inequalities in health. This work focuses on the methodological aspects of the development and validation of a French small-area index of socioeconomic deprivation and its application to the evaluation of the socioeconomic differentials in health outcomes. This index was derived from a principal component analysis of 1999 national census data from the Strasbourg metropolitan area in eastern France, at the census block level. Composed of 19 variables that reflect the multiple aspects of socioeconomic status (income, employment, housing, family and household, and educational level), it can discriminate disadvantaged urban centres from more privileged rural and suburban areas. Several statistical tests (Cronbach's alpha coefficient, convergent validity tests with other deprivation indices from the literature) provided internal and external validation. Its successful application to another French metropolitan area (Lille, in northern France) confirmed its transposability. Finally, its capacity to capture the social inequalities in health when applied to myocardial infarction data shows its potential value. This study thus provides a new tool in French public health research for characterising neighbourhood deprivation and detecting socioeconomic disparities in the distribution of health outcomes at the small-area level. PMID:18950926

  1. Regional Inequalities in Lung Cancer Mortality in Belgium at the Beginning of the 21st Century: The Contribution of Individual and Area-Level Socioeconomic Status and Industrial Exposure.

    PubMed

    Hagedoorn, Paulien; Vandenheede, Hadewijch; Willaert, Didier; Vanthomme, Katrien; Gadeyne, Sylvie

    2016-01-01

    Being a highly industrialized country with one of the highest male lung cancer mortality rates in Europe, Belgium is an interesting study area for lung cancer research. This study investigates geographical patterns in lung cancer mortality in Belgium. More specifically it probes into the contribution of individual as well as area-level characteristics to (sub-district patterns in) lung cancer mortality. Data from the 2001 census linked to register data from 2001-2011 are used, selecting all Belgian inhabitants aged 65+ at time of the census. Individual characteristics include education, housing status and home ownership. Urbanicity, unemployment rate, the percentage employed in mining and the percentage employed in other high-risk industries are included as sub-district characteristics. Regional variation in lung cancer mortality at sub-district level is estimated using directly age-standardized mortality rates. The association between lung cancer mortality and individual and area characteristics, and their impact on the variation of sub-district level is estimated using multilevel Poisson models. Significant sub-district variations in lung cancer mortality are observed. Individual characteristics explain a small share of this variation, while a large share is explained by sub-district characteristics. Individuals with a low socioeconomic status experience a higher lung cancer mortality risk. Among women, an association with lung cancer mortality is found for the sub-district characteristics urbanicity and unemployment rate, while for men lung cancer mortality was associated with the percentage employed in mining. Not just individual characteristics, but also area characteristics are thus important determinants of (regional differences in) lung cancer mortality. PMID:26760040

  2. Regional Inequalities in Lung Cancer Mortality in Belgium at the Beginning of the 21st Century: The Contribution of Individual and Area-Level Socioeconomic Status and Industrial Exposure

    PubMed Central

    Hagedoorn, Paulien; Vandenheede, Hadewijch; Willaert, Didier; Vanthomme, Katrien; Gadeyne, Sylvie

    2016-01-01

    Being a highly industrialized country with one of the highest male lung cancer mortality rates in Europe, Belgium is an interesting study area for lung cancer research. This study investigates geographical patterns in lung cancer mortality in Belgium. More specifically it probes into the contribution of individual as well as area-level characteristics to (sub-district patterns in) lung cancer mortality. Data from the 2001 census linked to register data from 2001–2011 are used, selecting all Belgian inhabitants aged 65+ at time of the census. Individual characteristics include education, housing status and home ownership. Urbanicity, unemployment rate, the percentage employed in mining and the percentage employed in other high-risk industries are included as sub-district characteristics. Regional variation in lung cancer mortality at sub-district level is estimated using directly age-standardized mortality rates. The association between lung cancer mortality and individual and area characteristics, and their impact on the variation of sub-district level is estimated using multilevel Poisson models. Significant sub-district variations in lung cancer mortality are observed. Individual characteristics explain a small share of this variation, while a large share is explained by sub-district characteristics. Individuals with a low socioeconomic status experience a higher lung cancer mortality risk. Among women, an association with lung cancer mortality is found for the sub-district characteristics urbanicity and unemployment rate, while for men lung cancer mortality was associated with the percentage employed in mining. Not just individual characteristics, but also area characteristics are thus important determinants of (regional differences in) lung cancer mortality. PMID:26760040

  3. Racial and Socioeconomic Variations in Preadolescent Area-Specific and General Self-Esteem.

    ERIC Educational Resources Information Center

    Hare, Bruce R.

    This study of 210 fifth-grade children attempted to assess whether children of varying race, socioeconomic status (SES) and sex differ in their levels of general and area-specific (school, peer, and home) self-esteem. Also investigated was the question of whether children are capable of maintaining differing levels of esteem across the different…

  4. Trends in socioeconomic inequalities in amenable mortality in urban areas of Spanish cities, 1996–2007

    PubMed Central

    2014-01-01

    Background While research continues into indicators such as preventable and amenable mortality in order to evaluate quality, access, and equity in the healthcare, it is also necessary to continue identifying the areas of greatest risk owing to these causes of death in urban areas of large cities, where a large part of the population is concentrated, in order to carry out specific actions and reduce inequalities in mortality. This study describes inequalities in amenable mortality in relation to socioeconomic status in small urban areas, and analyses their evolution over the course of the periods 1996–99, 2000–2003 and 2004–2007 in three major cities in the Spanish Mediterranean coast (Alicante, Castellón, and Valencia). Methods All deaths attributed to amenable causes were analysed among non-institutionalised residents in the three cities studied over the course of the study periods. Census tracts for the cities were grouped into 3 socioeconomic status levels, from higher to lower levels of deprivation, using 5 indicators obtained from the 2001 Spanish Population Census. For each city, the relative risks of death were estimated between socioeconomic status levels using Poisson’s Regression models, adjusted for age and study period, and distinguishing between genders. Results Amenable mortality contributes significantly to general mortality (around 10%, higher among men), having decreased over time in the three cities studied for men and women. In the three cities studied, with a high degree of consistency, it has been seen that the risks of mortality are greater in areas of higher deprivation, and that these excesses have not significantly modified over time. Conclusions Although amenable mortality decreases over the time period studied, the socioeconomic inequalities observed are maintained in the three cities. Areas have been identified that display excesses in amenable mortality, potentially attributable to differences in the healthcare system

  5. Race/Ethnicity, Gender, and Monitoring Socioeconomic Gradients in Health: A Comparison of Area-Based Socioeconomic Measures—The Public Health Disparities Geocoding Project

    PubMed Central

    Krieger, Nancy; Chen, Jarvis T.; Waterman, Pamela D.; Rehkopf, David H.; Subramanian, S. V.

    2003-01-01

    Use of multilevel frameworks and area-based socioeconomic measures (ABSMs) for public health monitoring can potentially overcome the absence of socioeconomic data in most US public health surveillance systems. To assess whether ABSMs can meaningfully be used for diverse race/ethnicity–gender groups, we geocoded and linked public health surveillance data from Massachusetts and Rhode Island to 1990 block group, tract, and zip code ABSMs. Outcomes comprised death, birth, cancer incidence, tuberculosis, sexually transmitted infections, childhood lead poisoning, and nonfatal weapons-related injuries. Among White, Black, and Hispanic women and men, measures of economic deprivation (e.g., percentage below poverty) were most sensitive to expected socioeconomic gradients in health, with the most consistent results and maximal geocoding linkage evident for tract-level analyses. PMID:14534218

  6. Socioeconomic studies of high-level nuclear waste disposal.

    PubMed

    White, G F; Bronzini, M S; Colglazier, E W; Dohrenwend, B; Erikson, K; Hansen, R; Kneese, A V; Moore, R; Page, E B; Rappaport, R A

    1994-11-01

    The socioeconomic investigations of possible impacts of the proposed repository for high-level nuclear waste at Yucca Mountain, Nevada, have been unprecedented in several respects. They bear on the public decision that sooner or later will be made as to where and how to dispose permanently of the waste presently at military weapons installations and that continues to accumulate at nuclear power stations. No final decision has yet been made. There is no clear precedent from other countries. The organization of state and federal studies is unique. The state studies involve more disciplines than any previous efforts. They have been carried out in parallel to federal studies and have pioneered in defining some problems and appropriate research methods. A recent annotated bibliography provides interested scientists with a compact guide to the 178 published reports, as well as to relevant journal articles and related documents. PMID:7971963

  7. Socioeconomic studies of high-level nuclear waste disposal.

    PubMed Central

    White, G F; Bronzini, M S; Colglazier, E W; Dohrenwend, B; Erikson, K; Hansen, R; Kneese, A V; Moore, R; Page, E B; Rappaport, R A

    1994-01-01

    The socioeconomic investigations of possible impacts of the proposed repository for high-level nuclear waste at Yucca Mountain, Nevada, have been unprecedented in several respects. They bear on the public decision that sooner or later will be made as to where and how to dispose permanently of the waste presently at military weapons installations and that continues to accumulate at nuclear power stations. No final decision has yet been made. There is no clear precedent from other countries. The organization of state and federal studies is unique. The state studies involve more disciplines than any previous efforts. They have been carried out in parallel to federal studies and have pioneered in defining some problems and appropriate research methods. A recent annotated bibliography provides interested scientists with a compact guide to the 178 published reports, as well as to relevant journal articles and related documents. PMID:7971963

  8. Seroprevalence and risk factors for dengue infection in socioeconomically distinct areas of Recife, Brazil

    PubMed Central

    Braga, Cynthia; Luna, Carlos Feitosa; Martelli, Celina MariaTurchi; de Souza, Wayner Vieira; Cordeiro, Marli Tenório; Alexander, Neal; Militão de Albuquerque, Maria de Fátima Pessoa; Silveira Júnior, José Constantino; Marques, Ernesto T.

    2013-01-01

    Brazil currently accounts for the majority of dengue cases reported in the Americas, with co-circulation of DENV 1, 2 and 3. Striking variation in the epidemiological pattern of infection within cities has been observed. Therefore, investigation of dengue transmission in small areas is important to formulate control strategies. A population-based household survey was performed in three diverse socio-economic and environmental areas of Recife, a large urban center of Brazil, between 2005 and 2006. Dengue serostatus and individual- and household-level risk factors for infection were collected in residents aged between 5 and 64 years. A total of 2,833 individuals were examined, and their residences were geo-referenced. Anti-dengue IgG antibodies were measured using commercial ELISA. The dengue seroprevalence and the force of infection were estimated in each area. Individual and household variables associated with seropositivity were assessed by multilevel models for each area. A spatial analysis was conducted to identify risk gradients of dengue seropositivity using generalized additive models (GAM). The dengue seroprevalence was 91.1%, 87.4% 74.3%, respectively, in the deprived, intermediate and high socioeconomic areas, inversely related to their socio-economic status. In the deprived area, 59% of children had already been exposed to dengue virus by the age of 5 years and the estimated force of infection was three times higher than that in the privileged area. The risk of infection increased with age in the three areas. Working or studying outside the home area was a risk factor for seropositivity in the deprived area (OR=2.26; 95% CI: 1.18-4.30). Number of persons per room was a risk factor for seropositivity in the intermediate (OR=3.00; 95% CI: 3.21-7.37) and privileged areas (OR=1.81; 95% CI: 1.07-3.04). Living in a house, as opposed to an apartment, was a risk factor for seropositivity in the privileged area (OR=3.62; 95% CI: 2.43-5.41). The main difference

  9. Spatial Relationship Quantification between Environmental, Socioeconomic and Health Data at Different Geographic Levels

    PubMed Central

    Saib, Mahdi-Salim; Caudeville, Julien; Carre, Florence; Ganry, Olivier; Trugeon, Alain; Cicolella, Andre

    2014-01-01

    Spatial health inequalities have often been analyzed in terms of socioeconomic and environmental factors. The present study aimed to evaluate spatial relationships between spatial data collected at different spatial scales. The approach was illustrated using health outcomes (mortality attributable to cancer) initially aggregated to the county level, district socioeconomic covariates, and exposure data modeled on a regular grid. Geographically weighted regression (GWR) was used to quantify spatial relationships. The strongest associations were found when low deprivation was associated with lower lip, oral cavity and pharynx cancer mortality and when low environmental pollution was associated with low pleural cancer mortality. However, applying this approach to other areas or to other causes of death or with other indicators requires continuous exploratory analysis to assess the role of the modifiable areal unit problem (MAUP) and downscaling the health data on the study of the relationship, which will allow decision-makers to develop interventions where they are most needed. PMID:24705362

  10. The Association of Area Socioeconomic Status and Breast, Cervical, and Colorectal Cancer Screening: A Systematic Review

    PubMed Central

    Pruitt, Sandi L.; Shim, Matthew J.; Mullen, Patricia Dolan; Vernon, Sally W.; Amick, Benjamin C.

    2009-01-01

    Background Although numerous studies have examined the association of area socioeconomic status (SES) and cancer screening after controlling for individual SES, findings have been inconsistent. A systematic review of existing studies is timely in order to identify conceptual and methodologic limitations and to provide a basis for future research directions and policy. Objective The objectives were to: 1) describe the study designs, constructs, methods, and measures; 2) describe the independent association of area SES and cancer screening; and 3) identify neglected areas of research. Methods We searched 6 electronic databases and manually searched cited and citing articles. Eligible studies were published before 2008 in peer-reviewed journals in English, represented primary data on individuals aged ≥18 years from developed countries, and measured the association of area and individual SES with breast, cervical, or colorectal cancer screening. Results Of 19 eligible studies, most measured breast cancer screening. Studies varied widely in research design, definitions and measures of SES, cancer screening behaviors, and covariates. Eight employed multilevel logistic regression, the remainder analyzed data with standard single level logistic regression. The majority measured 1 or 2 indicators of area and individual SES; common indicators at both levels were poverty, income, and education. There was no consistent pattern in the association between area SES and cancer screening. Discussion The gaps and conceptual and methodologic heterogeneity in the literature to date limit definitive conclusions about an underlying association between area SES and cancer screening. We identify five areas of research deserving greater attention in the literature. PMID:19815634

  11. Population Growth in High-Amenity Rural Areas: Does it Bring Socioeconomic Benefits for Long-Term Residents?

    PubMed Central

    Onge, Jarron M. Saint; Hunter, Lori M.; Boardman, Jason D.

    2011-01-01

    Objective A widely noted concern with amenity-driven rural population growth is its potential to yield only low-wage service-sector employment for long-term residents, while raising local costs of living. This research examines change in socioeconomic status during the 1990s for long-term residents of high-amenity, high-growth rural counties in the United States. Methods Using longitudinal data from the Panel Study of Income Dynamics, in combination with county-level information, we estimate growth-curve models to examine the extent to which the socioeconomic status of long-term residents is associated with amenity-related in-migration. Results We find that, on average, residents in high-growth, amenity-rich rural areas have higher income growth over time and higher levels of initial occupational prestige compared to those from other rural areas, but that socioeconomic gains are primarily for individuals with low baseline prestige. Conclusions The socioeconomic gains made by long-term residents of high-growth, amenity-rich rural areas associated with net in-migration may be limited to individuals with low initial prestige and growth may be due to low-skill service-sector jobs. PMID:21892234

  12. Individual and School-Level Socioeconomic Gradients in Physical Activity in Australian School children

    ERIC Educational Resources Information Center

    Lewis, Lucy; Maher, Carol; Katzmarzyk, Peter; Olds, Timothy

    2016-01-01

    Background: We attempted to determine whether there was a socioeconomic gradient in 9- to 11-year-old Australian children's moderate-to-vigorous physical activity (MVPA), and whether school facilities or policies supporting physical activity were associated with school-level socioeconomic status (SES) and MVPA. Methods: Children (N = 528) from 26…

  13. Learning Strategies in Different Socioeconomic Levels. Final Report, June 27, 1968 - September 1, 1970.

    ERIC Educational Resources Information Center

    Shapiro, Martin M.; And Others

    Learning behavior of young children of contrasting socioeconomic backgrounds is examined in this study, which poses the question: what are the necessary or sufficient environmental conditions for the establishment of identifiable patterns of behavior? Socioeconomic level (SEL), the principal independent variable, was defined in terms of parental…

  14. Demographic and socio-economic determinants of post-neonatal deaths in a special project area of rural northern India.

    PubMed

    Kabir, Zubair

    2003-07-01

    The demographic and socio-economic determinants of post-neonatal deaths (n = 475) in a special project area of rural northern India (Ballabgarh) were ascertained from 1991 to 1999 using the electronic database system of the project area for data extraction, and were compared with the eligible living children of the same age using a matched population-based case-control study design. Similar determinants were also ascertained in neonatal deaths (n = 212) using the same study design. After controlling for the potential confounders using conditional logistic regression analyses, lower caste (a proxy measure for low socio-economic conditions in rural India) was found to be significantly associated with higher post-neonatal deaths (OR = 2.21). Higher maternal age (>30 years) and fathers' lower educational levels were significantly associated with higher neonatal deaths, in addition to higher post-neonatal deaths in the same area. PMID:12881622

  15. Air pollution, asthma attacks, and socioeconomic deprivation: a small-area case-crossover study.

    PubMed

    Laurent, Olivier; Pedrono, Gaëlle; Segala, Claire; Filleul, Laurent; Havard, Sabrina; Deguen, Séverine; Schillinger, Charles; Rivière, Emmanuel; Bard, Denis

    2008-07-01

    With few exceptions, studies of short-term health effects of air pollution use pollutant concentrations that are averaged citywide as exposure indicators. They are thus prone to exposure misclassification and consequently to bias. Measurement of the relations between air pollution and health, generally and in specific populations, could be improved by employing more geographically precise exposure estimates. The authors investigated short-term relations between ambient air pollution estimated in small geographic areas (French census blocks) and asthma attacks in Strasbourg, France, in 2000-2005--in the general population and in populations with contrasting levels of socioeconomic deprivation. Emergency health-care networks provided data on 4,683 telephone calls made for asthma attacks. Deprivation was estimated using a block-level index constructed from census data. Hourly concentrations of particulate matter less than 10 microm in aerodynamic diameter (PM(10)), sulfur dioxide, nitrogen dioxide, and ozone were modeled by block with ADMS-Urban software. Adjusted case-crossover analyses showed that asthma calls were positively but not significantly associated with PM(10) (for a 10-microg x m(-3) increase, odds ratio (OR) = 1.035, 95% confidence interval (CI): 0.997, 1.075), sulfur dioxide (OR = 1.056, 95% CI: 0.979, 1.139), and nitrogen dioxide (OR = 1.025, 95% CI: 0.990, 1.062). No association was observed for ozone (OR = 0.998, 95% CI: 0.965, 1.032). Socioeconomic deprivation had no significant influence on these relations. PMID:18467319

  16. The association of current and sustained area-based adverse socioeconomic environment with physical inactivity.

    PubMed

    Pascual, Cruz; Regidor, Enrique; Astasio, Paloma; Ortega, Paloma; Navarro, Pedro; Domínguez, Vicente

    2007-08-01

    This paper evaluates the association between socioeconomic environment in the province of residence and physical inactivity, using measures of current and sustained area-based adverse socioeconomic environment. The analysis included 19,324 individuals representative of the Spanish non-institutionalised population aged 16-74 years. The measure of association estimated was the prevalence odds ratio for physical inactivity by current gross domestic product per capita (GDPpc) and current Gini coefficient, and by number of times each province has had a low GDPpc and number of times each province has had a high Gini coefficient in the last two decades. After adjusting for age, individual socioeconomic characteristics, and number of sports facilities per 1,000 population, the odds ratio for physical inactivity in residents of provinces with the lowest current GDPpc versus those with the highest was 1.64 in men and 2.01 in women. The odds ratio in residents of provinces that had always been among those with the lowest GDPpc versus residents in provinces that had never been among those with lowest GDPpc was 1.54 in men and 1.91 in women. Neither the current Gini coefficient nor the indicator that reflects sustained high Gini coefficient were associated with physical inactivity. These findings show that physical inactivity is associated with current socioeconomic context and with the duration of exposure of the area of residence to adverse socioeconomic circumstances when the indicators of socioeconomic environment are based on GDPpc, but not on income inequality. Also, this association is not explained by individual socioeconomic characteristics or the number of sports facilities. PMID:17466424

  17. Socio-economic factors affecting the conservation of natural woodlands in Central Riyadh Area - Saudi Arabia.

    PubMed

    Al-Subaiee, Faisal Sultan

    2016-05-01

    This study aimed to identify some socioeconomic factors affecting local people in central Riyadh area for the utilization of wood and other energy sources in cooking and heating in order to develop some recommendations for conserving woodlands. The study results revealed that gas is the most common energy source used for cooking with a mean usage level of 2.79 (SD = 0.58). On the other hand, wood ranked first for heating with the highest mean, usage level of 1.90 (SD = 1.06). However, electricity and gas as sources of energy for heating ranked second and third with mean usage level of 1.81 and 0.80 respectively. The study revealed that local people with the university education were significantly making higher use of electricity for both cooking and heating and those with no formal education ranked the highest on wood use for both cooking and heating. In addition, those living in traditional houses significantly used more wood for cooking than those living in villas and apartments. Also, local people with high income levels significantly were using more electricity for heating than others. The study recommended conducting extension and environmental awareness raising programs to enhance local residents' adoption of wood substitutes, promoting employment opportunities for unemployed locals, and subsidizing prices of alternative energy sources. PMID:27081355

  18. Exploring differences in referrals to a hospice at home service in two socio-economically distinct areas of Manchester, UK.

    PubMed

    Campbell, Malcolm; Grande, Gunn; Wilson, Charlotte; Caress, Ann-Louise; Roberts, Dai

    2010-06-01

    In order to provide equitable access to hospice at home palliative care services, it is important to identify the socio-economic factors associated with poorer access. In this population-based study we aimed to test the inverse care law by exploring how socio-economic status and other key demographic indicators were associated with referral rates in two distinct areas (Salford and Trafford) served by the same service. Secondary data from the UK National Census 2001, North West Cancer Intelligence Service (2004) and hospice at home service referral data (2004-06) was collated for both areas. Descriptive analysis profiled electoral ward characteristics whilst simple correlations and regression modelling estimated associations with referral rates. Referral rates were lower and cancer mortality higher in the most deprived areas (Salford). Referral rates were significantly associated with deprivation, particularly multiple deprivation, but not significantly associated with cancer mortality (service model and resources available were held constant). At the population level, the socio-economic characteristics of those referred to hospice at home rather than service provision strongly predicted referral rates. This has implications for the allocation and targeting of resources and contributes important findings to future work exploring equitable access at organizational and professional levels. PMID:20015917

  19. Child mortality in a Nigerian city: its levels and socioeconomic differentials.

    PubMed

    Oni, G A

    1988-01-01

    Using the 'indirect' demographic estimation technique, levels of child mortality for some selected socioeconomic characteristics of mothers in Ilorin, an urban community in Nigeria, were derived. The adjusted effects of these variables on child mortality were assessed. The variables found to exert significant independent effects on child mortality included the husbands education, area of residence in the town, the parity of the mother, her use of modern contraception, availability of indoor pipe-borne water and the use of a refrigerator by the household. Reliable or useful information on child mortality in this part of Nigeria is hard to come by, hence, the estimates provided here can serve as useful baseline data for evaluating the impacts of child survival activities that are currently going on in that part of the country. PMID:3227367

  20. INSTRUCTIONAL PROGRAMS IN SECONDARY SCHOOLS SERVING CONTRASTING SOCIOECONOMIC AREAS IN LARGE CITIES.

    ERIC Educational Resources Information Center

    GOODMAN, THOMAS L.

    A SOURCE OF SPECIFIC INFORMATION WAS DEVELOPED ON INSTRUCTIONAL PROGRAMS IN JUNIOR AND SENIOR HIGH SCHOOLS SERVING CONTRASTING SOCIOECONOMIC AREAS OF SEVEN LARGE CITIES OF THE MIDWESTERN UNITED STATES. THE INFORMATION SOUGHT IN THIS STUDY (GATHERED BY OBSERVATION, INTERVIEW, AND INVENTORY METHODS) FELL INTO TWO CATEGORIES--(1) DATA ABOUT THE…

  1. Preventable avoidable mortality: evolution of socioeconomic inequalities in urban areas in Spain, 1996-2003.

    PubMed

    Nolasco, Andreu; Melchor, Inmaculada; Pina, José A; Pereyra-Zamora, Pamela; Moncho, Joaquin; Tamayo, Nayara; García-Senchermes, Carmen; Zurriaga, Oscar; Martínez-Beneito, Miguel A

    2009-09-01

    This study describes the inequalities in preventable avoidable mortality in relation to socioeconomic levels and analyses their evolution during the period 1996-2003 in the cities of Alicante, Castellon and Valencia. Four causes of preventable avoidable mortality were analysed according to sex: malignant tumour of the trachea, bronchus and lung, cirrhosis and other chronic diseases of the liver, motor vehicle accidents and AIDS, which had caused the death of non-institutionalised residents in the three cities during the period 1996-2003. The different census tracts were grouped into three socioeconomic levels. In general, socioeconomic inequalities in preventable avoidable mortality remain constant in time, except the ones caused by AIDS in Valencia, where they increase for men. Some census tracts in the three cities where the study was carried out were found to have significantly higher preventable mortality rates, and therefore require intervention. PMID:19201247

  2. Striking a balance between biodiversity conservation and socioeconomic viability in the design of marine protected areas.

    PubMed

    Klein, C J; Chan, A; Kircher, L; Cundiff, A J; Gardner, N; Hrovat, Y; Scholz, A; Kendall, B E; Airamé, S

    2008-06-01

    The establishment of marine protected areas is often viewed as a conflict between conservation and fishing. We considered consumptive and nonconsumptive interests of multiple stakeholders (i.e., fishers, scuba divers, conservationists, managers, scientists) in the systematic design of a network of marine protected areas along California's central coast in the context of the Marine Life Protection Act Initiative. With advice from managers, administrators, and scientists, a representative group of stakeholders defined biodiversity conservation and socioeconomic goals that accommodated social needs and conserved marine ecosystems, consistent with legal requirements. To satisfy biodiversity goals, we targeted 11 marine habitats across 5 depth zones, areas of high species diversity, and areas containing species of special status. We minimized adverse socioeconomic impacts by minimizing negative effects on fishers. We included fine-scale fishing data from the recreational and commercial fishing sectors across 24 fisheries. Protected areas designed with consideration of commercial and recreational fisheries reduced potential impact to the fisheries approximately 21% more than protected areas designed without consideration of fishing effort and resulted in a small increase in the total area protected (approximately 3.4%). We incorporated confidential fishing data without revealing the identity of specific fisheries or individual fishing grounds. We sited a portion of the protected areas near land parks, marine laboratories, and scientific monitoring sites to address nonconsumptive socioeconomic goals. Our results show that a stakeholder-driven design process can use systematic conservation-planning methods to successfully produce options for network design that satisfy multiple conservation and socioeconomic objectives. Marine protected areas that incorporate multiple stakeholder interests without compromising biodiversity conservation goals are more likely to protect

  3. Presentation of Social and Academic Factors That Encourage Persistence in Secondary Schools in Rural, Low Socioeconomic Areas of Two Selected Southeastern States.

    ERIC Educational Resources Information Center

    Everett, Patricia C.; And Others

    This paper describes the development of a predictive model to determine potential high school dropouts and identify areas for intensified assistance at the individual or group level. V. Tinto's (1975, 1987) model of college attrition was validated for use with high school students in rural, low socioeconomic areas of the Southeast. Ex post facto…

  4. The Level of Shyness among Talented Students in Light of Socio-Economic Level of the Family in Riyadh

    ERIC Educational Resources Information Center

    Asi, Khaled Yousef

    2016-01-01

    The present study aimed to identify the level of shyness among talented students in the city of Riyadh, Saudi Arabia, and detect differences according to the variable of socio-economic level of the family. The sample consisted of (101) students, who randomly chosen from centers of talented students in Riyadh, Saudi Arabia. Shyness scale utilized…

  5. Association of Census Tract-Level Socioeconomic Status with Disparities in Prostate Cancer-Specific Survival

    PubMed Central

    Freeman, Vincent L.; Ricardo, Ana C.; Campbell, Richard T.; Barrett, Richard E.; Warnecke, Richard B.

    2011-01-01

    Background Social determinants of prostate cancer survival and their relation to racial/ethnic disparities thereof are poorly understood. We analyzed whether census tract-level socioeconomic status (SES) at diagnosis is a prognostic factor in men with prostate cancer and helps explain racial/ethnic disparities in survival. Methods We used a retrospective cohort of 833 African-American and white, non-Hispanic men diagnosed with prostate cancer at four Chicago-area medical centers between 1986 and 1990. Tract-level concentrated disadvantage (CD), a multi-dimensional area-based measure of SES, was calculated for each case using 1990 U.S. census data. Its association with prostate cancer-specific survival was measured using Cox proportional hazard models adjusted for case and tumor characteristics, treatment, and healthcare system (private sector vs. Veterans Administration [VA]). Results Tract-level CD associated with an increased risk of death from prostate cancer (highest vs. lowest quartile, hazard ratio [HR] = 2.37, p < .0001). However, the association was observed in the private sector and not in the VA (per 1 standard deviation [SD] increase, HR = 1.33, p < .0001 and HR = 0.93, p = .46, respectively). The multivariate HR for African Americans before and after accounting for tract-level CD was 1.30 (p = .0036) and 0.96 (p = .82), respectively. Conclusion Census tract-level SES is a social determinant of prostate-specific mortality and helps account for racial/ethnic disparities in survival. An equal-access healthcare system may moderate this association. Impact This study identifies a potential pathway for minimizing disparities in prostate cancer control. The findings need confirmation in a population-based study. PMID:21784953

  6. Hearing Levels of Children by Demographic and Socioeconomic Characteristics, United States.

    ERIC Educational Resources Information Center

    National Center for Health Statistics (DHEW/PHS), Hyattsville, MD.

    Reported were estimates of hearing levels of noninstitutionalized children aged 6 to 11 years in the United States in relation to their demographic and socioeconomic background. Findings are results of individual monaural pure-tone air-conduction audiometric tests, conducted as part of the Health Examination Survey of 1963-65. In the survey 7,119…

  7. Ethnic and Socioeconomic Comparisons of Fitness, Activity Levels, and Barriers to Exercise in High School Females

    ERIC Educational Resources Information Center

    Fahlman, Mariane M.; Hall, Heather L.; Lock, Robyn

    2006-01-01

    The purpose of this study was to determine if high school females differed in individual measures of health-related physical fitness, barriers to exercise, or activity level based on ethnicity or socioeconomic status. A cross-sectional sample consisting of African American (28%), Hispanic (23%), and white (49%) female high school students, 46%…

  8. Socioeconomic Status, Higher-Level Mathematics Courses, Absenteeism, and Student Mobility as Indicators of Work Readiness

    ERIC Educational Resources Information Center

    Folds, Lea D.; Tanner, C. Kenneth

    2014-01-01

    The purpose of this study was to analyze the relations among socioeconomic status, highest-level mathematics course, absenteeism, student mobility and measures of work readiness of high school seniors in Georgia. Study participants were 476 high school seniors in one Georgia county. The full regression model explained 27.5% of the variance in…

  9. Disparities in Children's Blood Lead and Mercury Levels According to Community and Individual Socioeconomic Positions.

    PubMed

    Lim, Sinye; Ha, Mina; Hwang, Seung-Sik; Son, Mia; Kwon, Ho-Jang

    2015-06-01

    We aimed to examine the associations between blood lead and mercury levels and individual and community level socioeconomic positions (SEPs) in school-aged children. A longitudinal cohort study was performed in 33 elementary schools in 10 cities in Korea. Among a total of 6094 children included at baseline, the final study population, 2281 children followed-up biennially, were analyzed. The geometric mean (GM) levels of blood lead were 1.73 μg/dL (range 0.02-9.26) and 1.56 μg/dL (range 0.02-6.83) for male and female children, respectively. The blood lead levels were significantly higher in males, children living in rural areas, and those with lower individual SEP. The GM levels of blood mercury were 2.07 μg/L (range 0.09-12.67) and 2.06 μg/L (range 0.03-11.74) for males and females, respectively. Increased blood mercury levels were significantly associated with urban areas, higher individual SEP, and more deprived communities. The risk of high blood lead level was significantly higher for the lower individual SEP (odds ratio (OR) 2.18, 95% confidence interval (CI) 1.36-3.50 in the lowest educational attainment of the father), with a significant dose-response relationship observed after adjusting for the community SEP. The association between high blood lead levels and lower individual SEP was much stronger in the more deprived communities (OR 2.88, 95% CI 1.27-6.53) than in the less deprived communities (OR 1.40, 95% CI 0.76-2.59), and showed a significant decreasing trend during the follow-up only in the less deprived communities. The risk of high blood mercury levels was higher in higher individual SEP (OR 0.64, 95% CI 0.40-1.03 in the lowest educational attainment of the father), with a significant dose-response relationship noted. Significant decreasing trends were observed during the follow-up both in the less and more deprived communities. From a public health point-of-view, community level intervention with different approaches for different metals is

  10. The Comparative Neurological, Physical and Sociological Status of Grade 1 Children in Three Socio-Economic Areas.

    ERIC Educational Resources Information Center

    Loadman, A. Evelyn

    In order to assess the validity of the relationship of motor skills to academic progress, 20 children from 3 different socioeconomic areas were studied, psychologically, neurologically and sociologically. Their intelligence and school progress were found to follow socioeconomic lines. Neurological status as tested by a scored "extended"…

  11. Environmental inequity in England: small area associations between socio-economic status and environmental pollution.

    PubMed

    Briggs, David; Abellan, Juan J; Fecht, Daniela

    2008-11-01

    Recent studies have suggested that more deprived people tend to live in areas characterised by higher levels of environmental pollution. If generally true, these environmental inequities may combine to cause adverse effects on health and also exacerbate problems of confounding in epidemiological studies. Previous studies of environmental inequity have nevertheless indicated considerable complexity in the associations involved, which merit further investigation using more detailed data and more advanced analytical methods. This study investigates the ways in which environmental inequity in England varies in relation to: (a) different environmental pollutants (measured in different ways); (b) different aspects of socio-economic status; and (c) different geographical scales and contexts (urban vs. rural). Associations were analysed between the Index of Multiple Deprivation (IMD2004) and its domains and five sets of environmental pollutants (relating to road traffic, industry, electro-magnetic frequency radiation, disinfection by-products in drinking water and radon), measured in terms of proximity, emission intensity and environmental concentration. Associations were assessed using bivariate and multivariate correlation, and by comparing the highest and lowest quintiles of deprivation using Student's t-test and Hotelling's T2. Associations are generally weak (R(2) < 0.10), and vary depending on the specific measures used. Strongest associations occur with what can be regarded as contingent components of deprivation (e.g. crime, living environment, health) rather than causative factors such as income, employment or education. Associations also become stronger with increasing level of spatial aggregation. Overall, the results suggest that any triple jeopardy for health, and problems of confounding, associated with environmental inequities are likely to be limited. PMID:18786752

  12. Socio-economic and ecological impacts of global protected area expansion plans.

    PubMed

    Visconti, Piero; Bakkenes, Michel; Smith, Robert J; Joppa, Lucas; Sykes, Rachel E

    2015-11-01

    Several global strategies for protected area (PA) expansion have been proposed to achieve the Convention on Biological Diversity's Aichi target 11 as a means to stem biodiversity loss, as required by the Aichi target 12. However, habitat loss outside PAs will continue to affect habitats and species, and PAs may displace human activities into areas that might be even more important for species persistence. Here we measure the expected contribution of PA expansion strategies to Aichi target 12 by estimating the extent of suitable habitat available for all terrestrial mammals, with and without additional protection (the latter giving the counterfactual outcome), under different socio-economic scenarios and consequent land-use change to 2020. We found that expanding PAs to achieve representation targets for ecoregions under a Business-as-usual socio-economic scenario will result in a worse prognosis than doing nothing for more than 50% of the world's terrestrial mammals. By contrast, targeting protection towards threatened species can increase the suitable habitat available to over 60% of terrestrial mammals. Even in the absence of additional protection, an alternative socio-economic scenario, adopting progressive changes in human consumption, leads to positive outcomes for mammals globally and to the largest improvements for wide-ranging species. PMID:26460136

  13. Increasing Area Deprivation and Socioeconomic Inequalities in Heart Disease, Stroke, and Cardiovascular Disease Mortality Among Working Age Populations, United States, 1969-2011

    PubMed Central

    Singh, Gopal K.; Siahpush, Mohammad; Azuine, Romuladus E.; Williams, Shanita D.

    2015-01-01

    Objectives: We examined the extent to which area- and individual-level socioeconomic inequalities in cardiovascular-disease (CVD), heart disease, and stroke mortality among United States men and women aged 25-64 years changed between 1969 and 2011. Methods: National vital statistics data and the National Longitudinal Mortality Study were used to estimate area- and individual-level socioeconomic gradients in mortality over time. Rate ratios and log-linear and Cox regression were used to model mortality trends and differentials. Results: Area socioeconomic gradients in mortality from CVD, heart disease, and stroke increased substantially during the study period. Compared to those in the most affluent group, individuals in the most deprived area group had, respectively 35%, 29%, and 73% higher CVD, heart disease, and stroke mortality in 1969, but 120-121% higher mortality in 2007-2011. Gradients were steeper for women than for men. Education, income, and occupation were inversely associated with CVD, heart disease, and stroke mortality, with individual-level socioeconomic gradients being steeper during 1990-2002 than in 1979-1989. Individuals with low education and incomes had 2.7 to 3.7 times higher CVD, heart disease, and stroke mortality risks than their counterparts with high education and income levels. Conclusions and Global Health Implications: Although mortality declined for all US groups during 1969-2011, socioeconomic disparities in mortality from CVD, heart disease and stroke remained marked and increased over time because of faster declines in mortality among higher socioeconomic groups. Widening disparities in mortality may reflect increasing temporal areal inequalities in living conditions, behavioral risk factors such as smoking, obesity and physical inactivity, and access to and use of health services. With social inequalities and prevalence of smoking, obesity, and physical inactivity on the rise, most segments of the working-age population in low

  14. Unequal socioeconomic distribution of the primary care workforce: whole-population small area longitudinal study

    PubMed Central

    Cookson, Richard; Fleetcroft, Robert; Ali, Shehzad

    2016-01-01

    Objective To measure changes in socioeconomic inequality in the distribution of family physicians (general practitioners (GPs)) relative to need in England from 2004/2005 to 2013/2014. Design Whole-population small area longitudinal data linkage study. Setting England from 2004/2005 to 2013/2014. Participants 32 482 lower layer super output areas (neighbourhoods of 1500 people on average). Main outcome measures Slope index of inequality (SII) between the most and least deprived small areas in annual full-time equivalent GPs (FTE GPs) per 100 000 need adjusted population. Results In 2004/2005, inequality in primary care supply as measured by the SII in FTE GPs was 4.2 (95% CI 3.1 to 5.3) GPs per 100 000. By 2013/2014, this SII had fallen to −0.7 (95% CI −2.5 to 1.1) GPs per 100 000. The number of FTE GPs per 100 000 serving the most deprived fifth of small areas increased over this period from 54.0 to 60.5, while increasing from 57.2 to 59.9 in the least deprived fifth, so that by the end of the study period there were more GPs per 100 000 need adjusted population in the most deprived areas than in the least deprived. The increase in GP supply in the most deprived fifth of neighbourhoods was larger in areas that received targeted investment for establishing new practices under the ‘Equitable Access to Primary Medical Care’. Conclusions There was a substantial reduction in socioeconomic inequality in family physician supply associated with national policy. This policy may not have completely eliminated socioeconomic inequality in family physician supply since existing need adjustment formulae do not fully capture the additional burden of multimorbidity in deprived neighbourhoods. The small area approach introduced in this study can be used routinely to monitor socioeconomic inequality of access to primary care and to indicate workforce shortages in particular neighbourhoods. http://creativecommons.org/licenses/by/4.0 PMID:26787245

  15. Socio-economic & household risk factors of malaria in tribal areas of Madhya Pradesh, central India

    PubMed Central

    Sharma, Ravendra K.; Singh, Mrigendra P.; Saha, Kalyan B.; Bharti, Praveen K.; Jain, Vidhan; Singh, P. P.; Silawat, Nipun; Patel, R.; Hussain, M.; Chand, S.K.; Pandey, Arvind; Singh, Neeru

    2015-01-01

    Background & objectives: Malaria is a major public health problem in many States of the country, particularly, in Madhya Pradesh where both Plasmodium vivax and P. falciparum are endemic. Although many studies have been conducted to investigate risk factors for malaria, but only a few have examined household and socio-economic risk factors. The present study was, therefore, undertaken to explore the relationship of different socio-demographic, socio-economic and behavioural risk factors with malaria prevalence in tribal areas of Madhya Pradesh, India. Methods: This study was undertaken in all 62 villages of Bargi Primary Health Centre from May 2005 to June 2008. These villages comprised 7117 households with an average family size of five members. Fortnightly fever surveys were conducted in all villages to assess prevalence of malaria infection in the community. The distinct univariate and multivariate logistic regression models were fitted on the data set. Results: The important socio-demographic risk factors like age of household head, social group, occupation and family size; socio-economic factors like type of walls of house, place of drinking water source, irrigated land, cash crop; and behavioural variables like place of sleeping, use of bed nets, etc. were found significantly associated with malaria in univariate analyses. In multivariate analyses only social groups, family size, type of walls of house, and place of sleeping had strong significant association with prevalence of malaria. Interpretation & conclusions: The study shows that in tribal areas where people are living in poor quality of houses with no proper use of preventive measures, malaria is firmly established. We conclude that community based interventions which bring improvement in standard of living, access to healthcare facilities and health awareness, will have a significant impact on malaria prevention in these areas. PMID:26139773

  16. Comparative study of the prevalence of intestinal parasites in low socioeconomic areas from South chennai, India.

    PubMed

    Dhanabal, Jeevitha; Selvadoss, Pradeep Pushparaj; Muthuswamy, Kanchana

    2014-01-01

    Intestinal parasites cause one of the most important health problems through their effects in causing undernourishment morbidity and incapacitation due to their behavior particularly in children compared to adults. This study was intended to state the prevalence of intestinal parasites between the slum dwellers of different areas in south Chennai. Among the total of 256 samples collected between the ages of 0-50 yrs, 194 samples were positive. Standard laboratory techniques for parasitological diagnosis were carried out for each sample. Entamoeba coli (23%), Cyclospora sp. (22.2%), Entamoeba histolytica (21.8%), Giardia intestinalis (14.4%), Ascaris lumbricoides (6.2%), Trichuris trichiura (1.1%), and Hymenolepis nana (2.7%) were found in the dwellers of low socioeconomic areas. The data on the prevalence of parasites with respect to sex and age showed that the females harbored more numbers of parasites when compared to males. Further, with respect to age, children and teenagers had surplus parasites compared to old age groups. The percentage of educational status showed a reduction in the number of parasites in the higher education dwellers. These parasites could be prevented by possible grouping of better ecological design and hygiene. Conclusively, the examination of personal hygiene as well as routine medical examination and treatment is strongly recommended in the low socio-economic areas. PMID:24587897

  17. Are associations between socio-economic characteristics and exposure to air pollution a question of study area size? An example from Scania, Sweden

    PubMed Central

    Stroh, Emilie; Oudin, Anna; Gustafsson, Susanna; Pilesjö, Petter; Harrie, Lars; Strömberg, Ulf; Jakobsson, Kristina

    2005-01-01

    Background Numerous studies have shown that exposure to air pollutants in the area of residence and the socio-economic status of an individual may be related. Therefore, when conducting an epidemiological study on the health effect of air pollution, socio-economy may act as a confounding factor. In this paper we examine to what extent socio-economic status and concentrations of NO2 in the county/region of Scania, southern Sweden, are associated and if such associations between these factors differ when studying them at county or city level. To perform this study we used high-resolution census data and modelled the annual exposure to NO2 using an emission database, a dispersion modelling program and a geographical information system (GIS). Results The results from this study confirm that socio-economic status and the levels of NO2 in the area of residence are associated in some cities. The associations vary considerably between cities within the same county (Scania). Even for cities of similar sizes and population bases the associations observed are different. Studying the cities together or separately yields contradictory results, especially when education is used as a socio-economic indicator. Conclusion Four conclusions have been drawn from the results of this study. 1) Adjusting for socio-economy is important when investigating the health effects of air pollution. 2) The county of Scania seems to be heterogeneous regarding the association between air pollution and socio-economy. 3) The relationship between air pollution and socio-economy differs in the five cities included in our study, depending on whether they are analysed separately or together. It is therefore inadvisable to determine and analyse associations between socio-economy and exposure to air pollutants on county level. This study indicates that the size and choice of study area is of great importance. 4) The selection of socio-economic indices (in this study: country of birth and education level) is

  18. Profiling of Alzheimer’s disease patients in Puerto Rico: A comparison of two distinct socioeconomic areas

    PubMed Central

    Camacho-Mercado, Clara L; Figueroa, Raúl; Acosta, Heriberto; Arnold, Steven E; Vega, Irving E

    2016-01-01

    Objective: The Latino/Hispanic community in the United States is at higher risk of developing Alzheimer’s disease than other ethnic groups. Specifically, Caribbean Hispanics showed a more severe Alzheimer’s disease symptomatology than any other ethnic group. In a previous study, we demonstrated that the mortality rate associated with Alzheimer’s disease in Puerto Rico is higher than that reported in the United States. Moreover, the mortality rate associated with Alzheimer’s disease was higher among Puerto Rican living in Puerto Rico than those in the mainland United States. There is also a differential geographical distribution of mortality rate associated with Alzheimer’s disease in Puerto Rico, which may be associated with differential socioeconomic status and/or access to healthcare. However, there is no information regarding the clinical profile of Alzheimer’s disease patients in Puerto Rico. Methods: Here, we present the results of a retrospective study directed to profile Alzheimer’s disease patients clustered into two groups based on areas previously determined with low (Metro Region) and high (Northwest-Central Region) mortality rate associated with Alzheimer’s disease in Puerto Rico. Results: Significant difference in the age-at-diagnosis and years of education was found among patients within the two studied regions. Despite these differences, both regions showed comparable levels of initial and last Mini Mental State Examination scores and rate of cognitive decline. Significant difference was also observed in the occurance of co-morbidities associated with Alzheimer’s disease. Conclusions: The differential profile of Alzheimer’s disease patients correlated with differences in socioeconomic status between these two regions, suggesting that covariant associated with social status may contribute to increased risk of developing Alzheimer’s disease. Further studies should be conducted to determine the role of socioeconomic factors and

  19. Using GIS to develop socio-economic profiles of areas adjacent to DOE facilities

    SciTech Connect

    Stewart, J.C.; Saraswatula, S.

    1994-12-31

    The objective of the research addressed in this paper is to identify and analyze the offsite effects of DOE activities at the Savannah River Site. The paper presents the socio-economic conditions of the areas surrounding the site in order to evaluate the possible effects of DOE activities. The study employed a geographic information system (GIS) in order to evaluate spatial relationships between otherwise unrelated factors. Socio-economic data used in the study are publicly available and were obtained mainly from the Bureau of the Census. The Department of Energy (DOE), currently dealing with the environmental management of a large number of sites throughout the United States, must consider the effects of its activities on surrounding populations and ensure compliance with the various federal regulations, such as the executive order on environmental justice. Environmental justice is the process of studying and achieving equal distribution of the effects of environmental pollution on populations across social and economic lines. An executive order signed by the President has directed federal agencies, including the Department of Energy, to make achieving environmental justice a part of the agency`s mission by identifying and addressing disproportionately high and adverse human health or environmental effects of its programs, policies, and activities on minority and low-income populations.

  20. Access to primary care for socioeconomically disadvantaged older people in rural areas: a realist review

    PubMed Central

    Ford, John A; Wong, Geoff; Jones, Andy P; Steel, Nick

    2016-01-01

    Objective The aim of this review is to identify and understand the contexts that effect access to high-quality primary care for socioeconomically disadvantaged older people in rural areas. Design A realist review. Data sources MEDLINE and EMBASE electronic databases and grey literature (from inception to December 2014). Eligibility criteria for selecting studies Broad inclusion criteria were used to allow articles which were not specific, but might be relevant to the population of interest to be considered. Studies meeting the inclusion criteria were assessed for rigour and relevance and coded for concepts relating to context, mechanism or outcome. Analysis An overarching patient pathway was generated and used as the basis to explore contexts, causal mechanisms and outcomes. Results 162 articles were included. Most were from the USA or the UK, cross-sectional in design and presented subgroup data by age, rurality or deprivation. From these studies, a patient pathway was generated which included 7 steps (problem identified, decision to seek help, actively seek help, obtain appointment, get to appointment, primary care interaction and outcome). Important contexts were stoicism, education status, expectations of ageing, financial resources, understanding the healthcare system, access to suitable transport, capacity within practice, the booking system and experience of healthcare. Prominent causal mechanisms were health literacy, perceived convenience, patient empowerment and responsiveness of the practice. Conclusions Socioeconomically disadvantaged older people in rural areas face personal, community and healthcare barriers that limit their access to primary care. Initiatives should be targeted at local contextual factors to help individuals recognise problems, feel welcome, navigate the healthcare system, book appointments easily, access appropriate transport and have sufficient time with professional staff to improve their experience of healthcare; all of which

  1. Prediction of high-risk areas for visceral leishmaniasis using socioeconomic indicators and remote sensing data

    PubMed Central

    2014-01-01

    Spatial heterogeneity in the incidence of visceral leishmaniasis (VL) is an important aspect to be considered in planning control actions for the disease. The objective of this study was to predict areas at high risk for visceral leishmaniasis (VL) based on socioeconomic indicators and remote sensing data. We applied classification and regression trees to develop and validate prediction models. Performance of the models was assessed by means of sensitivity, specificity and area under the ROC curve. The model developed was able to discriminate 15 subsets of census tracts (CT) with different probabilities of containing CT with high risk of VL occurrence. The model presented, respectively, in the validation and learning samples, sensitivity of 79% and 52%, specificity of 75% and 66%, and area under the ROC curve of 83% and 66%. Considering the complex network of factors involved in the occurrence of VL in urban areas, the results of this study showed that the development of a predictive model for VL might be feasible and useful for guiding interventions against the disease, but it is still a challenge as demonstrated by the unsatisfactory predictive performance of the model developed. PMID:24885128

  2. Blood lead levels in pregnant women of high and low socioeconomic status in Mexico City.

    PubMed Central

    Farias, P; Borja-Aburto, V H; Rios, C; Hertz-Picciotto, I; Rojas-Lopez, M; Chavez-Ayala, R

    1996-01-01

    This study examined the determinants of blood lead (BPb) in 513 pregnant women in Mexico City: 311 from public hospital prenatal clinics, representing primarily women of low socioeconomic status (SES), and 202 from private hospitals, primarily women of high SES. Overall, BPb levels ranged from 1.38 to 29 micrograms/dl, with geometric means of 6.7 and 11.12 micrograms/dl for women from private and public hospitals, respectively. The crude geometric means difference obtained by t-test was 4.42 (p < 0.001). BPb was measured from January 1994 to August 1995 and showed higher levels during fall and winter and lower levels during spring and summer. The main BPb determinants were the use of lead-glazed ceramics in women from public hospitals and season of the year in women from private hospitals. Consumption of tortillas (corn bread rich in calcium) decreased BPb levels in the lower SES group, but the relationship was not statistically significant (p > 0.05). Consumption of milk products significantly (p < 0.05) reduced BPb levels in the higher SES group. In 112 women whose diets were deficient in calcium, taking calcium supplements lowered their blood lead levels about 7 micrograms/dl. A predictive model fitted to these data, using the strongest predictors plus gestational age, showed a difference of 14 micrograms/dl between the best and worst scenarios in women from public hospitals. Avoiding use of lead-glazed ceramics, consuming diets rich in calcium, and, if needed, taking calcium supplements, would be expected to result in substantial lowering of BPb, especially in pregnant women of low socioeconomic status. Images Figure 1. Figure 2. PMID:8930548

  3. Socio-Economic Factors, Food Habits and Phosphorus Levels in Patients on Hemodialysis

    PubMed Central

    Santoro, Domenico; Ingegnieri, Maria Teresa; Vita, Giuseppe; Lucisano, Silvia; Zuppardo, Carmelo; Canale, Valeria; Savica, Vincenzo; Buemi, Michele

    2015-01-01

    Background: Hyperphosphoremia is one of the most important risk factors for morbidity and mortality for chronic kidney disease (CKD) patients, and also, for the general population. Excessive dietary intake of phosphate (P) is one of the key factors. In particular, P in its inorganic form, which is contained in food additives, is more readily absorbed. Unfortunately, these food additives are mostly present in convenience so called “fast foods” (pre-cooked), soft drinks, which represent the typical food consumed by our hemodialysis (HD) population, composed by elderly people, mostly low-socio economic class, who often live alone. Objectives: We performed an observational retrospective multicenter study to find any association between social, cultural and economic situation, as well as food habits, and P levels in a cohort of patients on HD. Secondarily; we also examined the association between the fast food consumption and increased P levels, as well as patient compliance for P binding products. Patients and Methods: To explore the association between socio-economic factors and serum P levels, we enrolled 100 patients on periodic HD treatment from three different units. Information on social, cultural, economic, diet habits, therapy for hyperphosphoremia and hematological and clinical parameters had been collected through specific questionnaires, administered by a physician. Results: Results showed serum P level was reduced in patients who live alone compared to patients in family (P = 0.04), in self-sufficient (P = 0.05) and in patients belonging to middle-upper class, versus low-class (P = 0.003). Fast foods intake correlates with increase in P serum levels (P = 0.002), whilst the same correlation was not found for cheese intake. Our data show that socio-economic status and food habits are useful predictors of P serum levels. Conclusions: In conclusion, dietary counseling of patients on HD is mandatory. Interventions that consider the socio-economic situation

  4. Socio-economic factors affecting the conservation of natural woodlands in Central Riyadh Area – Saudi Arabia

    PubMed Central

    Al-Subaiee, Faisal Sultan

    2015-01-01

    This study aimed to identify some socioeconomic factors affecting local people in central Riyadh area for the utilization of wood and other energy sources in cooking and heating in order to develop some recommendations for conserving woodlands. The study results revealed that gas is the most common energy source used for cooking with a mean usage level of 2.79 (SD = 0.58). On the other hand, wood ranked first for heating with the highest mean, usage level of 1.90 (SD = 1.06). However, electricity and gas as sources of energy for heating ranked second and third with mean usage level of 1.81 and 0.80 respectively. The study revealed that local people with the university education were significantly making higher use of electricity for both cooking and heating and those with no formal education ranked the highest on wood use for both cooking and heating. In addition, those living in traditional houses significantly used more wood for cooking than those living in villas and apartments. Also, local people with high income levels significantly were using more electricity for heating than others. The study recommended conducting extension and environmental awareness raising programs to enhance local residents’ adoption of wood substitutes, promoting employment opportunities for unemployed locals, and subsidizing prices of alternative energy sources. PMID:27081355

  5. The Need for Adult Education of Married Women in the Lower Socio-Economic Levels in Vancouver.

    ERIC Educational Resources Information Center

    Webster, Daisy

    A study was made of the educational needs of married women of lower socioeconomic status in three widely divergent inner city areas of Vancouver, British Columbia. Reasons for nonparticipation in adult education were also sought. The majority of respondents in these areas were married, aged 15-44, with one to four children. Most had gone beyond…

  6. Promoting Low Socio-Economic Participation in Higher Education: A Comparison of Area-Based and Individual Measures

    ERIC Educational Resources Information Center

    Dockery, Alfred M.; Seymour, Richard; Koshy, Paul

    2016-01-01

    As with other countries, Australia has been grappling with the identification, measurement and impact of disadvantage in higher education. In particular, the measurement of socio-economic status (SES) has been of central concern. The immediate solution in Australia has been the introduction of an "area" measure in which students' SES is…

  7. A Randomized Controlled Trial Evaluation of an After-School Prosocial Behavior Program in an Area of Socioeconomic Disadvantage

    ERIC Educational Resources Information Center

    O'Hare, Liam; Biggart, Andy; Kerr, Karen; Connolly, Paul

    2015-01-01

    A randomized controlled trial was used to evaluate the effects of a prosocial behavior after-school program called Mate-Tricks for 9- and 10-year-old children and their parents living in an area of significant socioeconomic disadvantage. The children were randomly assigned to an intervention (n = 220) or a control group (n = 198). Children were…

  8. Learning to (Dis)Engage? The Socialising Experiences of Young People Living in Areas of Socio-Economic Disadvantage

    ERIC Educational Resources Information Center

    Mason, Carolynne; Cremin, Hilary; Warwick, Paul; Harrison, Tom

    2011-01-01

    Young people are increasingly required to demonstrate civic engagement in their communities and help deliver the aspirations of localism and Big Society. Using an ecological systems approach this paper explores the experiences of different groups of young people living in areas of socio-economic disadvantage. Using volunteering as an example of…

  9. Understanding high traffic injury risks for children in low socioeconomic areas: a qualitative study of parents' views

    PubMed Central

    Christie, N; Ward, H; Kimberlee, R; Towner, E; Sleney, J

    2007-01-01

    Objective To gain an in‐depth qualitative understanding of parents' views about their children's exposure to road traffic injury risk in low socioeconomic areas. Design Focus groups facilitated by a moderator with content analysis of data. Setting Focus groups were conducted in 10 low socioeconomic English districts that also have high rates of child pedestrian injury. Research was conducted in community venues within each area. Subjects Parents of children aged 9–14 years living in low socioeconomic areas. Results Parents believe that children play in their local streets for the following reasons: they like playing out with friends near home; there are few safe, secure, and well‐maintained public spaces for children; children are excluded from affordable leisure venues because of their costs; insufficient parental responsibility. For children that play in the street, the key sources of risk identified by parents were: illegal riding and driving around estates and on the pavements; the speed and volume of traffic; illegal parking; drivers being poorly informed about where children play; children's risk‐taking behavior. Conclusions Intervention programs need to take into account multiple reasons why children in low socioeconomic areas become exposed to hazardous environments thereby increasing their risk of injury. Multi‐agency partnerships involving the community are increasingly needed to implement traditional road safety approaches, such as education, engineering, and enforcement, and provide safe and accessible public space, affordable activities for children, and greater support for parents. PMID:18056316

  10. Integrated conservation and development: evaluating a community-based marine protected area project for equality of socioeconomic impacts.

    PubMed

    Gurney, Georgina G; Pressey, Robert L; Cinner, Joshua E; Pollnac, Richard; Campbell, Stuart J

    2015-11-01

    Despite the prevalence of protected areas, evidence of their impacts on people is weak and remains hotly contested in conservation policy. A key question in this debate is whether socioeconomic impacts vary according to social subgroup. Given that social inequity can create conflict and impede poverty reduction, understanding how protected areas differentially affect people is critical to designing them to achieve social and biological goals. Understanding heterogeneous responses to protected areas can improve targeting of management activities and help elucidate the pathways through which impacts of protected areas occur. Here, we assessed whether the socioeconomic impacts of marine protected areas (MPAs)-designed to achieve goals for both conservation and poverty alleviation-differed according to age, gender or religion in associated villages in North Sulawesi, Indonesia. Using data from pre-, mid- and post-implementation of the MPAs for control and project villages, we found little empirical evidence that impacts on five key socioeconomic indicators related to poverty differed according to social subgroup. We found suggestive empirical evidence that the effect of the MPAs on environmental knowledge differed by age and religion; over the medium and long terms, younger people and Muslims showed greater improvements compared with older people and Christians, respectively. PMID:26460130

  11. Condom use, contraceptive methods, and religiosity among youths of low socioeconomic level.

    PubMed

    Cerqueira-Santos, Elder; Koller, Sílvia; Wilcox, Brian

    2008-05-01

    The purpose of this study was to investigate the relationship between the use of condoms and other contraceptive methods and religiosity/spirituality among youths of a low socioeconomic level in Porto Alegre. 1013 youths, between 12-24 years of age participated, responding to a personal questionnaire containing 109 items. Results show that 53.5% of these youths had already had their first sexual encounter, 55% of which had this experience before the age of 15. The majority (42.8%) claimed to be Catholic, and 26.7% said they believe in God, but were not religious. There appeared no significant difference in the use of condoms in relation to the level of religiosity, however, men used this method more than women to avoid AIDS and as a contraceptive. Women used other contraceptive methods more frequently, and there were no cases of exclusive use of methods permitted by the major religions (natural methods). This study revealed a high level of condom use (more than 80%) among both religious and non-religious youths. PMID:18630652

  12. [Food and nutrition knowledge of school-age children's mothers from elementary and high school from different socioeconomic levels].

    PubMed

    Ivanovic, D; Castro, C G; Ivanovic, R

    1997-09-01

    The objective of this study was to determine the degree of knowledge on food and nutrition of school-age children's mothers from Chile's Metropolitan Region and to measure the impact of socioeconomic, sociocultural and demographic variables on knowledge. A representative and proportional sample of 4,509 school-age children was chosen from Chile's Metropolitan Region and the degree of knowledge on food and nutrition on mothers of 1,985 of them was determined. The sample was stratified according to grade (I, II, IV, VI, VIII elementary school grades and I and IV high school grades), sex, type of school and geographic area. Socioeconomic status (SES) was determined through Graffar's modified method. The degree of knowledge on food and nutrition was assessed by a test based on the specific objectives pursued by the elementary school curriculum programs of the Ministry of Education and submitted to adequate statistical proofs for its content validity and reliability. Mother's schooling level mean was 9.7 +/- 4.0 y. The field study was carried out on 1986-1987. Statistical procedures included analysis of variance, Student "t" test for comparison of the means, correlation and regression. Results revealed that mothers did not know food and nutrition matters in fundamental aspects related to the observance of a healthy lifestyle, both, for themselves and their family. The degree of knowledge of food and nutrition significantly and positively correlated with SES, mother's schooling and occupation level, housing conditions (quality and sanitation) and age, and significantly and inversely correlated with the number of sons and crowding, besides of being significantly higher in urban than rural mothers. Mother's schooling level and geographic area were the independent variables with the greatest explanatory power in the food and nutrition knowledge variance (r2 = 0.1723), but mother's schooling level explains 93.2% of the explained variance. Results suggest the need to

  13. Arterial roads and area socioeconomic status are predictors of fast food restaurant density in King County, WA

    PubMed Central

    Hurvitz, Philip M; Moudon, Anne V; Rehm, Colin D; Streichert, Laura C; Drewnowski, Adam

    2009-01-01

    Background Fast food restaurants reportedly target specific populations by locating in lower-income and in minority neighborhoods. Physical proximity to fast food restaurants has been associated with higher obesity rates. Objective To examine possible associations, at the census tract level, between area demographics, arterial road density, and fast food restaurant density in King County, WA, USA. Methods Data on median household incomes, property values, and race/ethnicity were obtained from King County and from US Census data. Fast food restaurant addresses were obtained from Public Health-Seattle & King County and were geocoded. Fast food density was expressed per tract unit area and per capita. Arterial road density was a measure of vehicular and pedestrian access. Multivariate logistic regression models containing both socioeconomic status and road density were used in data analyses. Results Over one half (53.1%) of King County census tracts had at least one fast food restaurant. Mean network distance from dwelling units to a fast food restaurant countywide was 1.40 km, and 1.07 km for census tracts containing at least one fast food restaurant. Fast food restaurant density was significantly associated in regression models with low median household income (p < 0.001) and high arterial road density (p < 0.001) but not with percent of residents who were nonwhite. Conclusion No significant association was observed between census tract minority status and fast food density in King County. Although restaurant density was linked to low household incomes, that effect was attenuated by arterial road density. Fast food restaurants in King County are more likely to be located in lower income neighborhoods and higher traffic areas. PMID:19630979

  14. “A multi-level analysis of urban/rural and socioeconomic differences in functional health status transition among older Chinese”

    PubMed Central

    Wen, Ming; Kaneda, Toshiko

    2010-01-01

    The main purpose of the study is to assess urban versus rural differences in functional status transitions among older Chinese, aged 55+, and to examine how individual and community level socioeconomic indicators alter the rural/urban effects and themselves influence transitions. The study uses a hierarchical linear modeling approach that considers individual responses to be embedded within communities. Data come from the 2004 and 2006 rounds of the Chinese Health and Nutrition Survey. The study considers the functional transitions of 2,944 individuals living across 209 communities in nine Chinese provinces. Functioning is measured at baseline as being able or not being able to conduct all of the following: walking, standing, climbing stairs, lifting, kneeling. Outcomes include having or not having a functional limitation, measured the same way, dying, or not responding. Outcomes are modeled adjusted for baseline functional status. Findings indicate urbanites have substantial advantages. They are less likely to have a limitation at follow-up and less likely to die over the study period. Some of this is explained by socioeconomic indicators measured at two levels. Cross-level interactions suggest education and having insurance operate differently in urban and rural areas. Community-level indicators are somewhat less predictive, and much of the urban advantage is unexplained. In conclusion, the study suggests differences in the influences of socioeconomic indicators in China versus what has been found in the past, and that place of residence in China is a particularly robust predictor of functional health transitions. PMID:20621749

  15. Elementary Students' Self-Efficacy Beliefs in Science: Role of Grade Level, Gender, and Socio-Economic Status

    ERIC Educational Resources Information Center

    Karaarslan, Guliz; Sungur, Semra

    2011-01-01

    This study examined grade level and gender difference with respect to elementary students' science and technology self-efficacy. Additionally, relationship between socio-economic status (SES) and self-efficacy was examined. A total of 145 elementary students participated in the study. Self efficacy towards Science and Technology Scale was used to…

  16. School- and Family-Level Socioeconomic Status and Health Behaviors: Multilevel Analysis of a National Survey in Wales, United Kingdom

    PubMed Central

    Moore, Graham F; Littlecott, Hannah J

    2015-01-01

    Background Interventions to address inequalities in adolescent health behaviors often target children from less affluent families, or schools in poorer areas. Few studies have examined whether school- or family-level affluence predicts health behaviors independently, or in combination. Methods This article reports secondary analysis of the Welsh Health Behavior in School-aged Children (HBSC) survey. Mixed-effects logistic regression models test associations of school and family socioeconomic status (SES) with smoking, fruit and vegetable consumption, alcohol consumption, and physical activity. Results Higher family SES was associated with healthier behaviors, except in relation to alcohol consumption. For all behaviors except physical activity, school-level SES was independently associated with healthier behaviors. In higher SES schools, a stronger association of family SES with health behavior was observed, particularly in relation to smoking and physical activity. Conclusions School and family SES may exert independent and combined influences upon adolescent health behaviors. Targeting interventions toward deprived schools may fail to address substantial inequalities within more affluent schools. Targeting deprived families may fail to address behaviors of children from affluent families, attending more deprived schools. Identifying universal health improvement interventions which have greater effects among children from poorer backgrounds may be a more effective means of reducing inequalities. PMID:25731201

  17. Enteropathogens associated with acute diarrhea in children from households with high socioeconomic level in uruguay.

    PubMed

    Varela, Gustavo; Batthyány, Lara; Bianco, María Noel; Pérez, Walter; Pardo, Lorena; Algorta, Gabriela; Robino, Luciana; Suárez, Ramón; Navarro, Armando; Pírez, María Catalina; Schelotto, Felipe

    2015-01-01

    Infectious diarrhea, a common disease of children, deserves permanent monitoring in all social groups. To know the etiology and clinical manifestations of acute diarrhea in children up to 5 years of age from high socioeconomic level households, we conducted a descriptive, microbiological, and clinical study. Stools from 59 children with acute community-acquired diarrhea were examined, and their parents were interviewed concerning symptoms and signs. Rotavirus, adenovirus, and norovirus were detected by commercially available qualitative immunochromatographic lateral flow rapid tests. Salmonella, Campylobacter, Yersinia, and Shigella were investigated by standard bacteriological methods and diarrheagenic E. coli by PCR assays. We identified a potential enteric pathogen in 30 children. The most frequent causes of diarrhea were enteropathogenic E. coli (EPEC), viruses, Campylobacter, Salmonella, and Shiga-toxin-producing E. coli (STEC). Only 2 patients showed mixed infections. Our data suggest that children with viral or Campylobacter diarrhea were taken to the hospital earlier than those infected with EPEC. One child infected with STEC O26 developed "complete" HUS. The microbiological results highlight the importance of zoonotic bacteria such as atypical EPEC, Campylobacter, STEC, and Salmonella as pathogens associated with acute diarrhea in these children. The findings also reinforce our previous communications about the regional importance of non-O157 STEC strains in severe infant food-borne diseases. PMID:25861274

  18. Enteropathogens Associated with Acute Diarrhea in Children from Households with High Socioeconomic Level in Uruguay

    PubMed Central

    Batthyány, Lara; Bianco, María Noel; Pérez, Walter; Pardo, Lorena; Algorta, Gabriela; Robino, Luciana; Suárez, Ramón; Navarro, Armando; Pírez, María Catalina; Schelotto, Felipe

    2015-01-01

    Infectious diarrhea, a common disease of children, deserves permanent monitoring in all social groups. To know the etiology and clinical manifestations of acute diarrhea in children up to 5 years of age from high socioeconomic level households, we conducted a descriptive, microbiological, and clinical study. Stools from 59 children with acute community-acquired diarrhea were examined, and their parents were interviewed concerning symptoms and signs. Rotavirus, adenovirus, and norovirus were detected by commercially available qualitative immunochromatographic lateral flow rapid tests. Salmonella, Campylobacter, Yersinia, and Shigella were investigated by standard bacteriological methods and diarrheagenic E. coli by PCR assays. We identified a potential enteric pathogen in 30 children. The most frequent causes of diarrhea were enteropathogenic E. coli (EPEC), viruses, Campylobacter, Salmonella, and Shiga-toxin-producing E. coli (STEC). Only 2 patients showed mixed infections. Our data suggest that children with viral or Campylobacter diarrhea were taken to the hospital earlier than those infected with EPEC. One child infected with STEC O26 developed “complete” HUS. The microbiological results highlight the importance of zoonotic bacteria such as atypical EPEC, Campylobacter, STEC, and Salmonella as pathogens associated with acute diarrhea in these children. The findings also reinforce our previous communications about the regional importance of non-O157 STEC strains in severe infant food-borne diseases. PMID:25861274

  19. Climate change and socio-economic scenarios, land use modelling implications on water resources in an inner alpine area, Switzerland

    NASA Astrophysics Data System (ADS)

    Rey, Emmanuel; Schneider, Flurina; Liniger, Hanspeter; Weingartner, Rolf; Herweg, Karl

    2014-05-01

    The MontanAqua project aims to study the water resources management in the region Sierre-Montana (Valais, Switzerland). Land use is known to have an influence on the water resources (soil moisture dynamic, soil sealing, surface runoff and deep percolation). Thus land use modelling is of importance for the water resources management. An actual land use map was produced using infrared imagery (Niklaus 2012, Fig.1). Land use changes are known to be mainly drived by socio-economic factors as well as climatic factors (Dolman et al. 2003). Potential future Land uses was separatly predicted according to 1-. socio-economic and 2-. climatic/abiotic drivers : 1. 4 socio-economic scenarios were developped with stakeholders (Schneider et al. 2013) between 2010 and 2012. We modeled those socio-economic scenarios into a GIS application using Python programming (ModelBuilder in ArcGIS 10) to get a cartographic transcription of the wishes of the stakeholders for their region in 2050. 2. Uncorrelated climatic and abiotic drivers were used in a BIOMOD2 (Georges et al. 2013) framework. 4 models were used: Maximum Entropy (MAXENT), Multiple Adaptive Regression Splines (MARS), Classification Tree Analysis (CTA) and the Flexible Discriminant Analysis (FDA) to predict grassland, alpine pasture, vineyards and forest in our study region. Climatic scenarios were then introduced into the models to predict potential land use in 2050 driven only by climatic and abiotic factors The comparison of all the outputs demonstrates that the socio-economic drivers will have a more important impact in the region than the climatic drivers (e.g. -70% grassland surface for the worst socio-economic scenario vs. -40% of grassland surface for the worst climatic models). Further analysis also brings out the sensitivity of the grassland/alpine pasture system to the climate change and to socio-economic changes. Future work will be to cross the different land use maps obtained by the two model types and to use

  20. Socioeconomic and personal behavioral factors affecting children's exposure to VOCs in urban areas in Korea.

    PubMed

    Byun, Hyaejeong; Ryu, Kyongnam; Jang, Kyungjo; Bae, Hyunjoo; Kim, Dongjin; Shin, Hosung; Chu, Jangmin; Yoon, Chungsik

    2010-02-01

    Volatile organic compounds (VOCs) are known to cause adverse health effects. We investigated the relationships between children's VOC exposure and socioeconomic and human activity factors with passive personal samplers, questionnaires, and time-activity diaries (TAD). Statistical analyses were conducted using SAS 9.1, and the results were organized using SigmaPlot 8.0 software. Chemicals such as benzene, toluene, 2-butanone, ethylbenzene, xylene, chloroform, n-hexane, heptane, and some kinds of decanes, which are known to adversely affect public health, were identified in measured samples. These were mainly emitted from outdoor sources (e.g., vehicular traffic) or indoor sources (e.g., household activities such as cooking and cleaning) or both. We concluded that region was the most important socioeconomic factor affecting children's VOC exposure, and the significant compounds were n-hexane (p = 0.006), 1,1,1-trichloroethane (p = 0.001), benzene (p = 0.003), toluene (p = 0.002), ethylbenzene (p = 0.020), m-, p-xylene (p = 0.014), dodecane (p = 0.003), and hexadecane (p = 0.001). Parental education, year of home construction and type of housing were also slightly correlated with personal VOC exposure. Only the concentration of o-xylene (p = 0.027) was significantly affected by the parental education, and the concentrations of benzene (p = 0.030) and 2-butanone (p = 0.049) by the type of housing. Also, tridecane (p = 0.049) and n-hexane (p = 0.033) were significantly associated with the year of home construction. When household activities such as cooking were performed indoors, children's VOC concentrations tended to be higher, especially for n-hexane, chloroform, heptane, toluene (p < 0.05), 1,1,1-trichloroethane, benzene, dodecane, and hexadecane (p < 0.01). However, smoking had a significant effect for only dodecane, and cleaning had no impact on any VOC concentrations. Considering both socioeconomic and personal behavioral factors simultaneously, socioeconomic

  1. Local Modelling Techniques for Assessing Micro-Level Impacts of Risk Factors in Complex Data: Understanding Health and Socioeconomic Inequalities in Childhood Educational Attainments

    PubMed Central

    Zhou, Shang-Ming; Lyons, Ronan A.; Bodger, Owen G.; John, Ann; Brunt, Huw; Jones, Kerina; Gravenor, Mike B.; Brophy, Sinead

    2014-01-01

    Although inequalities in health and socioeconomic status have an important influence on childhood educational performance, the interactions between these multiple factors relating to variation in educational outcomes at micro-level is unknown, and how to evaluate the many possible interactions of these factors is not well established. This paper aims to examine multi-dimensional deprivation factors and their impact on childhood educational outcomes at micro-level, focusing on geographic areas having widely different disparity patterns, in which each area is characterised by six deprivation domains (Income, Health, Geographical Access to Services, Housing, Physical Environment, and Community Safety). Traditional health statistical studies tend to use one global model to describe the whole population for macro-analysis. In this paper, we combine linked educational and deprivation data across small areas (median population of 1500), then use a local modelling technique, the Takagi-Sugeno fuzzy system, to predict area educational outcomes at ages 7 and 11. We define two new metrics, “Micro-impact of Domain” and “Contribution of Domain”, to quantify the variations of local impacts of multidimensional factors on educational outcomes across small areas. The two metrics highlight differing priorities. Our study reveals complex multi-way interactions between the deprivation domains, which could not be provided by traditional health statistical methods based on single global model. We demonstrate that although Income has an expected central role, all domains contribute, and in some areas Health, Environment, Access to Services, Housing and Community Safety each could be the dominant factor. Thus the relative importance of health and socioeconomic factors varies considerably for different areas, depending on the levels of each of the other factors, and therefore each component of deprivation must be considered as part of a wider system. Childhood educational

  2. The Effect of Technology and Socioeconomic Status on Parental Involvement at the Elementary School Level

    ERIC Educational Resources Information Center

    Balsamo, Michael J.

    2013-01-01

    Evidence suggests that parents who extensively use technology and have a high socioeconomic status (SES) may become overly involved with their elementary school-aged children's education and school-related activities, an involvement which can create a lasting dependence of the children on their parents. The literature indicates high…

  3. Socioeconomic Status and Health: A Micro-Level Analysis of Exposure and Vulnerability to Daily Stressors

    ERIC Educational Resources Information Center

    Grzywacz, Joseph G.; Almeida, David M.; Neupert, Shevaun D.; Ettner, Susan L.

    2004-01-01

    This study examines the interconnections among education--as a proxy for socioeconomic status--stress, and physical and mental health by specifying differential exposure and vulnerability models using data from The National Study of Daily Experiences (N = 1,031). These daily diary data allowed assessment of the social distribution of a…

  4. Incorporation of Socio-Economic Features' Ranking in Multicriteria Analysis Based on Ecosystem Services for Marine Protected Area Planning.

    PubMed

    Portman, Michelle E; Shabtay-Yanai, Ateret; Zanzuri, Asaf

    2016-01-01

    Developed decades ago for spatial choice problems related to zoning in the urban planning field, multicriteria analysis (MCA) has more recently been applied to environmental conflicts and presented in several documented cases for the creation of protected area management plans. Its application is considered here for the development of zoning as part of a proposed marine protected area management plan. The case study incorporates specially-explicit conservation features while considering stakeholder preferences, expert opinion and characteristics of data quality. It involves the weighting of criteria using a modified analytical hierarchy process. Experts ranked physical attributes which include socio-economically valued physical features. The parameters used for the ranking of (physical) attributes important for socio-economic reasons are derived from the field of ecosystem services assessment. Inclusion of these feature values results in protection that emphasizes those areas closest to shore, most likely because of accessibility and familiarity parameters and because of data biases. Therefore, other spatial conservation prioritization methods should be considered to supplement the MCA and efforts should be made to improve data about ecosystem service values farther from shore. Otherwise, the MCA method allows incorporation of expert and stakeholder preferences and ecosystem services values while maintaining the advantages of simplicity and clarity. PMID:27183224

  5. Incorporation of Socio-Economic Features' Ranking in Multicriteria Analysis Based on Ecosystem Services for Marine Protected Area Planning

    PubMed Central

    Portman, Michelle E.; Shabtay-Yanai, Ateret; Zanzuri, Asaf

    2016-01-01

    Developed decades ago for spatial choice problems related to zoning in the urban planning field, multicriteria analysis (MCA) has more recently been applied to environmental conflicts and presented in several documented cases for the creation of protected area management plans. Its application is considered here for the development of zoning as part of a proposed marine protected area management plan. The case study incorporates specially-explicit conservation features while considering stakeholder preferences, expert opinion and characteristics of data quality. It involves the weighting of criteria using a modified analytical hierarchy process. Experts ranked physical attributes which include socio-economically valued physical features. The parameters used for the ranking of (physical) attributes important for socio-economic reasons are derived from the field of ecosystem services assessment. Inclusion of these feature values results in protection that emphasizes those areas closest to shore, most likely because of accessibility and familiarity parameters and because of data biases. Therefore, other spatial conservation prioritization methods should be considered to supplement the MCA and efforts should be made to improve data about ecosystem service values farther from shore. Otherwise, the MCA method allows incorporation of expert and stakeholder preferences and ecosystem services values while maintaining the advantages of simplicity and clarity. PMID:27183224

  6. The Potential of Solar as Alternative Energy Source for Socio-Economic Wellbeing in Rural Areas, Malaysia

    NASA Astrophysics Data System (ADS)

    Alam, Rashidah Zainal; Siwar, Chamhuri; Ludin, Norasikin Ahmad

    Malaysia's energy sector is highly dependent on fossil fuels as a primary energy source. Economic growth and socio-economic wellbeing also rely on the utilization of energy in daily life routine. Nevertheless, the increasing cost for electricity and declining fossil fuels resources causes various negative impacts to the people and environment especially in rural areas. This prompted Malaysia to shift towards alternative energy sources such as solar energy to ensure social, economic and environmental benefits. The solar energy is one of the potential renewable energy sources in tropical countries particularly in Malaysia. The paper attempts to analyze the benefits and advantages related to energy efficiency of solar for sustainable energy use and socio economic wellbeing in rural areas, Malaysia. The paper uses secondary sources of data such as policies, regulations and research reports from relevant ministries and agencies to attain the objectives. As a signatory country to the UN Convention on Climate Change and the Kyoto Protocol, Malaysia has taken initiatives for decreasing energy dependence on oil to reduce greenhouse gas emissions (GHG) for sustainable development. The paper shows solar energy becomes one of the promising alternative energy sources to alleviate energy poverty in Malaysia for rural areas. Finally, solar energy has increased socio-economic wellbeing and develops green potential and toward achieving energy efficiency in energy sector of Malaysia by preserving environment as well as reducing carbon emission.

  7. Social Structural Influences on Healthy Aging: Community-Level Socioeconomic Conditions and Survival Probability of Becoming a Centenarian for Those Aged 65 to 69 in South Korea.

    PubMed

    Kim, Jong In; Kim, Gukbin

    2015-10-01

    This study estimated the associations between community-level socioeconomic conditions and survival probability of becoming a centenarian (SPBC) for those aged 65 to 69 in South Korea to determine the social structural influences on healthy aging. The indicators of socioeconomic and data of centenarians were obtained from Statistics Korea database 2014: population census and social survey. Significant positive correlations were found between SPBC and community-level socioeconomic conditions (minimum cost of living and economically active population, water supply and sewerage, pave a road with asphalt, and urbanization). SPBC male and female predictors had higher economic level and base facilities (R2)=0.578, p<.001). The study provides evidence that community-level socioeconomic conditions are important correlates of SPBC for those aged 65 to 69 in South Korea. These strategies should include social structural influences on successful aging in the overall socioeconomic conditions. PMID:26769915

  8. Tipping Points towards Regional Forest or Urban Transition in Stressed Rural Areas: An Agent-based Modelling Application of Socio-Economic Shifts in Rural Vermont US

    NASA Astrophysics Data System (ADS)

    Tsai, Y.; Turnbull, S.; Zia, A.

    2015-12-01

    In rural areas where farming competes with urban development and environmental amenities, urban and forest transitions occur simultaneously at different locales with different rates due to the underlying socio-economic shifts. Here we develop an interactive land use transition agent-based model (ILUTABM) in which farmers' land use decisions are made contingent on expansion and location choices of urban businesses and urban residences, as well as farmers' perceived ecosystem services produced by their land holdings. The ILUTABM simulates heterogeneity in land use decisions at parcel levels by differentiating decision making processes for agricultural and urban landowners. Landowners are simulated to make land-use transition decisions as bounded rational agents that maximize their partial expected utility functions under different underlying socio-economic conditions given the category of a landowner and the spatial characteristics of the landowner's landholdings. The ILUTABM is parameterized by spatial data sets such as National Land Cover Database (NLCD), zoning, parcels, property prices, US census, farmers surveys, building/facility characteristics, soil, slope and elevation. We then apply the ILUTABM to the rural Vermont landscape, located in the Northeast Arm District of Lake Champlain and the downstream sub-watersheds of Missisquoi River, to generate phase transitions of rural land towards urban land near peri-urban areas and towards forest land near financially stressed farmlands during 2001-2051. Possible tipping point trajectories of rural land towards regional forest or urban transition are simulated under three socio-economic scenarios: business as usual (ILUTABM calibrated to 2011 NLCD), increased incentives for conservation easements, and increased incentives for attracting urban residences and businesses.

  9. Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas

    PubMed Central

    2013-01-01

    Background Information on the part that poor food-hygiene practices play a role in the development of diarrhea in low socioeconomic urban communities is lacking. This study was therefore aimed at assessing the contribution of food-hygiene practice to the prevalence of diarrhea among Indonesian children. Methods A cross-sectional study was conducted among 274 randomly selected children aged 12–59 months in selected low socioeconomic urban areas of East Jakarta. The prevalence of diarrhea was assessed from 7-day records on frequency and consistency of the child’s defecation pattern. Food-hygiene practices including mother’s and child’s hand washing, food preparation, cleanliness of utensils, water source and safe drinking water, habits of buying cooked food, child’s bottle feeding hygiene, and housing and environmental condition were collected through home visit interviews and observations by fieldworkers. Thirty-six practices were scored and classified into poor (median and below) and better (above median) food-hygiene practices. Nutritional status of children, defined anthropometrically, was measured through height and weight. Results Among the individual food-hygiene practices, children living in a house with less dirty sewage had a significantly lower diarrhea prevalence compared to those who did not [adjusted odds ratio (OR) 0.16, 95% confidence interval (CI) = 0.03-0.73]. The overall food-hygiene practice score was not significantly associated with diarrhea in the total group, but it was in children aged < 2 years (adjusted OR 4.55, 95% CI = 1.08-19.1). Conclusions Overall poor mother’s food-hygiene practices did not contribute to the occurrence of diarrhea in Indonesian children. However, among children < 2 years from low socioeconomic urban areas they were associated with more diarrhea. PMID:24138899

  10. Implementation of the Port Hope Area Initiative Biophysical and Socioeconomic Environmental Assessment Follow-up Programs - 13209

    SciTech Connect

    Baba, Nina; Friedmann, Karyn; Groulx, Charles

    2013-07-01

    The Port Hope Initiative (PHAI) involves the cleanup of historic low-level radioactive waste in various locations throughout the communities of Port Hope and Clarington, Ontario, as well as the construction of two engineered aboveground mounds for safe long-term management. The PHAI is comprised of two major projects - the Port Hope Project and the Port Granby Project. An Environmental Assessment (EA) was undertaken for each project and as a result EA Follow-up Programs were developed and are being implemented addressing both biophysical and socioeconomic aspects. This paper provides insight on elements of the EA Follow-up Program development, and its implementation. (authors)

  11. Remaining life expectancy among older people in a rural area of Vietnam: trends and socioeconomic inequalities during a period of multiple transitions

    PubMed Central

    2009-01-01

    in rural areas of Vietnam. Inequalities in life expectancy exist between socioeconomic groups, especially between different poverty levels and also patterns of living arrangements. These inequalities should be addressed by appropriate social and health policies with stronger targeting of the poorest and most disadvantaged groups. PMID:20017933

  12. Risk Analysis of Coastal hazard Considering Sea-level Rise and Local Environment in Coastal Area

    NASA Astrophysics Data System (ADS)

    Sangjin, P.; Lee, D. K.; KIM, H.; Ryu, J. E.; Yoo, S.; Ryoo, H.

    2014-12-01

    Recently, natural hazards has been more unpredictable with increasing frequency and strength due to climate change. Especially, coastal areas would be more vulnerable in the future because of sea-level rise (SLR). In case of Korea, it is surrounded by oceans and has many big cities at coastal area, thus a hazard prevention plan in coastal area is absolutely necessary. However, prior to making the plan, finding areas at risk would be the first step. In order to find the vulnerable area, local characteristics of coastal areas should also be considered along with SLR. Therefore, the objective of the research is to find vulnerable areas, which could be damaged by coastal hazards considering local environment and SLR of coastal areas. Spatial scope of the research was set up as 1km from the coastline according to the 'coastal management law' in Korea. The assessment was done up to the year of 2050, and the highest sea level rise scenario was used. For risk analysis, biophysical and socioeconomic characteristics were considered as to represent local characteristics of coastal area. Risk analysis was carried out through the combination of 'possibility of hazard' and the 'level of damages', and both of them reflect the above-mentioned regional characteristics. Since the range of inundation was narrowed down to the inundation from typhoon in this research, the possibility of inundation caused by typhoon was estimated by using numerical model, which calculated the height of storm surge considering wave, tide, sea-level pressure and SLR. Also the level of damage was estimated by categorizing the socioeconomic character into four factors; human, infrastructure, ecology and socioeconomic. Variables that represent each factor were selected and used in damage estimation with their classification and weighting value. The result shows that the urban coastal areas are more vulnerable and hazardous than other areas because of socioeconomic factors. The east and the south coast are

  13. Health Inequalities in Rio de Janeiro, Brazil: Lower Healthy Life Expectancy in Socioeconomically Disadvantaged Areas

    PubMed Central

    Corrêa da Mota, Jurema; Damacena, Giseli Nogueira; Sardinha Pereira, Tatiana Guimarães

    2011-01-01

    Objectives. We investigated deprivation and inequalities in life expectancy and healthy life expectancy by location in Rio de Janeiro, Brazil. Methods. We conducted a health survey of 576 adults in 2006. Census tracts were stratified by income level and categorization as a slum. We determined health status by degree of functional limitation, according to the approach proposed by the World Health Organization. We calculated healthy life expectancies by Sullivan's method with abridged life table. Results. We found the worst indicators in the slum stratum. The life expectancy at birth of men living in the richest parts of the city was 12.8 years longer than that of men living in deprived areas. For both men and women older than age 65 years, healthy life expectancy was more than twice as high in the richest sector as in the slum sector. Conclusions. Our analysis detailed the excess burden of poor health experienced by disadvantaged populations of Rio de Janeiro. Policy efforts are needed to reduce social inequalities in health in this city, especially among the elderly. PMID:21233437

  14. Feeding Patterns and Predictors of Malnutrition in Infants from Poor Socioeconomic Areas in Pakistan: A Cross-sectional Survey

    PubMed Central

    Anwar ul Haq, Malik Muhammad; Tariq, Saad; Anwar, Madiha; Khawar, Anam; Waqas, Ahmed; Nisar, Anam

    2016-01-01

    Introduction: Malnutrition, a state of under or over nutrition caused by improper food intake, causes significant morbidity and mortality in developing countries. It leads to a number of diseases which can be further divided into those caused by protein-caloric malnutrition and those caused by vitamin deficiencies, micronutrient, and mineral deficiencies. The purpose of this study was to identify the factors which contribute to malnutrition and to assess the dietary pattern in the pediatric population from birth up to five months belonging to poor socioeconomic areas. The children in this sample presented to a tertiary care hospital in the district of Sargodha, Pakistan. The findings in this cohort will support the development of an effective plan to tackle these issues. Methods: This cross-sectional study was undertaken between June 2014 and December 2014 at the inpatient pediatric department of District Headquarter Hospital Sargodha. Data were collected and recorded on a predesigned form which consisted of four sections to record 1) demographics: parents' level of education, monthly income, number of dependent household members, and birth interval; 2) anthropometric and personal history, birth history, and degree of malnutrition; 3) any secondary causes of malnutrition; and 4) feeding history. The data were analyzed in SPSS v. 20. Chi-squared, phi statistics, and logistic regression analysis were run to analyze the data. Results: A total of 294 participants were included in the study. Logistic regression analysis showed that the degree of malnutrition was associated negatively with increasing age and positively with family size. A majority of children (144, 49%) were being breastfed for less than 5 minutes followed by 38 (13%) > 5 minutes to 15 minutes, and 2 (0.7%) > 15 minutes while 110 (37 %) infants were not breastfed. Children who were breastfed were less likely to have severe malnutrition than those who were given formula, fresh cow's or goat's milk

  15. The prospective association of socioeconomic status with C-reactive protein levels in the CARDIA study.

    PubMed

    Deverts, Denise Janicki; Cohen, Sheldon; Kalra, Preety; Matthews, Karen A

    2012-10-01

    Better health is a well-documented benefit of having a higher socioeconomic status (SES). Inflammation may be one pathway through which SES influences health. Using 2658 participants in the Coronary Artery Risk Development in Young Adults (CARDIA) Study, we examine whether two measures of SES assessed at baseline (mean age, 32 ± 4 years)-years of education and household income-predict change in C-reactive protein (CRP) concentrations over the course of 13 years. We also examine whether four health-related behaviors-smoking, fruit and vegetable consumption, physical activity, and alcohol consumption-mediate the prospective association of SES with CRP. Both higher education and household income predicted smaller increases in CRP over the 13 years of follow-up independent of age, sex, race, CARDIA center, body mass, medical diagnoses, medications, and hormone use (among women). Associations did not differ by race or sex. When examined in separate analyses, smoking and fruit and vegetable intake each accounted for a significant proportion of the respective effects of education and household income on CRP change, and physical activity a significant proportion of the effect of household income. These findings suggest that poor health behaviors among persons of lower socioeconomic status can have long-term effects on inflammation. PMID:22884413

  16. Neighborhood Socioeconomic Status During Childhood Versus Puberty in Relation to Endogenous Sex Hormone Levels in Adult Women

    PubMed Central

    Bleil, Maria E.; Appelhans, Bradley M.; Latham, Melissa D.; Irving, Michelle A.; Gregorich, Steven E.; Adler, Nancy E.; Cedars, Marcelle I.

    2015-01-01

    Background Socioeconomic adversity in early life is related to cardiovascular risk in adulthood; however, no studies have examined whether such adversity may be related to endogenous sex hormones—which are themselves associated with cardiovascular outcomes—or whether the timing of adversity exposures (childhood versus puberty) matters. Objective The goal of the current study was to separately examine neighborhood socioeconomic status (SES) during periods of childhood and puberty in relation to adulthood levels of endogenous sex hormones (estradiol [E2], testosterone), sex hormone binding globulin (SHBG), and a derived index of bioavailable testosterone (free androgen index [FAI]). Methods In a sample of 143 premenopausal women (mean age 36.8 [SD = 5.5]; 51.7% White, 32.2% African American, 5.6% Latina, 7.0% Chinese, and 3.5% Filipina), retrospective reports of residential address information in designated periods of childhood and puberty was used to derive U.S. census-based neighborhood SES composite scores characterizing the socioeconomic environments of women during these periods. Results In covariate-adjusted analyses, higher neighborhood SES in puberty predicted higher levels of SHBG in adulthood, but neighborhood SES during childhood did not (standardized regression coefficient = .24, p = .01 vs. standardized regression coefficient = .04, p = .75, respectively). Neighborhood SES was not predictive of other hormones (E2, testosterone, and FAI). Discussion The current findings suggest that puberty may be a time of particular vulnerability to the effects of neighborhood SES on SHBG levels, which have been previously linked to cardiovascular risk factor profiles and atherosclerotic disease progression. PMID:25932699

  17. Engineering and socioeconomic impacts of earthquakes: An analysis of electricity lifeline disruptions in the New Madrid area

    SciTech Connect

    Shinozuka, M.; Rose, A.; Eguchi, R.T.

    1998-12-31

    This monograph examines the potential effects of a repeat of the New Madrid earthquake to the metropolitan Memphis area. The authors developed a case study of the impact of such an event to the electric power system, and analyzed how this disruption would affect society. In nine chapters and 189 pages, the book traces the impacts of catastrophic earthquakes through a curtailment of utility lifeline services to its host regional economy and beyond. the monographs` chapters include: Modeling the Memphis economy; seismic performance of electric power systems; spatial analysis techniques for linking physical damage to economic functions; earthquake vulnerability and emergency preparedness among businesses; direct economic impacts; regional economic impacts; socioeconomic and interregional impacts; lifeline risk reduction; and public policy formulation and implementation.

  18. Socioeconomic status, area remoteness, and survival from childhood leukemia: results from the Nationwide Registry for Childhood Hematological Malignancies in Greece.

    PubMed

    Sergentanis, Theodoros; Dessypris, Nick; Kanavidis, Prodromos; Skalkidis, Ilias; Baka, Margarita; Polychronopoulou, Sophia; Athanassiadou, Fani; Stiakaki, Eftichia; Frangandrea, Ioanna; Moschovi, Maria; Petridou, Eleni T

    2013-09-01

    The aim of the present nationwide Greek study is to assess whether survival from acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML) is modified by socioeconomic status (SES) and area remoteness. Detailed precoded information derived from a personal interview conducted by specially trained health personnel with the child guardians was available for 883 ALL and 111 AML incident childhood cases registered in the Nationwide Registry for Childhood Hematological Malignancies during the period 1996-2010. Parental socioprofessional category was recorded on the basis of ISCO68 and ISCO88 codes; the exact traveling distance between residence and the treating hospital was ad hoc calculated. Multivariate Cox's proportional hazards models were applied to examine the mutually adjusted associations between survival and potential predictors. Children from a lower parental socioprofessional category experienced 40% worse survival (P=0.02) independent of age, sex, and ALL subtype, whereas those whose parents were married had better outcomes (rate ratio: 0.47, P=0.01). Urbanization of residence at diagnosis or 'residence to treating hospital' distance was not nominally associated with survival from ALL. By contrast, no noteworthy associations implicating SES were found for AML survival, probably because of the burden of the disease and small numbers. Lower SES indicators and a single-parenthood family milieu seem to be independently associated with unfavorable outcomes from childhood ALL. Area remoteness might not be a significant outcome predictor during recent years, following considerable improvements in the motorway infrastructures and care delivery patterns. This study may provide a valuable snapshot capturing the impact of socioeconomic covariates before the burst of the Greek financial crisis. PMID:23238585

  19. Does car ownership reflect socio-economic disadvantage in rural areas? A cross-sectional geographical study in Wales, UK.

    PubMed

    Christie, S M; Fone, D L

    2003-03-01

    It is widely believed that area-based deprivation indices that include the car ownership census variable are poor indicators of deprivation in rural areas since car ownership is a necessity of rural life. In this cross-sectional geographical study, we assess whether the relation between lack of car ownership and socio-economic deprivation varies between urban and rural enumeration districts of Wales, UK. We classified the 6376 census enumeration districts in Wales into rural (1636, 26%) and urban (4740, 74%), using the Office for National Statistics' classification based on land use. Rank correlation coefficients between the proportion of households with no car and a range of other proxy deprivation census variables were strongly positive in urban and the most densely populated rural enumeration districts. However, these correlations were weaker in sparsely populated rural enumeration districts, with a declining trend across deciles of population density. Exclusion of the car ownership variable from the Townsend index of deprivation re-categorized rural enumeration districts as more deprived and urban enumeration districts as less deprived compared with the standard Townsend index. Our results suggest that lack of car ownership is a poor proxy for social deprivation in the most sparsely populated rural areas of Wales, and therefore, deprivation indices that include the car ownership variable are less valid for use in rural areas. PMID:12802977

  20. Association of Allergic Rhinitis in Female University Students with Socio-economic Factors and Markers of Estrogens Levels.

    PubMed

    Wronka, I; Kliś, K; Jarzebak, K

    2016-01-01

    The aim of this study is to investigate the association of allergic rhinitis in female university students with socio-economic factors and sex-hormone markers, including age at menarche, menstrual disorders, and selected anthropometrics indexes. The research was conducted among 640 female university students, aged 19-25 years. The measurements of body height, body mass, waist and hip circumference were taken. Each person completed a questionnaire. The occurrence of allergy was determined on the basis of answers to the questions whether the allergy and its allergens were defined on the basis of medical workup. We found that a significantly larger number of cases of allergic rhinitis were recorded in the university students coming from families of high socio-economic level than those from lower level. Allergic rhinitis also was more frequent in the students who spent their childhood in cities than in those who lived in the countryside. The prevalence of allergic rhinitis was inversely correlated to the number of siblings. There were no differences in the prevalence of allergic rhinitis in relation to the birth order. The estrogen level seemed unassociated with rhinitis. However, there were slightly more allergic among females with an earlier age of menarche. PMID:26453067

  1. Individual-level socioeconomic status and community-level inequality as determinants of stigma towards persons living with HIV who inject drugs in Thai Nguyen, Vietnam

    PubMed Central

    Lim, Travis; Zelaya, Carla; Latkin, Carl; Quan, Vu Minh; Frangakis, Constantine; Ha, Tran Viet; Minh, Nguyen Le; Go, Vivian

    2013-01-01

    Introduction HIV infection may be affected by multiple complex socioeconomic status (SES) factors, especially individual socioeconomic disadvantage and community-level inequality. At the same time, stigma towards HIV and marginalized groups has exacerbated persistent concentrated epidemics among key populations, such as persons who inject drugs (PWID) in Vietnam. Stigma researchers argue that stigma fundamentally depends on the existence of economic power differences in a community. In rapidly growing economies like Vietnam, the increasing gap in income and education levels, as well as an individual's absolute income and education, may create social conditions that facilitate stigma related to injecting drug use and HIV. Methods A cross-sectional baseline survey assessing different types of stigma and key socioeconomic characteristics was administered to 1674 PWID and 1349 community members living in physical proximity throughout the 32 communes in Thai Nguyen province, Vietnam. We created four stigma scales, including HIV-related and drug-related stigma reported by both PWID and community members. We then used ecologic Spearman's correlation, ordinary least-squares regression and multi-level generalized estimating equations to examine community-level inequality associations, individual-level SES associations and multi-level SES associations with different types of stigma, respectively. Results There was little urban–rural difference in stigma among communes. Higher income inequality was marginally associated with drug-related stigma reported by community members (p=0.087), and higher education inequality was significantly associated with higher HIV-related stigma reported by both PWID and community members (p<0.05). For individuals, higher education was significantly associated with lower stigma (HIV and drug related) reported by both PWID and community members. Part-time employed PWID reported more experiences and perceptions of drug-related stigma, while

  2. Socioeconomic issues for the Bear River Watershed Conservation Land Area Protection Plan

    USGS Publications Warehouse

    Thomas, Catherine Cullinane; Huber, Christopher; Gascoigne, William; Koontz, Lynne

    2012-01-01

    The Bear River Watershed Conservation Area is located in the Bear River Watershed, a vast basin covering fourteen counties across three states. Located in Wyoming, Utah, and Idaho, the watershed spans roughly 7,500 squares miles: 1,500 squares miles in Wyoming; 2,700 squares miles in Idaho; and 3,300 squares miles in Utah (Utah Division of Water Resources, 2004). Three National Wildlife Refuges are currently contained within the boundary of the BRWCA: the Bear River Migratory Bird Refuge in Utah, the Bear Lake National Wildlife Refuge in Idaho, and the Cokeville Meadows National Wildlife Refuge in Wyoming. In 2010, the U.S. Fish and Wildlife Service conducted a Preliminary Project Proposal and identified the Bear River Watershed Conservation Area as having high-value wildlife habitat. This finding initiated the Land Protection Planning process, which is used by the U.S. Fish and Wildlife Service to study land conservation opportunities including adding lands to the National Wildlife Refuge System. The U.S. Fish and Wildlife Service proposes to include part of the Bear River Watershed Conservation Area in the Refuge System by acquiring up to 920,000 acres of conservation easements from willing landowners to maintain landscape integrity and habitat connectivity in the region. The analysis described in this report provides a profile of the social and economic conditions in the Bear River Watershed Conservation Area and addresses social and economic questions and concerns raised during public involvement in the Land Protection Planning process.

  3. Small-area geographic and socioeconomic inequalities in colorectal tumour detection in France.

    PubMed

    Fournel, Isabelle; Bourredjem, Abderrahmane; Sauleau, Erik-André; Cottet, Vanessa; Dejardin, Olivier; Bouvier, Anne-Marie; Launoy, Guy; Bonithon-Kopp, Claire

    2016-07-01

    The aim of this study was to assess the impact of area deprivation and primary care facilities on colorectal adenoma detection and on colorectal cancer (CRC) incidence in a French well-defined population before mass screening implementation. The study population included all patients aged 20 years or more living in Côte d'Or (France) with either colorectal adenoma or invasive CRC first diagnosed between 1995 and 2002 and who were identified from the Burgundy Digestive Cancer Registry and the Côte d'Or Polyp Registry. Area deprivation was assessed using the European deprivation index on the basis of the smallest French area available (Ilots Regroupés pour l'Information Statistique). Healthcare access was assessed using medical density of general practitioners (GPs) and road distance to the nearest GP and gastroenterologist. Bayesian regression analyses were used to estimate influential covariates on adenoma detection and CRC incidence rates. The results were expressed as relative risks (RRs) with their 95% credibility interval. In total, 5399 patients were diagnosed with at least one colorectal adenoma and 2125 with invasive incident CRC during the study period. Remoteness from GP [RR=0.71 (0.61-0.83)] and area deprivation [RR=0.98 (0.96-1.00)] independently reduced the probability of adenoma detection. CRC incidence was only slightly affected by GP medical density [RR=1.05 (1.01-1.08)] without any area deprivation effect [RR=0.99 (0.96-1.02)]. Distance to gastroenterologist had no impact on the rates of adenoma detection or CRC incidence. This study highlighted the prominent role of access to GPs in the detection of both colorectal adenomas and overall cancers. Deprivation had an impact only on adenoma detection. PMID:26067032

  4. Geographic variation in colorectal cancer survival and the role of small-area socioeconomic deprivation: a multilevel survival analysis of the NIH-AARP Diet and Health Study Cohort.

    PubMed

    Lian, Min; Schootman, Mario; Doubeni, Chyke A; Park, Yikyung; Major, Jacqueline M; Stone, Rosalie A Torres; Laiyemo, Adeyinka O; Hollenbeck, Albert R; Graubard, Barry I; Schatzkin, Arthur

    2011-10-01

    Adverse socioeconomic conditions, at both the individual and the neighborhood level, increase the risk of colorectal cancer (CRC) death, but little is known regarding whether CRC survival varies geographically and the extent to which area-level socioeconomic deprivation affects this geographic variation. Using data from the National Institutes of Health (NIH)-AARP Diet and Health Study, the authors examined geographic variation and the role of area-level socioeconomic deprivation in CRC survival. CRC cases (n = 7,024), identified during 1995-2003, were followed for their CRC-specific vital status through 2005 and overall vital status through 2006. Bayesian multilevel survival models showed that there was significant geographic variation in overall (variance = 0.2, 95% confidence interval (CI): 0.1, 0.2) and CRC-specific (variance = 0.3, 95% CI: 0.1, 0.4) risk of death. More socioeconomically deprived neighborhoods had a higher overall risk of death (most deprived quartile vs. least deprived: hazard ratio = 1.2, 95% CI: 1.1, 1.4) and a higher CRC-specific risk of death (most deprived quartile vs. least deprived: hazard ratio = 1.2, 95% CI: 1.1, 1.5). However, neighborhood socioeconomic deprivation did not account for the geographic variation in overall and CRC-specific risks of death. In future studies, investigators should evaluate other neighborhood characteristics to help explain geographic heterogeneity in CRC survival. Such research could facilitate interventions for reducing geographic disparity in CRC survival. PMID:21836166

  5. Statistical Assessment of Neighborhood Socioeconomic Deprivation Environment in Spatial Epidemiologic Studies

    PubMed Central

    Lian, Min; Struthers, James; Liu, Ying

    2016-01-01

    Neighborhood socioeconomic deprivation has been associated with health behaviors and outcomes. However, neighborhood socioeconomic status has been measured inconsistently across studies. It remains unclear whether appropriate socioeconomic indicators vary over geographic areas and geographic levels. The aim of this study is to compare the composite socioeconomic index to six socioeconomic indicators reflecting different aspects of socioeconomic environment by both geographic areas and levels. Using 2000 U.S. Census data, we performed a multivariate common factor analysis to identify significant socioeconomic resources and constructed 12 composite indexes at the county, the census tract, and the block group levels across the nation and for three states, respectively. We assessed the agreement between composite indexes and single socioeconomic variables. The component of the composite index varied across geographic areas. At a specific geographic region, the component of the composite index was similar at the levels of census tracts and block groups but different from that at the county level. The percentage of population below federal poverty line was a significant contributor to the composite index, regardless of geographic areas and levels. Compared with non-component socioeconomic indicators, component variables were more agreeable to the composite index. Based on these findings, we conclude that a composite index is better as a measure of neighborhood socioeconomic deprivation than a single indicator, and it should be constructed on an area- and unit-specific basis to accurately identify and quantify small-area socioeconomic inequalities over a specific study region. PMID:27413589

  6. Cesarean section and increased body mass index in school children: two cohort studies from distinct socioeconomic background areas in Brazil

    PubMed Central

    2013-01-01

    Background Recent studies have raised controversy regarding the association between cesarean section and later obesity in the offspring. The purpose of this study was to assess the association of cesarean section with increased body mass index (BMI) and obesity in school children from two Brazilian cities with distinct socioeconomic backgrounds. Methods Two birth cohorts respectively born in 1994 in Ribeirao Preto, a wealthy city in Southeast, and in 1997/98 in Sao Luis, a less wealthy city in Northeast of Brasil, were evaluated. After birth, 2,846 pairs of mothers-newborns were evaluated in Ribeirao Preto and 2,542 in Sao Luis. In 2004/05, 790 children aged 10/11 years were randomly reassessed in Ribeirao Preto and 673 at 7/9 years in Sao Luis. Information on type of delivery, maternal and child characteristics, socioeconomic position and anthropometric measurements were collected after birth and at school age. Obesity was defined as BMI ≥ 95th percentile at school age. Results Obesity rate was 13.0% in Ribeirao Preto and 2.1% in Sao Luis. Cesarean section was associated with obesity and remained significant after adjustment only in Ribeirao Preto [OR = 1.74 (95% CI: 1.04; 2.92)]. The association between cesarean section and BMI remained significant after adjustment for maternal schooling, maternal smoking during pregnancy, duration of breastfeeding, gender, birth weight and gestational age, type of school and, only in Sao Luis, pre-pregnancy maternal weight. In Ribeirao Preto children born by cesarean section had BMI 0.31 kg/m2 (95%CI: 0.11; 0.51) higher than those born by vaginal delivery. In Sao Luis BMI of children born by cesarean section was 0.28 kg/m2 higher (95%CI: 0.08; 0.49) than those born by vaginal delivery. Conclusion A positive association between cesarean section and increased BMI z-score was demonstrated in areas with different socioeconomic status in a middle-income country. PMID:23886115

  7. [Socio-economic context in the Lower Iseo Lake area after World War II].

    PubMed

    Simoncini, Carlo

    2007-01-01

    In the second part of the 20th century, the Basso Sebino Area (Northern Italy) underwent a transformation into an industrial context. The first factories were engaged in the production of textiles, clothes and pasta. This was followed by a major development of mechanic, plastic and rubber industry. The latter activity was concentrated on the production of buttons. This text describes the evolution of the unions'activity in order to obtain a more decent salary and better working conditions in all productive areas. Within this reality, the production of asbestos goods started in 1950 in the Colombo enterprise, run by Rinaldo Colombo, The latter was also the manager of the chrysotile quarry in Balangero, province of Torino (the biggest asbestos mine in Western Europe). Through these connections, asbestos was conveyed from Balangero to the Basso Sebino Area in such a way that most of the asbestos chain (extraction, processing of asbestos goods and sales) was under the control of the same firm. PMID:18050851

  8. Spatio-Temporal Pattern and Socio-Economic Factors of Bacillary Dysentery at County Level in Sichuan Province, China

    PubMed Central

    Ma, Yue; Zhang, Tao; Liu, Lei; Lv, Qiang; Yin, Fei

    2015-01-01

    Bacillary dysentery (BD) remains a big public health problem in China. Effective spatio-temporal monitoring of BD incidence is important for successful implementation of control and prevention measures. This study aimed to examine the spatio-temporal pattern of BD and analyze socio-economic factors that may affect BD incidence in Sichuan province, China. Firstly, we used space-time scan statistic to detect the high risk spatio-temporal clusters in each year. Then, bivariate spatial correlation and Bayesian spatio-temporal model were utilized to examine the associations between the socio-economic factors and BD incidence. Spatio-temporal clusters of BD were mainly located in the northern-southern belt of the midwest area of Sichuan province. The proportion of primary industry, the proportion of rural population and the rates of BD incidence show statistically significant positive correlation. The proportion of secondary industry, proportion of tertiary Industry, number of beds in hospitals per thousand persons, medical and technical personnel per thousand persons, per capital GDP and the rate of BD incidence show statistically significant negative correlation. The best fitting spatio-temporal model showed that medical and technical personnel per thousand persons and per capital GDP were significantly negative related to the risk of BD. PMID:26469274

  9. Spatio-Temporal Pattern and Socio-Economic Factors of Bacillary Dysentery at County Level in Sichuan Province, China.

    PubMed

    Ma, Yue; Zhang, Tao; Liu, Lei; Lv, Qiang; Yin, Fei

    2015-01-01

    Bacillary dysentery (BD) remains a big public health problem in China. Effective spatio-temporal monitoring of BD incidence is important for successful implementation of control and prevention measures. This study aimed to examine the spatio-temporal pattern of BD and analyze socio-economic factors that may affect BD incidence in Sichuan province, China. Firstly, we used space-time scan statistic to detect the high risk spatio-temporal clusters in each year. Then, bivariate spatial correlation and Bayesian spatio-temporal model were utilized to examine the associations between the socio-economic factors and BD incidence. Spatio-temporal clusters of BD were mainly located in the northern-southern belt of the midwest area of Sichuan province. The proportion of primary industry, the proportion of rural population and the rates of BD incidence show statistically significant positive correlation. The proportion of secondary industry, proportion of tertiary Industry, number of beds in hospitals per thousand persons, medical and technical personnel per thousand persons, per capital GDP and the rate of BD incidence show statistically significant negative correlation. The best fitting spatio-temporal model showed that medical and technical personnel per thousand persons and per capital GDP were significantly negative related to the risk of BD. PMID:26469274

  10. Wildlife population trends in protected areas predicted by national socio-economic metrics and body size.

    PubMed

    Barnes, Megan D; Craigie, Ian D; Harrison, Luke B; Geldmann, Jonas; Collen, Ben; Whitmee, Sarah; Balmford, Andrew; Burgess, Neil D; Brooks, Thomas; Hockings, Marc; Woodley, Stephen

    2016-01-01

    Ensuring that protected areas (PAs) maintain the biodiversity within their boundaries is fundamental in achieving global conservation goals. Despite this objective, wildlife abundance changes in PAs are patchily documented and poorly understood. Here, we use linear mixed effect models to explore correlates of population change in 1,902 populations of birds and mammals from 447 PAs globally. On an average, we find PAs are maintaining populations of monitored birds and mammals within their boundaries. Wildlife population trends are more positive in PAs located in countries with higher development scores, and for larger-bodied species. These results suggest that active management can consistently overcome disadvantages of lower reproductive rates and more severe threats experienced by larger species of birds and mammals. The link between wildlife trends and national development shows that the social and economic conditions supporting PAs are critical for the successful maintenance of their wildlife populations. PMID:27582180

  11. Spatial, socio-economic, and ecological implications of incorporating minimum size constraints in marine protected area network design.

    PubMed

    Metcalfe, Kristian; Vaughan, Gregory; Vaz, Sandrine; Smith, Robert J

    2015-12-01

    Marine protected areas (MPAs) are the cornerstone of most marine conservation strategies, but the effectiveness of each one partly depends on its size and distance to other MPAs in a network. Despite this, current recommendations on ideal MPA size and spacing vary widely, and data are lacking on how these constraints might influence the overall spatial characteristics, socio-economic impacts, and connectivity of the resultant MPA networks. To address this problem, we tested the impact of applying different MPA size constraints in English waters. We used the Marxan spatial prioritization software to identify a network of MPAs that met conservation feature targets, whilst minimizing impacts on fisheries; modified the Marxan outputs with the MinPatch software to ensure each MPA met a minimum size; and used existing data on the dispersal distances of a range of species found in English waters to investigate the likely impacts of such spatial constraints on the region's biodiversity. Increasing MPA size had little effect on total network area or the location of priority areas, but as MPA size increased, fishing opportunity cost to stakeholders increased. In addition, as MPA size increased, the number of closely connected sets of MPAs in networks and the average distance between neighboring MPAs decreased, which consequently increased the proportion of the planning region that was isolated from all MPAs. These results suggest networks containing large MPAs would be more viable for the majority of the region's species that have small dispersal distances, but dispersal between MPA sets and spill-over of individuals into unprotected areas would be reduced. These findings highlight the importance of testing the impact of applying different MPA size constraints because there are clear trade-offs that result from the interaction of size, number, and distribution of MPAs in a network. PMID:26219669

  12. Neighborhood Socioeconomic Status Modifies the Association Between Individual Smoking Status and PAH-DNA Adduct Levels in Prostate Tissue

    PubMed Central

    Rundle, Andrew; Richards, Catherine; Neslund-Dudas, Christine; Tang, Deliang; Rybicki, Benjamin A.

    2013-01-01

    Interactions between smoking and neighborhood-level socioeconomic status (SES) as risk factors for higher polycyclic aromatic hydrocarbon (PAH) DNA adduct levels in prostate tissue were investigated. PAH-DNA adducts were measured by immunohistochemistry with staining intensity measured in optical density units by semiquantitative absorbance image analysis in tumor adjacent tissue from 400 prostatectomy specimens from the Henry Ford Health System in Detroit. For each subject, their U.S. Census tract of residence was classified as being of higher or lower SES using the median value of the distribution of the proportion of tract residents with a high-school education. Generalized estimating equation models were used to assess interactions between neighborhood-level SES and smoking status, adjusting for race, age, education level, tumor volume, primary Gleason grade and prostate specific antigen (PSA) at diagnosis. There was a statistical interaction (P = 0.004) between tract-level SES and smoking status. In lower SES tracts smoking status was not associated with adduct staining, but in higher SES tracts adduct staining intensity was 13% (P = 0.01) higher in ever-smokers as compared to never-smokers. Among never-smokers, living in a lower SES tract was associated with a 25% higher mean staining intensity (P < 0.001). Neighborhood SES modifies the association between individual smoking status and PAH-DNA adduct levels in prostate tissue. PMID:22467358

  13. [Socio-economic impact at the household level of the health consequences of toxic waste discharge in Abidjan in 2006].

    PubMed

    Koné, B A; Tiembré, I; Dongo, K; Tanner, M; Zinsstag, J; Cissé, G

    2011-02-01

    In August 2006, toxic wastes were discharged in the district of Abidjan, causing important health consequences in many households in the area. In order to appreciate the socio-economic impact of the consequences of toxic waste discharge on the households and of the measures taken by the authorities to deal with this catastrophe, and to appreciate the spatial extent of the pollution, we undertook a multidisciplinary transversal investigation at the sites of discharge of oxic waste, from October the 19th to December the 8th, 2006, using a transect sampling methodology. This paper presents the results related to the socio-economic aspects of the survey while the environmental and epidemiological results are presented in two other published papers. The socioeconomics investigation, conducted using a questionnaire, concerned 809 households across the various sites of discharge of toxic waste. More than 62% of households had at least one person who had been affected by toxic waste (affected households). 62.47% of these households were in Cocody district (with 2 sites and 4 points of discharge), 30.14% in Abobo district (with 2 sites and 3 points) and 7.39% in Koumassi district (with 1 site and 1 point). To escape the bad smell and the nuisance, 22.75% of the 501 "affected" households had left their houses. To face the health consequences generated by the toxic waste, 30.54% of the "affected" households engaged expenses. Those were on average of 92 450 FCFA (€141), with a minimum of 1 000 FCFA (€1.5) and a maximum of 1500000 FCFA (€2.287), in spite of the advertisement of the exemption from payment treatment fees made by the government. The decision of destroying cultures and farms near the points of discharge of the toxic products in a radius of 200 meters, taken by the authorities, touched 2.22% of the households. For these households, it did nothing but worsen their state of poverty, since the zone of influence of the toxic waste went well beyond the 200 meters

  14. Correlates of Creativity in Children from Two Socioeconomic Levels. Final Report.

    ERIC Educational Resources Information Center

    Anastasi, Anne

    The two studies reported here investigate the role of experiential factors in the development of creative thinking of children and adolescents. The first assigned 400 male students from six high schools in the New York metropolitan area to four criterion groups of 100 each: (1) Creative Art or Writing, (2) Creative/ Scientific, (3) Control Art or…

  15. Zinc and copper status in childbearing age Tunisian women: Relation to age, residential area, socioeconomic situation and physiologic characteristics.

    PubMed

    El Ati-Hellal, Myriam; Doggui, Radhouene; Hedhili, Abderrazek; Traissac, Pierre; El Ati, Jalila

    2016-04-01

    Plasma zinc and copper status of 1689 non pregnant Tunisian women, aged 20-49 years old, was determined by flame atomic absorption spectrometry. A multiple regression was run to predict plasma trace element concentrations from age, BMI, marital status, menopause, education level, professional activity, economic level and area of living. The mean zinc and copper values were similar to those measured among comparable populations in earlier studies. However, a high prevalence of low plasma zinc and copper concentrations was observed assuming that women at childbearing age are at high risk of zinc and copper deficiencies and specific intervention may be considered. In univariate analysis, the mean values of plasma zinc and copper were associated with sitting areas and professional activity. For only plasma copper levels, there was an increase with BMI and parity, and a decrease with increasing schooling level and economic score. After adjustment for all variables, profession and parity showed a significant relationship between plasma levels copper. PMID:26859607

  16. Geo-statistical modeling to evaluate the socio-economic impacts of households in the context of low-lying areas conversion in Colombo metropolitan region-Sri Lanka

    NASA Astrophysics Data System (ADS)

    Hemakumara, GPTS; Rainis, Ruslan

    2015-02-01

    Living in Low-lying areas is a challenging task, but due to the lack of suitable land at affordable prices, thousands of householders have been establishing their own houses on Low-lying areas. Manipulation and conversion of low lying areas have led to an increase in the frequency and severity of micro disasters because the cumulative effect of these settlements is very high. Therefore, it is needed to examine how individual households have been emerging in Low-lying areas. This process is primarily influenced and controlled by Socio-economic factors. In the field survey conducted for this study, 388 householders were interviewed face to face to obtain the primary data. Collected data were applied to the Multivariate binary logistic Model. The Dependent variable of the model was set as Stable Houses and Non-Stable Houses based on the weighted values that were obtained from the field observations. Independent variables of this study are nine key aspects of the socio-economic conditions in these areas. Units of analysis of the study were taken as individual housing plots in the study area. The particular combination of Socio-Economic factors that exerted influence on each housing plot was measured using predicted probability value of logistic model and linked it with GIS land plot's map. Accuracy of Final Model is 86.9 % and probability level of influencing factors given a clear idea about household distribution and status while providing guidance about how the planning authorities should monitor and manage low lying areas, taking into consideration the present housing condition of these areas.

  17. Integration of data from censuses and remote sensing to measure the socio-economic and environmental evolution in urban areas: case of the city of Sherbrooke (1981-2006)

    NASA Astrophysics Data System (ADS)

    Dari, Ouassini

    The urban environment is complex, heterogeneous and temporally changeable. Man is the main actor in the transformation of urban areas where he interacts with intensity. Spatial differentiation is a result of human occupation in the urban environment. This occupation may vary according to land use, population density, social and economic characteristics and environment. This leads us to say that the socio-economic and environmental indicators change according to the various locations in the urban area and through time. Our goal is to measure the socio-economic and environmental changes in the urban area of the city of Sherbrooke using remote sensing data synchronized with the censuses and that we will then integrate into the geographic information system (GIS). We have used data from the 1981 and 2006 censuses, 1983 aerial photos, 2007 orthophotos and 1983 MSS and 2006 Ikons satellite images to measure the socio-economic and environmental changes in the city of Sherbrooke. We have used spatial analysis tools to integrate image data with census data. The methods uses such as global indices, principal component analysis combined with the variation between the two dates have yielded interesting results. The first factor in principal component analysis with orthogonal rotation (Varimax) justified a substantial percentage of the variance in global indices. The use of dissemination areas resulted in detailed information on the change in the city. From the perspective of spatial distribution, we noted a major difference between the central areas and the peripheral areas in 1981 and 2006. From the perspective of evolution between 1981 and 2006, we observed that are positive and negative changes at various levels took place. We also observed the evolution of ethnicity in the Sherbrooke city and Lennoxville municipality. The study showed that the French population is prevalent in the old city of Sherbrooke as the English population is prevalent in Lennoxville. The European

  18. Individual and community-level socioeconomic position and its association with adolescents experience of childhood sexual abuse: a multilevel analysis of six countries in Sub-Saharan Africa

    PubMed Central

    Yahaya, Ismail; Ponce de Leon, Antonio; Uthman, Olalekan A.; Soares, Joaquim; Macassa, Gloria

    2014-01-01

    Abstract: Background: Childhood sexual abuse (CSA) is a substantial global health and human rights problem and consequently a growing concern in sub-Saharan Africa. We examined the association between individual and community-level socioeconomic status (SES) and the likelihood of reporting CSA. Methods: We applied multiple multilevel logistic regression analysis on Demographic and Health Survey data for 6,351 female adolescents between the ages of 15 and 18 years from six countries in sub-Saharan Africa, between 2006 and 2008. Results: About 70% of the reported cases of CSA were between 14 and 17 years. Zambia had the highest proportion of reported cases of CSA (5.8%). At the individual and community level, we found that there was no association between CSA and socioeconomic position. This study provides evidence that the likelihood of reporting CSA cut across all individual SES as well as all community socioeconomic strata. Conclusions: We found no evidence of socioeconomic differentials in adolescents’ experience of CSA, suggesting that adolescents from the six countries studied experienced CSA regardless of their individual and community-level socioeconomic position. However, we found some evidence of geographical clustering, adolescents in the same community are subject to common contextual influences. Further studies are needed to explore possible effects of countries’ political, social, economic, legal, and cultural impact on childhood sexual abuse. PMID:23797565

  19. Socioeconomic Status and the Health of Youth: A Multi-level, Multi-domain Approach to Conceptualizing Pathways

    PubMed Central

    Schreier, Hannah M. C.; Chen, Edith

    2012-01-01

    Previous research has clearly established associations between low socioeconomic status (SES) and poor youth physical health outcomes. This article provides an overview of the main pathways through which low SES environments come to influence youth health. We focus on two of the most prevalent chronic health problems in youth today, asthma and obesity. We review and propose a model that encompasses (1) multiple levels of influence, including the neighborhood, family and person level, (2) both social and physical domains in the environment, and finally (3) dynamic relationships between these factors. A synthesis of existing research and our proposed model draw attention to the notion of adverse physical and social exposures in youth’s neighborhood environments altering family characteristics and youth psychosocial and behavioral profiles, thereby increasing youth’s risk for health problems. We also note the importance of acknowledging reciprocal influences across levels and domains (e.g., between family and child) that create self-perpetuating patterns of influence that further accentuate the impact of these factors on youth health. Finally, we document that factors across levels can interact (e.g., environmental pollution levels with child stress) to create unique, synergistic effects on youth health. Our model stresses the importance of evaluating influences on youth’s physical health not in isolation but in the context of the broader social and physical environments in which youth live. Understanding the complex relationships between the factors that link low SES to youth’s long-term health trajectories is necessary for the creation and implementation of successful interventions and policies to ultimately reduce health disparities. PMID:22845752

  20. Modelling typhoid risk in Dhaka Metropolitan Area of Bangladesh: the role of socio-economic and environmental factors

    PubMed Central

    2013-01-01

    Background Developing countries in South Asia, such as Bangladesh, bear a disproportionate burden of diarrhoeal diseases such as Cholera, Typhoid and Paratyphoid. These seem to be aggravated by a number of social and environmental factors such as lack of access to safe drinking water, overcrowdedness and poor hygiene brought about by poverty. Some socioeconomic data can be obtained from census data whilst others are more difficult to elucidate. This study considers a range of both census data and spatial data from other sources, including remote sensing, as potential predictors of typhoid risk. Typhoid data are aggregated from hospital admission records for the period from 2005 to 2009. The spatial and statistical structures of the data are analysed and Principal Axis Factoring is used to reduce the degree of co-linearity in the data. The resulting factors are combined into a Quality of Life index, which in turn is used in a regression model of typhoid occurrence and risk. Results The three Principal Factors used together explain 87% of the variance in the initial candidate predictors, which eminently qualifies them for use as a set of uncorrelated explanatory variables in a linear regression model. Initial regression result using Ordinary Least Squares (OLS) were disappointing, this was explainable by analysis of the spatial autocorrelation inherent in the Principal factors. The use of Geographically Weighted Regression caused a considerable increase in the predictive power of regressions based on these factors. The best prediction, determined by analysis of the Akaike Information Criterion (AIC) was found when the three factors were combined into a quality of life index, using a method previously published by others, and had a coefficient of determination of 73%. Conclusions The typhoid occurrence/risk prediction equation was used to develop the first risk map showing areas of Dhaka Metropolitan Area whose inhabitants are at greater or lesser risk of typhoid

  1. 7. Level 7 conveyor area. Stub shoring under bin to ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    7. Level 7 conveyor area. Stub shoring under bin to apron feeder. - Kennecott Copper Corporation, Concentration Mill, On Copper River & Northwestern Railroad, Kennicott, Valdez-Cordova Census Area, AK

  2. Effects of Four Different Perceptual Training Programs on IQ and Reading Readiness in the Lower Socio-Economic Level Kindergarten Child.

    ERIC Educational Resources Information Center

    Segal, Marilyn

    The effects of four different kinds of perceptual training programs on IQ and Reading Readiness in a population of lower socio-economic level kindergarten children were explored to provide useful information for curriculum planning. Data was gathered on 54 disadvantaged 5-year olds in an OEO day care center. During the afternoon session, children…

  3. Factor Structure of the Reactive-Proactive Aggression Questionnaire in Turkish Children and Gender, Grade-Level, and Socioeconomic Status Differences in Reactive and Proactive Aggression

    ERIC Educational Resources Information Center

    Uz Bas, Asli; Yurdabakan, Irfan

    2012-01-01

    The present study aimed to evaluate the factor structure of the Reactive-Proactive Aggression Questionnaire (RPQ) with Turkish children, and to investigate gender, grade-level, and socioeconomic status (SES) differences in reactive and proactive aggression. Participants consisted of 1,081 Turkish children (544 boys and 537 girls) aged 9 to 14…

  4. Effects of Socioeconomic Status on Brain Development, and How Cognitive Neuroscience May Contribute to Levelling the Playing Field

    PubMed Central

    Raizada, Rajeev D.S.; Kishiyama, Mark M.

    2009-01-01

    The study of socioeconomic status (SES) and the brain finds itself in a circumstance unusual for Cognitive Neuroscience: large numbers of questions with both practical and scientific importance exist, but they are currently under-researched and ripe for investigation. This review aims to highlight these questions, to outline their potential significance, and to suggest routes by which they might be approached. Although remarkably few neural studies have been carried out so far, there exists a large literature of previous behavioural work. This behavioural research provides an invaluable guide for future neuroimaging work, but also poses an important challenge for it: how can we ensure that the neural data contributes predictive or diagnostic power over and above what can be derived from behaviour alone? We discuss some of the open mechanistic questions which Cognitive Neuroscience may have the power to illuminate, spanning areas including language, numerical cognition, stress, memory, and social influences on learning. These questions have obvious practical and societal significance, but they also bear directly on a set of longstanding questions in basic science: what are the environmental and neural factors which affect the acquisition and retention of declarative and nondeclarative skills? Perhaps the best opportunity for practical and theoretical interests to converge is in the study of interventions. Many interventions aimed at improving the cognitive development of low SES children are currently underway, but almost all are operating without either input from, or study by, the Cognitive Neuroscience community. Given that longitudinal intervention studies are very hard to set up, but can, with proper designs, be ideal tests of causal mechanisms, this area promises exciting opportunities for future research. PMID:20161995

  5. Assessing Development in Numeracy of Students from Different Socio-Economic Areas: A Rasch Analysis of Three Fundamental Tasks

    ERIC Educational Resources Information Center

    Irwin, Kathryn C.; Irwin, R. John

    2005-01-01

    Development in the ability of 11-year-olds to solve numerical problems of addition, multiplication, and proportion was analysed by means of three Rasch models of change. The students, who had participated in a New Zealand numeracy project in 2002, comprised two groups that differed in socio-economic status: 1,274 students came from low…

  6. Final Systems Development Report for the Clark County Socioeconomic Impact Assessment of the Proposed High-Level Nuclear Waste Repository at Yucca Mountain, NV

    SciTech Connect

    1992-06-18

    The Systems Development Report represents the third major step in the Clark County Socioeconomic Impact Assessment of the Proposed High-Level Nuclear Waste Repository at Yucca Mound Nevada. The first of these steps was to forge a Research Design that would serve as a guide for the overall research process. The second step was the construction of the Base Case, the purpose of which was to describe existing conditions in Clark County in the specified analytic areas of Economic-Demographic/Fiscal, Emergency Planning and Management, Transportation and Sociocultural analysis. The base case description will serve as a basis for assessing changes in these topic areas that might result from the Yucca Mountain project. These changes will be assessed by analyzing conditions with and without repository development in the county. Prior to performing such assessments, however, the snapshot type of data found in the base case must be operationalized or systematized to allow for more dynamic data utilization. In other words, a data system that can be used to analyze the consequences of the introduction of different variables (or variable values) in the Clark County context must be constructed. Such a system must be capable of being updated through subsequent data collection and monitoring efforts to both provide a rolling base case and supply information necessary to construct trend analyses. For example, during the Impact Assessment phase of the study process, the without repository analysis is accomplished by analyzing growth for the county given existing conditions and likely trends. These data are then compared to the with Yucca Mountain project conditions anticipated for the county. Similarly, once the emergency planning management and response needs associated with the repository are described, these needs will be juxtaposed against existing (and various future) capacity(ies) in order to determine the nature and magnitude of impacts in this analytic area. Analogous tasks

  7. Gender, socio-economic status, migration origin and neighbourhood of residence are barriers to HIV testing in the Paris metropolitan area.

    PubMed

    Massari, Veronique; Lapostolle, Annabelle; Cadot, Emmanuelle; Parizot, Isabelle; Dray-Spira, Rosemary; Chauvin, Pierre

    2011-12-01

    In France, numerous HIV patients still discover their HIV status as a result of AIDS-related symptoms. We investigated factors related to the absence of any HIV testing in men and women separately, using the data from the SIRS cohort, which includes 3023 households representative of the Paris metropolitan area in 2005. The failure to use HIV testing services was studied in relation to individual socio-economic and demographic factors as well as some psychosocial characteristics. The effect of the characteristics of the residential neighbourhood was also analysed using multilevel models. In multivariate analysis, the factors associated with no history of HIV testing in women were an age >44 years, the absence of any pregnancy during the previous 15 years, a low education level, unemployment, to have had no or only one steady relationship in one's lifetime, to have a religious affiliation and to live in a poor neighbourhood. In men, factors were age <30 or >44 years, to have had no or only one steady relationship during one's lifetime, to have a religious affiliation and to perceive oneself as being at low risk of HIV infection. An association according to the "migration origin" was observed among men: foreigners and French men born to (at least) one foreign parent were more likely not to have been tested than French men born to two French parents. We conclude that gender, social and territorial differences exist in HIV testing among people living in the Paris area. More systematic proposals of HIV test in primary care would be an effective policy to overcome these persistent social stratifications. PMID:21711180

  8. The Impact of the 2008-2009 Economic Recession on Acute Myocardial Infarction Occurrences in Various Socioeconomic Areas of Raritan Bay Region, New Jersey

    PubMed Central

    Li, Yulong; Rukshin, Iris; Pan, Fangfang; Sen, Shuvendu; Islam, Mohammed; Yousif, Abdalla; Rukshin, Vladimir

    2014-01-01

    Background: Psychosocial stress is one important risk factor for myocardial infarction. Aim: The study was to assess the impact of the 2008-2009 economic recession on myocardial infarction occurrences in different socioeconomic areas of Raritan Bay region, New Jersey. Materials and Methods: The patients, who were treated for acute myocardial infarction from January 2006 to June 2012, were grouped based on the average incomes of their residence districts in the Raritan Bay region. The Spearman Rank Correlation test was used to assess the correlation between the monthly occurrences of myocardial infarction and Dow Jones stock averages, as well as the correlation between the myocardial infarction occurrences and NJ State unemployment rates. Results: Among 1,491 cases that were identified, 990 cases resided in areas with income below the state average and 477 were from areas above the average. After the onset of the recession, the myocardial infarction occurrences trended up in the low-income area group but not in the high-income area group; and this increasing trend is correlated with the rise in NJ State unemployment rates but not with the changes in stock averages. Conclusion: Our findings suggest that unemployment contributed to an increased risk of myocardial infarction among the residents in low socioeconomic areas after the 2008-2009 economic recession. PMID:24926446

  9. School- and Family-Level Socioeconomic Status and Health Behaviors: Multilevel Analysis of a National Survey in Wales, United Kingdom

    ERIC Educational Resources Information Center

    Moore, Graham F.; Littlecott, Hannah J.

    2015-01-01

    Background: Interventions to address inequalities in adolescent health behaviors often target children from less affluent families, or schools in poorer areas. Few studies have examined whether school- or family-level affluence predicts health behaviors independently, or in combination. Methods: This article reports secondary analysis of the Welsh…

  10. Epidemiologic studies of Escherichia coli diarrheal infections in a low socioeconomic level peri-urban community in Santiago, Chile.

    PubMed

    Levine, M M; Ferreccio, C; Prado, V; Cayazzo, M; Abrego, P; Martinez, J; Maggi, L; Baldini, M M; Martin, W; Maneval, D

    1993-11-15

    The incidence of diarrhea due to six categories of diarrheogenic Escherichia coli was determined in two pediatric cohorts in a low socioeconomic level community in Santiago, Chile, with access to chlorinated water. An age cross-sectional cohort of 340 children aged birth to 47 months was assembled. A newborn cohort was assembled by enrolling 10-12 newborns monthly for 12 months. Episodes of diarrhea were detected by twice weekly household visits. E. coli from stool cultures of cases and matched controls were hybridized with DNA probes specific for enterotoxigenic, enteroinvasive, enteropathogenic, enterohemorrhagic, enteroaggregative, and diffuse adherence E. coli. Overall, the incidence of diarrhea was low (2.1 episodes/infant/year). Nevertheless, a putative E. coli enteropathogen was found in a large proportion of diarrheal episodes, particularly during the summer. In both cohorts, enterotoxigenic E. coli were important pathogens. Enteropathogenic E. coli were incriminated during the first year of life in the newborn cohort, where they were found significantly more often in cases (p = 0.021) than in controls; beyond this age, isolation rates were similar. In contrast, the relative risk of isolation of diffuse adherence E. coli increased with age in the age cross-sectional cohort, where, overall, the difference in rate of isolation between cases and controls was significant (p = 0.0024). Enteroinvasive and enterohemorrhagic E. coli were isolated infrequently. Enteroaggregative E. coli were encountered equally in cases and controls. Facile transmission of E. coli enteropathogens is occurring in this community despite the availability of potable water. PMID:8237973

  11. Socioeconomic, medical care, and public health contexts affecting infant mortality: a study of community-level differentials in Peru.

    PubMed

    Andes, N

    1989-12-01

    Socioeconomic, medical care, and public health contexts are examined in Peruvian communities for their relationship to infant mortality. A deviant case analysis is used to uncover characteristics important in the social structure of Peruvian communities. Results from fieldwork in two "deviant" communities suggest that economic diversity, income disparity, social class fluidity, and women's autonomy, along with refined measures of medical care and public health resources, are important in understanding differentials in mortality. Attention is drawn to the community context and to the interplay of socioeconomic determinants affecting infant mortality. PMID:2600382

  12. [Socioeconomic variables and fertility].

    PubMed

    Arguello, O

    1980-08-01

    While making comparative analyses of data collected by the World Fertility Survey regarding Latin America, a group of investigators of CELADE (Centro Latinoamericano de Demografia) realized that the selection of economic variables for the study of fertility had serious limitations. Such limitations did not allow the elaboration of a theory which took into account the complicated process of fertility, in all its socioeconomic, cultural, and psychological manifestations. Thus, this paper intends to lay the theoretical basis for the selection of all relevant variables, distinguishing, for example, the average fertility of women according to area of residence, place of early socialization, migrant status, social status, occupation of husband, level of instruction, occupation, and all changes in occupational activities of women in fertile age. PMID:12336394

  13. Interaction of Ethnicity, Mathematics Achievement Level, Socioeconomic Status, and Gender among High School Students' Mathematics Self-Concepts.

    ERIC Educational Resources Information Center

    Signer, Barbara; Beasley, T. Mark; Bauer, Elizabeth

    1997-01-01

    Examines the influence of ethnic background, socioeconomic status, and gender on mathematical ability and confidence in urban high school students. Interviews with 100 students reveal African American youth do have academic self-confidence, males sought more mathematics education than females, and that minority youth are not easily discouraged by…

  14. 16. VIEW OF ROAD AND LEVELED AREA IN FRONT OF ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16. VIEW OF ROAD AND LEVELED AREA IN FRONT OF HATCH ADIT (FEATURE B-28) WHICH IS ON THE RIGHT SIDE OF PHOTOGRAPH. (OCTOBER, 1995) - Nevada Lucky Tiger Mill & Mine, East slope of Buckskin Mountain, Paradise Valley, Humboldt County, NV

  15. A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults

    PubMed Central

    Hillier-Brown, F C; Bambra, C L; Cairns, J-M; Kasim, A; Moore, H J; Summerbell, C D

    2014-01-01

    Background: Socioeconomic inequalities in obesity are well established in high-income countries. There is a lack of evidence of the types of intervention that are effective in reducing these inequalities among adults. Objectives: To systematically review studies of the effectiveness of individual, community and societal interventions in reducing socio-economic inequalities in obesity among adults. Methods: Nine electronic databases were searched from start date to October 2012 along with website and grey literature searches. The review examined the best available international evidence (both experimental and observational) of interventions at an individual, community and societal level that might reduce inequalities in obesity among adults (aged 18 years or over) in any setting and country. Studies were included if they reported a body fatness-related outcome and if they included a measure of socio-economic status. Data extraction and quality appraisal were conducted using established mechanisms and narrative synthesis was conducted. Results: The ‘best available' international evidence was provided by 20 studies. At the individual level, there was evidence of the effectiveness of primary care delivered tailored weight loss programmes among deprived groups. Community based behavioural weight loss interventions and community diet clubs (including workplace ones) also had some evidence of effectiveness—at least in the short term. Societal level evaluations were few, low quality and inconclusive. Further, there was little evidence of long term effectiveness, and few studies of men or outside the USA. However, there was no evidence to suggest that interventions increase inequalities. Conclusions: The best available international evidence suggests that some individual and community-based interventions may be effective in reducing socio-economic inequalities in obesity among adults in the short term. Further research is required particularly of more complex, multi

  16. Temporal Variation and Association of Aflatoxin B1 Albumin-Adduct Levels with Socio-Economic and Food Consumption Factors in HIV Positive Adults

    PubMed Central

    Jolly, Pauline E.; Akinyemiju, Tomi F.; Jha, Megha; Aban, Inmaculada; Gonzalez-Falero, Andrea; Joseph, Dnika

    2015-01-01

    The association between aflatoxin exposure and alteration in immune responses observed in humans suggest that aflatoxin could suppress the immune system and work synergistically with HIV to increase disease severity and progression to AIDS. No longitudinal study has been conducted to assess exposure to aflatoxin (AF) among HIV positive individuals. We examined temporal variation in AFB1 albumin adducts (AF-ALB) in HIV positive Ghanaians, and assessed the association with socioeconomic and food consumption factors. We collected socioeconomic and food consumption data for 307 HIV positive antiretroviral naive adults and examined AF-ALB levels at recruitment (baseline) and at six (follow-up 1) and 12 (follow-up 2) months post-recruitment, by age, gender, socioeconomic status (SES) and food consumption patterns. Generalized linear models were used to examine the influence of socioeconomic and food consumption factors on changes in AF-ALB levels over the study period, adjusting for other covariates. AF-ALB levels (pg/mg albumin) were lower at baseline (mean AF-ALB: 14.9, SD: 15.9), higher at six months (mean AF-ALB: 23.3, SD: 26.6), and lower at 12 months (mean AF-ALB: 15.3, SD: 15.4). Participants with the lowest SES had the highest AF-ALB levels at baseline and follow up-2 compared with those with higher SES. Participants who bought less than 20% of their food and who stored maize for less than two months had lower AF-ALB levels. In the adjusted models, there was a statistically significant association between follow up time and season (dry or rainy season) on AF-ALB levels over time (p = 0.04). Asymptomatic HIV-positive Ghanaians had high plasma AF-ALB levels that varied according to season, socioeconomic status, and food consumption patterns. Steps need to be taken to ensure the safety and security of the food supply for the population, but in particular for the most vulnerable groups such as HIV positive people. PMID:26633502

  17. The coastal area of Togo: A space vulnerable to sea level rise hotly disputed

    NASA Astrophysics Data System (ADS)

    Adjoussi, P. D.

    2015-12-01

    Abstract Erosion caused in the coastal area of Togo especially in the cell to the east of the harbor of Lomé some reorganization of space and a reallocation of tasks functions of the importance of existing issues. This reorganization is an important race against time between the various stakeholders which paradoxically make this area a very dynamic environment. In spite of the disaster situation in the area, it is changing. This mutation has been observed for a decade in many ways. Fishing is a traditional activity disappears causing the emergence of new activities such as the extraction of gravel, the gardening, the informal trade of any kind, installing hotels, etc.. At the socio-economic transformation is associated with a beach in state of deficit causing the decline of the coastline that reaches approximately 500 m over a few kilometers according to the old marks missing. The decline of the coastline is by undermining the beach by the waves at high tide. These issues are reshaping the land use map that passes a distribution of fishing villages on the coast in 1980 to a suburban area exposed to sea level rise corollary to anticipated climate change. Keywords: Space, Reorganization, Vulnerability, Stakeholders, Sea Level, Fishing

  18. The influence of urban development and social mobility on socioeconomic level: The application of GIS on urban ecosystems

    NASA Astrophysics Data System (ADS)

    Suhaili Mansor, Nur; Zulhaidi Mohd Shafri, Helmi; Mansor, Shattri; Paradhan, Biswajeet

    2014-06-01

    Specifically, the integration between social sciences and natural science are fundamental in our understanding of the economic, social and technological transformations that have drastically changed the society. This study will be based on the municipality of Sungai Petani, Kedah as it has been most influenced by urbanization and urban development. Urban development in Sungai Petani is closely associated with a tremendous increase in demand for land, which is highly related to population growth, human movement and their social mobility. The qualitative case study taken will rely on the visual interpretation technique that would allow the researcher to develop a map of urban changes detection. The potential application of GIS information to estimate socioeconomic indicators and the modelling of socio-economic activities that are explored in this study is hoped to increase further our understanding of the impacts of development and urbanization on social life.

  19. Quality in general practice consultations; a qualitative study of the views of patients living in an area of high socio-economic deprivation in Scotland

    PubMed Central

    Mercer, Stewart W; Cawston, Peter G; Bikker, Annemieke P

    2007-01-01

    Background Inequality in health and health care services is an important policy issue internationally as well as in the UK, and is closely linked to socio-economic deprivation, which in Scotland is concentrated in and around Glasgow. Patients views on primary care in deprived areas are not well documented. In the present study we explore the views of patients living in a high deprivation area on the quality of consultations in general practice. Methods Qualitative focus group study set in an area of high socio-economic deprivation in a large peripheral housing estate in Glasgow, Scotland. 11 focus groups were conducted; 8 with local community groups and 3 with other local residents. In total 72 patients took part. Grounded theory was used to analyse the data. Results Patients' perceptions of the quality of the consultation with GPs consisted of two broad, inter-relating themes; (1) the GPs' competence, and (2) the GPs empathy or ' caring'. Competence was often assumed but many factors coloured this assumption, in particular whether patients had experienced (directly or indirectly with a close family member) 'successful' outcomes with that doctor previously or not. 'Caring' related to patients feeling (a) listened to by the doctor and being able to talk; (b) valued as an individual by the doctor (c) that the doctor understood 'the bigger picture', and (d) the doctors' explanations were clear and understandable. Relational continuity of care (being able to see the same GP and having a good relationship), and having sufficient time in the consultation were closely linked with perceptions of consultation quality. Conclusion Patients from deprived areas want holistic GPs who understand the realities of life in such areas and whom they can trust as both competent and genuinely caring. Without this, they may judge doctors as socially distant and emotionally detached. Relational continuity, empathy and sufficient time in consultations are key factors in achieving this

  20. Socioeconomic disadvantage increasing risk for depression among recently diagnosed HIV patients in an urban area in Brazil: cross-sectional study.

    PubMed

    Nomoto, Silmara Harumi; Longhi, Renata Marrona Praça; de Barros, Bruna Paes; Croda, Julio; Ziff, Edward Benjamin; Castelon Konkiewitz, Elisabete

    2015-01-01

    Depression is the most common psychiatric co-morbidity among people living with HIV (PLHIV), with prevalence rates ranging from 25% to 36%. Depression impacts negatively upon adherence and response to combined antiretroviral therapy (CART) and the transmission of HIV infection through increased sexually risky behavior. This cross-sectional study presents data from a reference HIV-outpatient service in Dourados (Brazil) that evaluated the association between depressive symptoms, health-related quality of life, and clinical, socioeconomic, and demographic factors in newly diagnosed HIV/AIDS patients. Using the Beck Depression Inventory (BDI), the prevalence of depressive symptoms was 61% with a predominance of self-deprecating and cognitive-affective factors. Depressive symptoms were associated with lower income (p=0.019) and disadvantaged social class (p=0.005). Poorer quality of life was related to depressive symptoms (p<0.0001), low educational level (p=0.05), and lower income (p=0.03). These data suggest that socioeconomic factors, including level of income and education, are mediating the risk of depression and poor quality of life of PLHIV. Possible explanations for this effect are discussed, including the possible role of stigma. PMID:25741909

  1. Water levels in the Yucca Mountain area, Nevada, 1993

    SciTech Connect

    Tucci, P.; Goemaat, R.L.; Burkhardt, D.J.

    1996-07-01

    Water levels were monitored in 28 wells in the Yucca Mountain area, Nevada, during 1993. Seventeen wells were monitored periodically, generally on a monthly basis, and 11 wells representing 18 intervals were monitored hourly. All wells monitor water levels in Tertiary volcanic rocks, except one that monitors water levels in Paleozoic carbonate rocks. Water levels were measured using calibrated steel tapes and pressure transducers; steel-tape measurements were corrected for mechanical stretch, thermal expansion, and borehole deviation to obtain precise water-level altitudes. Water-level altitudes in the Tertiary volcanic rocks ranged from about 728 meters above sea level east of Yucca Mountain to about 1,034 meters above sea level north of Yucca Mountain. Water-level altitudes in the well monitoring the Paleozoic carbonate rocks varied between 752 and 753 meters above sea level during 1993. Water levels were an average of about 0.04 meter lower than 1992 water levels. All data were acquired in accordance with a quality-assurance program to support the reliability of the data.

  2. Pump room level, looking north in service bay area. Visible ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Pump room level, looking north in service bay area. Visible from left to right are the direct current breaker panel, battery bank, door to stairwell, and hanging tools. - Wellton-Mohawk Irrigation System, Pumping Plant No. 2, Bounded by Interstate 8 to south, Wellton, Yuma County, AZ

  3. Looking southwest in the service bay area, pump room level, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Looking southwest in the service bay area, pump room level, at the ventilation fan ducts associated with the evaporative cooling system. Stairs to the operating deck above the intakes are at the far left - Wellton-Mohawk Irrigation System, Pumping Plant No. 2, Bounded by Interstate 8 to south, Wellton, Yuma County, AZ

  4. Service bay area, pump room level, showing ventilation fans and ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Service bay area, pump room level, showing ventilation fans and ducts association with evaporative-cooling system. Note battery bank at far right. View to the east - Wellton-Mohawk Irrigation System, Pumping Plant No. 3, South of Interstate 8, Wellton, Yuma County, AZ

  5. Level area surrounding Facility 314 showing the planted ring that ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Level area surrounding Facility 314 showing the planted ring that contains the radial ground wires, note the ring beneath the antenna circles is cleared of vegetation and covered with gravel, view facing southwest - U.S. Naval Base, Pearl Harbor, Naval Radio Station, AF/FRD-10 Circularly Disposed Antenna Array, Wahiawa, Honolulu County, HI

  6. Report card on low level ozone in urban areas

    SciTech Connect

    Onischak, M.

    1994-12-31

    It has been four years since the Clean Air Act was amended in November of 1990. Much work has been done in this time, and the country is beginning to see real air quality benefits. Although these changes have not completely licked the urban ozone problem yet, they have made a lot of progress. All of the urban areas which have been required to reduce their ozone levels have done a good job of lowering their emissions. While the urban areas have not all been able to meet every federal deadline, the areas have all been able to achieve the control milestones before the mandatory Clean Air Act sanctions have taken effect. Some areas are even ready to declare their ozone problems solved.

  7. Cutaneous onchocerciasis in Dumbu, a pastoral area in the North-West region of Cameroon: diagnostic challenge and socio-economic implications.

    PubMed

    Njim, Tsi; Ngum, Joel Mbigha; Aminde, Leopold Ndemnge

    2015-01-01

    Onchocerciasis is a severe parasitic infestation caused by Onchocerca volvulus which causes disabling skin and subcutaneous tissue changes and ultimately leads to blindness. It has a huge public health impact due to its socioeconomic burden and the vast number of people it affects in developing countries. In this case, a 60 years old woman was encountered with leopard skin like changes, rashes and pruritus on the left leg; which had been managed as cutaneous mycosis for over a period of 8 years. A diagnosis of onchocerciasis was finally made after a skin snip identified onchocercal microfilariae. The above case shows that onchocerciasis is still a neglected tropical disease (NTD) in Cameroon. This emphasizes the need for more expansive outreach programs in remote areas in Cameroon, a change in health policies to ensure the eradication of this disabling disease and health promotion amongst vulnerable populations. PMID:26966494

  8. Impact of vaccination uptake on hospitalizations due to rotavirus acute gastroenteritis in 2 different socioeconomic areas of Spain.

    PubMed

    Giménez Sánchez, Francisco; Nogueira, Esperanza Jiménez; Sánchez Forte, Miguel; Ibáñez Alcalde, Mercedes; Cobo, Elvira; Angulo, Raquel; Garrido Fernández, Pablo

    2016-04-01

    Rotavirus is the leading cause of hospitalization due to acute gastroenteritis (AGE) in infants and toddlers. However, rotavirus vaccination has been associated with a decline in hospitalization rates due to rotavirus AGE. A descriptive retrospective study was conducted to analyze the impact of rotavirus vaccination on the rate of hospitalizations due to AGE among children ≤2 years old in 2 areas of the province of Almería, Spain. After eight years of rotavirus vaccination, rates of hospitalizations due to rotavirus AGE are diminished. This decline is closely related to vaccine coverage in the studied areas. PMID:26810147

  9. Pump room level, looking west in the service bay area. ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Pump room level, looking west in the service bay area. Cable trays and two ventilation fans (part of the evaporative-cooling system) are visible at right. The vacuum pump is in the center in front of a concrete partition, and a water discharge pipe is visible beyond the partition at left - Wellton-Mohawk Irrigation System, Pumping Plant No. 1, Bounded by Gila River & Union Pacific Railroad, Wellton, Yuma County, AZ

  10. 5. GENERAL VIEW OF HOG DRESSING AREA ON LEVEL 4; ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    5. GENERAL VIEW OF HOG DRESSING AREA ON LEVEL 4; LOOKING WEST; WORKERS STOOD ON RAISED PLATFORMS TO EVISCERATE AND WASH CARCASSES; EXPANDED STEEL GRATING PROVIDED NON-SLIP WORKING SURFACE; STAINLESS-STEEL BAFFLES BETWEEN PLATFORMS HELPED TO CONTAIN STEAM AND WATER SPRAY; METAL TROUGHS BELOW PLATFORMS AND CONCRETE GUTTERS IN FLOOR HELPED CHANNEL WASTE WATER TO DRAINS - Rath Packing Company, Hog Dressing Building, Sycamore Street between Elm & Eighteenth Streets, Waterloo, Black Hawk County, IA

  11. Sleep Duration and Area-Level Deprivation in Twins

    PubMed Central

    Watson, Nathaniel F.; Horn, Erin; Duncan, Glen E.; Buchwald, Dedra; Vitiello, Michael V.; Turkheimer, Eric

    2016-01-01

    Study Objectives: We used quantitative genetic models to assess whether area-level deprivation as indicated by the Singh Index predicts shorter sleep duration and modifies its underlying genetic and environmental contributions. Methods: Participants were 4,218 adult twin pairs (2,377 monozygotic and 1,841 dizygotic) from the University of Washington Twin Registry. Participants self-reported habitual sleep duration. The Singh Index was determined by linking geocoding addresses to 17 indicators at the census-tract level using data from Census of Washington State and Census Tract Cartographic Boundary Files from 2000 and 2010. Data were analyzed using univariate and bivariate genetic decomposition and quantitative genetic interaction models that assessed A (additive genetics), C (common environment), and E (unique environment) main effects of the Singh Index on sleep duration and allowed the magnitude of residual ACE variance components in sleep duration to vary with the Index. Results: The sample had a mean age of 38.2 y (standard deviation [SD] = 18), and was predominantly female (62%) and Caucasian (91%). Mean sleep duration was 7.38 h (SD = 1.20) and the mean Singh Index score was 0.00 (SD = 0.89). The heritability of sleep duration was 39% and the Singh Index was 12%. The uncontrolled phenotypic regression of sleep duration on the Singh Index showed a significant negative relationship between area-level deprivation and sleep length (b = −0.080, P < 0.001). Every 1 SD in Singh Index was associated with a ∼4.5 min change in sleep duration. For the quasi-causal bivariate model, there was a significant main effect of E (b0E = −0.063; standard error [SE] = 0.30; P < 0.05). Residual variance components unique to sleep duration were significant for both A (b0Au = 0.734; SE = 0.020; P < 0.001) and E (b0Eu = 0.934; SE = 0.013; P < 0.001). Conclusions: Area-level deprivation has a quasi-causal association with sleep duration, with greater deprivation being related to

  12. Neighborhood-Level Socioeconomic Deprivation Predicts Weight Gain in a Multi-Ethnic Population: Longitudinal Data from the Dallas Heart Study

    PubMed Central

    Powell-Wiley, Tiffany M.; Ayers, Colby; Agyemang, Priscilla; Leonard, Tammy; Berrigan, David; Barbash, Rachel Ballard; Lian, Min; Das, Sandeep R.; Hoehner, Christine M.

    2014-01-01

    Objective To examine relationship between neighborhood-level socioeconomic deprivation and weight change in a multi-ethnic cohort from Dallas County, Texas and whether behavioral/psychosocial factors attenuate the relationship. Methods Non-movers (those in the same neighborhood throughout the study period) aged 18–65 (N=939) in Dallas Heart Study (DHS) underwent weight measurements between 2000–2009 (median 7-year follow-up). Geocoded home addresses defined block groups; a neighborhood deprivation index (NDI) was created (higher NDI=greater deprivation). Multi-level modeling determined weight change relative to NDI. Model fit improvement was examined with adding physical activity and neighborhood environment perceptions (higher score=more unfavorable perceptions) as covariates. A significant interaction between residence length and NDI was found (p-interaction=0.04); results were stratified by median residence length (11 years). Results Adjusting for age, sex, race/ethnicity, smoking, education/income, those who lived in neighborhood>11 years gained 1.0 kilograms (kg) per one-unit increment of NDI (p=0.03), or 6 kg for those in highest NDI tertile compared with those in the lowest tertile. Physical activity improved model fit; NDI remained associated with weight gain after adjustment for physical activity and neighborhood environment perceptions. There was no significant relationship between NDI and weight change for those in their neighborhood≤11 years. Conclusions Living in more socioeconomically deprived neighborhoods over a longer time period was associated with weight gain in DHS. PMID:24875231

  13. Individual and area socioeconomic inequalities in cause-specific unintentional injury mortality: 11-year follow-up study of 2.7 million Canadians.

    PubMed

    Burrows, Stephanie; Auger, Nathalie; Gamache, Philippe; Hamel, Denis

    2012-03-01

    This study investigated the association between individual and area socioeconomic status (SES) and leading causes of unintentional injury mortality in Canadian adults. Using the 1991-2001 Canadian Census Mortality Follow-up Study cohort (N=2,735,152), Cox proportional hazard regression was used to calculate hazard ratios and 95% confidence intervals for all-cause unintentional injury, motor vehicle collision (MVC), fall, poisoning, suffocation, fire/burn, and drowning deaths. Results indicated that associations with SES differed by cause of injury, and were generally more pronounced for males. Low education was associated with an elevated risk of mortality from all-cause unintentional injury and MVC (males only) and poisoning and drowning (both sexes). Low income was strongly associated with most causes of injury mortality, particularly fire/burn and poisoning. Having no occupation or low occupational status was associated with higher risks of all-cause injury, fall, poisoning and suffocation (both sexes) and MVC deaths among men. Associations with area deprivation were weak, and only areas with high deprivation had elevated risk of all-cause injury, MVC (males only), poisoning and drowning (both sexes). This study reveals the importance of examining SES differentials by cause of death from a multilevel perspective. Future research is needed to clarify the mechanisms underlying these differences to implement equity-oriented approaches for reducing differential exposures, vulnerability or consequences of injury mortality. PMID:22269490

  14. Land use pattern, socio-economic development, and assessment of their impacts on ecosystem service value: study on natural wetlands distribution area (NWDA) in Fuzhou city, southeastern China.

    PubMed

    Cai, Yuan-Bin; Zhang, Hao; Pan, Wen-Bin; Chen, Yan-Hong; Wang, Xiang-Rong

    2013-06-01

    This paper quantifies the allocation of ecosystem services value (ESV) associated with land use pattern and qualitatively examined impacts of land use changes and socio-economic factors on spatiotemporal variation of ESV in the Natural Wetland Distribution Area (NWDA), Fuzhou city, China. The results showed that total ESV of the study area decreased from 4,332.16 × 10(6) RMB Yuan in 1989 to 3,697.42 × 10(6) RMB Yuan in 2009, mainly due to the remarkable decreases in cropland (decreased by 55.3 %) and wetland (decreased by 74.2 %). Forest, water, and wetland played major roles in providing ecosystem services, accounting for over 90 % of the total ESV. Based on time series Landsat TM/ETM+ imagery, geographic information system, and historical data, analysis of the spatiotemporal variation of ESV from 1989 to 2009 was performed. It indicated that rapid expansion of urban areas along the Minjiang River resulted in significant changes in land use types, leading to a dramatic decline in ecosystem services. Meanwhile, because of land scarcity and unique ecosystem functions, the emergency of wetland and cropland protection in built-up area has become an urgent task of local authorities to the local government. Furthermore, there was still a significant negative correlation between ESV of cropland and wetland and the GDP. The results suggest that future planning of land use pattern should control encroachment of urban areas into cropland and wetland in addition to scientific and rational policies towards minimizing the adverse effects of urbanization. PMID:23054291

  15. Assessing the Relationship between Socioeconomic Conditions and Urban Environmental Quality in Accra, Ghana

    PubMed Central

    Fobil, Julius; May, Juergen; Kraemer, Alexander

    2010-01-01

    The influence of socioeconomic status (SES) on health inequalities is widely known, but there is still poor understanding of the precise relationship between area-based socioeconomic conditions and neighborhood environmental quality. This study aimed to investigate the socioeconomic conditions which predict urban neighbourhood environmental quality. The results showed wide variation in levels of association between the socioeconomic variables and environmental conditions, with strong evidence of a real difference in environmental quality across the five socioeconomic classes with respect to total waste generation (p < 0.001), waste collection rate (p < 0.001), sewer disposal rate (p < 0.001), non-sewer disposal (p < 0.003), the proportion of households using public toilets (p = 0.005). Socioeconomic conditions are therefore important drivers of change in environmental quality and urban environmental interventions aimed at infectious disease prevention and control if they should be effective could benefit from simultaneous implementation with other social interventions. PMID:20195437

  16. Low-level waste disposal in highly populated areas

    SciTech Connect

    Kowalski, E.; McCombie, C.; Issler, H.

    1989-11-01

    Nuclear-generated electricity supplies almost 40% of the demand in Switzerland (the rest being hydro-power). Allowing for a certain reserve and assuming an operational life-time of 40 years for each reactor, and taking into account wastes from decommissioning and from medicine, industry and research, the total amount of low-level radioactive waste to be disposed of is about 175,000 m{sup 3}. Since there are no unpopulated areas in Switzerland, and since Swiss Federal Law specifies that the safety of disposal may not depend upon supervision of the repository, no shallow-land burial has been foreseen, even for short-lived low-level waste. Instead, geological disposal in a mined cavern system with access through a horizontal tunnel was selected as the best way of meeting the requirements and ensuring the necessary public acceptance.

  17. A neuropsychological study of children with elevated dentine lead level: Assessment of the effect of lead in different socio-economic groups

    SciTech Connect

    Hansen, O.N.; Trillingsgaard, A.; Beese, I.; Lyngbye, T.; Grandjean, P. )

    1989-05-01

    The study was carried out in the municipality of Aarhus, a city of 250,000 inhabitants. The study was designed as a cross-sectional cohort study of school children in first grade in 1982-83. A total of 2,412 children were contacted and asked to submit their shed teeth to the teacher, and 1,291 children delivered at least one usable tooth (response rate, 54 percent). The lead level in circumpulpal dentin showed an average of 10.7 micrograms/g. Eight percent of the children (N = 110) had a lead level above 18.7 micrograms/g and were selected as a high lead exposure group. This group was matched by sex and socio-economic status of the parents with control children with a dentin lead level below 5 micrograms/g. Following a detailed interview with the parents, children were excluded from the study if medical risk factors were present. A clinical psychologist, blind to the lead data, administered selected psychometric tests to 162 of the children selected. The high-lead children scored lower on the WISC when compared to low-lead children, especially on the Verbal IQ (p less than 0.001) and Full Scale IQ (p less than 0.01). No significant difference was seen between the high- and low-exposure groups on the Performance IQ and on several experimental tests. Impaired function associated with lead exposure was also found on the Bender Visual Motor Gestalt Test (p less than 0.001) and on a behavioral rating scale (p less than 0.01). These results remained statistically significant even after controlling for socio-economic status and other confounding variables.

  18. Environmental and socioeconomic impacts of utilizing waste for biochar in rural areas in Indonesia--a systems perspective.

    PubMed

    Sparrevik, Magnus; Lindhjem, Henrik; Andria, Verania; Fet, Annik Magerholm; Cornelissen, Gerard

    2014-05-01

    Biochar is the product of incomplete combustion (pyrolysis) of organic material. In rural areas, it can be used as a soil amendment to increase soil fertility. Fuel-constrained villagers may however prefer to use biochar briquettes as a higher-value fuel for cooking over applying it to soils. A systems-oriented analysis using life cycle assessment (LCA) and cost benefit analysis (CBA) was conducted to analyze these two alternative uses of biochar, applying the study to a rural village system in Indonesia. The results showed soil amendment for enhanced agricultural production to be the preferential choice with a positive benefit to the baseline scenario of -26 ecopoints (LCA) and -173 USD (CBA) annually pr. household. In this case, the positive effects of carbon sequestration to the soil and the economic value of the increased agricultural production outweighed the negative environmental impacts from biochar production and the related production costs. Use of biochar in briquettes for cooking fuel yielded negative net effects in both the LCA and CBA (85 ecopoints and 176 USD), even when positive health effects from reduced indoor air pollution were included. The main reasons for this are that emissions during biochar production are not compensated by carbon sequestration and that briquette making is labor-intensive. The results emphasize the importance of investigating and documenting the carbon storage effect and the agricultural benefit in biochar production-utilization systems for a sustainable use. Further research focus on efficient production is necessary due to the large environmental impact of biochar production. In addition, biochar should continue to be used in those soils where the agricultural effect is most beneficial. PMID:24678863

  19. Influence of socio-economic factors on street litter generation in the middle east: effects of education level, age, and type of residence.

    PubMed

    Arafat, Hassan A; Al-Khatib, Issam A; Daoud, Raeda; Shwahneh, Hadeel

    2007-08-01

    Street littering is considered an important environmental health issue in the Middle East. This problem is growing steadily and is attracting great concerns within the communities. The purpose of this paper, which focuses on Nablus district (Palestinian Territory), is to measure the perception and opinion of residents toward littering, in addition to studying prevailing attitudes and practices on littering. This was achieved using an interview survey approach. The influence of three socio-economic factors; level of education, age, and type of residence, on the littering behaviour of individuals was studied. As a result, possible remedial actions have been suggested. The data presented in this work can be considered as one piece of information, which can be compiled with other future data to design an effective litter control programrhe for Middle Eastern countries. PMID:17874663

  20. A Comparative Study of Clear Corneal Phacoemulsification with Rigid IOL Versus SICS; the Preferred Surgical Technique in Low Socio-economic group Patients of Rural Areas

    PubMed Central

    Agarwal, Smita; Singh, Pankaj Kumar

    2014-01-01

    Context: Low socio-economic group patients from rural areas often opt for free cataract surgeries offered by charitable organisations. SICS continues to be a time tested technique for cataract removal in such patients. In recent times, camp patients are sometimes treated by clear corneal phacoemulsification with implantation of a rigid IOL, which being more cost effective is often provided for camp patients. This study was undertaken to find out which surgical technique yielded better outcomes and was more suited for high volume camp surgery. Aim: To find the better surgical option- phacoemulsification with rigid IOL or SICS, in poor patients from rural areas. Settings and Design: A prospective randomised controlled trial of cataract patients operated by two different techniques. Materials and Methods: One hundred and twelve eyes were selected and were randomly allocated into two groups of 56 eyes each. At completion of the study, data was analysed for 52 eyes operated by clear corneal phacoemulsification and implantation of a rigid IOL, and 56 eyes operated by SICS. Statistical Analysis Used: Unpaired t-test was used to calculate the p- value. Results: The results were evaluated on the following criteria. The mean post-operative astigmatism at the end of four weeks - was significantly higher in phacoemulsification group as compared to SICS group The BCVA (best corrected visual acuity) at the end of four weeks - was comparable in both groups. Subjective complaints and/ or complications: In phaco group two patients required sutures and seven had striate keratitis , while none in SICS group. Complaint of irritation was similar in both groups. Surgical time- was less for SICS group as compared to phaco group. Conclusion: SICS by virtue of being a faster surgery with more secure wound and significantly less astigmatism is a better option in camp patients from rural areas as compared to phacoemulsification with rigid IOL. PMID:25584291

  1. Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies

    PubMed Central

    Schüle, Steffen Andreas; Bolte, Gabriele

    2015-01-01

    Background The research question how contextual factors of neighbourhood environments influence individual health has gained increasing attention in public health research. Both socioeconomic neighbourhood characteristics and factors of the built environment play an important role for health and health-related behaviours. However, their reciprocal relationships have not been systematically reviewed so far. This systematic review aims to identify studies applying a multilevel modelling approach which consider both neighbourhood socioeconomic position (SEP) and factors of the objective built environment simultaneously in order to disentangle their independent and interactive effects on individual health. Methods The three databases PubMed, PsycINFO, and Web of Science were systematically searched with terms for title and abstract screening. Grey literature was not included. Observational studies from USA, Canada, Australia, New Zealand, and Western European countries were considered which analysed simultaneously factors of neighbourhood SEP and the objective built environment with a multilevel modelling approach. Adjustment for individual SEP was a further inclusion criterion. Results Thirty-three studies were included in qualitative synthesis. Twenty-two studies showed an independent association between characteristics of neighbourhood SEP or the built environment and individual health outcomes or health-related behaviours. Twenty-one studies found cross-level or within-level interactions either between neighbourhood SEP and the built environment, or between neighbourhood SEP or the built environment and individual characteristics, such as sex, individual SEP or ethnicity. Due to the large variation of study design and heterogeneous reporting of results the identification of consistent findings was problematic and made quantitative analysis not possible. Conclusions There is a need for studies considering multiple neighbourhood dimensions and applying multilevel

  2. Neighbourhood socioeconomic inequalities in food access and affordability.

    PubMed

    Ball, Kylie; Timperio, Anna; Crawford, David

    2009-06-01

    This study investigated whether the availability and accessibility of supermarkets and fruit and vegetable stores, and the availability, variety and price of foods within these stores, varied across areas of different levels of socioeconomic disadvantage in Melbourne, Australia. Data on food store locations, and food variety and price within stores were obtained through objective audits of 45 neighbourhoods of varying socioeconomic disadvantage. Geographical accessibility of healthy food stores was mostly better amongst those living in more advantaged neighbourhoods. Availability of healthy foods within stores only slightly favoured those in advantaged neighbourhoods. However food prices favoured those living in disadvantaged areas. PMID:19046654

  3. Does the level of wealth inequality within an area influence the prevalence of depression amongst older people?

    PubMed Central

    Marshall, Alan; Jivraj, Stephen; Nazroo, James; Tampubolon, Gindo; Vanhoutte, Bram

    2016-01-01

    This paper considers whether the extent of inequality in house prices within neighbourhoods of England is associated with depressive symptoms in the older population using the English Longitudinal Study of Ageing. We consider two competing hypotheses: first, the wealth inequality hypothesis which proposes that neighbourhood inequality is harmful to health and, second, the mixed neighbourhood hypothesis which suggests that socially mixed neighbourhoods are beneficial for health outcomes. Our results are supportive of the mixed neighbourhood hypothesis, we find a significant association between neighbourhood inequality and depression with lower levels of depression amongst older people in neighbourhoods with greater house price inequality after controlling for individual socio-economic and area correlates of depression. The association between area inequality and depression is strongest for the poorest individuals, but also holds among the most affluent. Our results are in line with research that suggests there are social and health benefits associated with economically mixed communities. PMID:24662528

  4. Lead sources, behaviors, and socioeconomic factors in relation to blood lead of native american and white children: a community-based assessment of a former mining area.

    PubMed

    Malcoe, Lorraine Halinka; Lynch, Robert A; Keger, Michelle Crozier; Skaggs, Valerie J

    2002-04-01

    Lead poisoning prevention requires knowledge of lead sources and of appropriate residential lead standards. Data are severely lacking on lead sources for Native American children, many of whom live in rural areas. Further, the relation of mining waste to blood lead concentrations (BPbs) of rural children is controversial. In collaboration with the eight tribes of northeastern Oklahoma, we assessed lead sources and their effects on BPbs for rural Native American and White children living in a former mining region. Venous blood lead, residential environmental (soil, dust, paint, water), and caregiver interview (e.g., hand-to-mouth behaviors, socioeconomic conditions) data were obtained from a representative sample of 245 children 1-6 years of age. BPbs ranged from 1 to 24 microg/dL. There were no ethnic differences in BPbs (p= 0.48) nor any patterns of excess lead sources for Native American or White children. Multiple linear regression analyses indicated that mean soil lead, mean floor lead loading, mouthing behaviors, caregivers' education, and residence in former mining towns were all strongly associated with BPbs. Logistic regression results showed mean floor dust lead loading greater than or equal to 10.1 microg/ft(2) (odds ratio [OR], 11.4; 95% confidence interval [CI], 3.5-37.3), and yard soil lead >165.3 mg/kg (OR, 4.1; CI, 1.3-12.4) were independently associated with BPbs greater than or equal to 10 microg/dL. We also found strong interactions between soil lead and poverty (p= 0.005), and dust and soil sources (p= 0.02). Our findings indicate that soil and dust lead derived largely from mining waste pose a health hazard to Native American and White children, and that current residential dust lead standards are insufficient to adequately protect children. Moreover, our finding that poor children are especially vulnerable to lead exposures suggests that residential standards should consider interactions among socioeconomic conditions and lead sources if

  5. Lead sources, behaviors, and socioeconomic factors in relation to blood lead of native american and white children: a community-based assessment of a former mining area.

    PubMed Central

    Malcoe, Lorraine Halinka; Lynch, Robert A; Keger, Michelle Crozier; Skaggs, Valerie J

    2002-01-01

    Lead poisoning prevention requires knowledge of lead sources and of appropriate residential lead standards. Data are severely lacking on lead sources for Native American children, many of whom live in rural areas. Further, the relation of mining waste to blood lead concentrations (BPbs) of rural children is controversial. In collaboration with the eight tribes of northeastern Oklahoma, we assessed lead sources and their effects on BPbs for rural Native American and White children living in a former mining region. Venous blood lead, residential environmental (soil, dust, paint, water), and caregiver interview (e.g., hand-to-mouth behaviors, socioeconomic conditions) data were obtained from a representative sample of 245 children 1-6 years of age. BPbs ranged from 1 to 24 microg/dL. There were no ethnic differences in BPbs (p= 0.48) nor any patterns of excess lead sources for Native American or White children. Multiple linear regression analyses indicated that mean soil lead, mean floor lead loading, mouthing behaviors, caregivers' education, and residence in former mining towns were all strongly associated with BPbs. Logistic regression results showed mean floor dust lead loading greater than or equal to 10.1 microg/ft(2) (odds ratio [OR], 11.4; 95% confidence interval [CI], 3.5-37.3), and yard soil lead >165.3 mg/kg (OR, 4.1; CI, 1.3-12.4) were independently associated with BPbs greater than or equal to 10 microg/dL. We also found strong interactions between soil lead and poverty (p= 0.005), and dust and soil sources (p= 0.02). Our findings indicate that soil and dust lead derived largely from mining waste pose a health hazard to Native American and White children, and that current residential dust lead standards are insufficient to adequately protect children. Moreover, our finding that poor children are especially vulnerable to lead exposures suggests that residential standards should consider interactions among socioeconomic conditions and lead sources if

  6. Improving access to high-quality primary care for socioeconomically disadvantaged older people in rural areas: a mixed method study protocol

    PubMed Central

    Ford, John A; Jones, Andrew P; Wong, Geoff; Clark, Allan B; Porter, Tom; Shakespeare, Tom; Swart, Ann Marie; Steel, Nicholas

    2015-01-01

    Introduction The UK has an ageing population, especially in rural areas, where deprivation is high among older people. Previous research has identified this group as at high risk of poor access to healthcare. The aim of this study is to generate a theory of how socioeconomically disadvantaged older people from rural areas access primary care, to develop an intervention based on this theory and test it in a feasibility trial. Methods and analysis On the basis of the MRC Framework for Developing and Evaluating Complex Interventions, three methods will be used to generate the theory. First, a realist review will elucidate the patient pathway based on existing literature. Second, an analysis of the English Longitudinal Study of Ageing will be completed using structural equation modelling. Third, 15 semistructured interviews will be undertaken with patients and four focus groups with health professionals. A triangulation protocol will be used to allow each of these methods to inform and be informed by each other, and to integrate data into one overall realist theory. Based on this theory, an intervention will be developed in discussion with stakeholders to ensure that the intervention is feasible and practical. The intervention will be tested within a feasibility trial, the design of which will depend on the intervention. Lessons from the feasibility trial will be used to refine the intervention and gather the information needed for a definitive trial. Ethics and dissemination Ethics approval from the regional ethics committee has been granted for the focus groups with health professionals and interviews with patients. Ethics approval will be sought for the feasibility trial after the intervention has been designed. Findings will be disseminated to the key stakeholders involved in intervention development, to researchers, clinicians and health planners through peer-reviewed journal articles and conference publications, and locally through a dissemination event. PMID

  7. Influence of neighbourhood socioeconomic position on the transition to type II diabetes in older Mexican Americans: the Sacramento Area Longitudinal Study on Aging

    PubMed Central

    Garcia, Lorena; Lee, Anne; Zeki Al Hazzouri, Adina; Neuhaus, John M; Aiello, Allison; Elfassy, Tali; Haan, Mary N

    2016-01-01

    Objective To examine the influence of neighbourhood socioeconomic position (NSEP) on development of diabetes over time. Design A longitudinal cohort study. Setting The data reported were from the Sacramento Area Latino Study on Aging, a longitudinal study of the health of 1789 older Latinos. Participants Community-dwelling older Mexican Americans residing in the Sacramento Metropolitan Statistical Area. Main outcome Multistate Markov regression were used to model transitions through four possible states over time: 1=normal; 2=pre-diabetic; 3=diabetic; and 4=death without diabetes. Results At baseline, nearly 50% were non-diabetic, 17.5% were pre-diabetic and nearly 33% were diabetic. At the end of follow-up, there were a total of 824 people with type 2 diabetes. In a fully adjusted MSM regression model, among non-diabetics, higher NSEP was not associated with a transition to pre-diabetes. Among non-diabetics, higher NSEP was associated with an increased risk of diabetes (HR=1.66, 95% CI 1.14 to 2.42) and decreased risk of death without diabetes (HR: 0.56, 95% CI 0.33 to 0.96). Among pre-diabetics, higher NSEP was significantly associated with a transition to non-diabetic status (HR: 1.22, 95% CI 0.99 to 1.50). Adjusting for BMI, age, education, physical activity, smoking, alcohol consumption, medical insurance and nativity did not affect this relationship. Conclusions Our findings show that high NSEP poses higher risk of progression from normal to diabetes compared with a lower risk of death without diabetes. This work presents a possibility that these associations are modified by nativity or culture. PMID:27515749

  8. Tobacco Use and Influencing Factors Among Iranian Children and Adolescents at National and Subnational Levels, According to Socioeconomic Status: The Caspian-IV Study

    PubMed Central

    Kelishadi, Roya; Shahsanai, Armindokht; Qorbani, Mostafa; Esmaeil Motlagh, Mohammad; Jari, Mohsen; Ardalan, Gelayol; Ansari, Hossein; Asayesh, Hamid; Heshmat, Ramin

    2016-01-01

    Background Iran is facing an epidemiologic transition, with one of its features being the tendency towards smoking by adolescents. The findings of previous studies in Iran have shown that the pervasiveness of tobacco products among school students is high. No previous study has reported the prevalence and determinants of smoking in various socioeconomic statuses (SESs) and at the subnational level in Iran. Objectives To compare the prevalence of smoking and the factors that influence the initiation and continuation of tobacco use in a nationally representative sample of Iranian adolescents living in different regions with diverse socio-demographic patterns. Patients and Methods This nationwide, cross-sectional study was conducted in 2011 - 2012 among 14,880 students, aged 6 - 18 years, selected by cluster sampling from 30 provinces. Anonymous questionnaires were completed about tobacco use and the main psychological determinants of initiation and continuation to smoke. The questionnaire was modeled on the world health organization global school-based student health survey (WHO-GSHS). The sub-national regions were defined by the criteria of geography combined with SES. According to this classification, the lowest to highest SESs were considered for the southeast, north-northeast, west, and central regions, respectively. Data were analyzed using the STATA statistical software package. Results Overall, 13,486 students completed this survey (participation rate of 90.6%). They consisted of 50.8% boys, 75.6% urban residents, with a mean age of 12.47 ± 3.36 years. According to the self-report of students, 2.6 % (3.5% of boys and 1.7% of girls) were current smokers, and5.9% (7.5% of boys and 4.2% of girls) had ever been smokers. The current use of tobacco was higher in participants aged 14 - 18 years (6.11%) than in those aged 10 - 13.9 years (1.18%) and 6 - 9.9 years (0.51%). Current and past tobacco use, respectively, had the lowest prevalence in the region with the

  9. Closing the gap between socioeconomic and financial implications of residential and community level hydrogen-based energy systems: Incentives needed for a bridge to the future

    NASA Astrophysics Data System (ADS)

    Verduzco, Laura E.

    The use of hydrogen as an energy carrier has the potential to decrease the amount of pollutants emitted to the atmosphere, significantly reduce our dependence on imported oil and resolve geopolitical issues related to energy consumption. The current status of hydrogen technology makes it prohibitive and financially risky for most investors to commit the money required for large-scale hydrogen production. Therefore, alternative strategies such as small and medium-scale hydrogen applications should be implemented during the early stages of the transition to the hydrogen economy in order to test potential markets and technology readiness. While many analysis tools have been built to estimate the requirements of the transition to a hydrogen economy, few have focused on small and medium-scale hydrogen production and none has paired financial with socioeconomic costs at the residential level. The computer-based tool (H2POWER) presented in this study calculates the capacity, cost and socioeconomic impact of the systems needed to meet the energy demands of a home or a community using home and neighborhood refueling units, which are systems that can provide electricity and heat to meet the energy demands of either (1) a home and automobile or (2) a cluster of homes and a number of automobiles. The financial costs of the production, processing and delivery sub-systems that conform the refueling units are calculated using cost data of existing technology and normalizing them to calculate capital and net present cost. The monetary value of the externalities (socioeconomic analysis) caused by each system is calculated by H2POWER through a statistical analysis of the cost associated to various externalities. Additionally, H2POWER calculates the financial impact of different penalties and incentives (such as net metering, low interest loans, fuel taxes, and emission penalties) on the cost of the system from the point of view of a developer and a homeowner. In order to assess the

  10. Classificiation of Kii peninsula area by vegetation coverage level

    NASA Astrophysics Data System (ADS)

    Soyama, Noriko; Awa, Shinobu; Muramatu, Kanako; Daigo, Motomasa

    2005-10-01

    In order to study land cover classification and natural environment, we must analyze vegetation cover states of the local scale in which we can know the subject in detail, as well as and the global scale. Therefore, we need to analyze various satellite data sets which are measured with different wavelengths region and different number of bands. However, it is difficult to compare analysis results obtained using such data sets. By the universal pattern decomposition method (UPDM), which is sensor independent analysis method, we examined vegetation coverage of a pixel on data sets measured different wavelength range and different resolution which is acquired at the same place and time. In this study, in order to develop a generalization rule of vegetation coverage, we examine vegetation coverage of a pixel on 1-kilometer resolution data sets using results obtained by analyzing 250-m resolution data sets which are acquired at the same place and time as the pixel of 1-kilometers'. We defined the rule of classifying into five levels of vegetation coverage using results of high resolution data sets analyzed by the UPDM. Using the results of the analysis, we calculate vegetation coverage of Kii peninsula area.

  11. Socio-economic status and oesophageal cancer: results from a population-based case–control study in a high-risk area

    PubMed Central

    Islami, Farhad; Kamangar, Farin; Nasrollahzadeh, Dariush; Aghcheli, Karim; Sotoudeh, Masoud; Abedi-Ardekani, Behnoush; Merat, Shahin; Nasseri-Moghaddam, Siavosh; Semnani, Shahryar; Sepehr, Alireza; Wakefield, Jon; Møller, Henrik; Abnet, Christian C; Dawsey, Sanford M; Boffetta, Paolo; Malekzadeh, Reza

    2009-01-01

    Background Cancer registries in the 1970s showed that parts of Golestan Province in Iran had the highest rate of oesophageal squamous cell carcinoma (OSCC) in the world. More recent studies have shown that while rates are still high, they are approximately half of what they were before, which might be attributable to improved socio-economic status (SES) and living conditions in this area. We examined a wide range of SES indicators to investigate the association between different SES components and risk of OSCC in the region. Methods Data were obtained from a population-based case–control study conducted between 2003 and 2007 with 300 histologically proven OSCC cases and 571 matched neighbourhood controls. We used conditional logistic regression to compare cases and controls for individual SES indicators, for a composite wealth score constructed using multiple correspondence analysis, and for factors obtained from factors analysis. Results We found that various dimensions of SES, such as education, wealth and being married were all inversely related to OSCC. The strongest inverse association was found with education. Compared with no education, the adjusted odds ratios (95% confidence intervals) for primary education and high school or beyond were 0.52 (0.27–0.98) and 0.20 (0.06–0.65), respectively. Conclusions The strong association of SES with OSCC after adjustment for known risk factors implies the presence of yet unidentified risk factors that are correlated with our SES measures; identification of these factors could be the target of future studies. Our results also emphasize the importance of using multiple SES measures in epidemiological studies. PMID:19416955

  12. The influence of neighbourhood-level socioeconomic deprivation on cardiovascular disease mortality in older age: longitudinal multilevel analyses from a cohort of older British men

    PubMed Central

    Ramsay, S E; Morris, R W; Whincup, P H; Subramanian, S V; Papacosta, A O; Lennon, Lucy T; Wannamethee, S G

    2015-01-01

    Background Evidence from longitudinal studies on the influence of neighbourhood socioeconomic factors in older age on cardiovascular disease (CVD) mortality is limited. We aimed to investigate the prospective association of neighbourhood-level deprivation in later life with CVD mortality, and assess the underlying role of established cardiovascular risk factors. Methods A socially representative cohort of 3924 men, aged 60–79 years in 1998–2000, from 24 British towns, was followed up until 2012 for CVD mortality. Quintiles of the national Index of Multiple Deprivation (IMD), a composite score of neighbourhood-level factors (including income, employment, education, housing and living environment) were used. Multilevel logistic regression with discrete-time models (stratifying follow-up time into months) were used. Results Over 12 years, 1545 deaths occurred, including 580 from CVD. The risk of CVD mortality showed a graded increase from IMD quintile 1 (least deprived) to 5 (most deprived). Compared to quintile 1, the age-adjusted odds of CVD mortality in quintile 5 were 1.71 (95% CI 1.32 to 2.21), and 1.62 (95% CI 1.23 to 2.13) on further adjustment for individual social class, which was attenuated slightly to 1.44 (95% CI 1.09 to 1.89), but remained statistically significant after adjustment for smoking, body mass index, physical activity and use of alcohol. Further adjustment for blood pressure, high-density lipoprotein cholesterol and prevalent diabetes made little difference. Conclusions Neighbourhood-level deprivation was associated with an increased risk of CVD mortality in older people independent of individual-level social class and cardiovascular risk factors. The role of other specific neighbourhood-level factors merits further research. PMID:26285580

  13. Increasing Levels of Urban Malnutrition with Rapid Urbanization in Informal Settlements of Katutura, Windhoek: Neighbourhood Differentials and the Effect of Socio-Economic Disadvantage.

    PubMed

    Nickanor, Ndeyapo; Kazembe, Lawrence N

    2016-01-01

    Rapid urbanization and increasing urban poverty characterize much of Southern Africa, resulting in poor urban health. This study investigates inter-urban differences and determinants of undernutrition among marginalized communities. Using the 1992, 2000 and 2006/2007 Namibia Demographic and Health Survey data, we fitted hierarchical random intercept logit models, applied at 52 enumeration areas in the capital city (Windhoek), to estimate trends in undernutrition, and investigate risk factors associated with stunting and underweight. Findings demonstrate that undernutrition among children has risen (7.4% to 25.1%, p<0.001 for stunting; and 9.7% to 17.6%, p<0.001 for underweight, between 1992 and 2006/2007). The risk was pronounced for children from socioeconomically disadvantaged households (OR=1.53, 95% CI:[1.01, 2.31] for stunting and OR=2.16, 95% CI:[1.03, 4.89]for underweight). Evidence emerged of intra-urban variation in undernutrition. We argue that with increasing urbanization, comes the challenge of food insecurity and, consequently, malnutrition. For improved child health, urban planners should have targeted interventions for poor urban households and deprived neighbourhoods. PMID:27009767

  14. Peer-mentoring for first-time mothers from areas of socio-economic disadvantage: A qualitative study within a randomised controlled trial

    PubMed Central

    Murphy, Christine A; Cupples, Margaret E; Percy, Andrew; Halliday, Henry L; Stewart, Moira C

    2008-01-01

    Background Non-professional involvement in delivering health and social care support in areas of socio-economic deprivation is considered important in attempting to reduce health inequalities. However, trials of peer mentoring programmes have yielded inconsistent evidence of benefit: difficulties in implementation have contributed to uncertainty regarding their efficacy. We aimed to explore difficulties encountered in conducting a randomised controlled trial of a peer-mentoring programme for first-time mothers in socially disadvantaged areas, in order to provide information relevant to future research and practice. This paper describes the experiences of lay-workers, women and health professionals involved in the trial. Methods Thematic analysis of semi-structured interviews with women (n = 11) who were offered peer mentor support, lay-workers (n = 11) who provided mentoring and midwives (n = 2) who supervised the programme, which provided support, from first hospital antenatal visit to one year postnatal. Planned frequency of contact was two-weekly (telephone or home visit) but was tailored to individuals' needs. Results Despite lay-workers living in the same locality, they experienced difficulty initiating contact with women and this affected their morale adversely. Despite researchers' attempts to ensure that the role of the mentor was understood clearly it appeared that this was not achieved for all participants. Mentors attempted to develop peer-mentor relationships by offering friendship and sharing personal experiences, which was appreciated by women. Mentors reported difficulties developing relationships with those who lacked interest in the programme. External influences, including family and friends, could prevent or facilitate mentoring. Time constraints in reconciling flexible mentoring arrangements with demands of other commitments posed major personal difficulties for lay-workers. Conclusion Difficulties in initiating contact, developing peer

  15. In situ rainwater harvesting using dead level contours in semi-arid southern Zimbabwe: Insights on the role of socio-economic factors on performance and effectiveness in Gwanda District

    NASA Astrophysics Data System (ADS)

    Munamati, Muchaneta; Nyagumbo, Isaiah

    Droughts and dry spells which have characterised the past decade in Zimbabwe have seen a marked increase in the promotion and use of in situ rainwater harvesting technologies (RWHTs) as a drought mitigating strategy. A number of these technologies have been tried in recent years which include dead level contours with infiltration pits and deepened contours. Although in situ RWHTs are known to increase food security in drought prone areas, the role of socio-economic factors on their performance in terms of crop yield and scaling out is still not well understood. This study sought to investigate the socio-economic factors which influence the effectiveness of dead level contours for in situ rainwater harvesting and consequently on crop yield. The study involved 14 key informants interviews and questionnaire administration to a total of 55 respondent farmers practising in situ rainwater harvesting with dead level contours. A statistical package (Statistical Package for Social Scientists, SPSS) was used to analyse relationships between performance of RWHTs and attributes such as labour, resources, gender, experience and education. The results show a strong correlation between performance and resource status ( p = 0.004). For example, within the wealthy category, 42.1% were successful, while 14.3% and 13.8% were average and poor performers respectively. Thus within the successful category, 42.1% were wealthy, while 42.1% and 15.8% were medium-rich and resource-constrained respectively. Performance rating was also significantly correlated ( p = 0.007) to gender of household head e.g., within the most successful group 94.7% were men compared to 5.3% women. There was also a significant correlation between resource status and gender ( p = 0.039) such that within the wealthy category, 69.2% of the respondents were men compared to 30.8% women. Labour was found to have no significance on performance ( p > 0.05) even though the majority of key informants (93%) alluded that the

  16. Knowledge of Food Production Methods Informs Attitudes toward Food but Not Food Choice in Adults Residing in Socioeconomically Deprived Rural Areas within the United Kingdom

    ERIC Educational Resources Information Center

    Barton, Maria; Kearney, John; Stewart-Knox, Barbara J.

    2011-01-01

    Objective: Understand food choice, from the perspective of people residing in socioeconomically deprived rural neighborhoods. Methods: Focus groups (n = 7) were undertaken within a community setting involving 42 adults (2 males and 40 females) recruited through voluntary action groups. Data were recorded, transcribed verbatim, and content…

  17. Community and household socioeconomic factors associated with pesticide-using, small farm household members' health: a multi-level, longitudinal analysis

    PubMed Central

    2011-01-01

    Background Longitudinal studies using multi-level models to examine health inequalities in lower and middle income countries (LMICs) are rare. We explored socio-economic gradients in health among small farm members participating in a pesticide-related health and agriculture program in highland Ecuador. Methods We profiled 24 communities through key informant interviews, secondary data (percent of population with unsatisfied basic needs), and intervention implementation indicators. Pre (2005) and post (2007) surveys of the primary household and crop managers included common questions (education, age, and the health outcome - digit span scaled 0-10)) and pesticide-related practice questions specific to each. Household assets and pesticide use variables were shared across managers. We constructed multi-level models predicting 2007 digit span for each manager type, with staged introduction of predictor variables. Results 376 household managers (79% of 2005 participants) and 380 crop managers (76% of 2005 participants) had complete data for analysis. The most important predictor of 2007 digit span was 2005 digit span: β (Standard Error) of 0.31(0.05) per unit for household and 0.17(0.04) for crop managers. Household asset score was next most important: 0.14(0.06) per unit for household and 0.14(0.05) for crop managers. Community percent with unsatisfied basic needs was associated with reductions in 2007 digit span: -0.04(0.01) per percent for household and -0.03(0.01) for crop managers. Conclusions The important roles of life endowments and/or persistent neurotoxicity were exemplified by limited change in the health outcome. Gradients by household assets and community deprivation were indicative of ongoing, structural inequities within this LMIC. PMID:22094171

  18. Final base case community analysis: Indian Springs, Nevada for the Clark County socioeconomic impact assessment of the proposed high- level nuclear waste repository at Yucca Mountain, Nevada

    SciTech Connect

    1992-06-18

    This document provides a base case description of the rural Clark County community of Indian Springs in anticipation of change associated with the proposed high-level nuclear waste repository at Yucca Mountain. As the community closest to the proposed site, Indian Springs may be seen by site characterization workers, as well as workers associated with later repository phases, as a logical place to live. This report develops and updates information relating to a broad spectrum of socioeconomic variables, thereby providing a `snapshot` or `base case` look at Indian Springs in early 1992. With this as a background, future repository-related developments may be analytically separated from changes brought about by other factors, thus allowing for the assessment of the magnitude of local changes associated with the proposed repository. Given the size of the community, changes that may be considered small in an absolute sense may have relatively large impacts at the local level. Indian Springs is, in many respects, a unique community and a community of contrasts. An unincorporated town, it is a small yet important enclave of workers on large federal projects and home to employees of small- scale businesses and services. It is a rural community, but it is also close to the urbanized Las Vega Valley. It is a desert community, but has good water resources. It is on flat terrain, but it is located within 20 miles of the tallest mountains in Nevada. It is a town in which various interest groups diverge on issues of local importance, but in a sense of community remains an important feature of life. Finally, it has a sociodemographic history of both surface transience and underlying stability. If local land becomes available, Indian Springs has some room for growth but must first consider the historical effects of growth on the town and its desired direction for the future.

  19. Individual, social and environmental factors influencing physical activity levels and behaviours of multiethnic socio-economically disadvantaged urban mothers in Canada: A mixed methods approach

    PubMed Central

    2012-01-01

    Background Existing data provide little insight into the physical activity context of multiethnic socio-economically disadvantaged mothers in Canada. Our primary objectives were: (1) to use focus group methodology to develop tools to identify the individual, social, and environmental factors influencing utilitarian and leisure time physical activities (LTPA) of multiethnic SED mothers; and (2) to use a women specific physical activity survey tool to assess psychosocial barriers and supports and to quantify individual physical activity (PA) levels of multi-ethnic SED mothers in Canada. Methods Qualitative focus group sessions were conducted in West, Central and Eastern Canada with multiethnic SED mothers (n = 6 focus groups; n = 42 SED mothers) and with health and recreation professionals (HRPs) (n = 5 focus groups; n = 25 HRPs) involved in community PA programming for multiethnic SED mothers. Administration of the women specific Kaiser Physical Activity Survey (KPAS) tool was completed by consenting SED mothers (n = 59). Results More than half of SED mothers were employed and had higher total PA scores with occupation included than unemployed mothers. However, nearly 60% of both groups were overweight or obese. Barriers to LTPA included the lack of available, affordable and accessible LTPA programs that responded to cultural and social needs. Concerns for safety, nonsupportive cultural and social norms and the winter climate were identified as key barriers to both utilitarian and LTPA. Conclusions Findings show that multiethnic SED mothers experience many barriers to utilitarian and LTPA opportunities within their communities. The varying LTPA levels among these multi-ethnic SED mothers and the occurrence of overweight and obesity suggests that current LTPA programs are likely insufficient to maintain healthy body weights. PMID:22500882

  20. Wildland-Urban Interface Fires and Socioeconomic Conditions: A Case Study of a Northwestern Patagonia City

    NASA Astrophysics Data System (ADS)

    de Torres Curth, Monica; Biscayart, Carolina; Ghermandi, Luciana; Pfister, Gabriela

    2012-04-01

    In many regions of the world, fires are primarily of anthropogenic origin. In northwestern Patagonia, the number of fires is not correlated with meteorological variables, but is concentrated in urban areas. This study was conducted in the wildland-urban interface (WUI) area of San Carlos de Bariloche (Patagonia, Argentina), within the Nahuel Huapi National Park. WUI fires are particularly problematic because, besides people and goods, they represent a danger to protected areas. We studied the relationship between fire records and socioeconomic indicators within the WUI of San Carlos de Bariloche. We conducted a Multiple Correspondence Factorial Analysis and an Ascendant Hierarchical Classification of the city neighborhoods. The results show that the neighborhoods in Bariloche can be divided into three classes: High Socioeconomic Fire Risk neighborhoods, including neighborhoods with the highest fire rates, where people have low instruction level, high levels of unsatisfied basic needs and high unemployment levels; Low Socioeconomic Fire Risk neighborhoods, that groups neighborhoods which present the opposite characterization, and Moderate Socioeconomic Fire Risk neighborhoods, which are more heterogeneous. Once neighborhoods were classified, a Socioeconomic Fire Risk map was generated, supplementing the existing WUI Fire Danger map. Our results emphasize the relevance of socioeconomic variables to fire policies.

  1. Socioeconomic Factors and Asthma Control in Children

    PubMed Central

    Cope, Shannon F.; Ungar, Wendy J.; Glazier, Richard H.

    2016-01-01

    Summary Objectives The objective of this study was to evaluate the association between socioeconomic factors and asthma control in children, as defined by the Canadian Pediatric Asthma Consensus Guidelines. Patients and Methods Cross-sectional data from a completed study of 879 asthmatic children between the ages of 1 and 18 residing in the Greater Toronto Area were used. The database included data on demographics, health status, asthma control, and health-related quality of life. Stepwise forward modeling multiple regression was used to investigate the impact of socioeconomic status on asthma control, based on six control parameters from the 2003 Canadian Pediatric Asthma Consensus Guidelines. Results Only 11% of patients met the requirements for acceptable control, while 20% had intermediate control, and 69% had unacceptable asthma control. Children from families in lower income adequacy levels had poorer control. Conclusions Disparities in asthma control between children from families of different socio-economic strata persist, even with adjustment for utilization of primary care services and use of controller medications. PMID:18615669

  2. Heavy metal levels of pasture grasses in metropolitan area

    NASA Astrophysics Data System (ADS)

    Luilo, G. B.; Othman, O. C.

    2003-05-01

    Urban agriculture is becoming an important lucrative activity in Dar es Salaam City even though the city is subject to traffic and industrial pollution pressures. Poor planning has left only limited spaces, particularly road reserves, for cultivation and foraging animals. While there is increasing road traffic no study bas been conducted determine levels of trace metals in pasture grasses. This study, therefore, reports on the levels of cadmium, manganese, lead and zinc of cynodon grasses in road vicinity in the city. Results show that the trace metal levels (ppm ± SDE) in Cynodon grass species were: Cd (0.24 ± 0.06-2.58 ± 0.15), Mn (41.5 ± 13.6-345.0 ± 124.3), Pb (1.15 ± 0.64-25.53 ± 1.29) and Zn (25.97 ± 3.69-95.36 ± 19.61). The mean levels of lead and zinc varied exponentially with distance off the road up to 15 m distance. Lead and zinc levels correlated with average daily traffic in the roads while cadmium and manganese did not. This suggests that lead and zinc in grasses owe their sources from the passing motor vehicles in agreement with other reported studies. It is recommended that pasture grasses in road vicinities must not be used for foraging dairy cattle and goats for public health reasons.

  3. Level 1 remedial investigation work plan, 300 Area Process Ponds

    SciTech Connect

    Not Available

    1987-06-01

    This report discusses the objectives of the site characterization for the 300 Area Process Ponds which are to identify and quantify contamination at the ponds and to estimate their potential impact on human health and the environment. The results of the site characterization will be used to identify any future actions related to contamination at the site and to identify any additional data requirements needed to support selection of a remedial action. 9 refs., 12 figs., 8 tabs.

  4. Particulate Matter Levels in Ambient Air Adjacent to Industrial Area

    NASA Astrophysics Data System (ADS)

    Mohamed, R. M. S. R.; Nizam, N. M. S.; Al-Gheethi, A. A.; Lajis, A.; Kassim, A. H. M.

    2016-07-01

    Air quality in the residential areas adjacent to the industrial regions is of great concern due to the association with human health risks. In this work, the concentrations of particulate matter (PM10) in the ambient air of UTHM campus was investigated tostudy the air qualityand their compliance to the Malaysian Ambient Air Quality Guidelines (AAQG). The PM10 samples were taken over 24 hours from the most significant area at UTHM including Stadium, KolejKediamanTunDr. Ismail (KKTDI) and MakmalBahan. The meteorological parameters; temperature, relative humidity, wind speed and wind direction as well as particulate matterwere estimated by using E-Sampler Particulate Matter (PM10) Collector. The highest concentrations of PM10 (55.56 µg/m3) was recorded at MakmalBahan during the working and weekend days. However, these concentrations are less than 150 pg/m3. It can be concluded that although UTHM is surrounded by the industrial area, the air quality in the campus still within the standards limits.

  5. Indoor and outdoor BTX levels in Barcelona City metropolitan area and Catalan rural areas.

    PubMed

    Gallego, E; Roca, F X; Guardino, X; Rosell, M G

    2008-01-01

    Five aromatic hydrocarbons (benzene, toluene, and three isomeric xylenes) were monitored in indoor and outdoor air of 7 public buildings and 54 private homes, located in Barcelona City metropolitan area and in several rural areas of Catalonia. The sampling was carried out over four periods: spring-summer and winter of 2000, and summer and winter of 2001. Passive ORSA 5 Dräger samplers were used for benzene, toluene, and xylenes (BTX) adsorption. BTX were extracted with carbon disulphide and analysed using a gas chromatograph coupled to a FID detector. In Barcelona metropolitan area the outdoor average concentrations of BTX were 3.5, 34.2, and 31.3 microg/m3 in urban areas, and 1.4, 9.2, and 9.2 microg/m3 in rural areas, respectively. Average indoor air concentrations of BTX were respectively 4.3, 64.8, and 47.6 microg/m3 in urban areas and 5.8, 67.0, and 51.4 microg/m3 in rural areas, respectively. A direct connection between the house and garage was one of the most influential factors for indoor BTX concentrations in rural areas. In urban areas, diffuse traffic sources were the predominant BTX source, slightly influenced by tobacco smoke in indoor air. PMID:19143312

  6. Socioeconomic assessment: issues, status, and plans

    SciTech Connect

    Boryczka, M.K.

    1983-01-01

    Numerous public meetings and hearings have been held in Texas, Mississippi, Louisiana and Utah on the issue of siting a nuclear waste repository in salt. Citizens in these potential site areas have raised many questions about how this facility will affect their quality of life. Questions about population and economic changes have been of particular concern. In developing a socioeconomic program, these issues and others have been an integral part of Battelle's socioeconomic studies. The three elements of Battelle's socioeconomic program are comprised of three elements: impact assessment, impact mitigation and community development, and impact monitoring. In addition, our approach to assessing socioeconomic impacts for the environmental assessment (EA) required by the Nuclear Waste Policy Act of 1982 are described. Since the EA analysis will address many of the issues raised in the site areas, these concerns will be elaborated on. Finally, various techniques for managing socioeconomic impacts will be presented. 6 references, 1 figure.

  7. An Exploratory Study of the Effects of Mindfulness on Perceived Levels of Stress among School-Children from Lower Socioeconomic Backgrounds

    ERIC Educational Resources Information Center

    Costello, Elizabeth; Lawler, Margaret

    2014-01-01

    Children from lower socioeconomic backgrounds are at increased risk of experiencing stress and associated social-emotional difficulties and behavioural problems, which can undermine academic performance and lead to school drop-out. Previous studies investigating the effects of mindfulness have evidenced positive outcomes among children pertaining…

  8. Socioeconomic Studies of Schistosomiasis in Brazil: a Review

    PubMed Central

    Kloos, Helmut; Correa-Oliveira, Rodrigo; Quites, Humberto Ferreira; Souza, Márcia Christina; Gazzinelli, Andrea

    2009-01-01

    This review finds considerable evidence that socioeconomic status has significantly influenced the transmission, spread and treatment of schistosomiasis in Brazil. High infection rates persist among both the rural and urban poor. Rural living, poor housing and water supplies and low educational level were major factors in schistosomiasis occurrence among agricultural populations. In urban areas, prevailing living conditions in shantytowns and labor migrations from and periodic return movements to rural areas were predictive of schistosomiasis. The risk of the establishment of new transmission foci exists in both rural and urban areas, conferred by and affecting poorer people. Associations between schistosomiasis and socioeconomic parameters, persisting inequities in health services accessibility, prevailing health impacts of schistosomiasis, and the ongoing decentralization of health services point to opportunities and strategies for focused interventions aimed at promoting health-enhancing behavior and living conditions and improving access to health care. The authors call for multidisciplinary studies to better examine the complexities of the socioeconomic environment in relation to schistosomiasis and for economic programs to reduce prevailing socioeconomic inequalities. PMID:18694715

  9. Hospital admissions for severe mental illness in England: Changes in equity of utilisation at the small area level between 2006 and 2010

    PubMed Central

    White, Jonathan; Gutacker, Nils; Jacobs, Rowena; Mason, Anne

    2014-01-01

    Severe Mental Illness (SMI) encompasses a range of chronic conditions including schizophrenia, bipolar disorder and psychoses. Patients with SMI often require inpatient psychiatric care. Despite equity being a key objective in the English National Health Service (NHS) and in many other health care systems worldwide, little is known about the socio-economic equity of hospital care utilisation for patients with SMI and how it has changed over time. This analysis seeks to address that gap in the evidence base. We exploit a five-year (2006–2010) panel dataset of admission rates at small area level (n = 162,410). The choice of control variables was informed by a systematic literature search. To assess changes in socio-economic equity of utilisation, OLS-based standardisation was first used to conduct analysis of discrete deprivation groups. Geographical inequity was then illustrated by plotting standardised and crude admission rates at local purchaser level. Lastly, formal statistical tests for changes in socio-economic equity of utilisation were applied to a continuous measure of deprivation using pooled negative binomial regression analysis, adjusting for a range of risk factors. Our results suggest that one additional percentage point of area income deprivation is associated with a 1.5% (p < 0.001) increase in admissions for SMI after controlling for population size, age, sex, prevalence of SMI in the local population, as well as other need and supply factors. This finding is robust to sensitivity analyses, suggesting that a pro-poor inequality in utilisation exists for SMI-related inpatient services. One possible explanation is that the supply or quality of primary, community or social care for people with mental health problems is suboptimal in deprived areas. Although there is some evidence that inequity has reduced over time, the changes are small and not always robust to sensitivity analyses. PMID:25262312

  10. Socioeconomic inequalities in childhood obesity in the United Kingdom: a systematic review of the literature.

    PubMed

    El-Sayed, Abdulrahman M; Scarborough, Peter; Galea, Sandro

    2012-01-01

    Childhood obesity is a major public health challenge worldwide. There is a growing literature documenting socioeconomic inequalities in childhood obesity risk. Here we draw inference from the literature about inequalities in childhood obesity risk in the UK. We summarize and appraise the extant peer-reviewed literature about socioeconomic inequalities in childhood obesity in the UK. Common area-level indices of socioeconomic position, including the Carstairs Deprivation Index, the Index of Multiple Deprivation and the Townsend Deprivation Index, as well as common household and individual-level metrics of childhood socioeconomic position, including head-of-household social class and maternal education, were generally inversely associated with childhood obesity in the UK. We summarize key methodological limitations to the extant literature and suggest avenues for future research. PMID:23108336

  11. Levels of radioactivity in fish from streams near F-Area and H-Area seepage basins

    SciTech Connect

    Murphy, C.E. Jr.; Loehle, C.

    1991-05-01

    This report summarizes results of recent analyses of radioactivity in fish from SRS streams near the F-Area and H-Area seepage basins. Fish were collected from headwater areas of Four Mile Creek and Pen Branch, from just below the H-Area seepage basin, and from three sites downstream in Four Mile Creek. These fish were analyzed for gross alpha and gross beta radioactivity using standard EPA methods. Levels of gross alpha and nonvolatile beta radioactivity in fish were found to be comparable to levels previously reported for these sites. Gross alpha activity was not found to be influenced by Separations Area discharges. Nonvolatile beta activity was higher in the nonvolatile beta activity was attributable to Cs-137 and K-40. The dosimetric consequences of consuming fish from this area were found to be well below DOE guidelines.

  12. Analysis of urban residential environments using color infrared aerial photography: An examination of socioeconomic variables and physical characteristics of selected areas in the Los Angeles basin, with addendum: An application of the concepts of the Los Angeles residential environment study to the Ontario-Upland region of California

    NASA Technical Reports Server (NTRS)

    Mullens, R. H., Jr.; Senger, L. W.

    1969-01-01

    Aerial photographs taken with color infrared film were used to differentiate various types of residential areas in the Los Angeles basin, using characteristics of the physical environment which vary from one type of residential area to another. Residential areas of varying quality were classified based on these characteristics. Features of the physical environment, identifiable on CIR aerial photography were examined to determine which of these are the best indicators of quality of residential areas or social areas, as determined by the socioeconomic characteristics of the inhabitants of the selected areas. Association between several physical features and the socioeconomic variables was found to exist.

  13. Socioeconomic gradients in general and oral health of primary school children in Shiraz, Iran

    PubMed Central

    Golkari, Ali; Sabokseir, Aira; Sheiham, Aubrey; Watt, Richard G.

    2016-01-01

    Background: Health status is largely determined by socio-economic status. The general health of individuals at higher social hierarchy is better than people in lower levels. Likewise, people with higher socio-economic status have better oral health than lower socio-economic groups. There has not been much work regarding the influence of socio-economic status on the health conditions of children in developing countries, particularly in Iran. The aim of this study was to compare the oral and general health conditions of primary school children of three different socio-economic areas in the city of Shiraz, Iran. Methods: This cross-sectional study was conducted on 335, 8- to 11-year-old primary schoolchildren in Shiraz. The children were selected by a three-stage cluster sampling method from three socio-economically different areas. Tools and methods used by the United Kingdom’s Medical Research Council were used to obtain anthropometric variables as indicators of general health. The Decay, Missing, Filled Teeth (DMFT) Index for permanent teeth, dmft Index for primary teeth, the Modified Developmental Defects of Enamel (DDE) Index, the Gingival Index (GI) and the Debris Index-Simplified (DI-S) were used for oral health assessment.  Results: Height (P<0.001), weight (P<0.001), and BMI (P=0.001) significantly increased as the socio-economic status of area increased. GI score (P<0.001), DI-S score (P<0.001), number of permanent teeth with DDE (P=0.008), and number of DDE lesions in permanent teeth (P=0.008) significantly decreased as the socio-economic status of area increased. Discussion: Findings of this study generally confirmed that social gradients exist in both general and oral health status of the primary schoolchildren of Shiraz. The influence of socio-economic status on health condition means children have different life chances based on their socio-economic conditions. These findings emphasize the significance of interventions for tackling socio-economic

  14. Socioeconomic Disparities and Prevalence of Autism Spectrum Disorders and Intellectual Disability

    PubMed Central

    Delobel-Ayoub, Malika; Ehlinger, Virginie; Klapouszczak, Dana; Maffre, Thierry; Raynaud, Jean-Philippe; Delpierre, Cyrille; Arnaud, Catherine

    2015-01-01

    Background and Objectives Study of the impact of socioeconomic status on autism spectrum disorders (ASD) and severe intellectual disabilities (ID) has yielded conflicting results. Recent European studies suggested that, unlike reports from the United States, low socioeconomic status is associated with an increased risk of ASD. For intellectual disabilities, the links with socioeconomic status vary according to the severity. We wished to clarify the links between socioeconomic status and the prevalence of ASD (with or without ID) and isolated severe ID. Methods 500 children with ASD and 245 children with severe ID (IQ <50) aged 8 years, born 1995 to 2004, were recruited from a French population-based registry. Inclusions were based on clinical diagnoses reported in medical records according to the International Classification of Diseases, 10th Revision. Socioeconomic status was measured by indicators available at block census level which characterize the population of the child’s area of residence. Measures of deprivation, employment, occupation, education, immigration and family structure were used. Prevalences were compared between groups of census units defined by the tertiles of socioeconomic level in the general population. Results Prevalence of ASD with associated ID was higher in areas with the highest level of deprivation and the highest percentage of unemployed adults, persons with no diploma, immigrants and single-parent families. No association was found when using occupational class. Regarding ASD without associated ID, a higher prevalence was found in areas with the highest percentage of immigrants. No association was found for other socioeconomic indicators. The prevalence of isolated severe ID was likely to be higher in the most disadvantaged groups defined by all indicators. Conclusion The prevalence of ASD with associated ID and of severe isolated ID is more likely to be higher in areas with the highest level of deprivation. PMID:26540408

  15. The Effect of Price and Socio-Economic Level on the Consumption of Sugar-Sweetened Beverages (SSB): The Case of Ecuador.

    PubMed

    Paraje, Guillermo

    2016-01-01

    The objective of this article is to estimate the own-price, cross-price and income elasticities of demand for SSB in Ecuador, as an indispensable step for predicting a reduction in the consumption of said beverages caused by the potential implementation of taxes in Ecuador. In addition, the own-price, cross-price and income elasticities of sugar-free substitutes like mineral water and diet soft drinks and juices are also estimated. The data from the 2011-2012 ENIGHUR, which contains detailed information on household consumption and socioeconomic variables, was used. The estimates are done using Deaton's Almost Ideal Demand System (AIDS) which accounts for differences in the quality of goods purchased. This demand system is estimated for different socio-economic groups, according to total household expenditure. The results reveal own-price elasticities for SSB between -1.17 and -1.33 depending on the socio-economic group, in line with the existing evidence for developed countries. Own-price elasticity for non-SSB is between -1 and -1.24. Income elasticities reveal that both SSB and non-SSB are normal goods with elasticities decreasing for higher socio-economic groups. These results show that the consumption of SSB is sensitive to price changes, meaning that the implementation of taxes on said beverages could be effective in reducing their consumption. The fact that non-SSB are also sensitive to price changes would indicate that subsidies could be implemented for the production of some of them. PMID:27028608

  16. The Effect of Price and Socio-Economic Level on the Consumption of Sugar-Sweetened Beverages (SSB): The Case of Ecuador

    PubMed Central

    Paraje, Guillermo

    2016-01-01

    The objective of this article is to estimate the own-price, cross-price and income elasticities of demand for SSB in Ecuador, as an indispensable step for predicting a reduction in the consumption of said beverages caused by the potential implementation of taxes in Ecuador. In addition, the own-price, cross-price and income elasticities of sugar-free substitutes like mineral water and diet soft drinks and juices are also estimated. The data from the 2011–2012 ENIGHUR, which contains detailed information on household consumption and socioeconomic variables, was used. The estimates are done using Deaton’s Almost Ideal Demand System (AIDS) which accounts for differences in the quality of goods purchased. This demand system is estimated for different socio-economic groups, according to total household expenditure. The results reveal own-price elasticities for SSB between –1.17 and –1.33 depending on the socio-economic group, in line with the existing evidence for developed countries. Own-price elasticity for non-SSB is between -1 and -1.24. Income elasticities reveal that both SSB and non-SSB are normal goods with elasticities decreasing for higher socio-economic groups. These results show that the consumption of SSB is sensitive to price changes, meaning that the implementation of taxes on said beverages could be effective in reducing their consumption. The fact that non-SSB are also sensitive to price changes would indicate that subsidies could be implemented for the production of some of them. PMID:27028608

  17. TILTING TABLE AREA, PDP ROOM, LEVEL +27’, LOOKING NORTHWEST. TILTING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    TILTING TABLE AREA, PDP ROOM, LEVEL +27’, LOOKING NORTHWEST. TILTING TABLE MARKED BY WHITE ELECTRICAL CORD IN LOWER LEFT CENTER - Physics Assembly Laboratory, Area A/M, Savannah River Site, Aiken, Aiken County, SC

  18. TILTING TABLE AREA, PDP ROOM, LEVEL +27’, LOOKING SOUTHWEST, SHOWING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    TILTING TABLE AREA, PDP ROOM, LEVEL +27’, LOOKING SOUTHWEST, SHOWING TILTING TABLE, MARKED BY WHITE ELECTRICAL CORD - Physics Assembly Laboratory, Area A/M, Savannah River Site, Aiken, Aiken County, SC

  19. Use of Mosquito Preventive Measures Is Associated with Increased RBC CR1 Levels in a Malaria Holoendemic Area of Western Kenya

    PubMed Central

    King, Christine; Du, Ping; Otieno, Walter; Stoute, José A.

    2015-01-01

    Malaria is responsible for close to 1 million deaths each year, mostly among African children. Red blood cells (RBCs) of children with severe malarial anemia show loss of complement regulatory proteins such as complement receptor 1 (CR1). We carried out this study to identify socio-economic, environmental, and biological factors associated with the loss of RBC CR1. A cross-sectional study was conducted in a malaria holoendemic area of western Kenya. Twelve socioeconomic, environmental, and biological factors were examined for a relationship with RBC CR1 level using bivariate linear regression followed by creation of a multivariate linear regression model. A significant positive relationship between RBC CR1 level and use of mosquito countermeasures was found. However, there was no evidence of a significant relationship between RBC CR1 level and malaria infection or parasitemia level. Reducing mosquito exposure may aid in the prevention of severe malarial anemia by reducing the number of infections and thus preserving RBC CR1. PMID:25385855

  20. The Impact of the Parcel-Level Land Architecture on Land Surface Temperature in the Phoenix Metropolitan Area

    NASA Astrophysics Data System (ADS)

    LI, X.; Ouyang, Y.; Turner, B. L., II; Harlan, S.; Brazel, A.

    2014-12-01

    The relationship between land surface temperature (LST) and characteristics of the urban land system has received increasing attention in urban heat island research, especially for desert cities. The relationship between the land composition and LST has been widely studied. Such researches generally employ medium or coarser spatial resolution remotely sensed data and primarily focuses on the effects of one land cover type on the LST. In this study, we explore the effects of land system architecture - composition and configuration of different land-cover classes - on LST in the central Arizona-Phoenix metropolitan area at a fine-scale resolution, focused on the composition and configuration of single family residential parcels. A 1 m resolution land-cover map is used to calculate landscape metrics at the parcel level, and 6.8 m resolution data from the MODIS/ASTER are employed to retrieve LST. We introduce the socio-economic factors at neighborhood level as explanatory variables to help control for potential neighborhood effects. Multiple linear regression models examine the effects of landscape configuration on LST at the parcel scale, controlling for the effects of landscape composition and neighborhood characteristics. Results show that the configuration of parcels affects LST, revealing significant variable relationships between that architecture and LST at nighttime and daytime, and the role of the neighborhood effects on the outcomes.

  1. Who Can Afford Health Care? Evaluating the Socio-Economic Conditions and the Ability to Contribute to Health Care in a Post-Conflict Area in DR Congo

    PubMed Central

    Gerstl, Sibylle; Sauter, Justin; Kasanda, Joseph; Kinzelbach, Alfred

    2013-01-01

    Introduction The Democratic Republic of the Congo is today one of the poorest countries in the world; the health status of the population ranks among the worst in Sub-Saharan Africa. Public health services charge user fees and drug prices. Since 2008, north-eastern Congo is facing a guerrilla war. Malteser International is assisting with free health care for internally displaced persons as well as the general population. Before the incursion the health system was based on user fees. The aim of this study was to determine the socio-economic conditions of the population and to assess their ability to contribute to health care. Methodology Heads of 552 randomly selected households in 23 clusters in two health zones were interviewed using a standardised questionnaire. Findings The demographic description and socio-economic conditions of the study population were homogenous. Major source of income was agriculture (57%); 47% of the households earned less than US$ 5.5/week. Ninety-two percent of the interviewed households estimated that they would be able to contribute to consultation fees (maximum amount of US$ 0.27) and 79% to the drug prices (maximum amount of US$ 1.10). Six percent opted for free consultations and 19% for free drugs. Conclusions Living conditions were very basic; the estimated income of the study population was low. Almost half of the population perceived their current living situation as fairly good/good. More than 90% of the study population estimated to be able to contribute to consultation fees and 80% to drug prices. As a result Malteser International suggested introducing flat-rates for health care services. Once the project ends, the population will have to pay again for their health service. One solution would be the introduction of a health care financing system with the goal to reach universal coverage to health care. PMID:24204819

  2. Feeding practices of young children aged 12-23 months in different socio-economic settings: a study from an urban area of Indonesia.

    PubMed

    Santika, Otte; Februhartanty, Judhiastuty; Ariawan, Iwan

    2016-07-01

    Poor feeding practices among young children lead to malnutrition, and the poor are at a greater risk than the better off groups. Child-feeding practices in various socio-economic strata, especially in urban settings, have not yet been well studied in Indonesia. This study aims to explore the feeding practices of 12-23 months old children from different socio-economic status (SES) groups. A cross-sectional survey was conducted, which included low (n 207), medium-high (n 205), medium-low (n 208) and high SES households (n 194) in forty-three villages within thirty-three sub-districts of Bandung city. Two non-consecutive 24 h recall and eight core indicators of child-feeding practices were assessed through interviews. The results showed that children from the high SES group were more likely to be exclusively breast-fed and to continue breast-feeding up to 1 year of age, met minimum dietary diversity and minimum acceptable diet, and also consumed Fe-rich or Fe-fortified foods. In contrast, children from low SES consumed more energy-rich food (grain) but fewer foods from the other food groups. Consumption of major nutrients differed across the SES groups. Inadequate nutrition was higher among children from the lower SES groups. Fortified foods were consumed by a larger proportion of children from the high SES group and contributed considerably to their overall nutrient intake. This study shows that young children's feeding practices were not adequate, most notably among the low SES households. However, after adjusting with potential confounders, there was not enough evidence to conclude SES as a risk factor for feeding practice. PMID:26388172

  3. Institutional and socioeconomic aspects of water supply

    NASA Astrophysics Data System (ADS)

    Rauchenschwandtner, H.; Pachel, M.

    2012-04-01

    Institutional and socioeconomic aspects of water supply Within the project CC-WaterS the participating researchers of the Vienna University of Economics and B.A. have been responsible for the analysis of the socioeconomic aspects related to water supply and climate change, the assessment of future water demands in the City of Vienna, as well as an estimation of economic consequences of possible water shortages and possible scope for the introduction of new legal guidelines. The institutional and socioeconomic dimensions of drinking water and sanitation systems are being examined by utilisation of different prognostic scenarios in order to assess future costs of water provisioning and future demands of main water users, thus providing an information basis and recommendations for policy and decision makers in the water sector. These dimensions, for example, include EU legislation - especially the Water Framework Directive -, national legislations and strategies targeted at achieving sustainability in water usage, best practices and different forms of regulating water markets, and an analysis of the implications of demographic change. As a basis this task encompasses research of given institutional, social, and legal-political structures in the area of water supply. In this course we provide an analysis of the structural characteristics of water markets, the role of water prices, the increasing perception of water as an economic good as well as implications thereof, the public awareness in regard to climate change and water resources, as well as related legal aspects and involved actors from regional to international level; and show how water resources and the different systems of water provisioning are affected by (ideological) conflicts on various levels. Furthermore, and in order to provide a solid basis for management recommendations related to climate change and water supply, an analytical risk-assessment framework based on the concepts of new institutional

  4. Interventions for physical activity promotion applied to the primary healthcare settings for people living in regions of low socioeconomic level: study protocol for a non-randomized controlled trial

    PubMed Central

    2014-01-01

    Background Regular physical activity practice has been widely recommended for promoting health, but the physical activity levels remain low in the population. Therefore, the study of interventions to promote physical activity is essential. Objective: To present the methodology of two physical activity interventions from the “Ambiente Ativo” (“Active Environment”) project. Methods 12-month non-randomized controlled intervention trial. 157 healthy and physically inactive individuals were selected: health education (n = 54) supervised exercise (n = 54) and control (n = 49). Intervention based on health education: a multidisciplinary team of health professionals organized the intervention in group discussions, phone calls, SMS and educational material. Intervention based on supervised exercise program: consisted of offering an exercise program in groups supervised by physical education professionals involving strength, endurance and flexibility exercises. The physical activity level was assessed by the International Physical Activity Questionnaire (long version), physical activities recalls, pedometers and accelerometers over a seven-day period. Result This study described two different proposals for promoting physical activity that were applied to adults attended through the public healthcare settings. The participants were living in a region of low socioeconomic level, while respecting the characteristics and organization of the system and its professionals, and also adapting the interventions to the realities of the individuals attended. Conclusion Both interventions are applicable in regions of low socioeconomic level, while respecting the social and economic characteristics of each region. Trial registration ClinicalTrials.gov NCT01852981 PMID:24624930

  5. Socioeconomic Status and the Allocation of Government Resources in Australia: How Well Do Geographic Measures Perform?

    ERIC Educational Resources Information Center

    Lim, Patrick; Gemici, Sinan; Rice, John; Karmel, Tom

    2011-01-01

    Purpose: The aim of this paper is to compare the performance of area-based vs individual-level measures of socioeconomic status (SES). Design/methodology/approach: Using data from the longitudinal surveys of Australian youth (LSAY), a multidimensional measure of individual SES is created. This individual measure is used to benchmark the relative…

  6. How socio-economic status contributes to participation in leisure-time physical activity

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The aim of this cross-sectional study was to identify individual, social, and environmental contributors (mediators) to individual- and area-level differences in leisure-time physical activity across socio-economic groups. A two-stage stratified sampling design was used to recruit 20– to 65-year-old...

  7. Exploring walking differences by socioeconomic status using a spatial agent-based model

    PubMed Central

    Yang, Yong; Diez Roux, Ana V.; Auchincloss, Amy H.; Rodriguez, Daniel A.; Brown, Daniel G.

    2012-01-01

    We use an exploratory agent-based model of adults’ walking behavior within a city to examine the possible impact of interventions on socioeconomic differences in walking. Simulated results show that for persons of low socioeconomic status, increases in walking resulting from increases in their positive attitude towards walking may diminish over time if other features of the environment are not conducive to walking. Similarly, improving the safety level for the lower SES neighborhoods may be effective in increasing walking, however, the magnitude of its effectiveness varies by levels of land use mix, such that effects of safety are greatest when persons live in areas with a large mix of uses. PMID:22243911

  8. Exploring walking differences by socioeconomic status using a spatial agent-based model.

    PubMed

    Yang, Yong; Diez Roux, Ana V; Auchincloss, Amy H; Rodriguez, Daniel A; Brown, Daniel G

    2012-01-01

    We use an exploratory agent-based model of adults' walking behavior within a city to examine the possible impact of interventions on socioeconomic differences in walking. Simulated results show that for persons of low socioeconomic status, increases in walking resulting from increases in their positive attitude towards walking may diminish over time if other features of the environment are not conducive to walking. Similarly, improving the safety level for the lower SES neighborhoods may be effective in increasing walking, however, the magnitude of its effectiveness varies by levels of land use mix, such that effects of safety are greatest when persons live in areas with a large mix of uses. PMID:22243911

  9. Development of the Oxford Hills Healthy Moms Project using a social marketing process: a community-based physical activity and nutrition intervention for low-socioeconomic-status mothers in a rural area in Maine.

    PubMed

    Dharod, Jigna M; Drewette-Card, Rebecca; Crawford, David

    2011-03-01

    A physical activity and nutrition community intervention called the Oxford Hills Healthy Moms (OHHM) Project was developed using a multifaceted social marketing process, including review of state surveillance results, key informant interviews, and a survey and focus group discussions with low-socioeconomic-status (low-SES) mothers. This formative work was used to make key decisions on the selection of the intervention region, segmentation of the audience, and design of intervention strategies addressing multiple levels of the socioecological model. The OHHM Project aims to increase fruit and vegetable consumption and physical activity levels among low-SES mothers in the Oxford Hills region of Maine. The OHHM Project includes five components: (a) physical activity buddy program, (b) cooking club with education, (c) fruit and vegetable discount buying club with education, (d) increased access to produce vendors, and (e) increased access to places for physical activity. PMID:20660151

  10. Determination of the optimal level for combining area and yield estimates

    NASA Technical Reports Server (NTRS)

    Bauer, M. E. (Principal Investigator); Hixson, M. M.; Jobusch, C. D.

    1981-01-01

    Several levels of obtaining both area and yield estimates of corn and soybeans in Iowa were considered: county, refined strata, refined/split strata, crop reporting district, and state. Using the CCEA model form and smoothed weather data, regression coefficients at each level were derived to compute yield and its variance. Variances were also computed with stratum level. The variance of the yield estimates was largest at the state and smallest at the county level for both crops. The refined strata had somewhat larger variances than those associated with the refined/split strata and CRD. For production estimates, the difference in standard deviations among levels was not large for corn, but for soybeans the standard deviation at the state level was more than 50% greater than for the other levels. The refined strata had the smallest standard deviations. The county level was not considered in evaluation of production estimates due to lack of county area variances.

  11. Socioeconomic Status During Lifetime and Cognitive Impairment No-Dementia in Late Life: The Population-Based Aging in the Chianti Area (InCHIANTI) Study

    PubMed Central

    Marengoni, Alessandra; Fratiglioni, Laura; Bandinelli, Stefania; Ferrucci, Luigi

    2016-01-01

    Thousand and twelve dementia-free elderly (60–98 years old) enrolled in the In Chianti Study (Italy) were evaluated at baseline (1998–2000) and at 3-year follow-up (2001–2003) with the aim of analyzing the association of lifetime socioeconomic status (SES) with prevalent and incident cognitive impairment no-dementia (CIND). SES was defined from information on formal education, longest held occupation, and financial conditions through life. CIND was defined as age-adjusted Mini-Mental State Examination score one standard deviation below the baseline mean score of participants without dementia. Logistic regression and Cox proportional-hazards models were used to estimate the association of SES with CIND. Demographics, occupation characteristics (i.e., job stress and physical demand), cardiovascular diseases, diabetes, apolipoprotein E (APOE) genotype, smoking, alcohol consumption, depressive symptoms, and C-reactive protein were considered potential confounders. Prevalence of CIND was 17.7%. In the fully adjusted model, low education (OR = 2.1; 95% confidence intervals, CI = 1.4 to 3.2) was associated with prevalent CIND. Incidence rate of CIND was 66.0 per 1000 person-years. Low education (HR = 1.7; 95% CI = 1.04 to 2.6) and manual occupation (HR = 1.9; 95% CI =1.0 to 3.6) were associated with incident CIND. Among covariates, high job-related physical demand was associated with both prevalent and incident CIND (OR = 1.6; 95% CI = 1.1 to 2.4 and HR = 1.5; 95% CI = 1.0 to 2.3). After stratification for education, manual occupation was still associated with CIND among participants with high education (HR = 2.2; 95% CI = 1.2 to 4.3 versus HR = 1.4; 95% CI = 0.2 to 10.4 among those with low education). Proxy markers of lifetime SES (low education, manual occupation and high physical demand) are cross-sectional correlates of CIND and predict incident CIND over a three-year follow-up. PMID:21297261

  12. Impact of socioeconomic status on municipal solid waste generation rate.

    PubMed

    Khan, D; Kumar, A; Samadder, S R

    2016-03-01

    The solid waste generation rate was expected to vary in different socioeconomic groups due to many environmental and social factors. This paper reports the assessment of solid waste generation based on different socioeconomic parameters like education, occupation, income of the family, number of family members etc. A questionnaire survey was conducted in the study area to identify the different socioeconomic groups that may affect the solid waste generation rate and composition. The average waste generated in the municipality is 0.41 kg/capita/day in which the maximum waste was found to be generated by lower middle socioeconomic group (LMSEG) with average waste generation of 0.46 kg/capita/day. Waste characterization indicated that there was no much difference in the composition of wastes among different socioeconomic groups except ash residue and plastic. Ash residue is found to increase as we move lower down the socioeconomic groups with maximum (31%) in lower socioeconomic group (LSEG). The study area is a coal based city hence application of coal and wood as fuel for cooking in the lower socioeconomic group is the reason for high amount of ash content. Plastic waste is maximum (15%) in higher socioeconomic group (HSEG) and minimum (1%) in LSEG. Food waste is a major component of generated waste in almost every socioeconomic group with maximum (38%) in case of HSEG and minimum (28%) in LSEG. This study provides new insights on the role of various socioeconomic parameters on generation of household wastes. PMID:26831564

  13. Assessing baseline levels of coral health in a newly established marine protected area in a global scuba diving hotspot.

    PubMed

    Hein, Margaux Y; Lamb, Joleah B; Scott, Chad; Willis, Bette L

    2015-02-01

    While coral reefs are increasingly threatened worldwide, they are also increasingly used for recreational activities. Given the environmental and socio-economic significance of coral reefs, understanding the links between human activities and coral health and evaluating the efficacy of marine protected areas (MPAs) as a management regime to prevent further deterioration are critically important. The aim of this study was to quantify indicators of coral health at sites inside and outside a newly rezoned MPA framework in the dive tourism hotspot of Koh Tao, Thailand. We found that patterns in the health and diversity of coral communities one year on did not reflect the protected status conferred by newly zoned MPAs, but instead reflected past history of recreational use around the island. Sites characterised as past high-use sites had lower mean percent cover of hard corals overall and of corals in the typically disease- and disturbance-susceptible family Acroporidae, but higher mean cover of species in the more weedy family Agariciidae. Past high use sites also had higher mean prevalence of infectious diseases and other indicators of compromised health. Sites within the newly established MPAs are currently subjected to higher levels of environmental and anthropogenic pressures, with sedimentation, algal overgrowth, feeding scars from Drupella snails, and breakage particularly prevalent compared to sites in non-MPA areas. Given the greater prevalence of these factors within protected sites, the capacity of the MPA framework to effectively prevent further deterioration of Koh Tao's reefs is unclear. Nevertheless, our study constitutes a strong baseline for future long-term evaluations of the potential of MPAs to maintain coral health and diversity on highly threatened reefs. PMID:25460062

  14. Assessment of heavy metal levels in surface sediments of estuaries and adjacent coastal areas in China

    NASA Astrophysics Data System (ADS)

    Liu, Xianbin; Li, Deliang; Song, Guisheng

    2016-05-01

    This article investigates the variations of contamination levels of heavy metals such as copper, lead, chromium, cadmium, zinc, arsenic, and mercury over time in surface sediments of the Changjiang River Estuary (CRE), Yellow River Estuary (YRE), Pearl River Estuary (PRE), and their adjacent coastal areas in China. The contamination factor (CF), pollution load index (PLI), and geoaccumulation index (I geo) are used to evaluate the quality of the surface sediments in the study areas. The results showed that the CRE, YRE, and their adjacent coastal areas were at a low risk of contamination in terms of heavy metals, while the PRE and its adjacent coastal area were at a moderate level. By comparison, the concentrations of heavy metals in the surface sediments of the YRE and its adjacent coastal area were relatively lower than those in the CRE, PRE, and their adjacent coastal areas.

  15. Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA.

    PubMed

    Sloan, Chantel; Chandrasekhar, Rameela; Mitchel, Edward; Schaffner, William; Lindegren, Mary Lou

    2015-09-01

    We examined population-based surveillance data from the Tennessee Emerging Infections Program to determine whether neighborhood socioeconomic status was associated with influenza hospitalization rates. Hospitalization data collected during October 2007-April 2014 were geocoded (N = 1,743) and linked to neighborhood socioeconomic data. We calculated age-standardized annual incidence rates, relative index of inequality, and concentration curves for socioeconomic variables. Influenza hospitalizations increased with increased percentages of persons who lived in poverty, had female-headed households, lived in crowded households, and lived in population-dense areas. Influenza hospitalizations decreased with increased percentages of persons who were college educated, were employed, and had health insurance. Higher incidence of influenza hospitalization was also associated with lower neighborhood socioeconomic status when data were stratified by race. PMID:26292106

  16. Socioeconomic Disparities and Influenza Hospitalizations, Tennessee, USA

    PubMed Central

    Sloan, Chantel; Chandrasekhar, Rameela; Mitchel, Edward; Schaffner, William

    2015-01-01

    We examined population-based surveillance data from the Tennessee Emerging Infections Program to determine whether neighborhood socioeconomic status was associated with influenza hospitalization rates. Hospitalization data collected during October 2007–April 2014 were geocoded (N = 1,743) and linked to neighborhood socioeconomic data. We calculated age-standardized annual incidence rates, relative index of inequality, and concentration curves for socioeconomic variables. Influenza hospitalizations increased with increased percentages of persons who lived in poverty, had female-headed households, lived in crowded households, and lived in population-dense areas. Influenza hospitalizations decreased with increased percentages of persons who were college educated, were employed, and had health insurance. Higher incidence of influenza hospitalization was also associated with lower neighborhood socioeconomic status when data were stratified by race. PMID:26292106

  17. Evaluating Secondary School Students' Levels of Five Mind Areas in Terms of Variables

    ERIC Educational Resources Information Center

    Gelen, Ismail

    2015-01-01

    Gardner's "Five Minds for the Future" approach is focused on disciplined, synthesizing, creative, respectful, and ethical minds. Based on this approach, the purpose of this research is to determine senior secondary school students' levels of five mind areas, and investigate the relationship between these mind areas and the…

  18. A Pilot Socioeconomic Survey of the Impact Area of Energy-Related Industries Proposed for Monongalia County, West Virginia. Circular 118.

    ERIC Educational Resources Information Center

    Stout-Wiegand, Nancy; And Others

    The major objective of this pilot survey was to pretest questions for use in the development and design of a larger, more definitive survey of residents of rural communities in Appalachia, planned for the spring of 1981, and to obtain preliminary descriptive data about the area's residents. Telephone interviews covered respondents' family…

  19. The development and optimisation of a primary care-based whole system complex intervention (CARE Plus) for patients with multimorbidity living in areas of high socioeconomic deprivation

    PubMed Central

    O'Brien, Rosaleen; Fitzpatrick, Bridie; Higgins, Maria; Guthrie, Bruce; Watt, Graham; Wyke, Sally

    2016-01-01

    Objectives To develop and optimise a primary care-based complex intervention (CARE Plus) to enhance the quality of life of patients with multimorbidity in the deprived areas. Methods Six co-design discussion groups involving 32 participants were held separately with multimorbid patients from the deprived areas, voluntary organisations, general practitioners and practice nurses working in the deprived areas. This was followed by piloting in two practices and further optimisation based on interviews with 11 general practitioners, 2 practice nurses and 6 participating multimorbid patients. Results Participants endorsed the need for longer consultations, relational continuity and a holistic approach. All felt that training and support of the health care staff was important. Most participants welcomed the idea of additional self-management support, though some practitioners were dubious about whether patients would use it. The pilot study led to changes including a revised care plan, the inclusion of mindfulness-based stress reduction techniques in the support of practitioners and patients, and the stream-lining of the written self-management support material for patients. Discussion We have co-designed and optimised an augmented primary care intervention involving a whole-system approach to enhance quality of life in multimorbid patients living in the deprived areas. CARE Plus will next be tested in a phase 2 cluster randomised controlled trial. PMID:27068113

  20. Vulnerability of the Nile Delta coastal areas to inundation by sea level rise.

    PubMed

    Hassaan, M A; Abdrabo, M A

    2013-08-01

    Sea level changes are typically caused by several natural phenomena, including ocean thermal expansion, glacial melt from Greenland and Antarctica. Global average sea level is expected to rise, through the twenty-first century, according to the IPCC projections by between 0.18 and 0.59 cm. Such a rise in sea level will significantly impact coastal area of the Nile Delta, consisting generally of lowland and is densely populated areas and accommodates significant proportion of Egypt's economic activities and built-up areas. The Nile Delta has been examined in several previous studies, which worked under various hypothetical sea level rise (SLR) scenarios and provided different estimates of areas susceptible to inundation due to SLR. The paper intends, in this respect, to identify areas, as well as land use/land cover, susceptible to inundation by SLR based upon most recent scenarios of SLR, by the year 2100 using GIS. The results indicate that about 22.49, 42.18, and 49.22 % of the total area of coastal governorates of the Nile Delta would be susceptible to inundation under different scenarios of SLR. Also, it was found that 15.56 % of the total areas of the Nile Delta that would be vulnerable to inundation due to land subsidence only, even in the absence of any rise in sea level. Moreover, it was found that a considerable proportion of these areas (ranging between 32.32 and 53.66 %) are currently either wetland or undeveloped areas. Furthermore, natural and/or man-made structures, such as the banks of the International Coastal Highway, were found to provide unintended protection to some of these areas. This suggests that the inundation impact of SLR on the Nile Delta is less than previously reported. PMID:23271694

  1. A survey for elevated levels of uranium north of the 300 Area on the Hanford Site

    SciTech Connect

    Poston, T.M.

    1990-04-01

    A comprehensive survey of soil uranium (U) concentrations in a study area due north of the 300 Area on the Hanford site has been conducted by Pacific Northwest Laboratory (PNL). The objective of the study was to determine the spatial distribution of uranium in the study area and to ascertain if background levels of uranium have been increased by Hanford operations. Based on the spatial distribution of {sup 238}U, the highest concentrations of uranium are located in the southern portion of the study area adjacent to the 300 Area complex and in the most eastern zone of the study site bordering the Columbia River. Uranium-236, an isotopic marker of fuel processing activities in the 300 Area, was detected in all eight samples selected from the study. A significant and positive regression was demonstrated between the ratios of {sup 236}U/{sup 238}U in these eight samples and proximity to the 300 Area. 9 refs., 18 figs., 9 tabs.

  2. Inequalities in US Life Expectancy by Area Unemployment Level, 1990-2010.

    PubMed

    Singh, Gopal K; Siahpush, Mohammad

    2016-01-01

    This study examined the association between unemployment and life expectancy in the United States during 1990-2010. Census-based unemployment rates were linked to US county-level mortality data. Life expectancies were calculated by age, sex, race, and unemployment level during 1990-2010. Differences in life expectancy were decomposed by age and cause of death. Life expectancy was consistently lower in areas with higher unemployment rates. In 2006-2010, those in areas with high unemployment rates (≥9%) had a life expectancy of 76.9 years, compared with 80.7 years for those in areas with low unemployment rates (<3%). The association between unemployment and life expectancy was stronger for men than for women. Life expectancy ranged from 69.9 years among black men in high unemployment areas to 90.0 years among Asian/Pacific Islander women in low unemployment areas. Disparities persisted over time. In 1990-1992, life expectancy was 4.7 years shorter in high unemployment than in low unemployment areas. In 2006-2010, the life expectancy difference between the lowest and highest unemployment areas decreased to 3.8 years. Heart disease, cancer, homicide, unintentional injuries, diabetes, HIV/AIDS, and liver cirrhosis contributed most to the lower life expectancy in high unemployment areas. High unemployment areas recorded larger gains in life expectancy than low unemployment areas, contributing to the narrowing gap during 1990-2010. PMID:27073716

  3. Inequalities in US Life Expectancy by Area Unemployment Level, 1990–2010

    PubMed Central

    Singh, Gopal K.; Siahpush, Mohammad

    2016-01-01

    This study examined the association between unemployment and life expectancy in the United States during 1990–2010. Census-based unemployment rates were linked to US county-level mortality data. Life expectancies were calculated by age, sex, race, and unemployment level during 1990–2010. Differences in life expectancy were decomposed by age and cause of death. Life expectancy was consistently lower in areas with higher unemployment rates. In 2006–2010, those in areas with high unemployment rates (≥9%) had a life expectancy of 76.9 years, compared with 80.7 years for those in areas with low unemployment rates (<3%). The association between unemployment and life expectancy was stronger for men than for women. Life expectancy ranged from 69.9 years among black men in high unemployment areas to 90.0 years among Asian/Pacific Islander women in low unemployment areas. Disparities persisted over time. In 1990–1992, life expectancy was 4.7 years shorter in high unemployment than in low unemployment areas. In 2006–2010, the life expectancy difference between the lowest and highest unemployment areas decreased to 3.8 years. Heart disease, cancer, homicide, unintentional injuries, diabetes, HIV/AIDS, and liver cirrhosis contributed most to the lower life expectancy in high unemployment areas. High unemployment areas recorded larger gains in life expectancy than low unemployment areas, contributing to the narrowing gap during 1990–2010. PMID:27073716

  4. Coastal vulnerability assessment with the use of environmental and socio-economic indicators

    NASA Astrophysics Data System (ADS)

    Alexandrakis, George; Petrakis, Stelios; Vousdoukas, Mixalis; Ghionis, George; Hatziyanni, Eleni; Kampanis, Nikolaos

    2014-05-01

    Climate change has significant repercussions on the natural environment, triggering obvious changes in the natural processes that have a severe socio-economic impact on the coastal zone; where a great number of human activities are concentrated. So far, the estimation of coastal vulnerability was based primarily on the natural processes and less on socio-economic variables, which would assist in the identification of vulnerable areas. The present investigation proposes a methodology to examine the vulnerability of a highly touristic area in the Island of Crete to an expected sea level rise of up to ~40 cm by the year 2100, according to the A1B scenario of IPCC 2007. The methodology includes the combination of socio-economic indicators into a GIS-based coastal vulnerability index for wave-induced erosion. This approach includes three sub-indices that contribute equally to the overall index. The sub-indices refer to coastal forcing, socio-economic and coastal characteristics. All variables are ranked on a 1-5 scale with 5 indicating higher vulnerability. The socio-economic sub-index includes, as indicators, the population of the study area, cultural heritage sites, transport networks, land use and protection measures. The coastal forcing sub-index includes the frequency of extreme events, while the Coastal Vulnerability Index includes the geological variables (coastal geomorphology, historical coastline changes, and regional coastal slope) and the variables representing the marine processes (relative sea level rise, mean significant wave height, and tidal range). The main difficulty for the estimation of the index lies in assessing and ranking the socio-economic indicators. The whole approach was tested and validated through field and desktop studies, using as a case study the Elouda bay, Crete Isl., an area of high cultural and economic value, which combines monuments from ancient and medieval times, with a very high touristic development since the 1970s.

  5. Family Allowances and Fertility: Socioeconomic Differences

    PubMed Central

    SCHELLEKENS, JONA

    2009-01-01

    This article explores socioeconomic differences in the effect of family allowances on fertility. Although several studies have examined the relationship between cash benefits and fertility, few studies have addressed the possible differential effects of cash benefits on families of different income or education levels. I reconstructed the birth histories of women in the past two Israeli censuses of 1983 and 1995 to study socioeconomic differences in the effect of family allowances up to the seventh parity. The results indicate that family allowances have a significant effect at every parity. Using female education as an indicator of socioeconomic status, I find that socioeconomic status is a significant modifier of the effect of family allowances. Family allowances seem to have a relatively large impact on more-educated women. PMID:19771939

  6. Socioeconomic indicators that matter for population health.

    PubMed

    Lantz, Paula M; Pritchard, Andrew

    2010-07-01

    Increasing research and policy attention is being given to how the socioeconomic environment influences health. This article discusses potential indicators or metrics regarding the socioeconomic environment that could play a role in an incentive-based system for population health. Given the state of the research regarding the influence of socioeconomic contextual variables on health outcomes, the state of data and metrics for these variables at the local level, and the potential for program and policy intervention, we recommend a set of metrics related to the socioeconomic composition of a community (including poverty, unemployment, and public assistance rates); educational attainment and achievement; racial segregation; and social-capital indicators such as density of voluntary organizations and voter turnout. These indicators reflect the evidence that population health gains depend on improvements in many of the fundamental social determinants of health, including meaningful employment, income security, educational opportunities, and engaged, active communities. PMID:20550832

  7. Air pollution critical levels in central México protected natural areas

    NASA Astrophysics Data System (ADS)

    Ruiz Suarez, L.; Andraca Ayala, G.; Mar Morales, B.; Garcia-reynoso, J.; Torres-JArdon, R.

    2013-05-01

    All the Natural Protected Areas (NPA) within the Central Mexico City Belt comprising five metropolitan areas including MCMA are under strong impact from air pollution. Ozone, nitrogen oxides and sulfur dioxide exceed critical levels for several types of vegetation. In this work we show the critical level maps for ozone, nitrogen oxides and sulfur dioxide for Sierra of Chichinautzin, the mountain that acts as the physical barrier to air pollution dispersion south of Mexico City Metropolitan Area, what makes of it a receptor area to MCMA pollution. Maps were made combining model outputs from WRF-Chem and passive samplers. We also describe a proposal to extend the observation network to all natural protected areas within the Central Mexico City Belt.

  8. Analytic solution and pulse area theorem for three-level atoms

    NASA Astrophysics Data System (ADS)

    Shchedrin, Gavriil; O'Brien, Chris; Rostovtsev, Yuri; Scully, Marlan O.

    2015-12-01

    We report an analytic solution for a three-level atom driven by arbitrary time-dependent electromagnetic pulses. In particular, we consider far-detuned driving pulses and show an excellent match between our analytic result and the numerical simulations. We use our solution to derive a pulse area theorem for three-level V and Λ systems without making the rotating wave approximation. Formulated as an energy conservation law, this pulse area theorem can be used to understand pulse propagation through three-level media.

  9. Ecological and physiological factors affecting brood patch area and prolactin levels in arctic-nesting geese

    USGS Publications Warehouse

    Jonsson, J.E.; Afton, A.D.; Alisauskas, R.T.; Bluhm, C.K.; El Halawani, M.E.

    2006-01-01

    We investigated effects of ecological and physiological factors on brood patch area and prolactin levels in free-ranging Lesser Snow Geese (Chen caerulescens caerulescens; hereafter "Snow Geese") and Ross's Geese (C. rossii). On the basis of the body-size hypothesis, we predicted that the relationships between prolactin levels, brood patch area, and body condition would be stronger in Ross's Geese than in the larger Snow Geese. We found that brood patch area was positively related to clutch volume and inversely related to prolactin levels in Ross's Geese, but not in Snow Geese. Nest size, nest habitat, and first egg date did not affect brood patch area in either species. Prolactin levels increased as incubation progressed in female Snow Geese, but this relationship was not significant in Ross's Geese. Prolactin levels and body condition (as indexed by size-adjusted body mass) were inversely related in Ross's Geese, but not in Snow Geese. Our findings are consistent with the prediction that relationships between prolactin levels, brood patch area, and body condition are relatively stronger in Ross's Geese, because they mobilize endogenous reserves at faster rates than Snow Geese. ?? The American Ornithologists' Union, 2006. Printed in USA.

  10. How structurally stable are global socioeconomic systems?

    PubMed Central

    Saavedra, Serguei; Rohr, Rudolf P.; Gilarranz, Luis J.; Bascompte, Jordi

    2014-01-01

    The stability analysis of socioeconomic systems has been centred on answering whether small perturbations when a system is in a given quantitative state will push the system permanently to a different quantitative state. However, typically the quantitative state of socioeconomic systems is subject to constant change. Therefore, a key stability question that has been under-investigated is how strongly the conditions of a system itself can change before the system moves to a qualitatively different behaviour, i.e. how structurally stable the systems is. Here, we introduce a framework to investigate the structural stability of socioeconomic systems formed by a network of interactions among agents competing for resources. We measure the structural stability of the system as the range of conditions in the distribution and availability of resources compatible with the qualitative behaviour in which all the constituent agents can be self-sustained across time. To illustrate our framework, we study an empirical representation of the global socioeconomic system formed by countries sharing and competing for multinational companies used as proxy for resources. We demonstrate that the structural stability of the system is inversely associated with the level of competition and the level of heterogeneity in the distribution of resources. Importantly, we show that the qualitative behaviour of the observed global socioeconomic system is highly sensitive to changes in the distribution of resources. We believe that this work provides a methodological basis to develop sustainable strategies for socioeconomic systems subject to constantly changing conditions. PMID:25165600

  11. Vulnerable assessment by sea level rise in San Francisco Bay Area

    NASA Astrophysics Data System (ADS)

    Yi, C. J.; Suzuki, T.; Itoigawa, E.; Park, R. S.

    2011-12-01

    The San Francisco South Bay Area in California is home to approximately seven million people that consist of nine counties and the prosperous core area of IT technology industry in the West Coast of America, well known as Silicon Valley. Sea level rising due to Global Warming is becoming the main issue in this area. Furthermore, the extreme weather events including flash flooding are observing more frequently. Urban infrastructures are faced vulnerable at risk of long-term flooding. Sea level rise by global warming in this area is estimated that it could rise by up to 16 inches (40 cm) by mid of this century and 55 inches (140 cm) by the end of this century. By the impact of 55 inches of sea level rise, there could be 62 billion dollars loss and 270,000 people could be faced at risk of flooding. Nevertheless, urban areas are expecting to extend approximately 5,063.71 km2 by 2020 and 6,098.20 km2 by year 2050. Thus, the land use legislation need to be discussed following that the 213,000 acres that could be vulnerable to flooding by the end of this century. Adaptation strategies should be considered from various aspects including policy, empirical observations and academic approaches. In this paper, for promoting further discussions, vulnerable areas and its characteristics by flooding is assessed and the finding potential urban growth areas for urban rezoning is implemented using Geographic Information System.

  12. Socio-economic effect on socially-deprived communities of developing drinking water quality problems in arid and semi-arid area of central Rajasthan

    NASA Astrophysics Data System (ADS)

    Husain, I.; Husain, J.; Arif, M.

    2014-09-01

    Rajasthan is well known for its Great Thar desert. Central Rajasthan has an arid to semi-arid environment. The area faces either scarcity of water or poor quality of drinking water. In some areas water is transported 2 km or more, which uses time, energy and money. Rich people have their own sources, which is restricted for use by others. Such conditions are affecting socially-deprived communities, both socially and economically. Groundwater is a major source of drinking water due to the unavailability of surface water. There is a lack of groundwater quality knowledge in the community and the data available is hard to understand by consumers. The CCME Water Quality Index is a tool to simplify the water quality report by rating the water on quality standards. It provides meaningful summaries of overall water quality and trends, which is accessible to non-technical lay people. In the present study the objective is to examine the groundwater quality of six districts (Ajmer, Bhilwara, Pali, Rajasamand, Nagaur and Jodhpur), centrally located in Rajasthan, with arid and semi-arid conditions. CCME WQI is also evaluated to produce quality data in a form to be understood by the community. A total of 4369 groundwater sources in 1680 villages from six districts (76 546 km2) were collected and examined. Results are outlined in the Bureau of Indian Standards (BIS: 10500, 2012) and 2952 sources are unsafe for drinking. According to CCME WQI groundwater of 93 villages is poor, 343 villages are marginal, and 369 villages are fair in quality. Toxicological studies of unsafe drinking water and their remedial measures are also discussed. A tentative correlation between prevailing water-borne diseases and quality parameter has also been shown

  13. Estimating Radiological Doses to Predators Foraging in a Low-Level Radioactive Waste Management Area

    SciTech Connect

    L.Soholt; G.Gonzales; P.Fresquez; K.Bennett; E.Lopez

    2003-03-01

    Since 1957, Los Alamos National Laboratory has operated Area G as its low-level, solid radioactive waste management and disposal area. Although the waste management area is developed, plants, small mammals, and avian and mammalian predators still occupy the less disturbed and revegetated portions of the land. For almost a decade, we have monitored the concentrations of selected radionuclides in soils, plants, and small mammals at Area G. The radionuclides tritium, plutonium-238, and plutonium-239 are regularly found at levels above regional background in all three media. Based on radionuclide concentrations in mice collected from 1994 to 1999, we calculated doses to higher trophic levels (owl, hawk, kestrel, and coyote) that forage on the waste management area. These predators play important functions in the regional ecosystems and are an important part of local Native American traditional tales that identify the uniqueness of their culture. The estimated doses are compared to Department of Energy's interim limit of 0.1 rad/day for the protection of terrestrial wildlife. We used exposure parameters that were derived from the literature for each receptor, including Environmental Protection Agency's exposure factors handbook. Estimated doses to predators ranged from 9E-06 to 2E-04 rad/day, assuming that they forage entirely on the waste management area. These doses are greater than those calculated for predators foraging exclusively in reference areas, but are still well below the interim dose limit. We believe that these calculated doses represent upper-bound estimates of exposure for local predators because the larger predators forage over areas that are much greater than the 63-acre waste management area. Based on these results, we concluded that predators foraging on this area do not face a hazard from radiological exposure under current site conditions.

  14. Landscape level analysis of disturbance regimes in protected areas of Rajasthan, India

    NASA Astrophysics Data System (ADS)

    Krishna, P. Hari; Reddy, C. Sudhakar; Singh, Randeep; Jha, C. S.

    2014-04-01

    There is an urgent need to identify the human influence on landscape as disturbance regimes was realized for prioritization of the protected areas. The present study has attempted to describe the landscape level assessment of fragmentation and disturbance index in protected areas of Rajasthan using remote sensing and GIS techniques. Geospatial analysis of disturbance regimes indicates 61.75% of the total PAs are under moderate disturbance index followed by 28.64% and 9.61% under low and high respectively. Among the 28 protected areas- National Chambal WLS, Jaisamand WLS, Kumbhalgarh WLS, Sawai Man Singh WLS, Kailadevi WLS and Bandh Baratha WLS are representing high level of disturbance. The present study has emphasized the moderate to low disturbance regimes in protected areas, which infer low biotic pressure and conservation effectiveness of PA network in Rajasthan. The spatial information generated on PAs is of valuable use for forest management and developing conservation strategies.

  15. Neighborhood Socioeconomic Status and Barriers to Peritoneal Dialysis: A Mixed Methods Study

    PubMed Central

    Perzynski, Adam T.; Austin, Peter C.; Wu, C. Fangyun; Lawless, Mary Ellen; Paterson, J. Michael; Quinn, Rob R.; Sehgal, Ashwini R.; Oliver, Matthew James

    2013-01-01

    Summary Background and objectives The objective of this study was to evaluate the association between neighborhood socioeconomic status and barriers to peritoneal dialysis eligibility and choice. Design, setting, participants, & measurements This study was a mixed methods parallel design study using quantitative and qualitative data from a prospective clinical database of ESRD patients. The eligibility and choice cohorts were assembled from consecutive incident chronic dialysis patients entering one of five renal programs in the province of Ontario, Canada, between January 1, 2004 and December 31, 2010. Socioeconomic status was measured as median household income and percentage of residents with at least a high school education using Statistics Canada dissemination area-level data. Multivariable models described the relationship between socioeconomic status and likelihood of peritoneal dialysis eligibility and choice. Barriers to peritoneal dialysis eligibility and choice were classified into qualitative categories using the thematic constant comparative approach. Results The peritoneal dialysis eligibility and choice cohorts had 1314 and 857 patients, respectively; 65% of patients were deemed eligible for peritoneal dialysis, and 46% of eligible patients chose peritoneal dialysis. Socioeconomic status was not a significant predictor of peritoneal dialysis eligibility or choice in this study. Qualitative analyses identified 16 barriers to peritoneal dialysis choice. Patients in lower- versus higher-income Statistics Canada dissemination areas cited built environment or space barriers to peritoneal dialysis (4.6% versus 2.7%) and family or social support barriers (8.3% versus 3.5%) more frequently. Conclusions Peritoneal dialysis eligibility and choice were not associated with socioeconomic status. However, socioeconomic status may influence specific barriers to peritoneal dialysis choice. Additional studies to determine the effect of targeting interventions to

  16. Socioeconomic Status and MMPI-2 Interpretation.

    ERIC Educational Resources Information Center

    Long, Kathleen A.; And Others

    1994-01-01

    Examined differences in Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scores between persons of differing educational levels and family income in the MMPI-2 normative sample to determine if MMPI-2 scores are differentially accurate in predicting relevant extra-test characteristics of persons of differing socioeconomic levels. MMPI-2…

  17. Holocene relative sea-level changes in the inner Bredefjord area, southern Greenland

    NASA Astrophysics Data System (ADS)

    Sparrenbom, Charlotte J.; Bennike, Ole; Fredh, Daniel; Randsalu-Wendrup, Linda; Zwartz, Dan; Ljung, Karl; Björck, Svante; Lambeck, Kurt

    2013-06-01

    In this paper we present new relative sea-level data from southern Greenland, a key area for understanding the Greenland Ice Sheet (GIS) response to climate change. Within fourteen lakes and marine lagoons from the inner part of Bredefjord (Nordre Sermilik) in southern Greenland, isolations revealed by stratigraphic and palaeoecological analyses are dated and relative sea levels reconstructed. Due to coastal emergence caused by the GIS retreat within the area, the relative sea-level fell rapidly in the early Holocene between at least c. 9600 and c. 7300 cal. yrs BP attaining a rate of 2 cm per year between 9600 and 8000 cal. yrs BP. Spatial variability in relative sea-level changes is show for southern Greenland from a comparison with the Nanortalik and the Qaqortoq areas. The regression occurred about 2000 years later in the inner Bredefjord area, compared to the Nanortalik area, and about 1000 years later compared to the Qaqortoq area. This is a consequence of earlier deglaciation in areas located at the outer coast. Between c. 8000 cal. yrs BP and the present day, relative sea level was lower than today. The lowest relative sea level in the Inner Bredefjord area of between -5.4 and -15 m a.h.a.t. (above highest astronomical tide) was reached between 7000 and 1000 cal. yrs BP. The neoglacial readvance together with the collapse of the Laurentide peripheral bulge is probably responsible for the transgression in the Inner Bredefjord area, as has been indicated from the nearby sites Qaqortoq and Nanortalik. Our relative sea-level reconstructions showing spatial variability within southern Greenland have implications for Glacial Isostatic Adjustment (GIA) modelling and the understanding of the GIS ice sheet dynamics. The early Holocene regression is consistent with the recession of the southern sector of the GIS from the shelf edge at c. 22 000 cal. yrs BP, reaching inland of the present day outer coast by c. 12 000 cal. yrs BP, and its present margin by c. 10 500

  18. PM Levels, Composition and Evolution in a Highly Industrialised Area. Objectives of Improvement

    NASA Astrophysics Data System (ADS)

    Minguillon, M. C.; Querol, X.; Alastuey, A.; Monfort, E.; Mantilla, E.; Miro, J. V.

    2007-05-01

    Evolution of levels and speciation of PM10 in the ceramic producing area of Castello (East Spain) was studied from April 2002 until December 2005. To this end, daily PM10 sampling was carried out at three urban sites and one suburban site of the area and chemical analyses were made in about 35 % of the samples. Average PM10 levels varied between 27-36 µg/m3 for the study period. The major constituent was mineral matter, exceeding by 5-12 µg/m3 the usual ranges of annual mineral loads in PM10 at similar Spanish urban or regional background sites with no industrial influence. Based on this comparison and on the efficiency of emission abatement techniques, a reduction target of 3-5 µgPM10/m3 of the annual mean seems to be achievable at the urban sites. Moreover, levels of Li, Sc, Co, Zn, As, Se, Rb, Zr, Cd, Cs, Ce, Tl and Pb were higher than the usual range of concentration in urban areas of Spain. Of these elements, Zr, Zn, Pb and As may be considered as tracers of the ceramic emissions from the study area. Their levels showed a simultaneous decrease with the progressive implementation of emission abatement techniques in frit (glaze component for the manufacture of glazed tiles) fusion kilns of the area. Given the high proportion of facilities with implemented abatement techniques at the end of the study period, the reduction margin for these elements is very low.

  19. Analysis of water levels in the Frenchman Flat area, Nevada Test Site

    USGS Publications Warehouse

    Bright, D.J.; Watkins, S.A.; Lisle, B.A.

    2001-01-01

    Analysis of water levels in 21 wells in the Frenchman Flat area, Nevada Test Site, provides information on the accuracy of hydraulic-head calculations, temporal water-level trends, and potential causes of water-level fluctuations. Accurate hydraulic heads are particularly important in Frenchman Flat where the hydraulic gradients are relatively flat (less than 1 foot per mile) in the alluvial aquifer. Temporal water-level trends with magnitudes near or exceeding the regional hydraulic gradient may have a substantial effect on ground-water flow directions. Water-level measurements can be adjusted for the effects of barometric pressure, formation water density (from water-temperature measurements), borehole deviation, and land-surface altitude in selected wells in the Frenchman Flat area. Water levels in one well were adjusted for the effect of density; this adjustment was significantly greater (about 17 feet) than the adjustment of water levels for barometric pressure, borehole deviation, or land-surface altitude (less than about 4 feet). Water-level measurements from five wells exhibited trends that were statistically and hydrologically significant. Statistically significant water-level trends were observed for three wells completed in the alluvial aquifer (WW-5a, UE-5n, and PW-3), for one well completed in the carbonate aquifer (SM-23), and for one well completed in the quartzite confining unit (Army-6a). Potential causes of water-level fluctuations in wells in the Frenchman Flat area include changes in atmospheric conditions (precipitation and barometric pressure), Earth tides, seismic activity, past underground nuclear testing, and nearby pumping. Periodic water-level measurements in some wells completed in the carbonate aquifer indicate cyclic-type water-level fluctuations that generally correlate with longer term changes (more than 5 years) in precipitation. Ground-water pumping fromthe alluvial aquifer at well WW-5c and pumping and discharge from well RNM-2s

  20. Analysis of water levels in the Frenchman Flat area, Nevada Test Site

    SciTech Connect

    Bright, D.J.; Watkins, S.A.; Lisle, B.A.

    2001-04-18

    Analysis of water levels in 21 wells in the Frenchman Flat area, Nevada Test Site, provides information on the accuracy of hydraulic-head calculations, temporal water-level trends, and potential causes of water-level fluctuations. Accurate hydraulic heads are particularly important in Frenchman Flat where the hydraulic gradients are relatively flat (less than 1 foot per mile) in the alluvial aquifer. Temporal water-level trends with magnitudes near or exceeding the regional hydraulic gradient may have a substantial effect on ground-water flow directions. Water-level measurements can be adjusted for the effects of barometric pressure, formation water density (from water-temperature measurements), borehole deviation, and land-surface altitude in selected wells in the Frenchman Flat area. Water levels in one well were adjusted for the effect of density; this adjustment was significantly greater (about 17 feet) than the adjustment of water levels for barometric pressure, borehole deviation, or land-surface altitude (less than about 4 feet). Water-level measurements from five wells exhibited trends that were statistically and hydrologically significant. Statistically significant water-level trends were observed for three wells completed in the alluvial aquifer (WW-5a, UE-5n, and PW-3), for one well completed in the carbonate aquifer (SM-23), and for one well completed in the quartzite confining unit (Army-6a). Potential causes of water-level fluctuations in wells in the Frenchman Flat area include changes in atmospheric conditions (precipitation and barometric pressure), Earth tides, seismic activity, past underground nuclear testing, and nearby pumping. Periodic water-level measurements in some wells completed in the carbonate aquifer indicate cyclic-type water-level fluctuations that generally correlate with longer term changes (more than 5 years) in precipitation. Ground-water pumping from the alluvial aquifer at well WW-5c and pumping and discharge from well RNM- 2s

  1. Blood lead levels among children in high-risk areas--California, 1987-1990

    SciTech Connect

    Not Available

    1992-05-01

    In the United States, elevated blood lead levels (BLLs) are a major health risk for children; this risk is totally preventable (1). To better characterize lead poisoning among children at high risk for lead exposure in California, the California Department of Health Services (CDHS) conducted lead-screening surveys that measured lead levels in children's blood, household paint, and soil in three selected high-risk areas in northern, southern, and central California. This report summarizes the survey findings and describes CDHS's efforts to reduce lead exposure among children in California, especially among those in high-risk areas.

  2. Determining contamination level of heavy metals in road dust from busy traffic areas with different characteristics.

    PubMed

    Duong, Trang T T; Lee, Byeong-Kyu

    2011-03-01

    This study identified the levels and sources of heavy metal contamination in road dust from busy traffic areas in a typical industrial city in Korea. This study compared the total concentrations, as determined by aqua regia digestions and atomic absorption spectroscopy, of cadmium (Cd), copper (Cu), lead (Pb), zinc (Zn) and nickel (Ni) in the road dust from areas with different characteristics such as traffic rotaries, downtown areas, circulation roads, and asphalt and concrete highways. The contamination levels of the heavy metals in the road dust were evaluated using the contamination factor and the degree of contamination. The contamination levels of the heavy metals in the road dust were highly dependent on traffic volume and atmospheric dispersion from traffic rotaries. Industrial emissions and the frequency of brake use and vehicles coming to a complete stop were additional factors that affected the contamination levels in downtown areas. The concrete highway had higher contamination levels of the heavy metals than the asphalt highway. Vehicle speed was also a strong contributing factor to the degree of contamination of heavy metals in the road dust from the circulation roads and highways. PMID:20937547

  3. Socioeconomic risk moderates the link between household chaos and maternal executive function.

    PubMed

    Deater-Deckard, Kirby; Chen, Nan; Wang, Zhe; Bell, Martha Ann

    2012-06-01

    We examined the link between household chaos (i.e., noise, clutter, disarray, lack of routines) and maternal executive function (i.e., effortful regulation of attention and memory), and whether it varied as a function of socioeconomic risk (i.e., single parenthood, lower mother and father educational attainment, housing situation, and father unemployment). We hypothesized that: 1) higher levels of household chaos would be linked with poorer maternal executive function, even when controlling for other measures of cognitive functioning (e.g., verbal ability), and 2) this link would be strongest in the most socioeconomically distressed or lowest-socioeconomic status households. The diverse sample included 153 mothers from urban and rural areas who completed a questionnaire and a battery of cognitive executive function tasks and a verbal ability task in the laboratory. Results were mixed for Hypothesis 1, and consistent with Hypothesis 2. Two-thirds of the variance overlapped between household chaos and maternal executive function, but only in families with high levels of socioeconomic risk. This pattern was not found for chaos and maternal verbal ability, suggesting that the potentially deleterious effects of household chaos may be specific to maternal executive function. The findings implicate household chaos as a powerful statistical predictor of maternal executive function in socioeconomically distressed contexts. PMID:22563703

  4. Assessment of thermal comfort level at pedestrian level in high-density urban area of Hong Kong

    NASA Astrophysics Data System (ADS)

    Ma, J.; Ng, E.; Yuan, C.; Lai, A.

    2015-12-01

    Hong Kong is a subtropical city which is very hot and humid in the summer. Pedestrians commonly experience thermal discomfort. Various studies have shown that the tall bulky buildings intensify the urban heat island effect and reduce urban air ventilation. However, relatively few studies have focused on modeling the thermal load at pedestrian level (~ 2 m). This study assesses the thermal comfort level, quantified by PET (Physiological Equivalent Temperature), using a GIS - based simulation approach. A thermal comfort level map shows the PET value of a typical summer afternoon in the high building density area. For example, the averaged PET in Sheung Wan is about 41 degree Celsius in a clear day and 38 degree Celsius in a cloudy day. This map shows where the walkways, colonnades, and greening is most needed. In addition, given a start point, a end point, and weather data, we generate the most comfort walking routes weighted by the PET. In the simulation, shortwave irradiance is calculated using the topographic radiation model (Fu and Rich, 1999) under various cloud cover scenarios; longwave irradiance is calculated based the radiative transfer equation (Swinbank, 1963). Combining these two factors, Tmrt (mean radiant temperature) is solved. And in some cases, the Tmrt differ more than 40 degree Celsius between areas under the sun and under the shades. Considering thermal load and wind information, we found that shading from buildings has stronger effect on PET than poor air ventilation resulted from dense buildings. We predict that pedestrians would feel more comfortable (lower PET) in a hot summer afternoon when walking in the higher building density area.

  5. Stage at diagnosis in breast cancer: race and socioeconomic factors.

    PubMed Central

    Wells, B L; Horm, J W

    1992-01-01

    Cancer incidence data from three US metropolitan areas were coupled with census tract indicators of education and income. The data suggest that both Black and White cancer patients living in census tracts with lower median education/income values are diagnosed in later disease stages than are patients in tracts with higher median education/income values. Within education and income strata, Black women had a less favorable stage of disease at diagnosis than Whites. The exception was in upper education/income levels, where the disadvantage for Blacks disappeared. These data provide additional evidence that women of low socioeconomic status could benefit from targeted screening. PMID:1415866

  6. "Geography of suicide in Hong Kong: spatial patterning, and socioeconomic correlates and inequalities".

    PubMed

    Hsu, Chia-Yueh; Chang, Shu-Sen; Lee, Esther S T; Yip, Paul S F

    2015-04-01

    Past urban research on Western nations tends to show high suicide rates in inner city and socioeconomically deprived areas. However, little is known about geographic variations in suicide in non-Western cities. We used Bayesian hierarchical models to estimate smoothed standardised mortality ratios (2005-2010) for suicide in people aged 10 years or above in each geographic unit in Hong Kong at two levels, i.e. large street block (n = 1639; median population = 1860) and small tertiary planning unit group (n = 204; median population = 14,850). We further analysed their associations with a range of area socioeconomic characteristics and a deprivation index. The "city centre" of Hong Kong, a generally non-deprived area, showed mostly below average suicide rates. However, there were high rates concentrating in some socioeconomically deprived, densely populated areas, including some inner city areas, across the city. Males had greater geographic variations in rates than females, except the elderly group. The use of smaller geographic units revealed finer detailed suicide distribution than the use of larger units, and showed that suicide rates were associated with indicators of socioeconomic deprivation (population with non-professional jobs and low median household income), and social fragmentation (proportions of unmarried adults and divorced/separated adults), but not with Gini coefficient. Sex/age groups had different associations with suicide rates. Areas in the most deprived quintile had a suicide rate more than two times higher than the least deprived. The association between suicide and deprivation was stronger in males than females and more marked in the younger populations compared to the elderly. The spatial distribution of suicide in Hong Kong showed distinct patterning and a stronger association with income compared to findings from Western countries. Suicide prevention strategies should consider tackling the marked socioeconomic gradient in suicide and high

  7. Teacher Competency: New Perspectives on Grade Level and Subject Area Variables.

    ERIC Educational Resources Information Center

    Streifer, Philip A.

    Data from a 1984 study undertaken to validate 15 teacher competencies for Connecticut's Beginning Teacher Support Program were reanalyzed to determine whether the competencies were applicable to all teachers or were specific to grade levels or subject areas. The original study examined 1733 responses to a survey that asked teachers and…

  8. Copper and lead levels in crops and soils of the Holland Marsh Area-Ontario

    SciTech Connect

    Czuba, M.; Hutchinson, T.C.

    1980-01-01

    A study was made of the occurrence, distribution, and concentrations of the heavy metals copper (Cu) and lead (Pb) in the soils and crops of the important horticultural area north of Toronto known as the Holland Marsh. The soils are deep organic mucks (> 85% organic matter), derived by the drainage of black marshland soils, which has been carried out over the past 40 years. A comparison is made between the Pb and Cu concentrations in undrained, uncultivated areas of the marsh and in the intensively used horticultural area. Analyses show a marked accumulation of Cu in surface layers of cultivated soils, with a mean surface concentration of 130 ppM, declining to 20 ppM at a 32-cm depth. Undrained (virgin) soils of the same marshes had < 20 ppM at all depths. Lead concentrations also declined through the profile, from concentrations of 22 to 10 ppM. In comparison, undrained areas had elevated Pb levels. Cultivation appeared to have increased Cu, but lowered Pb in the marsh. Copper and lead levels found in the crops were generally higher in the young spring vegetables than in the mature fall ones. Leafy crops, especially lettuce (Lactuca L.) and celery (Apium graveolens), accumulated higher Pb levels in their foliage compared with levels in root crops. Cultivation procedures, including past pesticide applications and fertilizer additions, appeared to be principal sources of Cu. Mobility from the soil and into the plant for these elements in the marsh muck soils is discussed.

  9. Content Area Readers: Helping Middle-Level Students become Word Aware (and Enjoy It!)

    ERIC Educational Resources Information Center

    Greenwood, Scott Coleman

    2010-01-01

    For many years, practitioners have heard that middle level teachers are teachers of reading. As the standards movement gains strength, it is even more crucial that teachers explicitly teach key vocabulary that makes their students "insiders" when it comes to understanding the content areas. This article reminds the reader of the principles for…

  10. Utilizing Occupational Complexity Levels in Vocational Interest Assessments: Assessing Interests for STEM Areas

    ERIC Educational Resources Information Center

    Toker, Yonca; Ackerman, Phillip L.

    2012-01-01

    With an aim to improve vocational interest assessments geared toward the Science, Technology, Engineering, and Mathematics (STEM) areas, we developed a new assessment by incorporating occupational complexity levels. Occupations which correspond to Holland's realistic and investigative themes were identified together with their complexity levels…