Deepwater Horizon oil spill exposure and child health: a longitudinal analysis

Population and Environment - The BP Deepwater Horizon oil spill (DHOS) created widespread concern about threats to health among residents of the Louisiana Gulf Coast. This study uses data from the...     

Bidirectional longitudinal associations of parent and child health following the BP Deepwater Horizon oil spill

This study (1) assessed whether parent health mediated associations between exposures to the 2010 BP Deepwater Horizon oil spill (BP-DHOS) and child health, and whether child health mediated associations between BP-DHOS exposures and parent health; and (2) assessed bidirectional longitudinal associations between parent health and child health following the BP-DHOS. The study used three waves of panel data (2014, 2016, and 2018) from South Louisiana communities highly impacted by the BP-DHOS. Parents with children (aged 4–18 at the time of the interview) were interviewed based on a probability sample of households. Focal measures included economic and physical BP-DHOS exposures, self-reported parent health, and parent-reported child health. Health measures were gathered at three time points. The analyses included mediation analysis and estimating and comparing effect sizes of longitudinal cross-lagged effects between parent health and child health. Results showed that parent health partly mediated associations between BP-DHOS exposures and child health, and that child health partly mediated associations between BP-DHOS exposures and parent health. Paths from prior waves of parent health to subsequent waves of child health were positive and statistically significant as were paths from prior waves of child health to subsequent waves of parent health. The differences in size of the child-to-parent health effects and the parent-to-child health effects were not statistically significant. This study’s results extend evidence for the post-disaster effect of parent health on child health and the effects of child health on parent health. These findings support the contention that harm to the health of one’s family member following disasters operates as a form of resource loss deleterious to one’s health.

     

Emplaced social vulnerability to technological disasters: Southeast Louisiana and the BP Deepwater Horizon oil spill

We examine the relationship between emplaced social vulnerability and impacts on mental health following the BP Deepwater Horizon oil spill. Through joint analysis of data from Community Oil Spill Survey and US Census Bureau products, a place-based index of social vulnerability is developed to examine how emplaced characteristics engender unique susceptibility to the disaster, with specific attention on the influence of natural resource employment and community sentiment. Results show negative mental health impacts to be more pronounced at baseline compared to later time points and that shifts in negative mental health were not uniform for localities with divergent levels of social vulnerability, where places identified with high levels of social vulnerability the effectiveness of attributes associated with resilience were muted, while the effect of vulnerability attributes was amplified. These findings contribute to the understanding of vulnerability as a multidimensional concept shaped by the social attributes that characterize people and places.     

Birth Spacing and Child Health Trajectories

Using longitudinal data on a cohort of over 4,000 children from four low- and middle-income countries, we document the association between birth spacing and child growth trajectories. We find declines in child height at age 1 among children who are born within three years of an older sibling. However, we also observe catch-up growth for closely spaced children as they age. We find no evidence that catch-up growth is driven by remedial health investments after birth, suggesting substitutability in underlying biological processes. We also find that very widely spaced children (preceding birth interval of more than seven years) are similar in height at age 1 as children who are spaced three to seven years apart, but outgrow their more closely spaced counterparts as they age. However, further sibling comparisons suggest that the growth premium that is observed for very widely spaced children may be driven by unobserved confounding factors.     

Child Health and NGOs in Peruvian Provinces

Non-governmental organizations (NGOs) are widely accepted in developing countries as a crucial organizational asset. They combine entrepreneurship, provision of quasi-government services and donor financing, but their conceptual status is unclear. Are they the organizational embodiments of social capital, generating cohesion and superior performance, or do they expand the competitiveness of the province, contributing to superior performance via political pluralism? This analysis of the relationship of NGOs to three criteria of child health in the provinces of Peru examines that question and concludes that NGOs are best interpreted as actors in provinces that foster political contestation. As such they contribute to the growth of a core dimension of democracy in developing countries and to higher levels of health.     

Slum Residence and Child Health in Developing Countries

Continued population growth and increasing urbanization have led to the formation of large informal urban settlements in many developing countries in recent decades. The high prevalence of poverty, overcrowding, and poor sanitation observed in these settlements—commonly referred to as “slums”—suggests that slum residence constitutes a major health risk for children. In this article, we use data from 191 Demographic and Health Surveys (DHS) across 73 developing countries to investigate this concern empirically. Our results indicate that children in slums have better health outcomes than children living in rural areas yet fare worse than children in better-off neighborhoods of the same urban settlements. A large fraction of the observed health differences appears to be explained by pronounced differences in maternal education, household wealth, and access to health services across residential areas. After we control for these characteristics, children growing up in the slums and better-off neighborhoods of towns show levels of morbidity and mortality that are not statistically different from those of children living in rural areas. Compared with rural children, children living in cities (irrespective of slum or formal residence) fare better with respect to mortality and stunting but not with respect to recent illness episodes.     

Differences in Child Health Across Rural,Urban, and Slum Areas: Evidence From India

The developing world is rapidly urbanizing, but an understanding of how child health differs across urban and rural areas is lacking. We examine the association between area of residence and child health in India, focusing on composition and selection effects. Simple height-for-age averages show that rural Indian children have the poorest health and urban children have the best, with slum children in between. With wealth or observed health environment held constant, the urban height-for-age advantage disappears, and slum children fare significantly worse than their rural counterparts. Hence, differences in composition across areas mask a substantial negative association between living in slums and height-for-age. This association is more negative for girls than boys. Furthermore, a large number of girls are “missing” in slums; we argue that this implies that the negative association between living in slums and health is even stronger than our estimate. The missing girls also help explain why slum girls appear to have a substantially lower mortality than rural girls, whereas slum boys have a higher mortality risk than rural boys. We estimate that slum conditions (such as overcrowding and open sewers), which the survey does not adequately capture, are associated with 20 % to 37 % of slum children’s stunting risk.     

Maternal and Child Health and Relevant Reform Development in China

正The State Council Information Office held a press conference at its press conference hall at 10 am on May 29,2014.Wang Guoqiang,Vice Minister of National Health and Family Planning Commission(NHFPC)and Director-General of State Administration of Traditional Chinese Medicine;Zhang Shikun,Director-General of Department of Maternal and Child Health Service;and Mao Qun’an,spokesman and Director-General of Publicity Department,introduced the development     

Subjective Indicators in the Health Sector and Their Usefulness in Policy Making

A considerable literature produced in the field of social sciences focused in the last 20 years on the importance of subjective indicators of wellbeing as an element of great significance in the analysis of public policies and quality of services, in addition to objective indicators. The health sector is characterized by a particular propensity and special consideration of the role of patients and other persons involved in the care process (family, doctors, nurses, etc.), and therefore of subjective elements. Since the end of the 1980s several studies considered the incongruences between health demand and health service supply and introduced in the debate the need to produce better evaluation methodologies, based on the interaction between objective an subjective data. The consequence was that subjective assessment by users and operators is now an integral part of any health service evaluation activity. The paper shows the evolution of scientific approaches to health services assessment, and the nature of subjective indicators mostly utilized in recent Italian experiences. Special attention is dedicated to an interesting attempt to enlarge the evaluation approach, aim of which is to contribute to the assessment of the social impact of administrative actions and public services stimulating the contribution of social parties and independent experts and involving public authorities and policy-makers.     

卫生医疗资源的可及性与农村儿童的健康问题

文章利用中国健康与营养调查2000年数据,分析目前中国农村卫生医疗资源的可及性及其对农村儿童健康状况的影响。实证结果发现,卫生医疗资源对不同社会经济特征家庭具有不公平的可及性。新时期卫生医疗资源的投入和使用应更着眼于提高农村儿童及其家庭公平享有卫生医疗资源的程度,从而有效地提高贫困及低受教育水平家庭儿童的健康水平,促进农村地区和谐发展。     

Oil Spill Disruption and Problem Drinking: Assessing the Impact of Religious Context among Gulf Coast Residents

Population Research and Policy Review - While a wide body of research has indicated that social resources may be enhanced through religious practice, few studies have explored how social resources...     

老年健康产业发展现状、规划与对策探讨

随着中国人口老龄化程度的加深,高龄老人的比重不断增加,老年人口的健康问题呈日益严重的趋势,已成为影响中国当前及未来社会经济发展的重大问题。健康是享受生活的前提,是影响老年人生活质量的最大因素之一,健康老龄化是老龄社会发展的重要目标,而老年健康产业的发展则是实现健康老龄化的前提。因此,弄清老年健康产业的内涵,大力发展老年健康产业,并积极构建政府、社会、社区和家庭有机结合的老年健康产业体系,对未来中国社会经济发展具有十分重要的意义。     

基于地域、部门与行业差异的农民工工资歧视研究

农民工工资歧视是我国经济社会发展过程中面临的严峻现实。在依据中国家庭收入项目（CHIP）中的2013年中国城乡工资的抽样调查数据基础上,从地域、部门类型及行业三个层面探究农民工工资水平及歧视问题。研究发现：1.我国东中西部地区的农民工工资歧视程度呈现由高至低的阶梯状;2.在企业部门类型中的农民工工资歧视程度由外资向自由职业逐渐下降;3.在行业中的第一、二产业农民工工资歧视程度大于第三产业。     

The Impact of Social and Economic Indicators on Maternal and Child Health

As early as 1985, Rosenfield and Maine began to look at what is called the maternal child field (MCH). More than two decades later, maternal and infant mortality is still among the worst performing health indicator in resource-poor countries and regions, and it has barely changed since 1990. Although three of the eight United Nations Millennium Development Goals aim at reducing child mortality, maternal mortality, and promoting gender equality, most literature in the field is either clinical or exclusively deals with women’s health problems. In this study, I proposed an empirical model that tests the impact of gender equality, women’s human rights, and maternity care on MCH with economic and political development as background factors. The proposed model was tested by using structural equation analysis. Data were obtained from 137 developing countries. The proposed model is partially supported by the data. Empirical findings demonstrate that gender equality has a pivotal role to play in the promotion of MCH. The relationship between MCH and maternity care is found to be strong and statistically significant. This finding may permit a probable verification given the current social conditions in some developing countries, particularly the neglect of many of women’s health needs and the assignment of their primary responsibilities in childrearing. The women’s human rights hypothesis is not supported by the data. It is perhaps that human rights instruments provide a legal discourse for political functions and social welfare issues, but that the legal approach alone does not necessarily provide a moral and social foundation to ensure the implementation of social welfare and human well-being, particularly maternal and child health in developing countries. The findings also indicate the importance of economic development in predicting maternity care. Finally, a positive and statistically significant relationship is found between economic development and gender equality. Implications and limitations of the study are discussed.     

Media Exposure and Health in Europe: Mediators and Moderators of Media Systems

This study examined media exposure as an explanatory factor for individual and cross-national differences in self-assessed general health. In studying media exposure, traditional media (television, radio, and newspapers) and contemporary media (internet) were separately considered. Aside from hypotheses about the relation between media exposure and general health, we also tested hypotheses regarding the mediating role of social isolation and mean world syndrome as well as the moderating role of different media systems across countries. Therefore, we used European Social Survey 2010, covering 25 European countries (n = 36,692). The results of our multilevel regression analyses indicated that exposure to television was negatively related to general health, whereas exposure to radio and newspapers were positively related to health. For contemporary media, findings indicated consistent positive relations between internet exposure and health across. Furthermore, limited support was found for the mediating role of social isolation and the mean world syndrome in the link between media exposure and health. Across media systems, findings for the relations between exposure to the various types of media and health proved to be robust.     

Exposure to Violence,Coping Strategies,and Diagnosed Mental Health Problems Among Adults in a Migrant-Sending Community in Central Mexico

Deadly violence has spread throughout Mexico, affecting the well-being of citizens. What is the impact of this violence on the daily lives of Mexican adults? Building upon the stress process model, we used a mixed-methods approach to examine relationships between multiple indicators of exposure to and fear of violence and four diagnosed mental health outcomes, as well as self-rated mental health, in a Mexican community using the Survey of Health and Mexican Migration (456 surveys; 49 interviews). The multivariate models provide evidence that perceptions of insecurity are associated with diagnosed depressive episode, agoraphobia, alcohol abuse, a total count of mental health conditions, and poor self-rated mental health. Past victimization is associated with anxiety. Stress and coping behaviors did not formally mediate these violence–mental illness associations. The qualitative results confirm that residents fear violence and cope by adjusting their personal behaviors. These results foreshadow the emergence of mental health conditions as a critical public health concern for Mexicans living under the threat of violence.