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Consanguineous marriage and associated diseases among their children and grandchildren in India: evidence from large-scale data. 印度的近亲结婚及其子孙中的相关疾病:来自大规模数据的证据。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.1017/S0021932024000178
Sampurna Kundu, Arup Jana

Worldwide, more than 130 million infants are born each year and a considerable number of 13.5 million of these children have inbred parents. The present study aimed to investigate the association between parents' consanguinity and chronic illness among their children and grandchildren in India. The nationally representative data, Longitudinal Aging Study in India, 2017-2018, Wave 1 was used for the present study. Bivariate analysis, a probit model, and propensity score estimation were employed to conduct the study. The study observed the highest prevalence of consanguinity marriage in the state of Andhra Pradesh (28%) and the lowest in Kerala (5%) among the south Indian States. People who lived in rural areas, belonged to the richer wealth quintile and Hindu religion were the significant predictors of consanguinity marriage in India. For individuals who were in consanguineous marriages, there was 0.85%, 0.84%, 1.57% 0.43%, 0.34%, and 0.14% chances of their children and grandchildren developing psychotic disorders, heart disease, hypertension stroke, cancer, and diabetes, respectively. Moreover, around 4.55% of the individuals have a history of birth defects or congenital disorders. To address the risk of complicated illnesses due to the consanguinity of marriage, medical, genetic, and social counselling services are required.

全世界每年有超过 1.3 亿名婴儿出生,其中有 1350 万名婴儿的父母是近亲结婚。本研究旨在调查印度父母近亲结婚与子孙慢性病之间的关系。本研究采用了具有全国代表性的数据《2017-2018 年印度老龄化纵向研究》第 1 波。研究采用了双变量分析、概率模型和倾向分数估计。研究发现,在印度南部各邦中,安得拉邦的近亲结婚率最高(28%),喀拉拉邦最低(5%)。生活在农村地区、属于较富裕的五分之一人口和印度教是印度近亲结婚的重要预测因素。对于近亲结婚的人来说,他们的子孙患精神病、心脏病、高血压中风、癌症和糖尿病的几率分别为 0.85%、0.84%、1.57%、0.43%、0.34% 和 0.14%。此外,约有 4.55% 的人有先天缺陷或先天性疾病史。为了应对因近亲结婚而导致的复杂疾病风险,需要提供医疗、遗传和社会咨询服务。
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引用次数: 0
High non-use of contraception among tribal and non-tribal women in North-Eastern India: alarming but neglected. 印度东北部部落和非部落妇女不使用避孕药具的比例很高:令人震惊却被忽视。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-09-26 DOI: 10.1017/S0021932024000269
Mithun Mog, Debasis Neogi, Shobhit Srivastava

Limited evidence exists about the contraception uptake in indigenous tribal groups of the north-eastern region of India. This study based on the National Family Health Survey (NFHS) IV (2015-2016) reports aimed to describe the pattern and factors associated with contraceptive non-use in the tribal women of the north-eastern part of India. The study was a cross-sectional analytical study based on secondary analysis of NFHS-IV data. All women in the age group of 15-49 years from the north-eastern part of India were included. Data were extracted and analysed using modified STATA-14 software. The association of socio-demographic and economic characteristics with contraceptive non-use was assessed using logistic regression. The inter-group differences of population characteristics for non-use contraceptives were assessed by modified Blinder-Oaxaca decomposition technique using 'Fairlie decomposition'. A total of 65,941 women were included, of whom 34,936 (52.9%) were tribal women. The proportion of contraceptive non-use was higher in tribal women. Tribal women with age at marriage above 30 years, Christian community, and women from Assam and Manipur state had higher odds of contraceptive non-use. The decomposition analysis showed that geographical variations, parity, and Christian religion contributed the most to contraceptive use disparity in the population. A huge gap was observed in contraceptive non-use among tribal and non-tribal women in the north-eastern part of India. The healthcare system must involve community representatives in designing context-specific community-based initiatives to increase the uptake of contraceptive use in these remote vulnerable communities.

关于印度东北部地区土著部落群体采取避孕措施的证据有限。本研究以第四次全国家庭健康调查(NFHS)(2015-2016 年)报告为基础,旨在描述印度东北部部落妇女不使用避孕药具的模式和相关因素。该研究是一项基于 NFHS-IV 数据二次分析的横断面分析研究。研究对象包括印度东北部地区 15-49 岁年龄组的所有妇女。研究人员使用修改后的 STATA-14 软件对数据进行提取和分析。使用逻辑回归法评估了社会人口和经济特征与不使用避孕药具之间的关系。使用 "费尔利分解法 "的改良布林德-瓦哈卡分解技术评估了不使用避孕药具的人群特征的组间差异。共纳入 65 941 名妇女,其中 34 936 名(52.9%)为部落妇女。部落妇女不使用避孕药具的比例较高。结婚年龄在 30 岁以上的部落妇女、基督教社区以及来自阿萨姆邦和曼尼普尔邦的妇女不使用避孕药具的几率更高。分解分析表明,地域差异、奇偶性和基督教是造成人口避孕药具使用率差异的主要原因。在印度东北部地区,部落妇女和非部落妇女在不使用避孕药具方面存在巨大差距。医疗保健系统必须让社区代表参与设计针对具体情况的社区倡议,以提高这些偏远弱势社区的避孕药具使用率。
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引用次数: 0
Height growth of Mexican boys by geographic region: an evaluation based on nationally representative data of ENSANUT 2012 and 2018 - ERRATUM. 按地理区域划分的墨西哥男童身高增长情况:基于 ENSANUT 2012 年和 2018 年全国代表性数据的评估 - ERRATUM。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1017/S0021932024000233
Luis Alberto Flores, Luz Dinorah González-Castell, Sudip Datta Banik
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引用次数: 0
Comparing social responses to Ebola and Covid-19 in Sierra Leone: an institutional analysis. 比较塞拉利昂社会对埃博拉病毒和 Covid-19 的反应:制度分析。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-05-16 DOI: 10.1017/S002193202400021X
Paul Richards, Foday Kamara, Esther Mokuwa, Marion Nyakoi

This paper compares community responses to Ebola and Covid-19 in two regions of southern and eastern Sierra Leone with reference to the theory of institutional dynamics proposed by the anthropologist Mary Douglas. Institutions, Douglas argued, are conveyed by styles of thought, shaped by the ways human communities, through everyday practices, reinforce systems of classification and denotation. Pandemic advice to 'follow the science' proved problematic, since there is no single institution of science, and institutions never stand alone but are bundled with other institutions, reflecting the manifold and intertwined practices of human social life. The paper explores some of the ways a traumatic epidemic of Ebola Virus Disease in Sierra Leone shaped a distinctive local response to this deadly infectious disease in the absence of an effective vaccine. This local approach emphasised social rules based on ideas about sequestration and testing. Communities then proposed to continue this rules-based approach to the pandemic of Covid-19 and showed little initial enthusiasm for vaccination. With Ebola, the adoption of rules resulted in dramatic drops in infection rates. But Covid-19 spreads in different ways, and good results from the application of social rules were much less apparent. The paper shows how communities began to grapple with this new situation. In some cases, vaccine hesitation was overcome by treating the requirement for vaccination as a new form of social discipline. More generally, it is concluded that epidemiologists need to pay specific attention to institutions and institutional dynamics in order to better understand and anticipate public reactions to new disease threats.

本文参照人类学家玛丽-道格拉斯(Mary Douglas)提出的制度动力学理论,比较了塞拉利昂南部和东部两个地区社区对埃博拉病毒和 Covid-19 病毒的反应。道格拉斯认为,制度是由思维方式传达的,是由人类社区通过日常实践强化分类和指称系统的方式形成的。事实证明,"跟着科学走 "的流行建议是有问题的,因为不存在单一的科学体制,体制从来都不是孤立的,而是与其他体制捆绑在一起的,反映了人类社会生活的多方面和相互交织的实践。本文探讨了塞拉利昂的埃博拉病毒疫情如何在缺乏有效疫苗的情况下,在当地形成了应对这一致命传染病的独特方法。这种地方性方法强调基于隔离和检测理念的社会规则。随后,各社区提议继续采用这种基于规则的方法来应对科维德-19 大流行病,但最初对疫苗接种的热情并不高。在埃博拉疫情中,规则的采用导致感染率急剧下降。但 Covid-19 的传播方式不同,应用社会规则的良好效果并不明显。论文展示了社区如何开始应对这一新情况。在某些情况下,通过将疫苗接种要求视为一种新的社会纪律形式,克服了疫苗接种的犹豫不决。总之,本文认为流行病学家需要特别关注制度和制度动态,以便更好地理解和预测公众对新疾病威胁的反应。
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引用次数: 0
The impact of welfare on maternal investment and sibling competition: evidence from Serbian Roma communities. 福利对产妇投资和兄弟姐妹竞争的影响:来自塞尔维亚罗姆人社区的证据。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-09-25 DOI: 10.1017/S0021932023000184
Jelena Čvorović

Siblings compete for limited parental resources, which can result in a trade-off between family size and child growth outcomes. Welfare incentives may improve parental circumstances in large families by compensating for the additional costs of an extra child and increasing the resources available to a family. The improvements in conditions may influence parents to increase their investment, expecting greater returns from the investment in child survival and development, while in turn increase sibling competition for the investment. This study assessed whether welfare benefits have influenced parental investment trade-offs and competition between siblings among Serbian Roma, a population largely dependent on welfare. Using data from the UNICEF Multiple Indicator Cluster Survey 6, this study assessed the associations between maternal investment, child cash benefits, sibship size, and child anthropometry, as an indicator of health, among 1096 Serbian Roma children aged 0 to 59 months. Living in a small family benefited Roma children, while the incentives increased competition between siblings. Maternal investment was negatively associated with incentives, as the improvements brought about were insufficient to influence a change in maternal perceptions about the local setting uncertainty and thus promote an increase in investment.

兄弟姐妹争夺有限的父母资源,这可能导致家庭规模和孩子成长结果之间的权衡。福利激励措施可以通过补偿多生一个孩子的额外费用和增加家庭可用资源来改善大家庭的父母环境。条件的改善可能会影响父母增加投资,期望从对儿童生存和发展的投资中获得更大的回报,同时反过来增加兄弟姐妹对投资的竞争。这项研究评估了福利待遇是否影响了塞尔维亚罗姆人的父母投资权衡和兄弟姐妹之间的竞争,罗姆人在很大程度上依赖福利。这项研究利用联合国儿童基金会多指标集群调查6的数据,评估了1096名0至59个月的塞尔维亚罗姆儿童的孕产妇投资、儿童现金福利、兄弟姐妹规模和儿童人体测量作为健康指标之间的关系。生活在一个小家庭有利于罗姆儿童,而这些激励措施增加了兄弟姐妹之间的竞争。产妇投资与激励措施呈负相关,因为所带来的改善不足以影响产妇对当地环境不确定性的看法的改变,从而促进投资的增加。
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引用次数: 0
Managing menstruation during natural disasters: menstruation hygiene management during "super floods" in Sindh province of Pakistan. 自然灾害期间的月经管理:巴基斯坦信德省“超级洪水”期间的月经卫生管理。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-11-13 DOI: 10.1017/S0021932023000159
Salma Sadique, Inayat Ali, Shahbaz Ali

Menstruation is part of women's normal life, which requires basic hygienic practices. Managing hygiene can be affected by several factors and situations such as natural disasters. Focusing on 'super flooding' in Pakistan's Sindh Province, we pay attention to how this 'natural disaster' has affected hygienic practices of menstrual cycle of women. The study meticulously examines the dynamics of menstrual hygiene management, encompassing the nuanced encounters with feelings of shame and embarrassment among girls and women situated in flood camps, schools, and community shelters. It also intends to highlight women's challenge and embarrassment to participate in the distribution process of essential resources such as pads. The insights garnered from this study hold potential relevance for various stakeholders, including policymakers, healthcare practitioners, and researchers, offering a nuanced comprehension of the intersection of menstrual hygiene, climate change, and well-being of women.

月经是女性正常生活的一部分,需要基本的卫生习惯。卫生管理可能受到自然灾害等多种因素和情况的影响。我们关注巴基斯坦信德省的“超级洪水”,关注这场“自然灾害”如何影响妇女月经周期的卫生习惯。这项研究细致地考察了经期卫生管理的动态,包括在洪水营地、学校和社区避难所的女孩和妇女中遇到的羞耻和尴尬的微妙感受。它还打算强调妇女在参与卫生巾等基本资源的分配过程中所面临的挑战和尴尬。从这项研究中获得的见解对包括政策制定者、医疗从业人员和研究人员在内的各种利益相关者具有潜在的相关性,提供了对月经卫生、气候变化和女性福祉的微妙理解。
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引用次数: 0
Social determinants of chronic diseases reporting among slum dwellers in Egypt. 埃及贫民窟居民慢性病报告的社会决定因素。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2024-02-13 DOI: 10.1017/S0021932024000014
Suzan Abdel-Rahman, Elsayed Khater, Mohamed N Abdel Fattah, Wafaa A Hussein

The high prevalence of chronic diseases in urban slums poses increasing challenges to future social and economic development for these disadvantaged areas. Assessing the health status of slum residents offers guidance for formulating appropriate policies and interventions to improve slum residents' health outcomes. This research aimed to identify the social determinants of chronic diseases reporting among slum dwellers in Egypt. A cross-sectional survey was conducted from March to December 2021 in three slum areas in Giza governorate, Egypt, including 3,500 individuals. We constructed an asset index and a welfare index to measure the economic status and living conditions of slum residents, respectively. We used these indices, along with demographic and socio-economic factors, as independent variables in the analysis. We modeled factors associated with health status using a two-level mixed logistic model to control the effects of slum areas and the potential correlation between household members. The study contributed significantly to a better understanding of the context in which slum dwellers live and the interlinkages among poor living conditions, low economic status, and health outcomes. The results showed a high rate of self-reported chronic diseases among adults aged 18 and older, reaching more than 22%, while it did not exceed 2.0% among children in the slum areas. Therefore, measuring the determinants of chronic diseases was limited to adults. The sample size was 2530 adults after excluding 970 children. The prevalence of chronic diseases among adults ranged between 16.3% in Zenin and 22.6% in Bein El Sarayat. Our findings indicated that low socio-economic status was significantly associated with reporting chronic diseases. Future policies should be dedicated to improving living conditions and providing necessary healthcare services for these vulnerable areas.

城市贫民窟中慢性病的高发病率给这些贫困地区未来的社会和经济发展带来了越来越大的挑战。评估贫民窟居民的健康状况可为制定适当的政策和干预措施提供指导,从而改善贫民窟居民的健康状况。本研究旨在确定埃及贫民窟居民慢性病报告的社会决定因素。我们于 2021 年 3 月至 12 月在埃及吉萨省的三个贫民窟地区进行了一项横断面调查,共调查了 3500 人。我们构建了资产指数和福利指数,分别用于衡量贫民窟居民的经济状况和生活条件。我们将这些指数与人口和社会经济因素一起作为自变量进行分析。我们使用两级混合逻辑模型来模拟与健康状况相关的因素,以控制贫民区的影响和家庭成员之间的潜在相关性。这项研究大大有助于人们更好地了解贫民窟居民的生活环境以及恶劣的生活条件、低下的经济地位和健康状况之间的相互联系。结果显示,18 岁及以上成年人自我报告的慢性病患病率很高,达到 22% 以上,而贫民窟地区儿童的患病率不超过 2.0%。因此,对慢性病决定因素的测量仅限于成年人。在剔除 970 名儿童后,样本量为 2530 名成年人。成人慢性病患病率从泽宁的 16.3%到贝因萨拉亚特的 22.6%不等。我们的研究结果表明,社会经济地位低下与慢性病报告率明显相关。未来的政策应致力于改善这些脆弱地区的生活条件,并为其提供必要的医疗保健服务。
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引用次数: 0
The fertility timing gap: the intended and real timing of childbirth. 生育时间差距:预期生育时间和实际生育时间。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2024-02-15 DOI: 10.1017/S002193202400004X
Jitka Slabá, Jiřina Kocourková, Anna Šťastná

The fertility gap, which indicates the difference between the planned and actual number of children born, can be explained by the shift in parenthood to older ages and is associated with the non-attainment of one's intended reproductive plans. This paper focuses on the gap in the timing of entry into parenthood, i.e. between the planned and actual age at the birth of the first child. The study is based on data from the Women 2016 survey which re-interviewed women of fertile age from the second wave of the Czech Generations & Gender Survey conducted in 2008. At the population level, the fertility timing gap differs across generations. While for Czech women born between 1966 and 1971 the planned age exceeded the actual observed age by one year, the realisation of fertility occurred two years later than planned for the youngest generation (1983-1990) included in the study. At the individual level, the later-than-planned realisation of fertility was found to be related primarily to partner-related factors.

生育率差距是指计划生育子女数与实际生育子女数之间的差距,其原因是生育子女的年龄偏大,并与未实现预期生育计划有关。本文重点研究了生育时间上的差距,即计划生育年龄与实际生育年龄之间的差距。研究基于 2016 年妇女调查的数据,该调查对 2008 年捷克世代与性别调查第二波的育龄妇女进行了重新访谈。在人口层面,各代人的生育时间差距有所不同。1966 年至 1971 年间出生的捷克妇女的计划生育年龄比实际观察年龄高出一岁,而研究中最年轻的一代(1983 年至 1990 年)的生育实现时间比计划晚了两年。在个人层面上,晚于计划的生育率主要与伴侣相关因素有关。
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引用次数: 0
The biological standard of living of Korean men under Confucianism, colonialism, capitalism, and communism. 朝鲜男性在儒教、殖民主义、资本主义和共产主义统治下的生物生活水平。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-11-29 DOI: 10.1017/S0021932023000275
Daniel J Schwekendiek, Seongho Jun, James B Lewis, Heejin Park, Seong-Jin Choi

This study focuses on analysing the heights of 10,953 Korean men aged 20 to 40 years who were measured during the Joseon dynasty, the Japanese colonialisation period, and the contemporary period, the latter including both North and South Korea. This study thus provides rare long-term statistical evidence on how biological living standards have developed over several centuries, encompassing Confucianism, colonialism, capitalism, and communism. Using error bar analysis of heights for each historical sample period, this study confirms that heights rose as economic performance improved. For instance, economically poorer North Koreans were expectedly shorter, by about 6 cm, than their peers living in the developed South. Similarly, premodern inhabitants of present-day South Korea, who produced a gross domestic product (GDP) per capita below the world average, were about 4 cm shorter than contemporary South Koreans, who have a mean income above the world average. Along similar lines, North Koreans, who have a GDP per capita akin to that of the premodern Joseon dynasty, have not improved much in height. On the contrary, mean heights of North Koreans were even slightly below (by about 2.4 cm) heights of Joseon dynasty Koreans. All in all, the heights follow a U-shaped pattern across time, wherein heights were lowest during the colonial era. Heights bounced back to Joseon dynasty levels during the interwar period, a time period where South Korea benefitted from international aid, only to rise again and surpass even premodern levels under South Korea's flourishing market economy.

这项研究的重点是分析10953名20至40岁的韩国男性的身高,他们是在朝鲜王朝、日本殖民时期和当代(包括朝鲜和韩国)测量的。因此,这项研究为几个世纪以来生物生活水平的发展提供了罕见的长期统计证据,包括儒家思想、殖民主义、资本主义和共产主义。通过对每个历史样本时期的身高进行误差条分析,本研究证实,随着经济表现的改善,身高也会上升。例如,经济上较贫穷的朝鲜人预计比生活在发达的韩国的同龄人矮6厘米左右。同样,人均国内生产总值(GDP)低于世界平均水平的前现代韩国居民,比平均收入高于世界平均水平的当代韩国人矮约4厘米。与此类似,人均国内生产总值(GDP)与前现代的朝鲜王朝相当的朝鲜人,在身高上也没有多大进步。相反,北韩人的平均身高甚至比朝鲜人低2.4厘米。总而言之,随着时间的推移,高度呈u形,其中殖民时期的高度最低。在两次世界大战之间的时期,韩国从国际援助中受益,其高度反弹到了朝鲜王朝的水平,但在韩国蓬勃发展的市场经济下,这一水平再次上升,甚至超过了前现代的水平。
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引用次数: 0
Revisiting the predisposing, enabling, and need factors of unsafe abortion in India using the Heckman Probit model. 使用Heckman Probit模型重新审视印度不安全堕胎的易感因素,使能因素和需求因素。
IF 1.5 3区 社会学 Q1 Medicine Pub Date : 2024-05-01 Epub Date: 2023-11-20 DOI: 10.1017/S002193202300024X
Margubur Rahaman, Avijit Roy, Pradip Chouhan, Kailash Chandra Das, Md Juel Rana

Unsafe abortion refers to induced abortions performed without trained medical assistance. While previous studies have investigated predictors of unsafe abortion in India, none have addressed these factors with accounting sample selection bias. This study aims to evaluate the contributors to unsafe abortion in India by using the latest National Family Health Survey data conducted during 2019-2021, incorporating the adjustment of sample selection bias. The study included women aged 15 to 49 who had terminated their most recent pregnancy within five years prior to the survey (total weighted sample (N) = 4,810). Descriptive and bivariate statistics and the Heckman Probit model were employed. The prevalence of unsafe abortion in India was 31%. Key predictors of unsafe abortion included women's age, the gender composition of their living children, gestation stage, family planning status, and geographical region. Unsafe abortions were typically performed in the early stages of gestation, often involving self-administered medication. The primary reasons cited were unintended pregnancies and health complications. This study underscores the urgent need for targeted interventions that take into account regional, demographic, and social dynamics influencing abortion practices in India.

不安全堕胎是指在没有受过训练的医疗援助的情况下进行的人工流产。虽然以前的研究已经调查了印度不安全堕胎的预测因素,但没有一个研究涉及这些因素,并考虑到样本选择偏差。本研究旨在利用2019-2021年进行的最新全国家庭健康调查数据,对印度不安全堕胎的影响因素进行评估,并对样本选择偏差进行调整。该研究包括年龄在15至49岁之间,在调查前5年内终止最近一次妊娠的妇女(总加权样本(N) = 4810)。采用描述性统计和双变量统计以及Heckman Probit模型。印度不安全堕胎的发生率为31%。不安全人工流产的主要预测因素包括妇女的年龄、其在世子女的性别构成、妊娠期、计划生育状况和地理区域。不安全堕胎通常在妊娠早期进行,通常涉及自我用药。提到的主要原因是意外怀孕和健康并发症。这项研究强调迫切需要有针对性的干预措施,考虑到影响印度堕胎做法的区域、人口和社会动态。
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引用次数: 0
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