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Navigating the biosocial: perspectives of early career researchers working with birth cohorts. 生物社会导航:从事出生队列研究的早期职业研究人员的观点。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-02-28 DOI: 10.1017/S0021932025000045
Catherine Borra, Evangeline Tabor, Faith Cole, Sarah Stock

In recent years, there have been increasing calls for the development and growth of the biosocial as a paradigm through which to tackle complex problems. The use of birth cohorts, mixed methods frameworks, and interdisciplinary work are common in biosocial research. However, these practices are also theoretically and practically complex due to epistemic, methodological, and academic challenges - particularly for early career researchers (ECRs) who face time constraints, funding limitations, and disciplinary expectations.This paper draws on lessons from the experiences of ECRs in biosocial research by reflecting on theoretical heterogeneity, the necessity of translation and negotiation across disciplines and methodologies, and the practicalities of funding, collaboration, and dissemination. Throughout, the paper discusses strategies to overcome common challenges and provide suggestions for fellow ECRs and those interested in biosocial ECR training and development. The paper highlights the importance of strong networks with senior biosocial researchers and peers, the value of practical support, and the importance of formal and informal learning opportunities. The authors call for the enthusiasm for biosocial research to be matched with investment in the development and support for ECRs.

近年来,越来越多的人呼吁将生物社会作为解决复杂问题的一种范式。使用出生队列、混合方法框架和跨学科工作在生物社会研究中很常见。然而,由于认知、方法和学术方面的挑战,这些实践在理论上和实践上也很复杂——特别是对于面临时间限制、资金限制和学科期望的早期职业研究人员(ecr)。本文从生物社会研究ecr的经验中吸取教训,反思理论异质性,跨学科和方法的翻译和协商的必要性,以及资助,合作和传播的实用性。在整个过程中,本文讨论了克服共同挑战的策略,并为ECR同行和对生物社会ECR培训和发展感兴趣的人提供了建议。该论文强调了与高级生物社会研究人员和同行建立强大网络的重要性,实际支持的价值,以及正式和非正式学习机会的重要性。这组作者呼吁,对生物社会研究的热情应该与对ecr发展和支持的投资相匹配。
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引用次数: 0
Association between household air pollution due to solid fuel use and sleep problems among older adults in India. 固体燃料使用导致的室内空气污染与印度老年人睡眠问题之间的关系。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-02-03 DOI: 10.1017/S0021932024000403
Ritu Rani, Y Selvamani, Perianayagam Arokiasamy

Household air pollution (HAP) presents numerous health challenges. The association between HAP and sleep problems has not been extensively studied. This paper examined the effect of HAP due to solid fuel use on sleep problems among older adults in India. Data from the initial phase of the Longitudinal Aging Study in India, which included 51,060 individuals aged 50 years and older, was utilised. Sleep problems were defined as experiencing difficulty falling asleep, waking up during the night, or waking up too early at least five times per week and were classified as a binary variable. Exposure to HAP was defined as the use of solid fuel for household purposes. Multivariate logistic regression was employed to assess the association, and additionally, interaction analysis was conducted to explore the potential moderating effects of age, gender, and residence on this association. The prevalence of sleep problems among older adults was around 12.7%. Sleep problems were higher among older adults who used solid fuel for cooking (OR = 1.25; 95% CI: 1.17, 1.33) and other purposes (OR = 1.13; 95% CI: 1.06, 1.20) in the adjusted model. The place of cooking, ventilation, and type of stove played a significant role in the association between solid fuel use and sleep problems. Individuals over 65, females, and those residing in rural areas were particularly vulnerable to sleep problems due to HAP exposure. The findings highlight the importance of reducing HAP exposure by transitioning to clean fuels as a public health priority within initiatives aimed at promoting healthy aging.

家庭空气污染(HAP)带来了许多健康挑战。HAP和睡眠问题之间的关系尚未得到广泛研究。本文研究了印度老年人使用固体燃料对睡眠问题的影响。数据来自印度纵向老龄化研究的初始阶段,其中包括51,060名年龄在50岁及以上的人。睡眠问题被定义为入睡困难、夜间醒来或过早醒来,每周至少五次,并被归类为二元变量。接触HAP被定义为家庭使用固体燃料。采用多变量logistic回归评估其相关性,并进行交互分析,探讨年龄、性别和居住地对该相关性的潜在调节作用。老年人中睡眠问题的患病率约为12.7%。使用固体燃料做饭的老年人的睡眠问题更高(OR = 1.25;95% CI: 1.17, 1.33)和其他目的(OR = 1.13;95% CI: 1.06, 1.20)。做饭的地点、通风和炉子的类型在固体燃料使用和睡眠问题之间的关系中起着重要作用。65岁以上的个体、女性和居住在农村地区的人特别容易因HAP暴露而出现睡眠问题。研究结果强调了通过过渡到清洁燃料作为旨在促进健康老龄化的公共卫生优先事项来减少HAP暴露的重要性。
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引用次数: 0
Menarche and pubertal progression: a cross-sectional analysis of timing and influencing factors in North-Eastern Ghana. 月经初潮和青春期发展:加纳东北部时间和影响因素的横断面分析。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-02-10 DOI: 10.1017/S0021932025000021
Gabriel Ajediwe Alatiah, Fusta Azupogo, Ambrose Atosona, Frederick Vuvor, Matilda Steiner-Asiedu, Inge D Brouwer

Menarche and pubertal onset vary across populations but understanding age-at-menarche (AAM) and pubertal growth tempo is limited in low-income settings. Identifying factors influencing pubertal development is vital for creating targeted health and education programmes supporting adolescent girls' well-being. Baseline data (n = 1045) from the Ten2Twenty-Ghana study were analysed to examine menarche attainment, pubertal development, AAM, and the associated factors among girls aged 10-17 years in the Mion district, Ghana. The data collection methods included anthropometry, body composition, haemoglobin status, a qualitative 24-hour dietary recall, a food frequency questionnaire, and a pubertal development score (PDS). Binary logistic and linear regression analyses were used to model odds ratios for menarche attainment and regression coefficients for AAM and PDS. About 19.9% of the girls had experienced menarche, with a mean AAM of 13.4 ± 1.5 years. Among post-menarche girls (n = 205/1045), 12.2% and 15.1% experienced early (AAM < 12 years) and late menarche (AAM < 15 years), respectively. The mean PDS was 1.8 ± 0.7 out of 4. Among the adolescent girls, 36.2% were prepubertal, 17.0% early -pubertal, 18.6% mid-pubertal, 27.9% late pubertal, and less than 1% were in the post-pubertal stage. An increase in fat mass (FM), fat-free mass (FFM), height-for-age-z-score (HAZ), and body mass index-for-age-z-score (BAZ) was observed with puberty progression, but a steep decline in HAZ was noticed for girls in late puberty, increasing again post-puberty. Being older (adjusted odds ratio (AOR) = 2.06, 95% C.I.: 1.83, 2.31), stunted (AOR= 0.20, 95% C.I.: 0.10, 0.40), thin (AOR = 0.30, 95% C.I.: 0.11, 0.80), and overweight/obese (AOR = 7.29, 95% C.I.: 2.60, 20.43) were the significant predictors of menarche attainment. Being older (β = 0.39, P < 0.0001), stunted (β= -0.92, P = 0.01), thin (β = 1.25, P = 0.01), and having a literate mother (β = -0.72, P = 0.03) were significantly associated with AMM. A higher HAZ, FM, FFM, age, and Konkomba ethnicity were positively associated with higher PDS. This study highlights the complexity of factors influencing menarche and pubertal development. These insights are essential for developing targeted health and educational programmes that address nutritional and socio-demographic disparities to promote adolescent girls' well-being and healthy pubertal development.

月经初潮和青春期的开始因人群而异,但对月经初潮年龄(AAM)和青春期生长速度的了解在低收入环境中是有限的。确定影响青春期发展的因素对于制定有针对性的保健和教育方案,支持少女的福祉至关重要。对ten2220 -Ghana研究的基线数据(n = 1045)进行分析,以检查加纳Mion地区10-17岁女孩的月经初潮程度、青春期发育、AAM和相关因素。数据收集方法包括人体测量、身体成分、血红蛋白状态、定性24小时饮食回忆、食物频率问卷和青春期发育评分(PDS)。采用二元logistic和线性回归分析对月经初潮达到的比值比和AAM和PDS的回归系数进行建模。约19.9%的女孩经历过月经初潮,平均AAM为13.4±1.5年。初潮后女孩(n = 205/1045)中,初潮早(AAM < 12年)和初潮晚(AAM < 15年)分别占12.2%和15.1%。平均PDS为1.8±0.7(满分4分)。青春期女生中,青春期前占36.2%,青春期早期占17.0%,青春期中期占18.6%,青春期晚期占27.9%,青春期后占不到1%。脂肪质量(FM)、无脂质量(FFM)、年龄-z分数身高(HAZ)和年龄-z分数体重指数(BAZ)随着青春期的进展而增加,但HAZ在青春期后期急剧下降,青春期后再次增加。年龄(校正优势比(AOR) = 2.06, 95% ci: 1.83, 2.31)、发育不良(AOR= 0.20, 95% ci: 0.10, 0.40)、消瘦(AOR= 0.30, 95% ci: 0.11, 0.80)和超重/肥胖(AOR= 7.29, 95% ci: 2.60, 20.43)是月经初潮发生的显著预测因素。年龄较大(β= 0.39, P < 0.0001)、发育不良(β= -0.92, P = 0.01)、消瘦(β= 1.25, P = 0.01)和母亲识字(β= -0.72, P = 0.03)与AMM显著相关。较高的HAZ、FM、FFM、年龄和Konkomba种族与较高的PDS呈正相关。这项研究强调了影响月经初潮和青春期发育的因素的复杂性。这些见解对于制定有针对性的保健和教育方案至关重要,这些方案旨在解决营养和社会人口差异问题,促进少女的福祉和青春期的健康发展。
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引用次数: 0
Exploring the lived experience of economic insecurity and health among people accessing charity-run food provision services in Bristol, UK. 探索在英国布里斯托尔获得慈善机构经营的食品供应服务的人们的经济不安全和健康的生活经验。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-02-03 DOI: 10.1017/S002193202500001X
Geneviève Stone, Angeliki Papadaki

The UK has experienced alarming increases in the number of individuals living with food insecurity as a result of the rise in the cost of living. The mechanisms linking household economic insecurity to food insecurity, and perceived health outcomes, are not well understood. The aim of this study was to explore how individuals with lived experience of food insecurity are coping with the rise in the cost of living, the trade-offs they might be making between food and other household expenses, and how these might impact eating behaviours and health outcomes. Using a qualitative inductive approach rooted in hermeneutic phenomenology, nine semi-structured interviews were conducted among individuals using charity-run food provision services in Bristol, UK. Narrative accounts from these interviews were analysed thematically. Almost all participants were recipients of benefits at the time of interviews and were living under high levels of economic insecurity. The rise in the cost of living forced complex budget management strategies, including relying on donated food and shoplifting. It also influenced eating behaviours through altered cooking strategies to save energy, substituting food for cheaper, less-nutritious, alternatives, and rationing meals. Food insecurity was experienced as a form of psychosocial violence, engendering high levels of stress, particularly for individuals with diet-related chronic diseases. There is therefore an urgent need for policies that tackle structural causes of overall household economic insecurity, and improve economic access to adequate nutritious foods, to prevent further entrenching social inequalities.

由于生活成本的上升,英国经历了粮食不安全人数的惊人增长。将家庭经济不安全与粮食不安全以及可感知的健康结果联系起来的机制尚未得到很好的理解。这项研究的目的是探讨生活在食品不安全状况下的个人如何应对生活成本的上升,他们可能在食品和其他家庭开支之间做出的权衡,以及这些可能如何影响饮食行为和健康结果。使用植根于解释学现象学的定性归纳方法,在英国布里斯托尔使用慈善机构经营的食品供应服务的个人中进行了九次半结构化访谈。对这些访谈的叙述进行了主题分析。在接受采访时,几乎所有的参与者都是领取福利的人,生活在高度的经济不安全之中。生活成本的上涨迫使他们采取复杂的预算管理策略,包括依靠捐赠食品和入店行窃。它还通过改变烹饪策略来节省能源,用更便宜、营养更少的食物替代食物,以及定量配餐,影响了饮食行为。粮食不安全是一种社会心理暴力,造成高度压力,特别是对患有与饮食有关的慢性病的个人而言。因此,迫切需要制定政策,解决造成整体家庭经济不安全的结构性原因,并改善经济上获得充足营养食品的机会,以防止进一步加剧社会不平等。
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引用次数: 0
Intergenerational trends in body size among Moscow's young adults: socio-demographic influences of the 20th century. 莫斯科年轻人体型的代际趋势:20世纪的社会人口影响。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI: 10.1017/S0021932024000385
Ainur A Khafizova, Marina A Negasheva, Alla A Movsesian

This study aimed to investigate the influence of socio-demographic and epidemiological factors on the secular changes in body size indicators (height, weight, and BMI) among young adults aged 17-22 years in Moscow from the early 20th century to the present. Published average anthropometric data from screening surveys conducted from 1880/1925-26 to 2020-21 were analysed (4,823 males and 5,952 females), along with demographic data from the Federal State Statistics Service of the Russian Federation. Findings revealed consistent anthropometric trends and strong associations between secular changes in body size of Moscow youth and socio-demographic indicators such as population size, life expectancy, and infant mortality rates. An increase in height and weight was noted against the backdrop of urbanisation, increased life expectancy, and reduced infant mortality. These results indicate that the urbanisation process and the transformation of the epidemiological landscape in 20th-century Russia - marked by enhancements in public health, modernisation of the healthcare system, and medical advancements - have had a significant impact on changes in body size across generations. Notably, from the mid-20th century onwards, with the exception of the final decade, conditions favourable to growth and development were established, culminating in a significant increase in definitive anthropometric parameters across successive generations. The findings underscore the imperative for policymakers to bolster investments in urban development, healthcare, and education. Such strategic investments are essential for sustaining and amplifying the positive physical development trends witnessed.

摘要本研究旨在探讨20世纪初至今莫斯科地区17-22岁青年成人身高、体重和体重指数长期变化的社会人口统计学和流行病学因素的影响。从1880/1925-26年至2020-21年进行的筛选调查中公布的平均人体测量数据(4,823名男性和5,952名女性)以及俄罗斯联邦联邦国家统计局的人口统计数据进行了分析。研究结果揭示了一致的人体测量趋势和莫斯科青年身体尺寸的长期变化与社会人口指标(如人口规模、预期寿命和婴儿死亡率)之间的强烈关联。在城市化、预期寿命延长和婴儿死亡率降低的背景下,人们注意到身高和体重的增加。这些结果表明,20世纪俄罗斯的城市化进程和流行病学格局的转变——以公共卫生的改善、医疗保健系统的现代化和医学进步为标志——对几代人的体型变化产生了重大影响。值得注意的是,从20世纪中期开始,除了最后十年之外,建立了有利于增长和发展的条件,最终导致连续几代人的最终人体测量参数显着增加。研究结果强调,决策者必须加强对城市发展、医疗保健和教育的投资。这种战略投资对于维持和扩大所看到的积极的实物发展趋势至关重要。
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引用次数: 0
Navigating the currents: understanding awareness, attitudes, and menstrual hygiene management challenges in Bangladesh's Haor Region. 顺应潮流:了解孟加拉国哈尔地区的意识、态度和月经卫生管理挑战。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1017/S0021932024000415
Abdul Basit, Omme Same Antu, Mahfuzul Mithun, Mohammad Shafiqul Islam

Menstrual hygiene management (MHM) is an important but often neglected aspect of women's health worldwide, especially in developing and disaster-prone countries, such as Bangladesh. This qualitative study aimed to investigate awareness, attitudes, and practices related to MHM among girls in the Haor region, particularly during floods. The study adopts a phenomenological approach, and data were collected using purposive sampling from 33 women aged 15 years and above who resided in the Haor region. Thematic analysis was employed to identify the patterns, themes, and subthemes within the qualitative data. The study reveals a significant lack of widespread knowledge about menstruation among girls in the Haor area, which is associated with unfavourable family and social attitudes, and stigma or taboos. Natural hazards, cultural barriers, access to the market, economic incapacity, and inadequate infrastructure make it very difficult to manage menstruation, which is especially aggravated during floods due to displacement and shelter on the roadside, primary schools, and other people's houses. This research emphasises the need for tailored MHM programmes from the government to address the unique challenges faced by women in Haor regions. Provision of sanitary napkins and essential medicines, maintaining stock in shelters, and equipping community clinics with MHM-related healthcare services are essential. Finally, NGOs should prioritise MH within their scope of work.

经期卫生管理(MHM)是全世界妇女健康的一个重要但往往被忽视的方面,特别是在发展中国家和易受灾害的国家,如孟加拉国。这项定性研究旨在调查哈尔地区女孩,特别是在洪水期间对MHM的认识、态度和做法。本研究采用现象学方法,对居住在Haor地区的33名15岁及以上妇女进行有目的抽样,收集数据。主位分析用于识别定性数据中的模式、主位和副主位。这项研究表明,在Haor地区的女孩中,普遍缺乏关于月经的知识,这与不利的家庭和社会态度以及耻辱或禁忌有关。自然灾害、文化障碍、市场准入、经济能力低下以及基础设施不足,都使经期管理变得非常困难,在洪水期间,由于流离失所和路边、小学和其他人的房屋的庇护,情况尤其严重。这项研究强调,政府需要制定量身定制的MHM方案,以解决哈尔地区妇女面临的独特挑战。提供卫生巾和基本药物、维持庇护所库存以及为社区诊所配备与mhm有关的保健服务至关重要。最后,非政府组织应在其工作范围内优先考虑卫生保健。
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引用次数: 0
Child marriage, educational attainment, and comprehensive knowledge of HIV/AIDS: a multi-country analysis. 童婚、受教育程度和对艾滋病毒/艾滋病的全面了解:一个多国分析。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-01-07 DOI: 10.1017/S0021932024000397
Adenike Onagoruwa, Quentin Wodon

Understanding the link between HIV/AIDS knowledge and child marriage is important for designing and planning effective intervention programmes. Despite significant advances in HIV/AIDS prevention and treatment, it remains important to study the impact of child marriage on HIV/AIDS knowledge because HIV/AIDS continues to affect millions globally. This study investigated the association of child marriage with scores on an index measuring comprehensive knowledge about HIV/AIDS transmission and prevention. Analysis was conducted on a sample of women aged 18-24 years, using nationally representative DHS household surveys from 18 countries. Findings indicate that there is no direct statistically significant effect of child marriage on women's comprehensive knowledge about HIV/AIDS once controls for other factors affecting knowledge are included in the regression. However, the coefficients for educational attainment are statistically significant in most countries, at least when secondary or higher education is considered. This suggests that child marriage may affect knowledge about HIV/AIDS indirectly through its impact on educational attainment for girls who marry early.

了解艾滋病毒/艾滋病知识与童婚之间的联系对于设计和规划有效的干预方案非常重要。尽管在艾滋病毒/艾滋病预防和治疗方面取得了重大进展,但研究童婚对艾滋病毒/艾滋病知识的影响仍然很重要,因为艾滋病毒/艾滋病继续影响着全球数百万人。这项研究调查了童婚与衡量艾滋病毒/艾滋病传播和预防的综合知识指数得分的关系。对18-24岁的妇女样本进行了分析,使用了来自18个国家的具有全国代表性的国土安全部家庭调查。研究结果表明,一旦将其他影响知识的因素纳入回归控制,童婚对女性对HIV/AIDS的综合知识的影响没有直接的统计学意义。然而,在大多数国家,受教育程度的系数在统计上是显著的,至少在考虑中等或高等教育时是如此。这表明,童婚可能通过影响早婚女孩的受教育程度间接影响对艾滋病毒/艾滋病的认识。
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引用次数: 0
Identifying the reasons why men marry teenage girls: a qualitative study from the perspective of men in western Iran. 确定男性与少女结婚的原因:一项来自伊朗西部男性视角的定性研究。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2025-02-27 DOI: 10.1017/S0021932025000033
Javad Yoosefi Lebni, Ahmad Ahmadi, Seyed Fahim Irandoost, Mandana Saki

Marriage with teenage girls is an important health and social challenge, which is caused by various factors. Considering that no research has been done to show the reasons for men's desire to marry teenage girls, this research was conducted with the aim of identifying the reasons why men marry teenage girls in western Iran. This qualitative research was conducted with the conventional content analysis approach among 37 men in western Iran who married to girls under the age of 18. Targeted, theoretical, and snowball sampling methods were used to reach the participants. To collect data, semi-structured interviews were used both in-person (20 people) and online (17 people). Data analysis was done with Graneheim and Lundman approach and checking the accuracy and strength of the results with Guba and Lincoln criteria. One core category, 9 subcategories, and 88 initial codes were obtained from the data analysis. The core category, foresight along with desired upbringing, included the subcategories of getting sure of purity, to bring up the girl, seeking sexual pleasure, dominating the wife, low expectations, appropriate fertility, encouragement of social organizations and families, following models, and cultural beliefs. The reasons for men marrying teenage girls are rooted in personality traits, family encouragement, and the cultural and social context of the society. Marriage with teenage girls can be prevented by intervening at different levels and taking measures such as training and raising men's awareness about the consequences of marrying teenage girls, changing men's cultural and gender beliefs, raising the awareness of parents and social organizations about the adverse effects of child marriage, and establishing appropriate laws.

与少女结婚是一个重要的健康和社会挑战,这是由各种因素造成的。考虑到目前还没有研究表明男性渴望与少女结婚的原因,这项研究的目的是确定伊朗西部男性与少女结婚的原因。这项定性研究是用传统的内容分析方法在伊朗西部37名与18岁以下女孩结婚的男性中进行的。有针对性的、理论的和滚雪球的抽样方法被用来接触到参与者。为了收集数据,我们采用了面对面(20人)和在线(17人)的半结构化访谈。使用Graneheim和Lundman方法进行数据分析,并使用Guba和Lincoln标准检查结果的准确性和强度。数据分析得到1个核心类目、9个亚类目和88个初始码。核心类别,预见和期望的成长,包括确保纯洁,抚养女孩,寻求性快感,支配妻子,低期望,适当的生育,鼓励社会组织和家庭,遵循模式和文化信仰等子类别。男性与少女结婚的原因植根于个性特征、家庭鼓励以及社会的文化和社会背景。可以通过不同层次的干预和采取诸如培训和提高男子对与少女结婚后果的认识、改变男子的文化和性别信仰、提高父母和社会组织对童婚不利影响的认识以及制定适当的法律等措施来防止与少女结婚。
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引用次数: 0
Breathing in danger: unveiling cooking fuel transitions in India and alarming effect of household air pollution on under-five children's health. 危险的呼吸:揭示印度烹饪燃料的转变以及家庭空气污染对五岁以下儿童健康的惊人影响。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2025-01-01 Epub Date: 2024-11-18 DOI: 10.1017/S002193202400035X
Priyandu M Bajpayee, Pratap C Mohanty, Milind K Yadav

Air pollution in households is a prime contributor to health issues in developing countries, as in the case of India. According to the latest National Family Health Survey Report 2022, more than half of India's rural population and 41 per cent overall still depend on solid or unclean fuel combustions, which may reflect in future health hazards. Thus, it is crucial to understand the issue empirically. To that end, the study traces the transitional pattern of unclean cooking fuel users towards clean fuel over the last 30 years using responses from all five National Family Health Survey rounds. Further, the study uses an adjusted probit model to analyse the determinants that lead to the choice of cooking fuel in a household and a logistic model to examine the association between the choice made and the respiratory health of children under five. The empirical results show that the number of households using unclean fuel has declined over the years, with a slightly higher decline in the last five years. Moreover, it also shows that poverty status and place of residence significantly influence cooking fuel choice. Additionally, children residing in households that use clean fuels are less likely to suffer respiratory infections. In conclusion, the present study provides strong evidence to ameliorate the existing policies in a way that exhorts clean energy use. The authors propose pro-poor, pro-rural policies to expedite the clean energy transition, benefitting the most vulnerable households.

在发展中国家,家庭空气污染是导致健康问题的主要因素,印度也是如此。根据最新的《2022 年全国家庭健康调查报告》,印度一半以上的农村人口和 41% 的总人口仍然依赖固体或不洁燃料燃烧,这可能会对未来的健康造成危害。因此,从经验上了解这一问题至关重要。为此,本研究利用所有五轮全国家庭健康调查的答复,追溯了过去 30 年不清洁烹饪燃料使用者向清洁燃料过渡的模式。此外,研究还使用调整后的概率模型分析了导致家庭选择烹饪燃料的决定因素,并使用逻辑模型研究了所做选择与五岁以下儿童呼吸系统健康之间的关联。实证结果显示,使用不洁燃料的家庭数量逐年下降,最近五年的降幅略大。此外,研究还表明,贫困状况和居住地对烹饪燃料的选择有很大影响。此外,居住在使用清洁燃料家庭的儿童患呼吸道感染的可能性较小。总之,本研究提供了强有力的证据,以改善现有政策,鼓励使用清洁能源。作者提出了有利于穷人、有利于农村的政策,以加快清洁能源的过渡,使最脆弱的家庭受益。
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引用次数: 0
Trends in adult mortality rates in India, 1970 to 2018: age-period-cohort analysis. 1970年至2018年印度成人死亡率趋势:年龄段队列分析。
IF 1.5 3区 社会学 Q2 DEMOGRAPHY Pub Date : 2024-11-01 Epub Date: 2024-10-24 DOI: 10.1017/S0021932024000270
Sheuli Misra, Akansha Singh, Srinivas Goli, K S James

High premature adult deaths in developing countries are gaining attention, as recent studies show their increasing impact on overall mortality rates. This paper has twofold objectives: firstly, it investigates the long-term trends and patterns of adult mortality between 1970 and 2018 in India. Secondly, it attempts to detect age, period, and cohort (APC) effects on adult mortality decline over time. Data on age-specific mortality rates and disease-adjusted life years for adult age groups (15-59 years) were collected from the Sample Registration System and the Global Burden of Disease study, respectively. The trends in age-standardized mortality rates were presented graphically, and critical change points were highlighted using a change-point analysis. The intrinsic estimator model was applied to estimate the independent effects of APC on adult mortality. The findings revealed that adult mortality declined between 1970 and 2018 with multiple critical change points. The APC effects showed a notable decline in adult mortality during 2005-2018 and for the recent birth cohorts, 1980-2004. However, the rate of mortality declined slowly over time. Results also indicated that mortality started increasing from mid-adult ages and peaked in older adult ages due to the age effects and provided evidence of a rise in adult life loss due to non-communicable diseases in recent years. Overall, the study underscores the importance of implementing health policies aimed at reducing life loss in the most economically active ages that can have long-term negative implications for the country's economic growth.

最近的研究表明,发展中国家成人过早死亡人数居高不下,对总体死亡率的影响越来越大,因此越来越受到人们的关注。本文有两个目的:首先,调查 1970 年至 2018 年印度成人死亡率的长期趋势和模式。其次,本文试图发现年龄、时期和队列(APC)对成人死亡率随时间下降的影响。样本登记系统和全球疾病负担研究分别收集了成人年龄组(15-59 岁)的特定年龄死亡率和疾病调整生命年数据。年龄标准化死亡率的趋势以图表形式呈现,并通过变化点分析突出了关键变化点。应用本征估计模型估算了 APC 对成人死亡率的独立影响。研究结果显示,1970 年至 2018 年期间,成人死亡率下降,并出现多个临界变化点。APC 影响表明,2005-2018 年期间以及最近的出生队列(1980-2004 年)的成人死亡率明显下降。然而,随着时间的推移,死亡率下降缓慢。研究结果还表明,由于年龄效应,死亡率从中年开始上升,到老年达到顶峰,并提供了近年来非传染性疾病导致的成人寿命损失上升的证据。总体而言,这项研究强调了实施旨在减少经济活动最活跃年龄段生命损失的卫生政策的重要性,因为这可能对国家的经济增长产生长期的负面影响。
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Journal of Biosocial Science
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