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Son Preference, Modern Contraception, and Fertility Intention in the Context of Polygyny in Pakistan: Evidence From Demographic and Health Survey 2017–2018 巴基斯坦一夫多妻制背景下的重男轻女、现代避孕和生育意愿:来自2017-2018年人口与健康调查的证据
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-31 DOI: 10.1002/ajhb.24205
Mukhtiar Hussain Ibupoto, Athar Ali Shah, Anbang Loong

Introduction

The research explores the association between son preference, utilization of modern contraception, and fertility intention among polygynous families in Pakistan.

Method

Logistic regression, margins plot, and propensity score matching techniques were implied for the analysis, using demographic and health surveys 2017–2018.

Results

The results reveal higher odds for using modern contraception (0.51) and lower odds for demanding more children (2.56) among women having only sons as compared to women having only daughters with (0.4) and (6.7) odds for the same factors. Propensity score matching results show that after controlling for all demographic factors women having only boys are 6% more likely to use contraception and 20% less demanding more children than women having only girls. This association is stronger, especially when couples have less than six children.

Conclusion

The research shows evidence of son preference and higher fertility among women belonging to polygynous families in Pakistan. Policy programs should pay attention to women's empowerment, education, and economic rights.

简介:本研究探讨了巴基斯坦一夫多妻制家庭中对儿子的偏好、现代避孕方法的使用和生育意愿之间的关系:该研究探讨了巴基斯坦一夫多妻制家庭中儿子偏好、现代避孕药具使用情况和生育意愿之间的关联:利用 2017-2018 年人口与健康调查,采用逻辑回归、边际图和倾向得分匹配技术进行分析:结果显示,与独生女儿(0.4)和(6.7)的几率相比,独生儿子的妇女使用现代避孕方法的几率更高(0.51),要求更多子女的几率更低(2.56)。倾向得分匹配结果表明,在控制了所有人口因素后,与只有女孩的妇女相比,只有男孩的妇女采取避孕措施的几率要高出 6%,要求生育更多子女的几率要低 20%。尤其是当夫妇的子女数少于 6 个时,这种关联性更强:研究表明,巴基斯坦一夫多妻制家庭的妇女有重男轻女的倾向,而且生育率较高。政策计划应关注妇女赋权、教育和经济权利。
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引用次数: 0
Relationship Between Dietary Patterns and Blood Pressure During Adolescence: A Longitudinal Analysis From Dados Study 青春期饮食模式与血压之间的关系:来自 Dados 研究的纵向分析。
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-29 DOI: 10.1002/ajhb.24199
Luis Miguel Fernández-Galván, Mireia Adelantado-Renau, Maria Reyes Beltran-Valls, Diego Moliner-Urdiales

Background

Previous research in adults has suggested that healthy dietary patterns could be an effective strategy for blood pressure (BP) control. However, during adolescence, the scientific literature examining this relationship is scarce and controversial since inverse and null associations have been reported. Thus, the aim of our study was to analyze the relationship between the level of adherence to the Mediterranean diet (MD) and consumption of fresh fruits and vegetables at baseline with changes in BP over a two-year period during adolescence.

Methods

The analyses included 197 adolescents (92 girls) aged 13.9 ± 0.3 years. Adherence to the MD and consumption of fresh fruits and vegetables were assessed using the KIDMED questionnaire and a food frequency questionnaire, respectively. BP values were measured using an automatic sphygmomanometer according to standardized procedures.

Results

Adolescents with high adherence levels to the MD, and high consumption of vegetables (but not fruits) at baseline, showed smaller increases in diastolic BP changes over two years (percentage of reduction ranging from ~48% to ~88%, all p < 0.026). No significant relationships were identified in systolic BP over the two-year period.

Conclusion

Our findings underscore the importance of promoting MD and vegetable consumption to reduce diastolic BP during adolescence, contributing to lowering future cardiovascular risk.

背景:以往对成年人的研究表明,健康的饮食模式是控制血压(BP)的有效策略。然而,在青少年时期,研究这种关系的科学文献很少,而且存在争议,因为有报道称两者之间存在反向或无效的关系。因此,我们的研究旨在分析基线时坚持地中海饮食(Mediterranean diet,MD)和食用新鲜水果和蔬菜的水平与青春期两年内血压变化之间的关系:分析对象包括 197 名青少年(92 名女孩),年龄为 13.9 ± 0.3 岁。分别使用 KIDMED 问卷和食物频率问卷对坚持 MD 和食用新鲜水果和蔬菜的情况进行了评估。使用自动血压计按照标准化程序测量血压值:结果:坚持MD水平高且基线时蔬菜(而非水果)消费量高的青少年,其两年内舒张压变化的增幅较小(降幅从~48%到~88%不等,均为P 结论:我们的研究结果强调了促进青少年健康的重要性:我们的研究结果表明,在青少年时期促进MD和蔬菜的摄入对降低舒张压非常重要,有助于降低未来的心血管风险。
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引用次数: 0
Secular Trends in the Median Age at Menarche and Spermarche Among Chinese Children From 2000 to 2019 and Analysis of Physical Examination Indicators Factor 2000 - 2019年中国儿童初潮、遗精中位年龄的长期变化趋势及体检指标因素分析
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-09 DOI: 10.1002/ajhb.24198
Jiajia Hu, Wenhao Han, Meng Zhou, Yixiao Geng, Junna Zhang, Fanke Zhou, Wencan Wu, Xiaolei Ban, Xiaomin Lou, Xian Wang

Objectives

This research aimed to understand the long-term trends in the age of menarche among girls and spermarche among boys, and to analyze the factors that may influence the onset of menarche and first spermarche.

Methods

The study was based on data from 49 566 students in Henan Province collected from the Chinese National Surveys on Students' Constitution and Health (CNSSCH) conducted between 2000 and 2019. Median age at menarche and spermarche was estimated by probit analysis. t-Tests were used to analyze the influence of menarche and first spermarche on physical examination indexes of adolescent children, and the chi-squared test was used to compare whether the differences in physical activity were statistically significant.

Results

The age at menarche has decreased from 12.33 years in 2000 to 12.00 years in 2019, and the age at first spermarche has decreased from 14.01 years in 2000 to 13.99 years in 2019. The age at first spermarche in urban boys (13.61 years in 2000; 12.94 years in 2014) was consistently younger than that in rural boys (14.43 years in 2000; aged 13.08 in 2014), except in 2019. The age of menarche in urban girls (12.23 years in 2000; 11.89 years in 2019) was always earlier than that in rural girls (12.44 years in 2000; 12.05 years in 2019).

Conclusions

The age at menarche and spermarche for children in Henan Province generally showed a decreasing trend from 2000 to 2019. The status of BMI is significantly associated with the early onset of puberty in children.

目的:了解女孩初潮年龄和男孩积精年龄的长期变化趋势,分析可能影响初潮和第一积精发生的因素。方法:研究基于2000年至2019年中国全国学生体质与健康调查(CNSSCH)中河南省49566名学生的数据。初潮和遗精年龄中位数通过概率分析估计。采用t检验分析初潮和第一精子对青少年儿童体检指标的影响,采用卡方检验比较体力活动差异是否有统计学意义。结果:初潮年龄由2000年的12.33岁降至2019年的12.00岁,初精年龄由2000年的14.01岁降至2019年的13.99岁。城市男孩初生精子年龄(2000年13.61岁;(2014年为12.94岁)一直低于农村男孩(2000年为14.43岁;2014年13.08岁),2019年除外。城市女孩月经初潮年龄(2000年12.23岁;(2019年为11.89岁)始终早于农村女孩(2000年为12.44岁;2019年为12.05年)。结论:2000 - 2019年河南省儿童初潮年龄和精子年龄总体呈下降趋势。BMI的状态与儿童青春期的早发有显著的关系。
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引用次数: 0
The Spiral of Attention, Arousal, and Release: A Comparative Phenomenology of Jhāna Meditation and Speaking in Tongues 注意、觉醒和释放的螺旋:Jhāna冥想和说方言的比较现象学。
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-09 DOI: 10.1002/ajhb.24189
Josh Brahinsky, Jonas Mago, Mark Miller, Shaila Catherine, Michael Lifshitz

Buddhist Jhāna meditation and the Christian practice of speaking in tongues appear wildly distinct. These spiritual techniques differ in their ethical, theological, and historical frames and seem, from the outside, to produce markedly different states of consciousness—one a state of utter calm and the other of high emotional arousal. Yet, our phenomenological interviews with experienced practitioners in the USA found significant points of convergence. Practitioners in both traditions describe a dynamic relationship between focused attention, aroused joy, and a sense of letting go or release that they describe as crucial to their practice. This paper highlights these shared phenomenological features and theorizes possible underlying mechanisms. Analyzing our phenomenological data through the lens of various theories of brain function, including sensory gating and predictive processing, we propose that these practices both engage an autonomic field built through a spiral between attention, arousal, and release (AAR).

佛教Jhāna冥想和基督教说方言的做法似乎截然不同。这些精神技巧在伦理、神学和历史框架上都有所不同,从外部看来,似乎产生了明显不同的意识状态——一种是完全平静的状态,另一种是高度情绪唤起的状态。然而,我们对美国经验丰富的从业人员的现象学访谈发现了重要的趋同点。这两种传统的实践者都描述了一种动态的关系,即集中注意力、唤起喜悦和放手或释放的感觉,他们认为这对他们的练习至关重要。本文强调了这些共同的现象学特征,并对可能的潜在机制进行了理论化。通过各种脑功能理论(包括感觉门控和预测处理)分析我们的现象学数据,我们提出这些实践都涉及通过注意、唤醒和释放(AAR)之间的螺旋建立的自主神经场。
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引用次数: 0
Occupational Stress and Sleep of Military Police Officers From Rio de Janeiro, Brazil 巴西里约热内卢军事警察的职业压力与睡眠
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-04 DOI: 10.1002/ajhb.24184
Luiz Otavio Ribeiro Garcia, Ruda Moreira, Maria-Raquel G. Silva

Objective

Military Police officers of Rio de Janeiro's State have been considered the most lethal security forces in Brazil, corresponding to 52.35% of deaths in policing actions. The main aim of this study was to identify occupational stress among military police officers in Rio de Janeiro State and its relationship with the psychosocial environment, sleep quality, and daytime sleepiness.

Methods

Two hundred and forty-two military policemen, divided into two groups (elite and non-elite), were evaluated occupational stress by the Lipp's Stress Symptoms Inventory (LSSI), daytime sleepiness (DS) by the Epworth Sleepiness Scale and sleep quality (SQ) by the Pitsburgh Sleep Quality Index.

Results

Military police officers (entire sample) showed dissatisfaction related to psychological support from the military institution (p = 0.004), about the inefficiency of the judicial system (p < 0.001) and their low popularity towards society (p = 0.009). The group of elite police officers slept significantly less (p = 0.026) and, in general, suffered more from severe daytime sleepiness, had poorer SQ and showed lower levels of occupational stress than their peers. It was possible to identify that stress can be detected, developed, and intensified in military police officers as a result of the environment in which they are exposed and this interferes significantly in sleep and daytime sleepiness (p < 0.05).

Conclusion

Through this study, it is hoped that measures can be implemented to enhance the work environment and thereby improve the quality of life for this military population. Furthermore, it is intended to stimulate more comprehensive and longitudinal studies, particularly inclusive of female military personnel.

目标:里约热内卢州的军事警察被认为是巴西最致命的安全部队,占警务行动中死亡人数的52.35%。本研究的主要目的是确定巴西里约热内卢州军事警察的职业压力及其与社会心理环境、睡眠质量和白天嗜睡的关系。方法:采用Lipp压力症状量表(LSSI)、Epworth嗜睡量表(DS)和匹兹堡睡眠质量指数(SQ)对242名军警进行职业压力评估。结果:整个样本的宪兵对军事机构的心理支持表现出不满(p = 0.004),对司法系统的效率低下表现出不满(p)。结论:通过本研究,希望能采取措施改善军事人群的工作环境,从而提高其生活质量。此外,它的目的是促进更全面和纵向的研究,特别是包括女性军事人员。
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引用次数: 0
The Association Between Depressive Symptoms and Waist Circumference Among Normal-Weight Individuals in the Peruvian Population: A 3-Year Pooled Cross-Sectional Study 秘鲁正常体重人群中抑郁症状与腰围的关系:一项为期3年的汇总横断面研究
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-02 DOI: 10.1002/ajhb.24194
Lorena Saavedra-Garcia, Miguel Moscoso-Porras, Ysabella Benites-Castillo, Luis German-Montejo, Paula Andrea Diaz-Valencia, Noël C. Barengo, Heidi von Harscher, Jamee Guerra Valencia

Introduction

Limited information is available on the association between depressive symptoms and waist circumference (WC) in individuals with normal weight. This study aimed to analyze the association between depressive symptoms and WC among individuals aged 18 years or older with normal weight in the Peruvian population between 2019 and 2021.

Methods

Analytical cross-sectional study. Data from the Peruvian Demographic and Health Survey (2019–2021) were analyzed. The sample consisted of 26 933 participants. The outcome variable was WC. The exposure variables included the overall Patient Health Questionnaire-9 (PHQ-9) score and severity of depressive symptoms. Generalized linear models of the Gaussian family estimated the effects with β coefficients for the associations between WC and depressive symptoms stratified by age and sex.

Results

A significant inverse association was observed between depressive symptoms and WC in young (< 35 years) individuals of both sexes. In young males, a dose–response relationship emerged, with greater severity of depressive symptoms associated with progressively lower WC. Specifically, inverse associations were found for moderate (β = −1.74, 95% CI: −3.25 to −0.23), moderately severe (β = −2.81, 95% CI: −4.71 to −0.91), and severe (β = −2.75, 95% CI: −5.11 to −0.40) depressive symptoms.

Conclusions

Among young individuals of both sexes with a normal weight, depressive symptoms were inversely associated with WC. These findings underscore the need for nuanced considerations of age and sex when exploring the interplay of depression and abdominal adiposity in individuals with normal weight.

在体重正常的个体中,关于抑郁症状与腰围(WC)之间关系的信息有限。本研究旨在分析2019年至2021年间秘鲁18岁及以上体重正常的个体抑郁症状与WC之间的关系。方法:分析性横断面研究。分析了秘鲁人口与健康调查(2019-2021年)的数据。样本包括26933名参与者。结果变量为WC。暴露变量包括总体患者健康问卷-9 (PHQ-9)评分和抑郁症状的严重程度。高斯族广义线性模型用β系数估计按年龄和性别分层的WC和抑郁症状之间关联的影响。结果:青少年抑郁症状与腰围呈显著负相关(结论:在体重正常的男女青少年中,抑郁症状与腰围呈负相关)。这些发现强调,在研究体重正常的个体中抑郁和腹部肥胖的相互作用时,需要细致入微地考虑年龄和性别。
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引用次数: 0
Inflammation and Ovarian Function in Reproductive-Aged Women 育龄妇女的炎症与卵巢功能。
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-12-02 DOI: 10.1002/ajhb.24196
Anneliese Long, Anne Z. Steiner, Amanda L. Thompson, Hannah R. Jahnke, Benjamin S. Harris, Anne Marie Jukic

Introduction

Inflammation is a marker of immune activation. Inflammation may have an effect on both ovarian function and luteal function, both essential to pregnancy. High inflammation may also signal dysregulated processes within the ovary, which could be in part measured through Anti-Müllerian hormone, follicle-stimulating hormone, and inhibin B levels.

Objective

To determine the relationship between inflammation, measured by C-reactive protein, and three biomarkers of ovarian function during the early follicular phase: Anti-Müllerian hormone, follicle-stimulating hormone, and inhibin B.

Methods

Secondary cross-sectional analysis of data and serum obtained in Time to Conceive, a prospective cohort study sample of 843 women attempting pregnancy in central North Carolina from 2008 to 2016. Participants were aged 30 and 44 years, had no history of infertility, endometriosis, or polycystic ovarian syndrome, and were not currently breastfeeding. Serum samples were obtained on days 2, 3, or 4 of the menstrual cycle. C-reactive protein (natural-log transformed), Anti-Müllerian hormone (natural-log transformed), follicle-stimulating hormone (natural-log transformed), and inhibin B (untransformed) were measured in serum. Diminished ovarian reserve was examined dichotomously and defined as an Anti-Müllerian hormone level below 0.7 ng/mL.

Results

The analysis included 703 participants with C-reactive protein measured. In an adjusted linear regression model, a 20% increase in C-reactive protein was associated with a 0.57 pg/mL decrease in inhibin B (95% CI: −0.84 to −0.29 pg/mL) and a 0.535% decrease in follicle-stimulating hormone (95% CI: −1.01 to −0.06). Although there was not a significant relationship between Anti-Müllerian hormone and C-reactive protein, a 20% increase in C-reactive protein was associated with a 0.87% increase in Anti-Müllerian hormone (95% CI: −0.27 to 2.01). C-reactive protein was not associated with the odds of diminished ovarian reserve in an adjusted logistic regression model (OR: 0.97, 95% CI: 0.77–1.20).

Conclusions

Inflammation, as measured by C-reactive protein, is associated with early follicular phase follicle-stimulating hormone and inhibin B, although this is not true of AMH. Inflammation may exert an effect on ovarian function.

炎症是免疫激活的标志。炎症可能对卵巢功能和黄体功能都有影响,这两种功能对怀孕都很重要。高炎症也可能是卵巢内部失调的信号,这可以通过抗勒氏激素、促卵泡激素和抑制素B水平来部分测量。目的:确定c反应蛋白测量的炎症与卵泡早期卵巢功能的三种生物标志物:抗勒氏激素、促卵泡激素和抑制素b之间的关系。方法:对2008年至2016年北卡罗来纳州中部843名试图怀孕的女性的前瞻性队列研究样本《Time To pregnancy》中获得的数据和血清进行二次横断面分析。参与者年龄在30岁和44岁之间,没有不孕、子宫内膜异位症或多囊卵巢综合征的病史,目前没有母乳喂养。在月经周期的第2、3、4天采集血清样本。测定血清中的c反应蛋白(自然转化)、抗勒氏激素(自然转化)、促卵泡激素(自然转化)和抑制素B(未转化)。卵巢储备功能减退分为抗勒氏激素水平低于0.7 ng/mL。结果:分析包括703名参与者,测量c反应蛋白。在调整后的线性回归模型中,c反应蛋白增加20%与抑制素B降低0.57 pg/mL (95% CI: -0.84至-0.29 pg/mL)和促卵泡激素降低0.35% (95% CI: -1.01至-0.06)相关。虽然抗勒氏杆菌激素和c -反应蛋白之间没有显著关系,但c -反应蛋白增加20%与抗勒氏杆菌激素增加0.87%相关(95% CI: -0.27 ~ 2.01)。在调整后的logistic回归模型中,c反应蛋白与卵巢储备能力下降的几率无关(OR: 0.97, 95% CI: 0.77-1.20)。结论:炎症,如c反应蛋白测量,与卵泡期早期卵泡刺激素和抑制素B有关,尽管AMH并非如此。炎症可对卵巢功能产生影响。
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引用次数: 0
Somatic Symptoms Are Associated With Elevated Blood Pressure and Epstein–Barr Virus Antibodies Among Shuar of the Ecuadorian Amazon 厄瓜多尔亚马逊地区舒瓦尔人的躯体症状与血压升高和eb病毒抗体相关
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-11-29 DOI: 10.1002/ajhb.24191
Paula S. Tallman, Rebecca A. Seligman, Felicia C. Madimenos, Melissa A. Liebert, Tara J. Cepon-Robins, J. Josh Snodgrass, Thomas W. McDade, Lawrence S. Sugiyama

Introduction

This study tests the hypothesis that self-reported somatic symptoms are associated with biomarkers of stress, including elevated blood pressure and suppressed immune function, among Shuar adults living in the Ecuadorian Amazon.

Methods

Research was conducted in three Shuar communities in the Upano Valley of the Ecuadorian Amazon and included the collection of biomarkers and a structured morbidity interview. Participants self-reported somatic symptoms such as headaches, body pain, fatigue, and other bodily symptoms. We examined whether the number of somatic symptoms reported was associated with measures of immune (Epstein–Barr virus [EBV] antibodies) and cardiovascular (blood pressure) functioning in 97 Shuar adults (37 women, 60 men; ages 18–65 years). Multivariate linear regression analyses were used to examine the relationships among somatic symptoms and stress biomarkers, controlling for age, sex, body mass index (BMI), active infection, level of education, and income.

Results

Controlling for relevant covariates, Shuar adults reporting the highest level of somatic symptoms (three symptoms) were more likely to exhibit elevated systolic (β = 0.20, p = 0.04) and diastolic blood pressure (β = 0.23, p = 0.03), in comparison to adults reporting no symptoms. Shuar adults reporting two symptoms, compared to no symptoms, were more likely to exhibit elevated EBV antibody concentrations (β = 0.34, p = < 0.01).

Conclusions

These preliminary findings demonstrate that somatic symptoms reported by Shuar men and women are associated with physiological measures widely associated with chronic psychosocial stress. These findings complement the cross-cultural literature in medical anthropology documenting the close connection between the expression of somatic symptoms and stressful life circumstances and highlight the important role that human biologists can play in exploring biocultural phenomena.

导言:本研究在生活在厄瓜多尔亚马逊的Shuar成年人中验证了自我报告的躯体症状与压力的生物标志物相关的假设,包括血压升高和免疫功能抑制。方法:研究在厄瓜多尔亚马逊的Upano山谷的三个Shuar社区进行,包括生物标志物的收集和结构化的发病率访谈。参与者自我报告了身体症状,如头痛、身体疼痛、疲劳和其他身体症状。我们研究了报告的躯体症状数量是否与97名Shuar成年人(37名女性,60名男性;年龄18-65岁)。在控制年龄、性别、体重指数(BMI)、活动性感染、教育水平和收入等因素的情况下,采用多元线性回归分析检验躯体症状与应激生物标志物之间的关系。结果:控制相关协变量,报告最高水平躯体症状(三种症状)的舒张压(β = 0.20, p = 0.04)和收缩压(β = 0.23, p = 0.03)升高的成年人比报告无症状的成年人更容易出现。与无症状相比,报告两种症状的Shuar成年人更有可能表现出EBV抗体浓度升高(β = 0.34, p =)。结论:这些初步研究结果表明,Shuar男性和女性报告的躯体症状与与慢性社会心理压力广泛相关的生理指标有关。这些发现补充了医学人类学的跨文化文献,这些文献记录了躯体症状的表达与紧张的生活环境之间的密切联系,并强调了人类生物学家在探索生物文化现象方面可以发挥的重要作用。
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引用次数: 0
Urbanization and Infectious Disease 城市化与传染病。
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-11-28 DOI: 10.1002/ajhb.24197
Achsah F. Dorsey

The United Nations currently estimates that over half of the global population has lived in cities since 2017 and that this proportion is continuing to grow, particularly in the Global South. While urbanization is not new, increased population density combined with accelerating rates of (re)emerging and noncommunicable diseases as well as growing economic disparities has created new challenges to human health and well-being. Here, I examine peri-urban communities, peripheral settlements on the edges of urban areas populated by rural people, and argue that these areas are often overlooked, despite becoming increasingly common. Thus, human biologists should move beyond categorizing these spaces as transitional. Using unplanned, peri-urban communities around Lima, Peru as a case study, I detail the complexity of political ecological factors that impact infectious disease risk and rates in peri-urban communities. Using disease mechanisms, I demonstrate the importance of a biocultural approach and a political ecology perspective when investigating infectious disease. I highlight how human biologists and anthropologists are uniquely positioned to explore the heterogeneity of infectious disease patterns and pathways in an increasingly urbanized world.

联合国目前估计,自 2017 年以来,全球有一半以上的人口居住在城市,而且这一比例还在继续增长,尤其是在全球南部地区。虽然城市化并非新生事物,但人口密度的增加、新(再)发疾病和非传染性疾病发病率的加快以及经济差距的扩大,给人类健康和福祉带来了新的挑战。在此,我将研究城郊社区,即农村人口居住的城市边缘地带的外围定居点,并认为这些地区尽管越来越常见,但却经常被忽视。因此,人类生物学家不应将这些空间归类为过渡性空间。我以秘鲁利马周边未经规划的城郊社区为案例,详细阐述了影响城郊社区传染病风险和发病率的政治生态因素的复杂性。通过疾病机制,我证明了在调查传染病时采用生物文化方法和政治生态学视角的重要性。我强调了人类生物学家和人类学家在探索日益城市化的世界中传染病模式和途径的异质性方面所处的独特地位。
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引用次数: 0
Using Latent Class Analysis to Characterize Sickness Signaling in Relation to Familism and Public and Private Religiosity in a Stratified US Sample 利用潜类分析法描述美国分层抽样中疾病信号与家庭主义、公共和私人宗教信仰的关系。
IF 1.6 4区 医学 Q1 ANTHROPOLOGY Pub Date : 2024-11-28 DOI: 10.1002/ajhb.24192
Tanvi Padalkar, Jessica Perrotte, Christopher Dana Lynn, Austin Lee, Aidan Nuttall, Eric C. Shattuck

Background

In response to contracting an infection, individuals usually display a suite of external signs (including sickness behavior) as an outward indication of illness. This context-dependent phenomenon seems to weigh the benefits and costs of eliciting sympathy by indicating sickness versus hiding signs of illness to avoid exposing others to potential infection. In a dynamically social species like humans, non-kin may be as likely to respond to these signs with care as family members, particularly fellow church members. We explore the relative contributions of religiosity and familism in shaping self-reported sickness signaling styles as two dimensions central to human altruism using latent class analysis (LCA).

Methods

LCA was used to characterize the signaling styles of the study participants. Data come from a large 2018 survey (n = 1259) of sickness and health behaviors among US adults. We used denomination public (church attendance) and private religiosity (time spent in prayer, meditation, etc.) and the God Locus of Health Control scale to assess the impact of God on health. Sickness signaling style was assessed with the SicknessQ and three additional items. Covariates included age, gender, education, and income.

Results

We identified four classes (Familiar, Moderate, Gregarious, and Stoic) tied to signaling styles. The Familiar Signaling class displayed sickness verbally to familiar others, were the oldest, and were least guided by an internal sense of religion. The Moderate Signaling class was younger and had lower public and private religiosity (except regarding health issues) than the Stoic and Gregarious Signaling classes. The Gregarious class signaled to both close others and strangers and scored highest in familism and religiosity. The Stoic class did not verbally signal but indicated sickness worsening when around both close others and strangers, were less likely to be married or endorse private religiosity, and were least likely to recall recent illness as severe.

Conclusion

The signaling classes strongly resembled aspects of the introvert–ambivert–extrovert spectrum. We conclude that variation is important at multiple levels, including personality types, and potentially prevents the loss of immunological diversity.

背景:在感染疾病时,个体通常会表现出一系列外部迹象(包括生病的行为),作为疾病的外在表现。这种依赖于环境的现象似乎是在权衡通过表明生病而引起同情与隐藏生病迹象以避免他人受到潜在感染之间的利弊得失。在人类这种动态社会物种中,非亲属可能会像家庭成员,尤其是教会成员一样,对这些迹象做出关心的反应。我们利用潜类分析法(LCA)探讨了宗教信仰和家庭主义在形成自我报告的疾病信号风格方面的相对贡献,这两个维度是人类利他主义的核心:采用 LCA 来描述研究参与者的信号风格。数据来自 2018 年对美国成年人疾病和健康行为的大型调查(n = 1259)。我们使用教派公共性(教堂出席率)和私人宗教性(用于祈祷、冥想等的时间)以及上帝健康控制点量表来评估上帝对健康的影响。疾病信号风格通过疾病量表(SicknessQ)和三个附加项目进行评估。协变量包括年龄、性别、教育程度和收入:结果:我们确定了与信号风格相关的四个等级(熟悉型、温和型、暴躁型和斯多葛型)。熟悉的信号类向熟悉的人发出病态的口头信号,年龄最大,受内在宗教感的引导最少。温和信号类比斯多葛派和暴躁信号类更年轻,其公开和私人宗教信仰(除健康问题外)也更低。嬉笑派向亲密的人和陌生人发出信号,在家庭主义和宗教感方面得分最高。斯多葛派没有口头发出信号,但在与亲密的人和陌生人相处时表示病情恶化,不太可能结婚或赞同私人宗教信仰,也最不可能回忆起最近的重病:结论:信号等级与内向-外向-内向光谱的某些方面非常相似。我们的结论是,变异在包括人格类型在内的多个层面上都很重要,并有可能防止免疫多样性的丧失。
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American Journal of Human Biology
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