Inequality

不等式
  • 文章类型: Journal Article
    在巴西,种族不平等存在于各个领域,阻碍货物进入,服务,和机会,包括医疗服务。然而,没有明显的研究来评估,在国家一级,中毒案件中的种族差异,强调肤色是决定因素。该研究旨在研究种族/民族与一般中毒病例之间的关系,通过药物,杀虫剂,以及巴西各州的滥用药物。提取了2017年、2018年和2019年的中毒病例数据。收集了一般中毒病例和有毒药物的通知数据:药物,杀虫剂,和滥用药物。数据分为白人和非白人(黑人,布朗斯,和土著),并且没有关于肤色/种族的信息。计算了种族之间的中毒率和未宣布肤色的病例以及非白人之间的相对中毒风险(RR)。北方的所有州,东北(人类发展指数最差的州)中西部,东南部的两个州在非白人中每100,000居民中毒事件的发生率更高。对于所有类型的中毒,北部和东北地区非白人个体的RR值均较高。3年来,非白人中毒病例的RR最高的类型是滥用药物(2-2.44),与其他类型的农药(2-2.33)和药物(1.5-1.91)中毒相比。非白人人口中毒病例率和RR的空间分布支持减少社会经济和环境不平等的公共政策。
    In Brazil, ethnic-racial inequalities exist in all fields, obstructing access to goods, services, and opportunities, including healthcare services. However, there are no apparent studies that assess, at a national level, ethnic-racial disparities in poisoning cases, emphasizing skin color as a determining factor. The study aimed to examine the relationship between race/ethnicity and general poisoning cases, by medications, pesticides, and drug of abuse in Brazilian states. Poisoning cases data were extracted for the years 2017, 2018, and 2019. Notification data for general poisoning cases and toxic agents were collected: medications, pesticides, and drugs of abuse. Data were categorized between whites and non-whites (blacks, browns, and indigenous) and without information on skin color/ethnicity. Rates of poisonings amongst ethnic-racial groups and cases of not declared skin color as well as relative risk (RR) of poisoning among non-whites were calculated. All states in the North, Northeast (states with the worst Human Development Index), Midwest, and 2 states in the Southeast exhibited higher rates of poisoning cases per 100,000 inhabitants among non-whites. The RR values for nonwhite individuals were higher in the North and Northeast regions for all types of poisonings. The type of poisoning cases that presented the highest RR for non-whites over the 3 years was drugs of abuse (2-2.44), when compared to other types of poisonings from pesticides (2-2.33) and medications (1.5-1.91). The spatial distribution of poisoning cases rates and RR of nonwhite population support public policies to reduce socioeconomic and environmental inequalities.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:我们旨在探讨生活方式活动在社会剥夺与认知之间的中介作用。方法:调查,我们使用增长曲线和路径分析分析了美国健康与退休研究(HRS)中3867名受访者(平均年龄:73.37,SD:5.57)的数据,根据人口统计学和健康协变量进行调整。结果:处于高位(vs.中度)社会剥夺指数组的认知得分较低(β=-2.63,[95%CI:-2.90,-2.36])。相反,更高(vs.较低)生活方式指数得分与较高的认知得分相关(β=1.17,[95%CI:0.72,1.63])。在调解分析中,生活方式指数评分解释了SoDep指数组与最终随访时认知相关的27%。讨论:虽然生活方式活动确实调解了社会剥夺和认知之间的联系,未调查的因素占了变异的大部分。这些可能包括系统性缺点。
    Objectives: We aimed to investigate the mediating role of lifestyle activities in the association between social deprivation and cognition. Methods: To investigate, we analysed data of 3867 respondents (Mean Age: 73.37, SD: 5.57) in the U.S. Health and Retirement Study (HRS) using growth curve and path analysis, adjusted for demographic and health covariates. Results: Being in the high (vs. moderate) Social Deprivation Index group was associated with lower cognition scores (β = -2.63, [95 % CI: -2.90, -2.36]). Conversely, higher (vs. lower) Lifestyle Index scores were associated with higher cognition scores (β = 1.17, [95 % CI: 0.72, 1.63]). In mediation analysis, the Lifestyle Index score explained 27 % of the association of So Dep Index group on cognition at the final follow-up. Discussion: While lifestyle activities did mediate the association between social deprivation and cognition, factors not investigated accounted for the majority of the variation. These may include systemic disadvantages.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    相对于本地人,移民及其本地出生的孩子经常面临相当大的工资处罚,但是对于这种不平等是否由于教育资格的差异而引起的人们知之甚少,跨职业和机构的隔离,或者同样的工作不平等的工资。使用来自挪威的关联雇主-雇员数据,作者询问移民与本地人的工资差距1)是否反映了详细教育资格的差异,劳动力市场隔离,或工作内工资差异;2)因移民一代而异;3)劳动力市场的不同部分有所不同。他们发现,移民与本地人的工资差异主要反映了对低薪工作的排序,而且移民世代的工资劣势大大减少。为同一个雇主做同样的工作时,移民背景的工人,尤其是移民的孩子,赚取与当地人相似的工资。对于大学毕业生来说,整理工作似乎更有才华,对于专业人士来说,在公共部门,但是在各个细分市场中,工作内的工资差异惊人地相似。
    Immigrants and their native-born children often face considerable wage penalties relative to natives, but less is known about whether this inequality arises through differences in educational qualifications, segregation across occupations and establishments, or unequal pay for the same work. Using linked employer-employee data from Norway, the authors ask whether immigrant-native wage disparities 1) reflect differences in detailed educational qualifications, labor market segregation, or within-job pay differences; 2) differ by immigrant generation; and 3) vary across different segments of the labor market. They find that immigrant-native wage disparities primarily reflect sorting into lower-paying jobs, and that wage disadvantages are considerably reduced across immigrant generations. When doing the same work for the same employer, immigrant-background workers, especially children of immigrants, earn similar wages to natives. Sorting into jobs seems more meritocratic for university graduates, for professionals, and in the public sector, but within-job pay differences are strikingly similar across market segments.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    考虑到解决新生儿死亡率问题对实现2030年可持续发展目标儿童健康的重要性,这方面的研究重点至关重要。尽管孟加拉国的新生儿死亡率(NMR)持续很高,仍然明显缺乏有力的证据来解决该国NMR的不平等。因此,这项研究旨在通过全面调查孟加拉国核磁共振中的不平等现象来填补知识空白。
    对2000年至2017年的孟加拉国人口与健康调查(BDHS)数据进行了分析。用来衡量不平等的公平分层是财富状况,母亲的教育,居住地,和国家以下地区。差异(D)和人口归因分数(PAF)是绝对度量,而人口归因风险(PAR)和比率(R)是不平等的相对衡量标准。通过估计每个估计值的95%置信区间(CI)来考虑统计学显著性。
    在孟加拉国发现NMR呈下降趋势,从2000年的50.2例死亡到2017年的31.9例死亡。这项研究检测到显著的财富驱动(PAF:-20.6,95%CI:-24.9,-16.3;PAR:-6.6,95%CI:-7.9,-5.2),教育相关(PAF:-11.6,95%CI:-13.4,-9.7;PAR:-3.7,95%CI:-4.3,-3.1),和区域(PAF:-20.6,95%CI:-27.0,-14.3;PAR:-6.6,95%CI:-8.6,-4.6)在所有测量点的NMR差异。我们还发现,2000年至2014年,除2017年外,城乡不平等现象明显。在NMR中观察到绝对和相对不等式;然而,这些不平等随着时间的推移而减少。
    孟加拉国各分组的NMR差异显着突出了全面,有针对性的干预措施。通过改善获得经济资源和教育的机会来增强妇女的权能可能有助于解决孟加拉国核磁共振的差距。未来的研究和政策应侧重于制定战略,以解决这些差距,并促进所有新生儿的公平健康结果。
    UNASSIGNED: Given the significance of addressing neonatal mortality in pursuing the 2030 Sustainable Development Goal on child health, research focus on this area is crucial. Despite the persistent high rates of neonatal mortality rate (NMR) in Bangladesh, there remains a notable lack of robust evidence addressing inequalities in NMR in the country. Therefore, this study aims to fill the knowledge gap by comprehensively investigating inequalities in NMR in Bangladesh.
    UNASSIGNED: The Bangladesh Demographic and Health Survey (BDHS) data from 2000 to 2017 were analyzed. The equity stratifiers used to measure the inequalities were wealth status, mother\'s education, place of residence, and subnational region. Difference (D) and population attributable fraction (PAF) were absolute measures, whereas population attributable risk (PAR) and ratio (R) were relative measures of inequality. Statistical significance was considered by estimating 95% confidence intervals (CIs) for each estimate.
    UNASSIGNED: A declining trend in NMR was found in Bangladesh, from 50.2 in 2000 to 31.9 deaths per 1000 live births in 2017. This study detected significant wealth-driven (PAF: -20.6, 95% CI: -24.9, -16.3; PAR: -6.6, 95% CI: -7.9, -5.2), education-related (PAF: -11.6, 95% CI: -13.4, -9.7; PAR: -3.7, 95% CI: -4.3, -3.1), and regional (PAF: -20.6, 95% CI: -27.0, -14.3; PAR: -6.6, 95% CI: -8.6, -4.6) disparities in NMR in all survey points. We also found a significant urban-rural inequality from 2000 to 2014, except in 2017. Both absolute and relative inequalities in NMR were observed; however, these inequalities decreased over time.
    UNASSIGNED: Significant variations in NMR across subgroups in Bangladesh highlight the need for comprehensive, and targeted interventions. Empowering women through improved access to economic resources and education may help address disparities in NMR in Bangladesh. Future research and policies should focus on developing strategies to address these disparities and promote equitable health outcomes for all newborns.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    这项研究的主要目的是评估基础设施不平等和学业成绩的关系。加纳统计局的教育统计数据(2018年)用于研究。首先,方差分析用于估计在各种基础设施分布水平(基础设施五等水平)上地区水平的学习成绩是否不同。该研究进一步评估了基础设施和学业成绩之间的关系,基于系统一般方法的矩技术。发现地区级学业成绩的差异取决于基础设施的不平等。此外,以前的学业成绩与成绩有显著的正相关关系。学业成绩和班级规模之间存在U型关系,该研究建议推行旨在弥合教育基础设施差距的政策,例如优先考虑贫困社区的教育基础设施发展,所以,影响学业成绩。
    The main thrust of this study was to assess the infrastructure inequality and academic performance nexus. Education statistics (2018) from the Ghana Statistical Service was used for the study. Firstly, ANOVA was used to estimate whether district-level academic performance differed at various infrastructure distribution levels (Infrastructure Quintile levels). The study further assessed the relationship between infrastructure and academic performance based on the System General Methods of Moments technique. It was found that the difference in district-level academic performance is conditioned on the infrastructure inequality. Also, previous academic performance had a significant positive relationship with performance. A U-shaped relationship found to exist between academic performance and class size, The study recommends the pursuit of policies aimed at bridging the education infrastructure gap such as prioritisation of education infrastructure development in deprived communities, so as, to impact academic performance.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    为了快速综合当地实践的证据,英国欧洲首都和文化城市(UKEUCoC)实施了哪些举措,将文化活动与绿色联系起来,蓝色,或户外空间(文化自然倡议)及其对行星健康结果的影响:个人健康和福祉,更广泛的健康决定因素,特别是环境,现有的不平等。
    快速证据审查。
    对已发表的文章和评估报告的快速回顾。通过数据库搜索识别已发表的文章(Proquest,OVID,Scopus,WebofScience,MEDLINE),2024年1月至2月。数据直接提取到表格中,并按主题叙述地综合发现。
    发布的关于UKEUCoC文化-自然倡议的证据有限,但确定了五种倡议类型:1)以成长为重点的活动;2)探索人与自然关系的活动;3)有针对性的基于自然的福祉活动;4)将文化参与与环境活动联系起来的活动;5)将室外空间用于艺术品,表演和节日。UKEUCoC文化自然倡议可能有助于短期改善心理健康和福祉(信心,自尊,主观幸福感),社区卫生(社区关系,公民骄傲),文化参与,以及当地的环境质量和使用,但有可能扩大现有的不平等。与边缘化群体和值得信赖的社区冠军在超地方层面共同创造倡议,积极参与,创造平等的生计机会可能会减轻不平等风险。
    证据有限,但表明UKEUCoC文化自然倡议可以在短期内积极支持行星健康结果。然而,这些结果的公平性似乎依赖于,确保边缘化群体的参与和可持续生计创造的行动。目前尚不清楚如何在确定的倡议类型中产生结果,包括通过它们之间的相互作用,他们在哪里实施。这项工作中确定的五种倡议类型可以作为进一步调查的目标,更广泛地开展关于文化自然健康倡议的研究和实践,使用复杂的系统方法进行评估。
    UNASSIGNED: To rapidly synthesise evidence for local practice on what initiatives UK European Capitals and Cities of Culture (UKEUCoCs) have implemented connecting cultural activities with green, blue, or outdoor space (culture-nature initiatives) and their impacts on planetary health outcomes: personal health and wellbeing, wider determinants of health particularly the environment, and existing inequality.
    UNASSIGNED: Rapid evidence review.
    UNASSIGNED: A rapid review of published articles and evaluation reports. Published articles were identified through database searches (Proquest, OVID, Scopus, Web of Science, MEDLINE) in January-February 2024. Data was extracted directly into a table and findings synthesised narratively by theme.
    UNASSIGNED: Published evidence about UKEUCoC culture-nature initiatives was limited but five initiative types were identified: 1) growing-focused activities; 2) activities exploring human-nature relationships; 3) targeted nature-based wellbeing activities; 4) activities connecting cultural engagement with environmental activism; and 5) use of outdoor spaces for artworks, performances and festivals. UKEUCoC culture-nature initiatives may contribute to short-term improvements in mental health and wellbeing (confidence, self-esteem, subjective wellbeing), community health (community relations, civic pride), cultural participation, and local environmental quality and use, but risk widening existing inequalities. Co-creating initiatives at hyper-local levels with marginalised groups and trusted Community Champions, active involvement, and creating equitable access to livelihood opportunities may mitigate inequality risks.
    UNASSIGNED: Evidence is limited but suggests UKEUCoC culture-nature initiatives could positively support planetary health outcomes in the short-term. Equity in these outcomes appears to rely however, on action to ensure the involvement of and sustainable livelihood creation for marginalised groups. It is unclear how outcomes are generated across the initiative types identified, including through interactions between them, where they are implemented. The five initiative types identified in this work could be targeted for further investigation in research and practice on culture-nature initiatives for health more generally, using a complex systems approach to evaluation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    不平等往往被片面地认为是不利的,一种被实证研究和批判性奖学金认定为有问题的做法,因为它使特权不可见,塑造了对不平等的看法和反应。重要的是,不平等可以意味着积极的差异(例如,促销)或负面结果(例如,骚扰)。借鉴(组)比较中涉及的认知过程以及正面和负面内容的处理,我们预测,结果的效价缓和了对劣势的偏好(与优势)框架。我们对有关性别不平等的社交媒体帖子进行了编码(研究1,n=1,402),并让参与者参与了一项在线实验(研究2,n=164),以积极和消极的结果描述了性别和性取向不平等。确认假设,人们整体使用缺点帧更多,但更有可能在积极(与消极相比)的结果中使用优势框架来解决不平等。我们讨论了对不平等框架研究的理论意义以及对特权意识干预的实际意义。
    Inequality is often one-sidedly framed as disadvantage, a practice identified as problematic by empirical research and critical scholarship, as it renders privilege invisible and shapes perceptions of and reactions to inequality. Importantly, inequality can mean differences in positive (e.g., promotions) or negative outcomes (e.g., harassment). Drawing on cognitive processes involved in (group) comparisons and the processing of positive and negative content, we predict that the valence of outcomes moderates the preference for disadvantage (vs. advantage) frames. We coded social media posts on gender inequality (Study 1, n = 1,402) and had participants in an online experiment (Study 2, n = 164) describe gender and sexual orientation inequality in positive and negative outcomes. Confirming hypotheses, people overall used disadvantage frames more, but were more likely to use advantage frames for inequality in positive (compared with negative) outcomes. We discuss theoretical implications for inequality framing research and practical implications for privilege awareness interventions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:本研究使用资本理论来调查幸存者对其身体的投资以及他们在康复过程中积累的资源,以及这些因素如何影响他们从损伤中恢复的感觉。
    方法:对20名工作年龄患者及其亲属进行了定性访谈,录音逐字记录。数据分析采用了布迪厄资本理论的绑架方法。
    结果:在康复的初始阶段(急性和亚急性),幸存者投资于他们的身体并获得物质资本。然而,当他们试图将这些资本转化为重新进入劳动力市场或接受教育所需的资源时,他们遇到了一系列复杂的障碍。这些困难与在康复过程的后期缺乏专门的社区服务有关。
    结论:目前的丹麦医疗康复侧重于恢复身体功能和恢复物质资本。然而,全面康复,以增强心理和认知能力,提高情感资本水平,这对工作年龄的人来说至关重要,在社区服务中没有得到充分解决。这导致了不平等的待遇和护理,与丹麦医疗保健系统中规定的平等目标相矛盾。
    这项研究纳入了20名严重创伤性脑损伤幸存者的观点,以及他们的亲戚,为了深入了解他们在整个康复过程中的经历,他们积累的资源以及这些因素如何有助于他们的恢复感。
    OBJECTIVE: This study uses capital theory to investigate survivors\' investments in their bodies and the resources they accumulate during their rehabilitation trajectory, and how these factors impact their perception of recovery from their impairments.
    METHODS: Qualitative interviews were conducted with 20 patients of working age and their relatives, with audio recordings transcribed verbatim. Data analysis utilized an abductive approach informed by Bourdieu\'s capital theory.
    RESULTS: During the initial phases of rehabilitation (acute and subacute), survivors invest in their physical bodies and acquire physical capital. However, they encounter a range of complex barriers when attempting to convert this capital into the resources necessary for re-entering the workforce or pursuing education. These difficulties are linked to the lack of specialized community services in the later phases of their rehabilitation trajectory.
    CONCLUSIONS: Present-day Danish healthcare rehabilitation focuses on restoring physical function and recovering physical capital. However, comprehensive rehabilitation to enhance mental and cognitive abilities and increase levels of emotional capital, which is crucial for working-age individuals, is inadequately addressed within community services. This results in unequal treatment and care, contradicting the stated goal of equality in the Danish healthcare system.
    UNASSIGNED: This study incorporated the perspectives of 20 individuals who have survived severe traumatic brain injury, as well as their relatives, to gain insights into their experiences throughout the rehabilitation process, the resources they have accumulated and how these factors contribute to their sense of recovery.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:尽管有一些理论表明,COVID-19大流行期间的在线学习会加剧青少年在心理健康方面的睡眠差异,现有的研究结果表明,在心理健康方面没有种族差异,或者来自少数族裔群体的人报告的心理健康优于白人。
    目的:本研究旨在确定为什么先前研究的结果似乎不支持通过测试2种途径来加剧心理健康方面的睡眠差异。在途径1途径中,在线学习与报告更少的知己有关,这反过来又与较差的心理健康有关。在途径2中,在线学习与报告更好的睡眠有关,这反过来又与更好的心理健康有关。
    方法:我们分析了来自美国样本(N=540)的13至17岁青少年的调查数据,以评估学校模态如何通过两种途径与心理健康相关联。该样本是在2021年春季从AmeriSpeak青少年小组招募的,其中黑人和拉丁裔受访者样本过多。亚硝酸盐类别是黑色,拉丁裔,白色,和其他。心理健康用4项患者健康问卷进行测量,评估自我报告的经历与焦虑和抑郁一致的症状的频率。学校模式被记录为完全在线或具有某些亲自组成部分(完全亲自或混合)。我们记录了知己数量和睡眠质量的自我报告。协变量包括额外的人口统计数据和对高速互联网的访问。我们估计了老年组成员资格与学校模态和心理健康之间的双变量关联。为了测试路径,我们估计了一个路径模型。
    结果:黑人和拉丁裔受访者比白人受访者更有可能报告处于完全在线学习状态(P<.001)。完全在线学习的受访者报告的知己比具有任何当面学习成分的受访者少(β=-.403;P=.001),报告较少知己与报告与焦虑(β=-.121;P=.01)和抑郁(β=-.197;P<.001)一致的症状的可能性增加相关。完全在线学习的受访者也报告了与面对面学习的人相比,对睡眠不足的担忧更少(β=-.162;P=.006),和报告较少的担忧与报告与焦虑(β=.601;P<.001)和抑郁(β=.588;P<.001)一致的症状的可能性降低相关。因为这些反补贴途径,少数族裔群体成员对心理健康的总影响不显著.
    结论:这些发现迫使人们对在线学习的后果进行更细致的讨论,并对大流行对少数族裔群体的影响进行理论化。虽然在线学习可能会损害社会关系,它似乎有益于睡眠。干预措施应促进在线学习中的社交联系并改善睡眠,例如实施策略以启用类的稍后开始时间。未来的研究应该纳入关于学校模式的行政数据,而不是依靠自我报告。
    BACKGROUND: Despite several theories suggesting online learning during the COVID-19 pandemic would aggravate ethnoracial disparities in mental health among adolescents, extant findings suggest no ethnoracial differences in mental health or that those from minoritized ethnoracial groups reported better mental health than their White counterparts.
    OBJECTIVE: This study aimed to identify why findings from prior studies appear to not support that ethnoracial disparities in mental health were aggravated by testing 2 pathways. In pathway 1 pathway, online learning was associated with reporting fewer confidants, which in turn was associated with poorer mental health. In pathway 2, online learning was associated with reporting better sleep, which in turn was associated with better mental health.
    METHODS: We analyzed survey data from a US sample (N=540) of 13- to 17-year-olds to estimate how school modality was associated with mental health via the 2 pathways. The sample was recruited from the AmeriSpeak Teen Panel during spring of 2021, with an oversample of Black and Latino respondents. Ethnoracial categories were Black, Latino, White, and other. Mental health was measured with the 4-item Patient Health Questionnaire, which assesses self-reported frequency of experiencing symptoms consistent with anxiety and depression. School modality was recorded as either fully online or with some in-person component (fully in-person or hybrid). We recorded self-reports of the number of confidants and quality of sleep. Covariates included additional demographics and access to high-speed internet. We estimated bivariate associations between ethnoracial group membership and both school modality and mental health. To test the pathways, we estimated a path model.
    RESULTS: Black and Latino respondents were more likely to report being in fully online learning than their White counterparts (P<.001). Respondents in fully online learning reported fewer confidants than those with any in-person learning component (β=-.403; P=.001), and reporting fewer confidants was associated with an increased likelihood of reporting symptoms consistent with anxiety (β=-.121; P=.01) and depression (β=-.197; P<.001). Fully online learning respondents also reported fewer concerns of insufficient sleep than their in-person learning counterparts (β=-.162; P=.006), and reporting fewer concerns was associated with a decreased likelihood of reporting symptoms consistent with anxiety (β=.601; P<.001) and depression (β=.588; P<.001). Because of these countervailing pathways, the total effect of membership in a minoritized ethnoracial group on mental health was nonsignificant.
    CONCLUSIONS: The findings compel more nuanced discussions about the consequences of online learning and theorizing about the pandemic\'s impact on minoritized ethnoracial groups. While online learning may be a detriment to social connections, it appears to benefit sleep. Interventions should foster social connections in online learning and improve sleep, such as implementing policies to enable later start times for classes. Future research should incorporate administrative data about school modality, rather than relying on self-reports.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号