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Socioeconomic Characteristics (socioeconomic + characteristic)
Selected AbstractsDeterminants of Recidivism in Paroled Queensland Prisoners: A Comparative Analysis of Custodial and Socioeconomic CharacteristicsAUSTRALIAN ECONOMIC PAPERS, Issue 3 2000Andrew Worthington A multinomial ordered probit model is used to predict post-release performance in a sample of Queensland prisoners released between January 1992 and December 1994. Post-release performance is defined in terms of the seriousness of parole breaches and/or reoffences over the length of the parole period or until April 1996. The paper examines the statistical significance of a number of custodial and socioeconomic variables on the likelihood of a parole breach or re-offence. Factors analysed include family composition, age, occupation, ethnicity, the number of events in custody, the number of prison violations and the length of sentence of the most recent custodial episode. All other things being equal, the marginal effects of readmission with respect to the set of explanatory variables varies markedly according to whether readmission is through a parole breach or through actual recidivist behaviour. [source] FUNDING COMMUNITY POLICING TO REDUCE CRIME: HAVE COPS GRANTS MADE A DIFFERENCE?,CRIMINOLOGY AND PUBLIC POLICY, Issue 1 2002JIHONG "SOLOMON" ZHAO Research Summary: This research examines how funding from the U.S. Department of Justice, Office of Community Oriented Policing Services (COPS), has affected violent and property crime rates in the United States from 1995 to 1999. Drawing on six years of panel data, we examine the effects of three types of awards made by COPS to 6,100 law enforcement agencies serving more than 145 million citizens. We estimate their impact on crime reduction over time in jurisdictions receiving funding and controlling for baseline levels of crime, socioeconomic characteristics, city size, and population diversity and mobility. Our analyses suggest that COPS hiring and innovative grant programs have resulted in significant reductions in local crime rates in cities with populations greater than 10,000 for both violent and nonviolent offenses. Multivariate analysis shows that in cities with populations greater than 10,000, an increase in one dollar of hiring grant funding per resident contributed to a corresponding decline of 5.26 violent crimes and 21.63 property crimes per 100,000 residents. Similarly, an increase in one dollar of innovative grant funding per resident has contributed to a decline of 12.93 violent crimes and 45.53 property crimes per 100,000 persons. In addition, the findings suggest that COPS grants have had no significant negative effect on violent and property crime rates in cities with less than 10,000 population. Policy Implications: The findings of this study imply that COPS program funding to medium- and large-size cities has been an effective force in reducing both violent and property crime. Federal government grants made directly to law enforcement agencies to hire additional officers and promote innovations may be an effective way to reduce crime on a national scale. [source] Automobile Reliance Among the Elderly: Race and Spatial Context EffectsGROWTH AND CHANGE, Issue 2 2003Brigitte Waldorf To meet their mobility needs, the elderly assign pivotal importance to the automobile despite the potential challenge of driving cessation and searching for alternatives to automobile transportation. Older persons' generally strong reliance on the automobile varies, however, by land use patterns (density) as well as by demographic and socioeconomic characteristics. This paper analyzes the effects of spatial context and personal attributes on automobile reliance among the elderly. Using the 1995 Nationwide Personal Transportation Survey (NPTS) trip data, two models of automobile reliance among elderly (65+) trip makers are estimated. The results show that spatial context effects of automobile reliance vary by demographic characteristics; in particular, they are more pronounced for black than for white elderly. Moreover, race variation in automobile reliance is strongest in urban locations rather than less dense spatial contexts. Finally, the differentiation between being a passenger rather than a driver is salient in order to understand locational and racial variations in automobile reliance among the elderly. [source] Effects of Family Structure on Children's Use of Ambulatory Visits and Prescription MedicationsHEALTH SERVICES RESEARCH, Issue 5 2006Alex Y. Chen Objective. To examine the effects of family structure, including number of parents, number of other children, and number and type of other adults, on office visits, emergency room visits, and use of prescription medications by children. Data Source. The Household Component of the 1996,2001 Medical Expenditure Panel Survey (MEPS). Study Design. The study consisted of a nationally representative sample of children 0,17 years of age living in single-mother or two-parent families. We used negative binomial regression to model office visits and emergency room visits and logistic regression to model the likelihood of prescription medication use. Our analyses adjusted for demographic and socioeconomic characteristics as well as measures of children's health and parental education and child-rearing experience. Data Collection/Extraction Method. We combined 1996,2001 MEPS Full Year Consolidated Files and Medical Conditions Files. Principal Findings. Descriptive data showed that children in single-mother families had fewer office visits than children in two-parent families; however, the effect of number of parents in the family on children's office visits or use of prescription medications was completely explained by other explanatory variables. By contrast, children living in families with many other children had fewer total and physician office visits and a lower likelihood of using a prescription medication than children living in families with no other children even after adjusting for other explanatory variables. Children who lived with other adults in addition to their parents also had fewer office visits and a lower likelihood of using a prescription medication than children who lived only with their parents. Conclusions. Children living in families with many other children or with other adults use less ambulatory care and prescription medications than their peers. Additional research is needed to determine whether these differences in utilization affect children's health. [source] Changes in family food habits: the role of migrationINTERNATIONAL JOURNAL OF CONSUMER STUDIES, Issue 3 2000Clara Opare-Obisaw Abstract The food habits of people generally dictate their nutritional well-being, which subsequently affects their physical and mental health. A change in environment is one of the major factors that could bring about positive or negative changes in food consumption patterns. The food habits of 50 migrant families living in a suburb of Accra were studied to find out what changes have taken place as a result of a change in living environment. The homemaker in each family was interviewed to obtain information on socioeconomic characteristics, past and present food procurement and consumption patterns, food avoidances and factors that influence food selection and consumption. The findings revealed that, although the majority stuck to foods they were accustomed to, there were striking changes in sources of food procurement, the number of meals prepared at home and the relative frequency of consumption of some staple foods. One-third of the study group felt that their diets had become poorer as a result of the change in environment. Two factors, time and money, were associated with the changes that had taken place. The study provides some evidence for the existence of inadequate diets among migrant families. This might even reflect a more serious situation facing the numerous migrant youth, who have no families to cater for them and, hence, put their health at risk. Home economists and other related professionals could be instrumental in drawing up intervention programmes to ensure adequate selection and consumption of food to promote good health among migrants to the city. [source] Consumers' views on generic medicines: A review of the literatureINTERNATIONAL JOURNAL OF PHARMACY PRACTICE, Issue 2 2009Mohamed A. A. Hassali Abstract Objectives To review the literature on consumers' knowledge, attitudes and opinions of the use of generic medicines. Method A narrative review of studies conducted from 1970 to 2008 on consumers' perceptions and views towards generic medicines was performed. An extensive literature search was undertaken using indexing services available at the authors' institution library. The following keywords were used for the search: brand, generic, multisource, medications, medicines, drugs, pharmaceuticals and consumers, customers, and patients. Electronic databases searched were Medline, Inside Web, ISI Web of Knowledge, Science Direct, Springer Link, JSTOR, Proquest, Ebsco Host and Google Scholar. These electronic databases were searched for full text papers published in English from 1970 to October 2008. Key findings Twenty studies were identified. Eleven were from the USA, four were from Europe, two were from Canada and one each was from Australia, Brazil and Malaysia. In general, consumers showed mixed reactions towards the use of generic medicines. This was evident from the divergence of views observed by country development level, consumers' socioeconomic characteristics, drug product characteristics, pharmaceutical reimbursement system, policy environment, contact with health care professionals, past experience with medications, and knowledge of the seriousness of a medical condition. Conclusions Patient confidence and knowledge pertaining to generic medicines use have increased over the past four decades, especially in developed countries. Mass educational efforts, financial incentives, and greater communication among patients and health care professionals were seen as major drivers to the uptake of generic medicines among consumers. [source] Determinants of Voter Support for a Five-Year Ban on the Cultivation of Genetically Modified Crops in SwitzerlandJOURNAL OF AGRICULTURAL ECONOMICS, Issue 3 2008Felix Schläpfer D62; D72; Q26 Abstract While much effort has been devoted to estimating market premiums for non-genetically modified (GM) food, the results of such research are largely silent about the preferences for the public good aspects, or externalities, of GM food production. For public goods, the closest substitute of private consumption decisions is voting on referenda. In November 2005, 55.7% of 2 million Swiss voters approved a five-year moratorium (ban) on the commercial cultivation of GM plants in Switzerland. The present study examines how individual voting decisions were determined by: (i) socioeconomic characteristics; (ii) political preference/ideology; and (iii) agreement with a series of arguments in favour and against the use of GM plants in Swiss agriculture. The analysis is based on the data of the regular voter survey undertaken after the national-level voting in Switzerland. The results suggest that current concerns about the use of genetically engineered plants in agriculture may not automatically decrease with higher levels of education/knowledge and generational change. Furthermore, analysis of voter motives suggests that public support for a ban on GM crops may be even larger in other countries, where industrial interests in crop biotechnology are less pronounced. [source] Decomposing the Value of Agricultural Multifunctionality: Combining Contingent Valuation and the Analytical Hierarchy ProcessJOURNAL OF AGRICULTURAL ECONOMICS, Issue 2 2007Zein Kallas Q18; Q11; Q25 Abstract Agricultural multifunctionality is the recognition of the joint exercise of economic, environmental and social functions by this sector. Nevertheless, not all these contributions to society are valued in markets, moreover a large share of them are public goods. For this reason, in order to make this concept of multifunctionality operative for the design of public policies, it is necessary to estimate the social demand of such functions. The objective of this article was to implement an empirical application along these lines. For this purpose, the agricultural system of cereal steppes in Tierra de Campos in Spain is taken as a case study. The economic valuation technique used relies on a combined implementation of contingent valuation and the analytical hierarchy process. The results obtained demonstrate the existence of a significant demand for the different attributes included in the multifunctionality concept, although this demand is heterogeneous and is based on the socioeconomic characteristics of individual persons. [source] Investigating Smoker's Profile: The Role of Psychosocial Characteristics and the Effectiveness of Tobacco Policy ToolsAMERICAN JOURNAL OF ECONOMICS AND SOCIOLOGY, Issue 2 2009Elena Raptou This article investigates smoker's profile by addressing the determinants of cigarette demand and providing a circumstantial exposition of the psychosocial characteristics that differentiate smoking patterns. At the same time, the impact of tobacco control policies on smoking rates and their effectiveness on decreasing cigarette consumption are also analyzed. Consumers are distinguished in four smoking groups in concurrence to smoking status, and dichotomous indicators are constructed to describe tobacco control policies, psychosocial, demographic, and socioeconomic characteristics. The empirical analysis estimates an ordered probit model with sample selectivity. The results indicate the absence of selectivity bias for cigarette consumption; hence, the subsample of smokers comprises a random independent sample and smoking participation and cigarette consumption form distinct stages of smoking behavior. Most of the psychosocial factors are found to be statistically significant in the econometric analysis, implying the main determinants of smoking behavior. In addition, total smoking bans in workplaces and educational institutions comprise efficient policy tools for decreasing cigarette demand, while partial smoking restrictions are accrued to be ineffective in reducing smoking participation. [source] Pregnancy Intention and Preterm Birth: Differential Associations Among a Diverse Population of WomenPERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, Issue 2 2008Aimee Afable-Munsuz CONTEXT:,Studies published to date provide mixed evidence on the relationship between unintended pregnancy and preterm birth, and none take into consideration that the meaning of unintended pregnancy may vary across racial and ethnic groups. METHODS:,Data from the 1999,2003 rounds of the Maternal and Infant Health Assessment, a population-based, representative survey of postpartum women in California, were used to assess the relationship between pregnancy intention and preterm birth. For racial and ethnic groups in which an association was found, sequential logistic regression was conducted to further examine the relationship while controlling for socioeconomic characteristics. RESULTS:,In unadjusted results, pregnancy intention was associated with preterm birth among both whites and immigrant Latinas, but not among blacks or U.S.-born Latinas. Among whites, compared with women who reported that their pregnancy was intended, those who were unsure about their pregnancy had elevated odds of preterm birth (odds ratio, 1.4), as did those who reported their pregnancy was unwanted (1.7) or mistimed (1.4). Among immigrant Latinas, those who reported being unsure about their pregnancy were at higher risk of preterm birth than were those who reported an intended pregnancy (1.6). After adjustment for socioeconomic factors, the association remained significant for immigrant Latinas who were unsure about their pregnancy (1.5), but none of the associations remained significant for whites. CONCLUSIONS:,Women's interpretations of questions about pregnancy intention and their social experiences regarding pregnancy intention may vary by race or ethnicity. Studies on the association between pregnancy intention and preterm birth may need to be group-specific. [source] Availability of childcare support and nutritional status of children of non-working and working mothers in urban Nepal,AMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 2 2006Shinji Nakahara In many developing countries, poor women have multiple roles, and often their time constraints are so severe that their participation in income-generating activities results in reduced childcare time, which in turn affects child health. Previous studies have tended to investigate how childcare support influences nutrition of children with working mothers' based on comparisons with non-working mothers. However, non-working mothers are not a homogeneous group, and we therefore need to distinguish between those who need not work and those who wish to but cannot, for example, due to a lack of substitute caregivers. We examined the association between availability of childcare support and the nutritional status of children of both non-working and working mothers in poor areas of Pokhara, a submetropolitan city in Nepal. We recruited 150 children of age 10,24 months from the waiting lists of 17 daycare centers and measured their weights and heights. Those with height-for-age and weight-for-age Z scores of less than ,2 were defined as stunted and underweight, respectively. To collect information on childcare practices and socioeconomic characteristics, mothers were interviewed using a pre-tested structured questionnaire. Unavailability of adult childcare support was associated with increased risk of malnutrition among children of both non-working and working mothers. Peer childcare was not significantly associated with child malnutrition among children of non-working mothers, but it was associated with an increased risk of malnutrition among children of working mothers. Although further longitudinal research is required, we suggest that childcare support from adult substitute caregivers is essential for children of non-working mothers with limited resources. Am. J. Hum. Biol. 18:169,181, 2006. © 2006 Wiley-Liss, Inc. [source] Projections of the Ethnic Minority Populations of the United Kingdom 2006,2056POPULATION AND DEVELOPMENT REVIEW, Issue 3 2010David Coleman The ethnic minority populations in the UK are growing substantially through immigration, a youthful age structure, and in some cases relatively high fertility. Their diverse demographic and socioeconomic characteristics have attracted considerable academic and policy attention, especially insofar as those distinctive characteristics have persisted in the generations born in the UK. No official projections of the UK ethnic populations have been published since 1979. This article provides projections to 2056 and beyond of 12 ethnic groups. Given overall net immigration and vital rates as assumed in the office for National Statistics 2008-based Principal Projection, and the ethnic characteristics estimated here, the ethnic minority populations (including the Other White) would increase from 13 percent of the UK population in 2006 to 28 percent by 2031 and 44 percent by 2056, and to about half the 0,4 age group in 2056. Alternative projections assume various lower levels of immigration. Possible implications of projected changes are discussed. [source] Geography and segmented assimilation: examples from the New York ChinesePOPULATION, SPACE AND PLACE (PREVIOUSLY:-INT JOURNAL OF POPULATION GEOGRAPHY), Issue 1 2004K. Bruce Newbold Abstract Drawing upon the segmented assimilation framework, and using the 1990 5% PUMS file, the paper compares the assimilation of selected Chinese immigrant cohorts, based upon age and period of entry. Including a spatial component within the framework, we examine whether differences in the organisation and assimilation of immigrant groups exist across space. For each cohort, contrasts are made with reference to location in the New York Consolidated Metropolitan Statistical Area (CMSA), with the analysis focusing upon differences in spatial assimilation with respect to acculturation, socioeconomic characteristics, internal migration, and immigrant characteristics relative to other immigrant and native-born groups. The analysis is updated using Immigration and Naturalization Service (INS) data files from the 1990s. Results suggest that space, and location in space, alter the assimilation trajectory of similarly defined groups. Copyright © 2004 John Wiley & Sons, Ltd. [source] Risk and Return in the U.S. Housing Market: A Cross-Sectional Asset-Pricing ApproachREAL ESTATE ECONOMICS, Issue 4 2006Susanne Cannon This article carries out an asset-pricing analysis of the U.S. metropolitan housing market. We use ZIP code,level housing data to study the cross-sectional role of volatility, price level, stock market risk and idiosyncratic volatility in explaining housing returns. While the related literature tends to focus on the dynamic role of volatility and housing returns within submarkets over time, our risk,return analysis is cross-sectional and covers the national U.S. metropolitan housing market. The study provides a number of important findings on the asset-pricing features of the U.S. housing market. Specifically, we find (i) a positive relation between housing returns and volatility, with returns rising by 2.48% annually for a 10% rise in volatility, (ii) a positive but diminishing price effect on returns and (iii) that stock market risk is priced directionally in the housing market. Our results on the return-volatility-price relation are robust to (i) metropolitan statistical area clustering effects and (ii) differences in socioeconomic characteristics among submarkets related to income, employment rate, managerial employment, owner-occupied housing, gross rent and population density. [source] Does Maternal Age Affect Children's Test Scores?THE AUSTRALIAN ECONOMIC REVIEW, Issue 1 2010Andrew Leigh We estimate the relationship between maternal age and child outcomes, using indices aimed at measuring overall outcomes, learning outcomes and social outcomes. In all cases, we find evidence that children of older mothers have better outcomes. Not only do children born to mothers in their twenties do better than children born to teen mothers, but children born to mothers in their thirties do better than children born to mothers in their twenties. However, when we control for other socioeconomic characteristics, such as family income, parental education and single parenthood, the coefficients on maternal age become small and statistically insignificant. The only exception is an index of social outcomes, which is positively associated with maternal age, even controlling for socioeconomic factors. For cognitive outcomes, young motherhood appears to be a marker, not a cause, of poor child outcomes. [source] Rough Terrain: Spatial Variation in Campaign Contributing and VolunteerismAMERICAN JOURNAL OF POLITICAL SCIENCE, Issue 1 2010Wendy K. Tam Cho We examine spatial patterns of mass political participation in the form of volunteering and donating to a major statewide election campaign. While these forms of participation are predictably associated with the political and socioeconomic characteristics of the precincts in which the participants reside, we find that these statistical relationships are spatially nonstationary. High-income neighborhoods, for example, are associated with stronger effects on participation at some locations more than at others. By using geographically weighted regression (GWR) to specify local regression parameters, we are able to capture the heterogeneity of contextual processes that generate the geographically uneven flow of volunteers and contributors into a political campaign. Since spatial nonstationarity may well be a rule rather than an exception in the study of many political phenomena, social scientific analyses should be mindful that relationships may vary by location. [source] Citizens, Knowledge, and the Information EnvironmentAMERICAN JOURNAL OF POLITICAL SCIENCE, Issue 2 2006Jennifer Jerit In a democracy, knowledge is power. Research explaining the determinants of knowledge focuses on unchanging demographic and socioeconomic characteristics. This study combines data on the public's knowledge of nearly 50 political issues with media coverage of those topics. In a two-part analysis, we demonstrate how education, the strongest and most consistent predictor of political knowledge, has a more nuanced connection to learning than is commonly recognized. Sometimes education is positively related to knowledge. In other instances its effect is negligible. A substantial part of the variation in the education-knowledge relationship is due to the amount of information available in the mass media. This study is among the first to distinguish the short-term, aggregate-level influences on political knowledge from the largely static individual-level predictors and to empirically demonstrate the importance of the information environment. [source] Impact of Rural Residence on Survival of Male Veterans Affairs Patients After Age 65THE JOURNAL OF RURAL HEALTH, Issue 4 2010Todd A. MacKenzie PhD Abstract Objectives: More than 1 in 5 Veterans Affairs (VA) users lives in a rural setting. Rural veterans face different barriers to health care than their urban counterparts, but their risk of death relative to their urban counterparts is unknown. The objective of our study was to compare survival between rural and urban VA users. Methods: We linked the Large Health Survey of Veteran Enrollees conducted in 1999 to the Veterans Administration vital status registry. We used time-to-event regression models controlling for patient race, education, ZIP-code median income, and marital and smoking status. Findings: Of the 372,463 male veterans of age 65 or greater, 80,931 lived in rural settings. Age-adjusted mortality was 5.9% higher (95% CI, 4.5%-7.2%) in rural residents compared to urban residents. After adjusting for age, education, and ZIP-code median income, rural residents had 3.0% lower mortality (95% CI, 1.5%-4.4%). Compared to urban and suburban VA users, rural VA users' mortality at age 65 was 12% lower, but this advantage gradually diminished by age 75. Conclusion: Mortality after the age of 65 for male VA users is higher in rural dwellers than in urban dwellers. However, among veterans of the same socioeconomic characteristics, rural-dwelling veterans have up to 15% better mortality than urban-dwelling veterans until the age of 75. [source] Rural Demographics Racial/Ethnic Diversification in Metropolitan and Nonmetropolitan Population Change in the United States: Implications for Health Care Provision in Rural AmericaTHE JOURNAL OF RURAL HEALTH, Issue 4 2003Steve H. Murdock PhD Because of a variety of historical, discriminatory, and other factors, minority populations have had lower levels of access to health care in rural as well as urban areas and higher rates of both mortality and morbidity than nonminority populations. Although minority health issues have often been seen as primarily urban issues, this article demonstrates that minority population growth has become a major component of total population growth in rural areas in the past several decades (accounting for nearly 62% of the net growth in the nonmetropolitan population of the United States in the 1980s and for nearly 42% in the 1990s), that future US population growth is likely to be largely a product of minority population growth (nearly 89% of US net population growth from 2000 to 2100 is projected to be due to minority population growth), and that the incidence of diseases and disorders in the US population will come to increasingly involve minority populations (by 2050 roughly 43% of all disease/disorder incidences would involve minority population members). The growth of younger minority populations with disproportionately impoverished socioeconomic characteristics will pose challenges for rural areas and health care systems, which also are likely to face health issues created by disproportionately older populations [source] Feeling Richer or Poorer than Others: A Cross-section and Panel Analysis of Subjective Economic Status in Indonesia,ASIAN ECONOMIC JOURNAL, Issue 2 2007Nattavudh Powdthavee O53; I3 This paper examines what makes us feel richer or poorer than others. It investigates cross-sectional and longitudinal determinants of individuals' subjective economic status in Indonesia. Using two waves of Indonesian Family Life Surveys, 1997 and 2000, I show that individuals' perceptions of where they are on the economic scale are more dependent on a number of socioeconomic characteristics, as well as their attitudes towards their future economic status, than their current spending capacities would suggest. I also find significant, albeit weaker, expenditure and income effects on individuals' subjective economic status once individual fixed effects are controlled for in the regression. [source] Household size and residential water demand: an empirical approach,AUSTRALIAN JOURNAL OF AGRICULTURAL & RESOURCE ECONOMICS, Issue 1 2010Fernando Arbués The effectiveness of pricing policies depends on the price elasticity of consumption. It is well documented that residential demand for water is influenced by heterogeneity associated with differences in the size of the household and socioeconomic characteristics. In this paper, we focus on household size. Our initial hypothesis is that users' sensitivity to changes in price is different depending on the number of household members. To this end, we carry out an empirical estimation of urban water demand in Zaragoza (Spain) distinguishing between households with different sizes using data at the individual level. As far as we are aware, this approach to urban residential water demand is new in the literature. The analysis suggests that all households are sensitive to prices regardless of size. A more relevant finding is that small households are more sensitive to price changes. [source] Assessment of non-response bias in a survey of residential magnetic field exposure in TaiwanBIOELECTROMAGNETICS, Issue 5 2007Chung-Yi Li Abstract We assessed potential non-response bias in obtaining information on residential extremely low-frequency power frequency magnetic field (MF) in Taiwan. All households occupied by children aged less than 7 years in two study districts, one in an urban town and the other in a rural town, were visited and solicited for on-site measurements in late 2003. The initial response rate was only 32% (33/104, urban) and 60% (61/101, rural). In the same season 1 year later, we performed a second survey of those who declined to be measured at the initial survey and successfully measured another 77 residences (50 and 27 for urban and rural districts, respectively). The two districts were selected mainly because the local public health officers were quite willing to assist the initial survey and to inform residents of the second survey. Except for meteorological conditions, the two surveys came up with very similar findings regarding residential characteristics and power facilities surrounding the houses. The mean residential MF for the urban residences was .121 and .140 micro-Tesla (µT) (P,=,.620) for the two surveys. The corresponding figures for the rural residences were .119 and .115 µT (P,=,.802). Although limited in its scope, this study tends to indicate that measurement studies of residential MF are less likely to suffer from serious selection bias if sampling is confined within a small district where people have similar socioeconomic characteristics. Bioelectromagnetics 28:340,348, 2007. © 2007 Wiley-Liss, Inc. [source] Progress in cancer screening practices in the United States,CANCER, Issue 6 2003Results from the 2000 National Health Interview Survey Abstract BACKGROUND Understanding differences in cancer screening among population groups in 2000 and successes or failures in reducing disparities over time among groups is important for planning a public health strategy to reduce or eliminate health disparities, a major goal of Healthy People 2010 national cancer screening objectives. In 2000, the new cancer control module added to the National Health Interview Survey (NHIS) collected more detailed information on cancer screening compared with previous surveys. METHODS Data from the 2000 NHIS and earlier surveys were analyzed to discern patterns and trends in cancer screening practices, including Pap tests, mammography, prostate specific antigen (PSA) screening, and colorectal screening. The data are reported for population subgroups that were defined by a number of demographic and socioeconomic characteristics. RESULTS Women who were least likely to have had a mammogram within the last 2 years were those with no usual source of health care (61%), women with no health insurance (67%), and women who immigrated to the United States within the last 10 years (61%). Results for Pap tests within the last 3 years were similar. Among both men and women, those least likely to have had a fecal occult blood test or endoscopy within the recommended screening interval had no usual source of care (14% for men and 18% for women), no health insurance (20% for men and 18% for women), or were recent immigrants (20% for men and 18% for women). An analysis of changes in test use since the 1987 survey indicates that the disparities are widening among groups with no usual source of care. CONCLUSIONS No striking improvements have been observed for the groups with greatest need. Although screening use for most groups has increased since 1987, major disparities remain. Some groups, notably individuals with no usual source of care and the uninsured are falling further behind; and, according to the 2000 data, recent immigrants also experience a significant gap in screening utilization. More attention is needed to overcome screening barriers for these groups if the population benefits of cancer screening are to be achieved. Cancer 2003;97:1528,40. Published 2003 by the American Cancer Society. DOI 10.1002/cncr.11208 [source] Health and nutritional status of children of adolescent mothers: experience from a diarrhoeal disease hospital in BangladeshACTA PAEDIATRICA, Issue 3 2007Kawsari Abdullah Abstract Aim: The study aimed at assessing clinical and nutritional features and socioeconomic characteristics of the first birth-order children (1,48 months) of adolescent mothers. Methods: Five hundred and thirty-nine first birth-order children of both sexes, aged 1,48 month(s) were studied. All study children had adolescent mothers aged ,19 years (when attending hospital), who attended (as a patient) the Dhaka hospital of ICDDR, B during 2000,2005. A similar group of children (n = 540) of mothers aged 25,29 years (when attending hospital) constituted the comparison group. Results: Malnutrition indicated by underweight [OR 2.3, 95% CI 1.7,3.1, p < 0.001], stunting [OR 2.1, 95% CI 1.5,2.8, p < 0.001], wasting [OR 1.8, 95% CI 1.3,2.7, p = 0.001], infancy (<12 months old) [OR 2.8, 95% CI 2.1,3.9, p < 0.001], duration of hospitalization (,48 h) [OR 1.6, 95% CI 1.2,2.2, p = 0.001], DPT immunization [OR 1.8, 95% CI 1.3,2.5, p = 0.001] and maternal illiteracy (no formal schooling) [OR 1.5, 95% CI 1.1,2.0, p = 0.007] were significantly associated with children of adolescent mothers, after adjusting for co-variates in the logistic regression analysis. Similar results were also observed when different indices of malnutrition (stunting, underweight or wasting) were added separately to the different models. Conclusion: Children of adolescent mothers are likely to be more malnourished, have lesser opportunities for DPT immunization and have longer duration of hospitalization. Adolescent mothers were also more likely to be illiterate. Therefore, the development of preventive and therapeutic strategies will be required to reduce morbidity and improve the health and nutrition status of both children and their adolescent mothers. [source] | |||||||||||||||||||