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1

Baldassare, Mark, Walter Gove, Michael Hughes, and Omer Galle. "Overcrowding in the Household." Social Forces 64, no. 2 (December 1985): 525. http://dx.doi.org/10.2307/2578665.

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2

Nadira, Warda Ayu, Erma Sulistyaningsih, and Dwita Aryadina Rachmawati. "Correlation between Personal hygiene and Household Overcrowding to the Incidence of Pediculosis capitis in Sukogidri Village Jember." Journal of Agromedicine and Medical Sciences 6, no. 3 (August 28, 2020): 168. http://dx.doi.org/10.19184/ams.v6i3.9843.

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Abstract Pediculosis capitis is an infection of human hair or scalp caused by Pediculus humanus var. capitis. This disease is classified as a neglected disease and is quite developed in developing and poor countries. Risk factors that influence the incidence of pediculosis capitis is the level of education of parents, socio-economy, personal hygiene, age, gender, and household overcrowding. The purpose of this study was to determine the correlation between personal hygiene and household overcrowding to the incidence of pediculosis capitis in Sukogidri Village Jember. This study was an observational analytic study, with a cross sectional approach carried out on 230 respondents in Sukogidri Village Jember. In this study, head lice was examined using crescent combs, filling in personal hygiene questionnaires, and measuring the area of ​​respondent’s house. The results showed the prevalence of pediculosis capitis in Sukogidri Village was 44.3% (102 respondents). The results of data analysis using the fisher test and chi-square test showed that personal hygiene and household overcrowding had a significant relationship (p <0.05) as a risk factor for the incidence of pediculosis capitis in Sukogidri Village Jember. Keyword : personal hygiene, household overcrowding, pediculosis capitis
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3

Cable, Noriko, and Amanda Sacker. "Validating overcrowding measures using the UK Household Longitudinal Study." SSM - Population Health 8 (August 2019): 100439. http://dx.doi.org/10.1016/j.ssmph.2019.100439.

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4

Choldin, Harvey M., Walter R. Gove, and Michael Hughes. "Overcrowding in the Household: An Analysis of Determinants and Effects." Contemporary Sociology 14, no. 3 (May 1985): 409. http://dx.doi.org/10.2307/2071389.

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5

Pengcheng, Liu, Zhou Longfei, Chen Shujuan, and Wang Xiaojie. "Association between household overcrowding and depressive mood among Chinese residents." Journal of Affective Disorders 290 (July 2021): 74–80. http://dx.doi.org/10.1016/j.jad.2021.04.066.

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6

Prajapati, Bipin, Kavita Banker, and Jignesh Chauhan. "A study of availability of basic facilities at household level of rural Gujarat, India." International Journal Of Community Medicine And Public Health 4, no. 6 (May 22, 2017): 2052. http://dx.doi.org/10.18203/2394-6040.ijcmph20172175.

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Background: India, a globally important consumer economy and one of the fastest growing economies in the world. By 2025-26 the number of middle class households in India is likely to more than double from the 2015-16 levels to 113.8 million households or 547 million individuals. The standard of living in India shows large disparity. Objectives: To study the rural household condition regarding social, demographic and housing condition. Methods: This cross-sectional secondary data analysis study was conducted at RHTC – Hadiyol of GMERS medical college, Himmatnagar, Sabarkantha district, Gujarat during 1st January 2016 to 30th August 2016. Study included 500 household from RHTC with 2250 members of rural area by purposive sampling method. Results: Almost 93.8% population was residing their own house and 66.2% population have “pucca” house. Mean family size was 4.5 ± 1.5 in rural households. Separate kitchen was present in 54.4% houses. Conclusions: Study reveals the socio-demographic and housing status difference between urban slum and rural area regarding own house, number of family members, kitchen, latrine, bathroom, and overcrowding, sanitary practices.
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Pepin, Camille, Gina Muckle, Caroline Moisan, Nadine Forget-Dubois, and Mylène Riva. "Household overcrowding and psychological distress among Nunavik Inuit adolescents: a longitudinal study." International Journal of Circumpolar Health 77, no. 1 (January 2018): 1541395. http://dx.doi.org/10.1080/22423982.2018.1541395.

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Bryce, Suzanne, Inawantji Scales, Lisa-Maree Herron, Britta Wigginton, Meron Lewis, and Amanda Lee. "Maitjara Wangkanyi: Insights from an Ethnographic Study of Food Practices of Households in Remote Australian Aboriginal Communities." International Journal of Environmental Research and Public Health 17, no. 21 (November 3, 2020): 8109. http://dx.doi.org/10.3390/ijerph17218109.

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Many historical, environmental, socioeconomic, political, commercial, and geographic factors underscore the food insecurity and poor diet-related health experienced by Aboriginal people in Australia. Yet, there has been little exploration of Aboriginal food practices or perspectives on food choice recently. This study, with 13 households in remote communities on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands, fills this gap using ethnographic and Indigenist methods. Results highlight Anangu resourcefulness, securing food despite poverty and adversity, and provide unique insights into factors influencing the three major types and range of dietary patterns identified. These factors include household economic cycles and budgeting challenges; overcrowding and family structures, mobility and ‘organization’; available food storage, preparation and cooking infrastructure; and familiarity and convenience. Structural and systemic reform, respecting Aboriginal leadership, is required to improve food security.
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Warsh, Cheryl Krasnick. "The First Mrs. Rochester: Wrongful Confinement, Social Redundancy, and Commitment to the Private Asylum, 1883‑1923." Historical Papers 23, no. 1 (April 26, 2006): 145–67. http://dx.doi.org/10.7202/030985ar.

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Abstract Historians have debated the growth of asylums as either a movement towards social control or as a benevolent reform; yet commitment was primarily initiated by kin. The rapid overcrowding of asylums reflected the success of institutions in responding to family crises. Through analysis of 1,134 case histories of a private asylum, the Homewood Retreat of Guelph, Ontario, the dynamics of the late Victorian and Edwardian middle-class household are evident in the circumstances which culminated in the decision to commit. Urban industrialization and the declining birth rate rendered households less able to care for the insane, while the permeation of capitalist relations into family life rendered the heads of households less willing to care for nonproductive adult members, particularly socially redundant women. The diagnosis of neurasthenia enabled members of the middle class to institutionalize kin for behaviour which, although not violent or destructive, was irritating and antagonistic, thereby reflecting the high standard of middle-class proprieties.
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Ndongo, Alain Symphorien. "Social housing for urban households sheltering children responsible for the "kuluna" and "black babies" phenomena in Congo Brazzaville." Advances in Social Sciences Research Journal 7, no. 12 (January 2, 2021): 424–37. http://dx.doi.org/10.14738/assrj.712.9541.

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Housing as a place where household members spend about half (12 hours) of their daily time, including six to eight hours in sleep, is one of the essential conditions in the fight against poverty and precariousness. The current Congolese urban environment is facing serious problems: small plots of land, lack of suitable housing in relation to the size and composition of households, overcrowding, and water and electricity supplies. This situation is becoming critical with the appearance of deviant behavior among children aged between 10 and 30. The government and its development partners have demonstrated their powerlessness face to this situation, leaving thousands of children on the streets without education or family warmth to form real criminal gangs. These street children have created the phenomena of "kuluna" and "black babies". It has been shown that these one act in this way for their survival, claiming their rights. In this study, we find innovative proposals to provide households sheltering adulterine and adoptive children with low-cost social housing, in order to restore the image of the head of the household and provide the children with a pleasant space for their physical, economic, cultural and spiritual development. This will undoubtedly help to find solutions to the problems facing children and indeed Congolese society as a whole today. The study revealed that if the government does not take practical measures in response to the phenomena created by wayward children, especially "black babies" and "kuluna", there will be a massive adherence of other children, especially the adulterine and adoptive ones. There will be a risk of the phenomena will to be exported to rural areas. The study recommends a "State - Household" partnership in the manufacture of new types of urban housing for households housing children likely to integrate or create gangs, jeopardizing social order and public security.
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Gupta, Vinod, Akhil Gupta, and Sucheta Gupta. "Risk factors of Helicobacter pylori infection in children: a cross-sectional study in Chenani." International Journal of Advances in Medicine 8, no. 7 (June 23, 2021): 892. http://dx.doi.org/10.18203/2349-3933.ijam20212344.

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Background: H. pylori infections generally occur early in childhood and continue to cause gastric diseases later in life. Epidemiological studies suggest its transmission through fecal to oral and oral to oral routes. Several factors control this transmission including socioeconomic status, quality of drinking water, personal and environmental hygiene, contamination of food, overcrowding and density of population.Methods: A cross-sectional study, involving 100 children aged 1 to 15 years, presenting gastrointestinal complaints was conducted in the department of medicine, district hospital, Udhampur, Jammu, Jammu and Kashmir, India from October 2019 to March 2020. Children with the pathology of central nervous system or with any other known pathology were excluded.Results: Majority of children belonged to the group >6, ≤11 years age (41%), 89% of children were school-going and 78% of participants belonged to the rural areas. Major economic activity of the participants came out to be business and trading (31%), as much as 62% of households were having a size of >4 persons per unit. As many as 24 children were found positive for antigen test upon stool sample examination. The infection rate was significantly higher among children having unsafe source of drinking water (14/24, 58.3%) and poor sanitation facilities (18/24, 66.7%). Overcrowding at home due to bigger household size was found to be a major risk factor among children.Conclusions: The prevalence of H. pylori among children was quite high. Major risk factors included sanitation and drinking water facilities at home and at schools.
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Tembo, Sibongile, Patricia Mubita, Lungowe Sitali, and Jessy Zgambo. "Prevalence, Intensity, and Factors Associated with Soil-Transmitted Helminths Infection among Children in Zambia: A Cross-sectional Study." Open Public Health Journal 12, no. 1 (June 30, 2019): 284–93. http://dx.doi.org/10.2174/1874944501912010284.

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Background: Soil-transmitted helminths are among the neglected tropical diseases (NTDs) of poverty. They are a common type of parasitic infections in the world, caused by three main species commonly known as roundworms, whipworms, and hookworms. The diseases have major health and socio-economic repercussions and significantly contribute to public health problems in developing countries. Objectives: This study investigated the prevalence, intensity, and factors associated with soil-transmitted helminths among children in Chililabombwe district of Zambia. Methods: A cross-sectional design was used, consisting of 411 guardian – child pairs aged between 17-77 years and 1-15 years, respectively. This was conducted between October and December 2017. Systematic sampling and simple random sampling were used to select the household and 411 participants, respectively. The study used a structured pre-tested questionnaire and stool tests to obtain information on socio-demographic, environmental, behavioral, and service-related factors associated with helminth infection. Stool samples were collected and examined for the presence of parasites using formol-ether concentration and Kato-Katz techniques. Geometric mean was used to report the intensity of infection. An investigator-led stepwise regression was used to identify factors associated with developing Soil-Transmitted Helminth infection and the level of significance was set at 0.05. Results: Prevalence of soil-transmitted helminth infection was 59/411 (14.4%) and the most dominant parasite was roundworms 58/411 (14.1%). The overall intensity of infection was light (<5000epg) with a few heavy infections (>50000epg). Factors independently associated with soil-transmitted helminth infection after adjusting for other variables were residence (AOR=0.26; 95% CI [0.09-0.73]), household income (AOR=2.49; 95% CI [1.01-6.12]), and overcrowding (AOR =1.33; 95% CI [1.09-1.62]). Conclusion: Our findings indicate that STH infections are still prevalent. Low household income, residence, and overcrowding are the factors associated with infection. This indicates that reinfection is common even after deworming.
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Aballa, Andrew Okoth. "Tungiasis in Western Kenya: Knowledge, Perceptions, and Practices of Household Heads – A Crossectional Study." Matters of Behaviour 8, no. 9 (March 26, 2019): 7–13. http://dx.doi.org/10.26455/mob.v8i9.52.

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Background: According to reports of AHADT Kenya, tungiasis afflicts four million Kenyans with 10 million more at risk of severe infestation. Anecdotal reports suggest that lack of knowledge and retrogressive beliefs and practices of household heads, them being the key decision makers in rural homes, might be barriers to the control of tungiasis. Objective: To assess the knowledge, perceptions, and practices of household heads regarding tungiasis in Kenya Methodology: A crossectional study was done in Otwenya Location, Maseno Division, Kenya. Seventy-eight (78) homes were visited and all their household members checked for the presence of tungiasis. Structured pretested questionnaires were used to collect the socio demographic data of household heads and the knowledge, perceptions, and practices around tungiasis evaluated. Data analysis was done using version 21 of the Statistical Package for Social Scientists (SPSS) software. A modified technique by Memon et al. was used to compute the knowledge and attitude scores. Fisher’s exact test with Cochran Mantel Haenszel statistics was used for data analyses at 95% CI. Results: Our data was collected in Urudi Rata (39.7%), Mbeka (35.6%), and Mariwa (24.4%) villages. Most houses had iron sheer roofs (93.6%) and floors plastered with dung or cement (60.3%). Household heads were mainly female (71.8%) with primary level education (67.9%). Tungiasis was found in 39.7% of households. Earth floors (OR=11.1, P<0.01) and overcrowding (OR=3.4, p=0.04) were risk factors for tungiasis. Most respondents (75.7%) had a moderate knowledge of tungiasis with it being lowest among heads with no formal education (OR=35.56 (1.7 to 732.6), p=0.02). The knowledge of tungiasis did not influence its occurrence in homes. (p=0.49). Most respondents (82.1%) had poor perceptions of tungiasis, which did not vary by the age, education, and gender of household. However, odds of infestation was over 4.9 times higher in homes where household head had negative perception of tungiasis (OR=4.9 p=0.03). The extraction of fleas (91.1%) was the commonest treatment option. Conclusion: Tungiasis is a common ectoparasitosis in rural Kenya with a prevalence of 19.5%. Household heads are knowledge about tungiasis. However, retrogressive beliefs, negligence, and stigma are barriers for its control.
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Raisi-Estabragh, Zahra, Celeste McCracken, Mae S. Bethell, Jackie Cooper, Cyrus Cooper, Mark J. Caulfield, Patricia B. Munroe, Nicholas C. Harvey, and Steffen E. Petersen. "Greater risk of severe COVID-19 in Black, Asian and Minority Ethnic populations is not explained by cardiometabolic, socioeconomic or behavioural factors, or by 25(OH)-vitamin D status: study of 1326 cases from the UK Biobank." Journal of Public Health 42, no. 3 (June 19, 2020): 451–60. http://dx.doi.org/10.1093/pubmed/fdaa095.

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Abstract Background We examined whether the greater severity of coronavirus disease 2019 (COVID-19) amongst men and Black, Asian and Minority Ethnic (BAME) individuals is explained by cardiometabolic, socio-economic or behavioural factors. Methods We studied 4510 UK Biobank participants tested for COVID-19 (positive, n = 1326). Multivariate logistic regression models including age, sex and ethnicity were used to test whether addition of (1) cardiometabolic factors [diabetes, hypertension, high cholesterol, prior myocardial infarction, smoking and body mass index (BMI)]; (2) 25(OH)-vitamin D; (3) poor diet; (4) Townsend deprivation score; (5) housing (home type, overcrowding) or (6) behavioural factors (sociability, risk taking) attenuated sex/ethnicity associations with COVID-19 status. Results There was over-representation of men and BAME ethnicities in the COVID-19 positive group. BAME individuals had, on average, poorer cardiometabolic profile, lower 25(OH)-vitamin D, greater material deprivation, and were more likely to live in larger households and in flats/apartments. Male sex, BAME ethnicity, higher BMI, higher Townsend deprivation score and household overcrowding were independently associated with significantly greater odds of COVID-19. The pattern of association was consistent for men and women; cardiometabolic, socio-demographic and behavioural factors did not attenuate sex/ethnicity associations. Conclusions In this study, sex and ethnicity differential pattern of COVID-19 was not adequately explained by variations in cardiometabolic factors, 25(OH)-vitamin D levels or socio-economic factors. Factors which underlie ethnic differences in COVID-19 may not be easily captured, and so investigation of alternative biological and genetic susceptibilities as well as more comprehensive assessment of the complex economic, social and behavioural differences should be prioritised.
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Hosseini, Leila Jansar, Ali Hussein Samadi, Abraha Woldemichael, Masoumeh Najaf Gharebelagh, Satar Rezaei, and Enayatollah Homaie Rad. "Household Overcrowding in Iran, a Low-middle-income Country: How Major of a Public Health Concern Is It?" Journal of Preventive Medicine and Public Health 54, no. 1 (January 31, 2021): 73–80. http://dx.doi.org/10.3961/jpmph.20.568.

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16

Peele, Morgan E. "Childhood Conditions Predict Chronic Diseases and Functional Limitations Among Older Adults: The Case of Indonesia." Journal of Aging and Health 31, no. 10 (September 15, 2018): 1892–916. http://dx.doi.org/10.1177/0898264318799550.

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Objective: Limited knowledge exists about whether childhood health and socioeconomic status (SES) conditions influence health among older adults in Indonesia. Method: Data from Wave 5 (2014/2015) of the Indonesian Family Life Survey ( N = 6,530) was used to examine associations between childhood health and SES and hypertension, lung conditions, diabetes, lower body functional limitations (LBFL), and instrumental activities of daily living limitations (IADL). Results: Poor childhood health was associated with 34% higher odds of hypertension (odds ratio [OR] = 1.34, p < .05), 37% higher odds of diabetes (OR = 1.37, p < .05), and 32% higher odds of lung conditions (OR = 1.32, p < .05). Household overcrowding was associated with 22% higher odds of a LBFL (OR = 1.22, p < .05) and 24% higher odds of an IADL (OR = 1.24, p < .01). Lacking a household toilet was associated with 18% higher odds of a LBFL (OR = 1.18, p < .05). Adjusting for adult SES and current health did not account for these relationships. Discussion: Childhood conditions appear to shape older adult health in Indonesia.
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Tumwesigye, Samuel, Lisa-Marie Hemerijckx, Alfonse Opio, Jean Poesen, Matthias Vanmaercke, Ronald Twongyirwe, and Anton Van Rompaey. "Who and Why? Understanding Rural Out-Migration in Uganda." Geographies 1, no. 2 (August 25, 2021): 104–23. http://dx.doi.org/10.3390/geographies1020007.

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Rural–urban migration in developing countries is considered to be a key process for sustainable development in the coming decades. On the one hand, rural–urban migration can contribute to the socioeconomic development of a country. On the other hand, it also leads to labor transfer, brain-drain in rural areas, and overcrowded cities where planning is lagging behind. In order to get a better insight into the mechanisms of rural–urban migration in developing countries, this paper analyzes motivations for rural–urban migration from the perspective of rural households in Uganda. A total of 1015 rural households located in southwestern Uganda were surveyed in 2019. A total of 48 percent of these households reported having at least one out-migrant. By means of logistic regression modeling, the likelihood for rural out-migration was assessed using household- and community-level socioeconomic characteristics as predictors. The results show that most out-migrants are from relatively wealthy households with a higher-than-average education level. Typically, these households are located in villages that are well connected with urban centers. Poor households in remote locations send significantly fewer migrants because of their limited access to migration information and poor transport networks. From these findings, the following policy recommendations are made: Firstly, efforts should be made to extend basic social services, including quality education, towards rural areas. Secondly, in order to reduce socially disruptive long-distance migration and the eventual overcrowding and sprawls of major cities, government investments should be oriented towards the upgrading of secondary towns, which can offer rural out-migrants rewarding employment and business opportunities.
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Salem, M. B., I. O. Al Sadoon, and M. K. Hassan. "Prevalence of wheeze among preschool children in Basra governonate, southern Iraq." Eastern Mediterranean Health Journal 8, no. 4-5 (June 15, 2002): 503–8. http://dx.doi.org/10.26719/2002.8.4-5.503.

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A community-based survey was carried out in Basra governorate, Iraq, to estimate the prevalence of wheeze among children under 5 years old and to identify possible risk factors. It was found that 15.8% of the 424 preschool children enrolled in the study had a history of wheeze. More wheezy children lived in the city [16.3%] than in the rural area [15.0%]. Family history of asthma in first-degree relatives was significantly associated with wheeze [44.8% of children with wheeze versus 15.1% without wheeze]. Other household factors-parents’ low educational level, formula or supplemental feeding as a baby, overcrowding, smoking at home, pet ownership and using kerosene-were associated with wheeze, but the results were not statistically significant. The role of environmental factors and feeding patterns needs to be further evaluated.
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Munywoki, Patrick K., Caroline Nasimiyu, Moshe Dayan Alando, Nancy Otieno, Cynthia Ombok, Ruth Njoroge, Gilbert Kikwai, et al. "Seroprevalence and risk factors of SARS-CoV-2 infection in an urban informal settlement in Nairobi, Kenya, December 2020." F1000Research 10 (August 26, 2021): 853. http://dx.doi.org/10.12688/f1000research.72914.1.

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Introduction: Urban informal settlements may be disproportionately affected by the COVID-19 pandemic due to overcrowding and other socioeconomic challenges that make adoption and implementation of public health mitigation measures difficult. We conducted a seroprevalence survey in the Kibera informal settlement, Nairobi, Kenya, to determine the extent of SARS-CoV-2 infection. Methods: Members of randomly selected households from an existing population-based infectious disease surveillance (PBIDS) provided blood specimens between 27th November and 5th December 2020. The specimens were tested for antibodies to the SARS-CoV-2 spike protein. Seroprevalence estimates were weighted by age and sex distribution of the PBIDS population and accounted for household clustering. Multivariable logistic regression was used to identify risk factors for individual seropositivity. Results: Consent was obtained from 523 individuals in 175 households, yielding 511 serum specimens that were tested. The overall weighted seroprevalence was 43.3% (95% CI, 37.4 – 49.5%) and did not vary by sex. Of the sampled households, 122(69.7%) had at least one seropositive individual. The individual seroprevalence increased by age from 7.6% (95% CI, 2.4 – 21.3%) among children (<5 years), 32.7% (95% CI, 22.9 – 44.4%) among children 5 – 9 years, 41.8% (95% CI, 33.0 – 51.1%) for those 10-19 years, and 54.9%(46.2 – 63.3%) for adults (≥20 years). Relative to those from medium-sized households (3 and 4 individuals), participants from large (≥5 persons) households had significantly increased odds of being seropositive, aOR, 1.98(95% CI, 1.17 – 1.58), while those from small-sized households (≤2 individuals) had increased odds but not statistically significant, aOR, 2.31 (95% CI, 0.93 – 5.74). Conclusion: In densely populated urban settings, close to half of the individuals had an infection to SARS-CoV-2 after eight months of the COVID-19 pandemic in Kenya. This highlights the importance to prioritize mitigation measures, including COVID-19 vaccine distribution, in the crowded, low socioeconomic settings.
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Mottelson, Johan. "A New Hypothesis on Informal Land Supply, Livelihood, and Urban Form in Sub-Saharan African Cities." Land 9, no. 11 (November 7, 2020): 435. http://dx.doi.org/10.3390/land9110435.

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In sub-Saharan Africa, the urban majorities are financially excluded from the formal housing markets and reside in informal settlements. Limited knowledge on the development of informal settlements compromises the efficacy of urban planning and policies targeting such areas. This study presents an analysis of informal urban land use in four major cities in East Africa, as well as an analysis of urban form and household conditions in a case study area in each city. The study found more compact urban form, higher levels of tenants and overcrowding, and lower levels of access to water and sanitation in the examined cities with limited informal urban land use. The study argues that government repression of informal urban development decreases informal land supply and leads to increased competition in the informal land market, causing higher costs of accommodation and consequent fewer household resources for investments in infrastructure and thereby more compromised livelihood. The study argues that governments should accept some modes of informal development, simplify the urban development administration processes, and use technological innovation in land surveys and management, in order to lower costs of accommodation and improve livelihoods for the urban majority financially excluded from the formal housing market in East Africa.
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Taranum, Arshiya, Satya Reddy, Muhammed Muntazeem G., and Bhaskar Kurre. "Factors associated with open air defecation in a rural field practice area of a medical college: a cross sectional study." International Journal Of Community Medicine And Public Health 7, no. 3 (February 27, 2020): 909. http://dx.doi.org/10.18203/2394-6040.ijcmph20200939.

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Background: Open defecation is the practice where people go out in fields, bushes, forests, open bodies of water or other open spaces rather than using the toilet to defecate. The health hazards due open air defecation are soil and water pollution, contamination of foods and propagation of flies which results in the spread of diseases like typhoid, cholera, dysenteries, diarrheas, hookworm diseases, ascariasis, viral hepatitis and other intestinal infections.Methods: A cross sectional study was conducted at Singanodi village. 122 houses were selected for interview. One member from each household, preferably the head of the family was interviewed. The questionnaire included the socio-demographic features, practices about sanitary latrine usage and awareness about the diseases due to open air defecation. Data was entered in MS Excel and analysed using SPSS vs 20.Results: In the study the prevalence of open air defecation was found to be 63.1%. Majority of the study participants (52.5%) had sanitary latrines in their houses. 15.6% of the household practices open air defecation in spite of having toilets in their homes. Significant association was found between education and overcrowding with open air defecation.Conclusions: The study reinforces the importance of creating awareness about the importance of sanitary latrines and involvement of Government, NGO and communities is essential to stop open air defecation practices.
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Mottelson, Johan, and Alessandro Venerandi. "A Fine-Grain Multi-Indicator Analysis of the Urban Form of Five Informal Settlements in East Africa." Urban Science 4, no. 3 (July 9, 2020): 31. http://dx.doi.org/10.3390/urbansci4030031.

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Few studies have investigated the urban morphology of informal settlements at fine-grain level, limiting effective urban planning and policies targeting such areas. This study presents a high-resolution morphological analysis of five informal settlements located in central areas of major cities in East Africa. The analysis is based on indicators of urban form, statistical comparison, and field interviews on household conditions. The method improves the replicability and increases the spatial granularity compared to previous studies. Outcomes show that all case studies are characterised by organic street layouts. Three settlements form a comparable group with denser urban fabrics (small block size, high coverage ratios, and small private spaces), while the remaining two cases have less compact forms. The field interviews show high rates of tenancy, overcrowding, and inadequate access to water and sanitation in the first group and low rates of these conditions in the second group. We suggest that these differences are partially an outcome of levels of informal land supply. We argue that decreased informal land supply leads to increased competition and higher prices of accommodation, leaving fewer household resources for infrastructure investments and consequent compromised livelihoods. Accordingly, we argue that some modes of informal urban development should be accepted in Sub-Saharan Africa.
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Stanwell, R. E., J. M. Stuart, A. O. Hughes, P. Robinson, M. B. Griffin, and K. Cartwright. "Smoking, the environment and meningococcal disease: a case control study." Epidemiology and Infection 112, no. 2 (April 1994): 315–28. http://dx.doi.org/10.1017/s0950268800057733.

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SUMMARYThis case control study investigated environmental factors in 74 confirmed cases of meningococcal disease (MD). In children aged under 5, passive smoking in the home (30 or more cigarettes daily) was associated with an odds ratio (OR) of 7.5 (95% confidence interval (CI) 1.46–38.66). ORs increased both with the numbers of cigarettes smoked and with the number of smokers in the household, suggesting a dose–response relationship. MD in this age group was also significantly associated with household overcrowding (more than 1.5 persons per room) (OR 6.0, 95% CI 1.10–32.8), with kisses on the mouth with 4 or more contacts in the previous 2 weeks (OR 2.46, 95% CI 1.09–5.56), with exposure to dust from plaster, brick or stone in the previous 2 weeks (OR 2.24, 95% CI 1.07–4.65); and with changes in residence (OR 3.0, 95% CI 1.0–8.99), marital arguments (OR 3.0, 95 % CI 1.26–7.17) and legal disputes in the previous 6 months (OR 3.10, 95% CI 1.24–7.78). These associations were independent of social class. Public health measures to lower the prevalence of cigarette smoking by parents of young children may reduce the incidence of MD. The influence of building dust and stressful life events merits further investigation.
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Baldassare, M. "Overcrowding in the Household. By Walter Gove and Michael Hughes, with contributions by Omer Galle. Academic Press, 1983. 335 pp. $39.00." Social Forces 64, no. 2 (December 1, 1985): 525–26. http://dx.doi.org/10.1093/sf/64.2.525.

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Slemming, W., J. Kagura, H. Saloojee, and L. M. Richter. "Early life risk exposure and stunting in urban South African 2-year old children." Journal of Developmental Origins of Health and Disease 8, no. 3 (February 8, 2017): 301–10. http://dx.doi.org/10.1017/s2040174417000034.

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Stunting is a measure of overall nutritional status and is a major public health concern because of its association with child mortality and morbidity and later adult performance. This study examined the effects of pregnancy events, birth characteristics and infant risk exposure on stunting at age 2 years. The study, established in 1990 in Soweto, an urban South African township, included 1098 mother–infant pairs enroled in the Birth to Twenty Plus longitudinal birth cohort study. In total, 22% of children were stunted at age 2 years, with males at greater risk than females [24.8 v. 19.4%, odds ratio (OR)=1.38; 95% confidence interval (CI): 1.03, 1.83]. In unadjusted analysis, male sex, household socio-economic status (SES), overcrowding, maternal age, maternal education, single motherhood, ethnicity, birth weight, gestational age and duration of infant breastfeeding were all significantly associated with stunting. In multivariable analysis, higher birth weight was protective against stunting for both sexes. Higher maternal education was protective for females only (adjusted odds ratio (AOR)=0.35; 95% CI: 0.14, 0.87), whereas wealthier household SES protected males (AOR for richest SES group=0.39; 95% CI: 0.16, 0.92). In this and other similar settings, current stunting prevention efforts focussing on primarily providing targeted proximal interventions, such as food supplements, risk undermining the critical importance of addressing key distal determinants of stunting such as SES and maternal education.
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Et.al, Samuel Jonas Yeboah. "Design and development of RFID based Multi-User Smart Energy Distribution System at Sunyani Technical University, Ghana." Turkish Journal of Computer and Mathematics Education (TURCOMAT) 12, no. 3 (April 10, 2021): 4596–603. http://dx.doi.org/10.17762/turcomat.v12i3.1852.

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In Ghana families living in large and compound houses desire to have separate energy meters from other occupants. This is because individuals cannot monitor and control the energy consumption of other tenants and results in misunderstanding in energy bill sharing, overcrowding of energy meters on the wall of a building and likelihood of fire outbreak. It is therefore expedient to have a very accurate, efficient and peaceful means of delivering electrical energy to multiple users within a household with just a single energy meter and this has necessitated the introduction of Smart Multi-user Energy Distribution Meter (SEDS). In this paper microcontroller based smart electrical distribution switch that has the capability of allocating independent energy units to several users in a household is proposed. Experiment was done by assigning Energy units of 4kWh, 8kWh and 6kWh to three logging points on the SEDS device representing three different users. A load of 100W was connected representing the consumption of individual user. The results indicate that the rate of consumption is dependent on the total load connected. The SEDS device has different switches allocated to each user which monitor the consumption rate of the user and automatically isolate a user when power gets exhausted which serve the same purpose as several users having different energy meters. However, individual consumption can be monitored and controlled by the user.
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GOLDING, G. R., P. N. LEVETT, R. R. McDONALD, J. IRVINE, M. NSUNGU, S. WOODS, A. HORBAL, et al. "A comparison of risk factors associated with community-associated methicillin-resistant and -susceptible Staphylococcus aureus infections in remote communities." Epidemiology and Infection 138, no. 5 (January 22, 2010): 730–37. http://dx.doi.org/10.1017/s0950268809991488.

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SUMMARYIn this case-control study, cases [community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA), n=79] and controls [community-associated methicillin-susceptible S. aureus (CA-MSSA), n=36] were defined as a laboratory-confirmed infection in a patient with no previous hospital-associated factors. Skin and soft tissue were the predominant sites of infection, both for cases (67·1%) and controls (55·6%). Most of the cases (79·7%) and controls (77·8%) were aged <30 years. Investigations did not reveal any significant statistical differences in acquiring a CA-MRSA or CA-MSSA infection. The most common shared risk factors included overcrowding, previous antibiotic usage, existing skin conditions, household exposure to someone with a skin condition, scratches/insect bites, and exposure to healthcare workers. Similar risk factors, identified for both CA-MRSA and CA-MSSA infections, suggest standard hygienic measures and proper treatment guidelines would be beneficial in controlling both CA-MRSA and CA-MSSA in remote communities.
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Spurling, Geoffrey K. P., Deborah A. Askew, Philip J. Schluter, Fiona Simpson, and Noel E. Hayman. "Household number associated with middle ear disease at an urban Indigenous health service: a cross-sectional study." Australian Journal of Primary Health 20, no. 3 (2014): 285. http://dx.doi.org/10.1071/py13009.

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Few epidemiological studies of middle ear disease have been conducted in Aboriginal and Torres Strait Islander populations, yet the disease is common and causes hearing impairment and poorer educational outcomes. The objective of this study is to identify factors associated with abnormal middle ear appearance, a proxy for middle ear disease. Aboriginal and Torres Strait Islander children aged 0–14 years receiving a Child Health Check (CHC) at an urban Indigenous Health Service, Brisbane, Australia were recruited from 2007 to 2010. Mixed-effects models were used to explore associations of 10 recognised risk factors with abnormal middle ear appearance at the time of the CHC. Ethical approval and community support for the project were obtained. Four hundred and fifty-three children were included and 54% were male. Participants were Aboriginal (92%), Torres Strait Islander (2%) or both (6%). Abnormal middle ear appearance was observed in 26 (6%) children and was significantly associated with previous ear infection (odds ratio (OR), 8.8; 95% confidence interval (CI), 3.2–24.0) and households with eight or more people (OR, 3.8; 95% CI, 1.1–14.1) in the imputed multivariable mixed-effects model. No significant associations were found for the other recognised risk factors investigated. Overcrowding should continue to be a core focus for communities and policy makers in reducing middle ear disease and its consequences in Aboriginal and Torres Strait Islander peoples.
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Uddin, AKM Majbah, Md Monoarul Haque, Yasin Arafat, Suman Kumar Roy, Md Zahid Hasan Khan, and Khaleda Islam. "Study on Hygiene Practice of the Adult Domestic Household Women Worker in Urban Slum Area of Dhaka City." Chattagram Maa-O-Shishu Hospital Medical College Journal 14, no. 1 (April 5, 2015): 52–54. http://dx.doi.org/10.3329/cmoshmcj.v14i1.22884.

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Background: Globally, slums have been recognized as neglected communities with limited access to services. They are often characterized by deteriorated or poorly structured houses crowded together, poor environmental managements such as deficient access to safe drinking water and sanitation, stagnation of water, and poor drainage with excessive open sewers, excessive amount of uncollected rubbish, severe overcrowding, flies, and poor lighting. Objective: The purpose of this study was to explore hygiene practice of the adult domestic household women worker in urban slum area of Dhaka city. Methods: This cross sectional study was conducted among adult female domestic household workers ages between 19 to 45 years of the south Monipur slum of Dhaka city. The study was conducted from April 2012 to June 2012. About 95 samples were selected purposively to conduct this study. Results: The mean age of the respondent was 29.32 years. It also found that majority of the respondent (87.37%) were married, 10.53% were separated and 2.11% were divorced. The mean income of the respondent was 2132.63TK. Result found that 76.84% of the respondent use sandal in toilet and 23.16% of the respondent do not use sandal in toilet. It also showed that 69.47% of the respondent use soap everyday in bath and 30.53% of the respondent did not use soap everyday in bath. About 90.53% of the respondent brushing teeth everyday and 9.47% of the respondent did not brush teeth everyday. In addition to this 33.68% of the respondent cut nail regularly and 66.32% of the respondent did not cut nail regularly. Besides 85.26% of the respondent used soap to wash their hand after toilet, 2.11% used ash and 12.63% of the respondent used soil to wash their hand after toilet. Conclusion: The hygiene practice of adult domestic household workers is quite good but the overall practice condition is not in satisfactory state. Further in depth studies are needed to evaluate the actual scenario of the hygiene practice among adult domestic household workers. DOI: http://dx.doi.org/10.3329/cmoshmcj.v14i1.22884 Chatt Maa Shi Hosp Med Coll J; Vol.14 (1); Jan 2015; Page 52-54
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Soltan, Marina A., Justin Varney, Benjamin Sutton, Colin R. Melville, Sebastian T. Lugg, Dhruv Parekh, Will Carroll, Davinder P. Dosanjh, and David R. Thickett. "COVID-19 admission risk tools should include multiethnic age structures, multimorbidity and deprivation metrics for air pollution, household overcrowding, housing quality and adult skills." BMJ Open Respiratory Research 8, no. 1 (August 2021): e000951. http://dx.doi.org/10.1136/bmjresp-2021-000951.

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BackgroundEthnic minorities account for 34% of critically ill patients with COVID-19 despite constituting 14% of the UK population. Internationally, researchers have called for studies to understand deterioration risk factors to inform clinical risk tool development.MethodsMulticentre cohort study of hospitalised patients with COVID-19 (n=3671) exploring determinants of health, including Index of Multiple Deprivation (IMD) subdomains, as risk factors for presentation, deterioration and mortality by ethnicity. Receiver operator characteristics were plotted for CURB65 and ISARIC4C by ethnicity and area under the curve (AUC) calculated.ResultsEthnic minorities were hospitalised with higher Charlson Comorbidity Scores than age, sex and deprivation matched controls and from the most deprived quintile of at least one IMD subdomain: indoor living environment (LE), outdoor LE, adult skills, wider barriers to housing and services. Admission from the most deprived quintile of these deprivation forms was associated with multilobar pneumonia on presentation and ICU admission. AUC did not exceed 0.7 for CURB65 or ISARIC4C among any ethnicity except ISARIC4C among Indian patients (0.83, 95% CI 0.73 to 0.93). Ethnic minorities presenting with pneumonia and low CURB65 (0–1) had higher mortality than White patients (22.6% vs 9.4%; p<0.001); Africans were at highest risk (38.5%; p=0.006), followed by Caribbean (26.7%; p=0.008), Indian (23.1%; p=0.007) and Pakistani (21.2%; p=0.004).ConclusionsEthnic minorities exhibit higher multimorbidity despite younger age structures and disproportionate exposure to unscored risk factors including obesity and deprivation. Household overcrowding, air pollution, housing quality and adult skills deprivation are associated with multilobar pneumonia on presentation and ICU admission which are mortality risk factors. Risk tools need to reflect risks predominantly affecting ethnic minorities.
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Roşca, Vlad I. "Costs a pretty penny: how household income impacts upon motorization in Europe and raises manufacturer branding challenges." Proceedings of the International Conference on Business Excellence 13, no. 1 (May 1, 2019): 759–71. http://dx.doi.org/10.2478/picbe-2019-0067.

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Abstract This research starts from the findings of a previous study (Roșca, 2018) and intends to develop the preceding statistical model through testing new and more elaborated hypotheses based on the recommendations for future research made in the aforementioned work. The current paper tests demographic and transportation related variables for a multiple regression carried out at a confidence level of 95%. Regression results show a valid relationship between motorization and the selected regressors. Findings further reveal that motorization rates are most strongly influenced by the gross disposable income of households per capita (H4, β = 0.010, p = 0.000). Given that three of the demographic and transportation related research hypotheses have not been supported (age, overcrowding, fatalities), it might be argued that motorization should be looked upon more as a market(ing) feat rather than as a social or psychological fact. Car manufacturers should invest more in branding and in market segmentation in order to address the right target groups and properly position themselves with the customers. Branding, hence, becomes important as it creates an emotional connection between the corporate identity of the producers and the image that customers share about it. The closer the brand identity is to the brand image, the more of an impact the brand will have upon customers to spend part of their gross disposable income for car purchases. Starting from the main finding, this article also claims that future research needs to insist more upon the economic determinants of motorization (e.g. inflation, poverty rate, available resources, unemployment rate, interest rate etc.) and to determine their influence on brand preference and car ownership. At the same time, some other demographic variables such as age or generation could be double-checked, as researches provide shattered views upon their role: while some hold them as influential, others subjugate them to the economic determinants.
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GARES, V., L. PANICO, R. CASTAGNE, C. DELPIERRE, and M. KELLY-IRVING. "The role of the early social environment on Epstein Barr virus infection: a prospective observational design using the Millennium Cohort Study." Epidemiology and Infection 145, no. 16 (December 2017): 3405–12. http://dx.doi.org/10.1017/s0950268817002515.

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SUMMARYEpstein-Barr virus (EBV) is a highly prevalent herpesvirus linked to infectious mononucleosis and several malignancies. This paper aims to study the association between children's early life social environment at 9 months and EBV infection at 3 years of age.MethodsWe used data on children included in the UK Millennium Cohort Study. We described the social environment using area-level and material factors as well as socioeconomic position (SEP) at 9 months. EBV was measured at 3 years of age (n = 12 457).ResultsLower rates of EBV infection were observed in children living in towns and rural areas compared with those living in cities. Lower SEP and overcrowding in the household increased the odds of being infected. Children whose parents were social tenants were more likely to be infected than homeowners. In the overall model, the strength of the association between material factors and EBV infection weakened.ConclusionsWe showed that early life material deprivation was associated with a higher risk of EBV infection among 3-year-olds. Children living in more deprived social conditions may be more likely to become EBV carriers at an earlier age.
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Díaz-Pérez, Anderson, Liliana Pérez-Lavalle, Anabell Donado Mercado, Gladys Gaviria García, Viviana Silva Torres, Gloria Lastre Amell, and Aida Ferrer Parejo. "Family Characterization of a Population of the Municipality of Puerto Colombia, Atlántico/Colombia." Global Journal of Health Science 10, no. 12 (November 9, 2018): 70. http://dx.doi.org/10.5539/gjhs.v10n12p70.

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INTRODUCTION: The family as a fundamental structure of society is exposed to different economic, social and health problems. Families in conditions of vulnerability become an element of protection but also of dominance and power; because they are born without being aware of their status or they even normalize their condition of extreme poverty, not to mention the exposure to natural hazards of their geographical area due to being in close proximity to the sea, which leads to people being grouped, creating problems of violence due to overcrowding, lack of formal employment, as well as lack of access to education or basic sanitation services. These groups are considered as social groups with limited resources. OBJECTIVE: To describe the family structure of the household head members and their main practices of managing with vulnerability states on topics as health, economic and educational in the inhabitants of the Vista Mar neighborhood in the Municipality of Puerto Colombia / Atl&aacute;ntico. METHODOLOGY: Descriptive cross-sectional study with a sample of 135 inhabitants grouped into 27 families. An observation form and a survey were applied to the person of family care or economic maintenance. RESULTS: The level of education of the head of household has very low academic training with ages ranging from 20 to 60 years with informal occupations in 39.37%. CONCLUSIONS: The woman is responsible for the care of the members of the family and the man financially supports the home. The families are formed by adults and young people with training at the primary, secondary and technical levels.
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Gazeley, I., A. Newell, and P. Scott. "Why was urban overcrowding much more severe in Scotland than in the rest of the British Isles? Evidence from the first (1904) official household expenditure survey." European Review of Economic History 15, no. 1 (April 1, 2011): 127–51. http://dx.doi.org/10.1017/s1361491610000195.

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Camaira, Joanna, and Tracie Mafile’o. "Noqu Vale: Community organisation professionals’ views on what works and what needs to change for Pasifika housing." Aotearoa New Zealand Social Work 30, no. 4 (June 17, 2019): 70–83. http://dx.doi.org/10.11157/anzswj-vol30iss4id614.

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INTRODUCTION: The shortage of suitable and affordable housing within Aotearoa New Zealand is creating vulnerability in communities and is a barrier encountered by community organisation professionals (COPs) working in the housing field. Pasifika peoples are particularly disadvantaged, experiencing higher levels of household overcrowding, being less likely to own their own home, and being more likely to be tenants of social housing than other ethnicities. Increasing numbers of Pasifika peoples affected by housing issues require immediate (emergency, crisis) or long-term community social housing support, in an already constrained housing system. While there continues to be significant literature exploring facets of Pasifika housing in AotearoaNew Zealand, there is a lack of research on COPs’ perspectives regarding Pasifika housing focused on the Wellington region. METHOD: This research takes an exploratory, qualitative approach using semi-structured interviews with three COPs based in the Wellington region. Interview transcripts were thematically analysed. FINDINGS: Findings address “what’s working” and include: wrap-around services, collaboration, advocacy, and empowering families. COP perspectives on “what needs to change” include: quality and quantity of housing, affordability, and racism and discrimination. IMPLICATIONS: The implications are that a holistic and collaborative practice approach taken between community and government organisations, needs to be harnessed if outcomes for Pasifika housing are to improve.
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Freire, Maria do Carmo Matias, Patrícia Corrêa-Faria, and Luciane Rezende Costa. "Effect of dental pain and caries on the quality of life of Brazilian preschool children." Revista de Saúde Pública 52 (April 3, 2018): 30. http://dx.doi.org/10.11606/s1518-8787.2018052000093.

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OBJECTIVE: To investigate the impact of dental pain on daily performances among five-year-old Brazilian children. METHODS: The study used data of 7,280 five-year-old children participating in the 2010 Brazilian Oral Health Survey (SBBrasil 2010 Project). Children were clinically examined and their parents or carers were interviewed at their homes. The outcome was the prevalence of the oral impacts on daily performance, and the explanatory variable was dental pain in the last six months. Other independent variables were children’s gender and skin color/race, family income, household overcrowding, and caries experience (dmft). Rao-Scott test and Poisson regression for complex samples were carried out. RESULTS: The prevalence of impacts on daily performances was 26.1% (95%CI 22.3–30.2). Significant associations were found between the outcome and pain, caries experience, and sociodemographic variables. After adjusting for the independent variables, only pain and caries remained significant. Impacts on daily performances were more frequent among children with pain (PR = 1.14, 95%CI 1.06–1.23) compared to those without pain. Children with low dmft (PR = 1.90, 95%CI 1.39–2.60) and those with high dmft (PR = 3.53, 95%CI 2.78–4.49) had a higher prevalence of impact than those with no caries experience. CONCLUSIONS: Dental pain and caries had strong negative impacts on the five-year-old children’s daily performances regardless of their demographic and socioeconomic characteristics.
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Vergara-Perucich, Francisco, Juan Correa-Parra, and Carlos Aguirre-Nuñez. "The Spatial Correlation between the Spread of COVID-19 and Vulnerable Urban Areas in Santiago de Chile." Critical Housing Analysis 7, no. 2 (2020): 21–35. http://dx.doi.org/10.13060/23362839.2020.7.2.512.

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This article identifies the spatial correlation between the social determinants of health in the housing area (housing prices, overcrowding, poor-quality building materials, and household socioeconomic vulnerability) and the spread of COVID-19 in Santiago de Chile. The research used data from the 2017 Census conducted by the National Institute of Statistics of Chile and data on confirmed cases of COVID-19 (PCR) by communes provided by/obtained from Chile’s Ministry of Health. The article provides a two-fold examination/analysis of the spatial correlation using the Pearson measure to observe how the virus spread from areas with high-quality housing in the early stage of the contagion to then become concentrated in areas with low-quality of housing. The second examination/analysis is a multiple linear regression to identify the housing factors that inform virus propagation. The test results show that of the four social determinants of health relating to housing assessed here, housing prices is the variable that best predicts how the social determinants of health based on housing explain the progress of the pandemic for the Santiago case, following the collinearity factors according to the data used in this study. The conclusions suggest that public policy should treat housing quality as a factor in public health and health risks that needs to be addressed with a transdisciplinary approach to urban planning in Chile.
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Panigrahi, Ansuman, G. Nageswar Rao, and Amrita Kumari Konar. "Vision-Related Quality of Life and Its Sociodemographic Correlates Among Individuals With Visual Impairments." Journal of Visual Impairment & Blindness 115, no. 4 (July 2021): 319–28. http://dx.doi.org/10.1177/0145482x211028938.

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Introduction: Visual impairment is an important public health concern worldwide that negatively affects quality of life (QOL). We aimed to assess the vision-related QOL and determine its sociodemographic correlates among individuals with visual impairments. Methods: We carried out a cross-sectional study during the years 2016–2017 among 201 individuals with visual impairments aged ≥ 40 years. After obtaining informed consent, we collected relevant information regarding sociodemographic characteristics using a pretested questionnaire and assessed vision-related QOL using the National Eye Institute Visual Function Questionnaire (VFQ-25). An ophthalmologist conducted comprehensive ophthalmic examinations of all the eligible study participants. Results: The mean VFQ-25 composite score was 52.91 + 7.61. The subscale score was highest for color vision (72.39 + 21.71) and worst in the dependency subscale (31.43 + 25.2). Multivariable ordinal regression revealed that variables such as gender, place of residence, household overcrowding, dietary habits, practicing exercise or yoga, and type of eye disorder were significantly ( p< .05) associated with the QOL of individuals with visual impairments. Discussion: The QOL among individuals with visual impairments was poor in our study. Further research is needed to establish associations of various factors with the QOL. Implications for practitioners: Incorporating these determinants of vision-related QOL in the existing strategies could be useful for health care providers and social service providers in promoting the well-being of individuals with visual impairments.
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Phillips, Amy, Ahmed Z. Khan, and Frank Canters. "Use-Related and Socio-Demographic Variations in Urban Green Space Preferences." Sustainability 13, no. 6 (March 20, 2021): 3461. http://dx.doi.org/10.3390/su13063461.

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This paper explores use-related and socio-demographic variations in the valuation of urban green space (UGS) characteristics in the Brussels Capital Region (BCR), lending insights into the valuation of the cultural ecosystem services provided by UGS. Mismatches in the supply of and demand for UGS characteristics are also identified. Knowledge on the ways in which valuation of UGS characteristics vary and on an inadequate supply of UGS characteristics should guide and inspire planning and management of UGS to ensure that UGS provision meets the unique needs of communities. Online surveys were conducted in the BCR to determine how people use UGS, how they experience these spaces, and whether these spaces fulfil their needs for urban green Our findings indicate that socio-demographic characteristics (namely age and household composition) correspond with distinct patterns of use and valuation. Two subgroupings of users are identified: nature-oriented users and social users. Our accessibility analysis shows that, compared to social users, nature-oriented users tend to travel farther to reach their most frequently used UGS but are more often satisfied with the supply of UGS characteristics. Our findings point to an inadequate supply of nature and overcrowding of UGS in the city centre of Brussels. We recommend that planners not only consider size and distance in UGS standards but also consider the demand for UGS characteristics as well.
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Kok, Almar A. L., Martijn Huisman, Rachel Cooper, Theodore D. Cosco, Dorly J. H. Deeg, Diana Kuh, and Mai Stafford. "Lifetime trajectories of socio-economic adversity and their associations with psychosocial factors and attitudes towards social class." Longitudinal and Life Course Studies 11, no. 1 (January 1, 2020): 81–104. http://dx.doi.org/10.1332/175795919x15717233852148.

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Scientific understanding of the associations between socio-economic adversity and other domains such as health and psychosocial functioning may be improved by employing extensive, prospective life course data to model inter-individual heterogeneity in socio-economic trajectories. This study applied Latent Class Growth Analysis to derive a typology of trajectories of socio-economic adversity, and compared the psychosocial profiles of the groups based on this typology. Data were used from 2,950 men and women participating in the MRC National Survey of Health and Development in Great Britain, ascertained prospectively since birth in 1946 until age 53. Trajectories of socio-economic adversity were based on indicators of occupational class, overcrowding, housing tenure, household amenities and financial hardship at ages 4, 11, 15, 36, 43 and 53, and education at age 26. Psychosocial factors included parental interest in education, self-management, neuroticism and attitudes towards social class and social mobility. Seven distinct trajectories were identified: persistent high; persistent low; strongly declining; gradually declining; increasing; early childhood; and relapsing high adversity. Key findings include that those with increasing adversity had high parental interest in education but low self-management and high neuroticism; that those with only early childhood adversity had a less favourable psychosocial profile than those with persistent low exposure; and that groups with declining adversity had relatively favourable attitudes towards education. Findings emphasise the need to consider socio-economic and personality mechanisms in the context of one another in order to better understand later life inequality.
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Deguen, Séverine, and Wahida Kihal-Talantikite. "Geographical Pattern of COVID-19-Related Outcomes over the Pandemic Period in France: A Nationwide Socio-Environmental Study." International Journal of Environmental Research and Public Health 18, no. 4 (February 13, 2021): 1824. http://dx.doi.org/10.3390/ijerph18041824.

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Background: Several studies have investigated the implication of air pollution and some social determinants on COVID-19-related outcomes, but none of them assessed the implication of spatial repartition of the socio-environmental determinants on geographic variations of COVID-19 related outcomes. Understanding spatial heterogeneity in relation to the socio-environmental determinant and COVID-19-related outcomes is central to target interventions toward a vulnerable population. Objectives: To determine the spatial variability of COVID-19 related outcomes among the elderly in France at the department level. We also aimed to assess whether a geographic pattern of Covid-19 may be partially explained by spatial distribution of both long-term exposure to air pollution and deprived living conditions. Methods: This study considered four health events related to COVID-19 infection over the period of 18 March and 02 December 2020: (i) hospitalization, (ii) cases in intensive health care in the hospital, (iii) death in the hospital, and (iv) hospitalized patients recovered and returned back home. We used the percentage of household living in an overcrowding housing to characterize the living conditions and long-term exposure to NO2 to analyse the implication of air pollution. Using a spatial scan statistic approach, a Poisson cluster analysis method based on a likelihood ratio test and Monte Carlo replications was applied to identify high-risk clusters of a COVID-19-related outcome. Result: our results revealed that all the outcomes related to COVID-19 infection investigated were not randomly distributed in France with a statistically significant cluster of high risk located in Eastern France of the hospitalization, cases in the intensive health care at the hospital, death in the hospital, and recovered and returned back home compared to the rest of France (relative risk, RR = 1.28, p-value = 0.001, RR = 3.05, p = 0.001, RR = 2.94, p = 0.001, RR = 2.51, p = 0.001, respectively). After adjustments for socio-environmental determinants, the crude cluster shifts according to different scenarios suggested that both the overcrowding housing level and long-term exposure to largely NO2 explain the spatial distribution of COVID-19-related outcomes. Conclusions: Our findings suggest that the geographic pattern of COVID-19-related outcomes is largely explained by socio-spatial distribution of long-term exposure to NO2. However, to better understand spatial variations of COVID-19-related outcomes, it would be necessary to investigate and adjust it for other determinants. Thus, the current sanitary crisis reminds us of how unequal we all are in facing this disease.
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Kurscheid, Johanna, Budi Laksono, M. J. Park, Archie C. A. Clements, Ross Sadler, James S. McCarthy, Susana V. Nery, et al. "Epidemiology of soil-transmitted helminth infections in Semarang, Central Java, Indonesia." PLOS Neglected Tropical Diseases 14, no. 12 (December 28, 2020): e0008907. http://dx.doi.org/10.1371/journal.pntd.0008907.

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Soil-transmitted helminth (STH) infections are endemic in Indonesia. However, prevalence data for many parts of the country are incomplete. The aim of this study was to determine human STH prevalence and knowledge and practices relating to STH risk behaviour, to provide a current view of the status of STH infection in rural communities in Central Java. A cross-sectional survey of 16 villages was conducted in Semarang, Central Java in 2015. Demographic and household data together with information about knowledge and practices relating to STH and hygiene were elicited through face-to-face interviews. Stool samples were collected and examined using the flotation method. Children (aged 2–12 years) also had their haemoglobin (Hb) levels, height and weight data collected, and BMI estimated. Data were analysed using univariate logistic regression analysis. A total of 6,466 individuals with a mean age of 33.5 years (range: 2–93) from 2,195 households were interviewed. The overall prevalence of STH was 33.8% with Ascaris lumbricoides (roundworm) the predominant nematode identified (prevalence = 26.0%). Hookworm and Trichuris trichiura (whipworm) were found in 7.9% and 1.8% of participants, respectively. Females were at increased odds of infection with A. lumbricoides (adjusted OR 1.14, 95% CI [1.02–1.29], p = 0.02). Adults in age groups 51–60 and over 60 years had the highest odds of being infected with hookworm (adjusted OR 3.01, 95% CI [1.84–4.91], p<0.001 and adjusted OR 3.79, 95% CI [2.30–6.26], p<0.001, respectively) compared to 6–12 year olds. Farmers also had higher odds of being infected with hookworm (adjusted OR 2.36, 95% CI [1.17–4.76], p = 0.02) compared to other occupation categories. Poverty (OR 2.14, 95% CI [1.77–2.58], p<0.001), overcrowding (OR 1.35, 95% CI [1.27–1.44], p<0.001), goat ownership (OR 1.61, 95% CI [1.10–2.41], p = 0.02) and the presence of dry floor space in the home (OR 0.73, 95% CI [0.58–0.91], p = 0.01) were all household factors significantly associated with an increased odds of infection. Infection with STH was not significantly associated with the gastrointestinal illness (p>0.05), BMI or Hb levels; however, one third of all 2–12 year olds surveyed were found to be anaemic (i.e. Hb concentrations below 110g/l or 115g/l for children under 5 and 5 years or older, respectively), with a greater proportion of school-age children at risk. Knowledge and behaviour related to hygiene and gastrointestinal diseases varied widely and were generally not associated with STH infection. The study revealed that STH infection remains endemic in Central Java despite ongoing deworming programs. Current control efforts would benefit from being re-evaluated to determine a more effective way forward.
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43

Gulliford, Martin C., Deepak Mahabir, Cheryl Nunes, and Brian Rocke. "Self-administration of a food security scale by adolescents: item functioning, socio-economic position and food intakes." Public Health Nutrition 8, no. 7 (October 2005): 853–60. http://dx.doi.org/10.1079/phn2005728.

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AbstractObjectiveTo evaluate the reliability and validity of a six-item food security scale when self-administered by adolescents.DesignCross-sectional questionnaire survey including the six-item food security measure, socio-economic variables and a food-frequency questionnaire.SettingRepresentative sample of 29 schools in Trinidad.SubjectsIn total 1903 students aged approximately 16 years.ResultsItem affirmatives ranged from 514 (27%) for the ‘balanced meal’ item to 128 (7%) for the ‘skipped or cut meals often’ item and 141 (7%) for the ‘hungry’ item. Item-score correlations ranged from 0.444 to 0.580. Cronbach's α was 0.77. Relative item severities from the Rasch model ranged from −1.622 (standard error 0.043) for the ‘balanced meal’ item to 1.103 (0.068) for the ‘skipped or cut meals often’ item and 0.944 (0.062) for the ‘hungry’ item. The ‘hungry’ item gave a slightly lower relative severity in boys than girls. Food insecurity was associated with household overcrowding (adjusted odds ratio comparing highest and lowest quartiles 2.61, 95% confidence interval 1.75 to 3.91), lack of pipe-borne water in the home, low paternal education or paternal unemployment. After adjusting for socio-economic variables, food insecurity was associated with less frequent consumption of fruit (0.75, 0.60 to 0.94) or fish (0.72, 0.58 to 0.88) but more frequent consumption of biscuits or cakes (1.47, 1.02 to 2.11).ConclusionsThe food security scale provides a valid, reliable measure in adolescents, although young people report being hungry but not eating relatively more frequently than adults. Food-insecure adolescents have low socio-economic position and may eat less healthy diets.
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44

Jay, Matthew A., Rebecca Bendayan, Rachel Cooper, and Stella G. Muthuri. "Lifetime socioeconomic circumstances and chronic pain in later adulthood: findings from a British birth cohort study." BMJ Open 9, no. 3 (March 2019): e024250. http://dx.doi.org/10.1136/bmjopen-2018-024250.

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ObjectivesTo investigate associations between a range of different indicators of socioeconomic position (SEP: occupational class, education, household overcrowding and tenure, and experience of financial hardship) across life and chronic widespread and regional pain (CWP and CRP) at age 68.DesignProspective birth cohort; the Medical Research Council National Survey of Health and Development.SettingEngland, Scotland and Wales.ParticipantsUp to 2378 men and women who have been followed-up since birth in 1946 to age 68.Primary outcome measuresOn the basis of their self-report of pain at age 68, participants were classified as: CWP (American College of Rheumatology criteria), CRP (pain of at least 3 months’ duration but that does not meet the definition of CWP), other pain (<3 months in duration) or no pain.ResultsAt age 68, the prevalence of CWP was 13.3% and 7.8% in women and men, respectively, and that of CRP was 32.3% and 28.7% in women and men, respectively. There was no clear evidence that indicators of SEP in childhood or later adulthood were associated with pain. Having experienced (vs not) financial hardship and being a tenant (vs owner-occupier) in earlier adulthood were both associated with an increased risk of CWP; for example, moderate hardship adjusted relative risk ratio (RRRadj) 2.32 (95% CI: 1.19 to 4.52) and most hardship RRRadj 4.44 (95% CI: 2.02 to 9.77). Accumulation of financial hardship across earlier and later adulthood was also associated with an increased risk of CWP.ConclusionsConsideration of socioeconomic factors in earlier adulthood may be important when identifying targets for intervention to prevent CWP in later life.
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Umegbolu, Emmanuel I. "Upsurge in the incidence of scabies (a neglected tropical disease) in some rural communities of Southeast Nigeria: any nexus with climate change?" International Journal Of Community Medicine And Public Health 8, no. 3 (February 24, 2021): 1141. http://dx.doi.org/10.18203/2394-6040.ijcmph20210794.

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Background: Scabies is characterized by the presence of burrows, erythematous papules, and generalized pruritus which is usually worse at night. Recently an upsurge in the incidence of scabies has been reported in many settings, including the area of the study. The study aimed to determine if there is a nexus between scabies and climate change as a risk factor.Methods: This was a case-control study carried out in a Cottage Hospital. Case files of 18, 000 patients who attended the hospital between 2016 and 2019 were reviewed. The diagnosis was mainly clinical, i.e. based on the presence of itching in the typical scabies locations, presence of scabies burrows and history of similar itching in the other members of the patient’s household. 112 cases of scabies were diagnosed within this period.Results: From 2016 to 2019, the incidence of scabies rose from 3 to 50. Prevalence among males was 59.8%, and in females 40.2%, although the difference was not significant (p=0.0.53). Compared to other age groups, prevalence was highest in the 6-17 years age group (37.5%), but the difference among the age groups was also not significant (p=0.84).Conclusions: Within four years (2016-2019), the incidence of scabies had risen from 3 to 50 in the area of the study, being higher in males (59.8%) than females (40.2%), and in children less than 18 years (37.5%). Community survey, prompt diagnosis, adequate treatment and avoidance of overcrowding might help to stem the observed rising incidence of the disease.
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46

Yu., Sniezhkin, Zh Petrova, V. Paziuk, and Yu Novikova. "STATE OF WASTEWATER TREATMENT TECHNOLOGIES IN UKRAINE AND THE WORLD." Thermophysics and Thermal Power Engineering 43, no. 1 (March 4, 2021): 5–12. http://dx.doi.org/10.31472/ttpe.1.2021.1.

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In sewage treatment plants, sludge is formed during wastewater treatment, in addition to treated water. They are dumped on silt sites, which occupy large areas and almost all overcrowding. The content of large amounts of minerals and toxic substances in sediments leads to the deterioration of underwater waters and land, which in turn leads to the deterioration of ecology and life in Ukraine. An urgent task in Ukraine is to create a comprehensive processing of sludge, which includes economic, technological, social and environmental aspects. The main methods of sludge disposal are use in agriculture, landfilling, incineration and dumping into the sea or ocean. The country is gradually trying to abandon the burial. European Union countries also process sludge aerobically and anaerobically. During these processes, components of organo-mineral fertilizers are created that can be used in agriculture. As fertilizers, sludge is composted, stabilized and pasteurized. Combustion of sludge allows to obtain a substitute for coal and oil. To increase the heat of combustion and improve combustion parameters to sludge sludge add coal, biomass. Low-temperature pyrolysis of sewage sludge and household waste, which allows to obtain "crude oil". One of the methods is processing in biogas plants to obtain both biogas and environmentally friendly fertilizers. To increase the efficiency of treatment and reduction of sludge disposal of used stagnation-ments vermiculture. Analysis of the literature allows us to conclude that there are methods of disposal of sludge, which have become widespread in various countries around the world, such as fertilizers, alternative fuels, landfills and others. When disposing of sludge, it is possible to produce biogas, electricity and heat, which reduces energy costs for the process.
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Feleke, Daniel Getacher, Yonas Alemu, Habtye Bisetegn, Melat Mekonnen, and Nebiyou Yemanebrhane. "Intestinal parasitic infections and associated factors among street dwellers and prison inmates: A systematic review and meta-analysis." PLOS ONE 16, no. 8 (August 5, 2021): e0255641. http://dx.doi.org/10.1371/journal.pone.0255641.

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Background Intestinal parasitic infections are closely associated with low household income, poor personal and environmental sanitation, and overcrowding, limited access to clean water, tropical climate and low altitude. Street dwellers and prisoners are forced to live in deprived situations characterized by inadequate facilities. Therefore, this study aimed to estimate the pooled prevalence and associated factors of intestinal parasitic infections among street dwellers and prison inmates. Method Study searches were carried out in Electronic data bases such as PubMed/Medline, HINARI, EMBASE, Science Direct, Scopus, Google Scholar and Cochrane Library. Studies published only in English and have high quality Newcastle Ottawa Scale (NOS) scores were included for analysis using Stata version 14 software. Random-effects meta-analysis model was used for analysis. Heterogeneity was assessed using the Cochrane’s Q test and I2 test statistics with its corresponding p-values. Moreover, subgroup, sensitivity analyses and publication bias were computed. Result Seventeen eligible studies consist of 4,544 study participants were included. Majority of the study participants were males (83.5%) and the mean age of the study participants was 25.7 years old. The pooled prevalence of intestinal parasitic infections among street dwellers and prison inmates was 43.68% (95% CI 30.56, 56.79). Sub-group analysis showed that the overall pooled prevalence of intestinal parasitic infections among prison inmates and street dwellers was 30.12% (95%CI: 19.61, 40.62) and 68.39% (95%CI: 57.30, 79.49), respectively. There was statistically significant association between untrimmed fingernail and intestinal parasitic infections (AOR: 1.09 (95%CI: 0.53, 2.23). Conclusion In this study, the pooled prevalence of intestinal parasitic infections among street dwellers and prison inmates was relatively high. Fingernail status had statistically significant association with intestinal parasitic infection. The prevention and control strategy of intestinal parasitic infection should also target socially deprived segment of the population such as street dwellers and prison inmates.
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Cao, Yuting, Ran Liu, Wei Qi, and Jin Wen. "Urban Land Regulation and Heterogeneity of Housing Conditions of Inter-Provincial Migrants in China." Land 9, no. 11 (November 2, 2020): 428. http://dx.doi.org/10.3390/land9110428.

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The relation between urban land regulation and migrants’ access to decent housing is a fascinating topic in developing countries. Land-use conflicts emerge when entrepreneurial pursuits (for example, the exchange value of land) affect the fortunes of low-wage migrant workers using the destination city to settle down (through the use value of land). Land-use disputes and housing opportunity inequality (between the “land scarcity with migrant explosion” areas and the “land-abundant but migration-inactive” areas) is apparent across different kinds of cities. This article reviews the relationship between China’s urban land supply and regulation system and the migrant housing-condition problem. Our spatial analysis attests to the areal variance of migrant housing conditions (overcrowding and shortages of basic amenities such as toilet and kitchen facilities) across 301 Chinese cities. The analysis results explain the relationship between the inferior housing conditions in the coastal metropolises and the strict management of land uses in China’s first-tier cities. Using micro household data from the national 1% population sampling survey (National Bureau of Statistics of China, 2015), this research provides a vivid case study at a large national scale to compare migrant housing amenity across different cities. This empirical study can advance understanding of the land-use disputes (exchange value vs. use value of urban land), which are an important structural root of housing inequality among different kinds of host cities (not merely among migrant workers themselves or across neighborhood scales). This macro-level variance of land demand, supply, and the regulation system proves the key challenge to achieving social harmony. Beyond a top-down land and housing system in China today, some more bottom-up and participatory migrant housing supply means (such as informal housing schemes such as “urban villages”) could be another way to address the above housing challenge. In this sense, we have mapped the migrants’ housing conditions in the Chinese top-down and marketization context, which can be contrasted with the informal and participatory housing supply in some other country contexts.
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Cao, Yuting, Ran Liu, Wei Qi, and Jin Wen. "Spatial Heterogeneity of Housing Space Consumption in Urban China: Locals vs. Inter-and Intra-Provincial Migrants." Sustainability 12, no. 12 (June 26, 2020): 5206. http://dx.doi.org/10.3390/su12125206.

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The relationships between migration and housing congestion have attracted attention in engaging the public against the COVID-19 pandemic and some other public health crises. In recent years in China, promoting the citizenization (“shimin hua”) of migrants and improving the quality of urbanization have become the focus of attention in the new-type urbanization today. The housing space consumption of migrants is one of the important indices to look into regarding their real living status in the receiving cities: how do the housing consumption behavior and residential quality vary between the local, inter- and intra-provincial migratory patterns? This article uses the micro household data of the 1% population sampling survey conducted in 2015 by the National Bureau of Statistics of China to look into the spatial variance of the aggregate housing space consumption behaviors of the local and non-local population at the prefectural level and above in urban China. This study finds that: (a) the longer migratory pattern indicates a thriftier housing space consumption that implies a higher probability of residential overcrowding among the inter-provincial migrants; at the same time, the locals enjoy the greater living comfort than their migrant peers; (b) the spatial variance in terms of housing space consumption can be attributed to a series of destination city contexts, such as the geological background, city administrative rank, areal location, local-nonlocal demography, municipal economic growth, and the local residential development levels. The results show that the more “targeted” housing policies are needed to solve the housing difficulties with migrant workers for a goal of human-centered urbanization development. Although we lack the more detailed data-sets to examine the correlation between public health risks (like the COVID-19 pandemic) and housing congestion problems (especially with the population on the move), this research is still illuminating in terms of how to cut down the public health risk in a highly mobile and rapidly urbanizing context like China.
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Adlakha, Deepti, J. Hipp, James Sallis, and Ross Brownson. "Exploring Neighborhood Environments and Active Commuting in Chennai, India." International Journal of Environmental Research and Public Health 15, no. 9 (August 26, 2018): 1840. http://dx.doi.org/10.3390/ijerph15091840.

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Few studies assess built environment correlates of active commuting in low-and-middle-income countries (LMICs), but the different context could yield distinct findings. Policies and investments to promote active commuting remain under-developed in LMICs like India, which grapples with traffic congestion, lack of activity-supportive infrastructure, poor enforcement of traffic rules and regulations, air pollution, and overcrowding. This cross-sectional study investigated associations between home neighborhood environment characteristics and active commuting in Chennai, India. Adults (N = 370, 47.2% female, mean age =37.9 years) were recruited from 155 wards in the metropolitan area of Chennai in southern India between January and June 2015. Participants self-reported their usual mode of commute to work, with responses recoded into three categories: (1) multi-modal or active commuting (walking and bicycling; n = 56); (2) public transit (n = 52); and (3) private transport (n = 111). Environmental attributes around participants’ homes were assessed using the Neighborhood Environment Walkability Scale for India (NEWS-India). Associations between environmental characteristics and likelihood of active commuting and public transit use were modeled using logistic regression with private transport (driving alone or carpool) as the reference category, adjusting for age, gender, and household car ownership. Consistent with other international studies, participants living in neighborhoods with a mix of land uses and a transit stop within a 10-minute walk from home were more likely to use active commuting (both p < 0.01). Land-use mix was significantly associated with the use of public transit compared to private transport (adjusted odds ratio (aOR) =5.2, p = 0.002). Contrary to findings in high-income countries, the odds of active commuting were reduced with improved safety from crime (aOR =0.2, p = 0.003), aesthetics (aOR =0.2, p = 0.05), and street connectivity (aOR =0.2, p = 0.003). Different environmental attributes were associated with active commuting, suggesting that these relationships are complex and may distinctly differ from those in high-income countries. Unexpected inverse associations of perceived safety from crime and aesthetics with active commuting emphasize the need for high-quality epidemiologic studies with greater context specificity in the study of physical activity in LMICs. Findings have public health implications for India and suggest that caution should be taken when translating evidence across countries.
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