When do democratic transitions reduce or increase child mortality? Exploring the role of non-violent resistance
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PROVIDER: S-EPMC10926273 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
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Project description:BackgroundNon-violent resistance which has involved healthcare workers has been instrumental in securing a number of health-related gains and a force in opposing threats to health. Despite this, we know little about healthcare workers who have engaged in acts of non-violent resistance.Research aimAmongst a sample of healthcare workers who had engaged in acts of resistance this study sought to explore their understanding of non-violent resistance and how or whether they felt healthcare workers made a distinct contribution to such action.Research designCross-sectional survey.Participants and research contextHealthcare workers (doctors, nurses, academics and others) from the UK and Europe who had engaged in acts of non-violent resistance.Ethical considerationsEthical approval for this study was granted by the University of Greenwich Human Research Ethics Committee (UREC/20.5.6.11).Findings/resultsMost participants spoke about the nature of non-violent resistance, its oppositional, didactic and symbolic functions and the role of violence or harm. While most people understood non-violent resistance as a public, oppositional and collective act, many identified more subtle everyday acts in the workplace that undermined policy or procedures they saw as harmful. When asked about distinctions in non-violent resistance carried out by healthcare workers, most participants referred to their standing in society, noting that healthcare works were a trusted and authoritative source. Some identified an ethical imperative to act while others identified the risks that came with such action, noting their accountability and responsibility they had to patients. About a quarter of participants felt that such action was no different to others carrying out non-violent resistance or dependent on the issue or nature of the action.ConclusionsThese findings speak to the complex and multifaceted nature of non-violent resistance. Additionally our findings suggest healthcare workers have a distinct role to play in leading and supporting non-violent actions.
| S-EPMC9902996 | biostudies-literature
Project description:Despite substantial public, political, and scholarly attention to the issue of immigration and crime, we know little about the criminological consequences of undocumented immigration. As a result, fundamental questions about whether undocumented immigration increases violent crime remain unanswered. In an attempt to address this gap, we combine newly developed estimates of the unauthorized population with multiple data sources to capture the criminal, socioeconomic, and demographic context of all 50 states and Washington, DC, from 1990 to 2014 to provide the first longitudinal analysis of the macro-level relationship between undocumented immigration and violence. The results from fixed-effects regression models reveal that undocumented immigration does not increase violence. Rather, the relationship between undocumented immigration and violent crime is generally negative, although not significant in all specifications. Using supplemental models of victimization data and instrumental variable methods, we find little evidence that these results are due to decreased reporting or selective migration to avoid crime. We consider the theoretical and policy implications of these findings against the backdrop of the dramatic increase in immigration enforcement in recent decades.
| S-EPMC6241529 | biostudies-literature
Project description:Air pollution in South Asia is a health emergency, responsible for 2 million deaths every year1. Crop residue burning accounts for 40-60% of peak pollution during the winter harvest months2,3. Despite being illegal, this practice remains widespread4,5. Any solution to curb the problem necessitates government action at scale. Here we study whether leveraging the incentives of bureaucrats tasked with controlling burning can mitigate this phenomenon. Using a decade of wind, fire and health data from satellites and surveys from the Demographic and Health Surveys Program, we show that crop burning responds to bureaucrat incentives: fires increase by 15% when wind is most likely to direct pollution to neighbouring jurisdictions, and decrease by 14.5% when it pollutes their own. These effects intensify with stronger bureaucratic incentives and capacity. We also find that bureaucrat action against burning deters future polluters, further reducing fires by 13%. Finally, using an atmospheric model, we estimate that one log increase in in utero exposure to pollution from burning raises child mortality by 30-36 deaths per 1,000 births, underscoring the importance of bureaucrat action. Contrary to the growing beliefs that the problem of crop burning is intractable6,7, these findings highlight specific ways in which existing bureaucrats, when properly incentivized, can improve environmental management and public health outcomes.
| S-EPMC11525172 | biostudies-literature
Project description:The objective of the Reducing Enteropathy, Undernutrition, and Contamination in the Environment (REDUCE) program is to identify exposure pathways to fecal pathogens that are significant contributors to morbidity among young children in the Democratic Republic of the Congo (DRC), and on developing and evaluating scalable interventions to reduce fecal contamination from these pathways. This prospective cohort study of 270 children under 5 years of age was conducted in rural South Kivu, DRC, to investigate the association between Escherichia coli in hand rinse, soil, food, object, surface, stored water, and water source samples and child developmental outcomes. Child developmental outcomes were assessed by communication, fine motor, gross motor, personal social, problem-solving, and combined scores measured by the Extended Ages and Stages Questionnaire (EASQ) at a 6-month follow-up. Children having E. coli present in the soil in their play spaces had significantly lower combined EASQ z scores (coefficient: -0.38 (95% CI: -0.73, -0.03)). E. coli on children's hands was associated with lower communication EASQ z scores (-0.37 (95% CI: -0.0.10, -0.01), and E. coli in stored drinking water was associated with lower gross motor EASQ z scores (-0.40 (95% CI: -0.68, -0.12). In the REDUCE cohort study, E. coli in child play spaces, on children's hands, and in stored drinking water was associated with lower developmental outcome scores (communication, gross motor, fine motor, and problem-solving skills). These results suggest the need for interventions to reduce fecal contamination in the household environment to protect the cognitive development of susceptible pediatric populations in rural DRC.
| S-EPMC8991330 | biostudies-literature
Project description:IntroductionSeparation from a parent during childhood has been linked with heightened longer-term violence risk, but it remains unclear how this relationship varies by gender, separation subgroup, and age at separation. This phenomenon was investigated by examining a wide array of child-parent separation scenarios.MethodsNational cohort study including individuals born in Denmark, 1971-1997 (N=1,346,772). Child-parent separation status was ascertained each year from birth to 15th birthday, using residential addresses from the Danish register. Members were followed up from their 15th birthday until the date of first violent offense conviction, or December 31, 2012. Incidence rate ratios were estimated using survival analyses techniques. Analyses were conducted during 2016-2017.ResultsSeparation from a parent during childhood was associated with elevated risk for subsequent violent offending versus those who lived continuously with both parents. These links were attenuated but persisted after adjustment for parental SES. Associations were stronger for paternal than for maternal separation at least up until mid-childhood and rose with the number of separations. Separation from a father for the first time at a younger age was associated with higher risks than if paternal separation first occurred at an older age, but there was little variation in risk associated with age at first maternal separation. Increasing risks were linked with rising age at first separation from both parents.ConclusionsViolence prevention should include strategies to tackle a range of correlated familial adversities, with promoting a stable home environment being one salient aspect.
| S-EPMC6057277 | biostudies-literature
Project description:This paper investigates how the exposure to violent conflicts in utero and in early and late childhood affect human capital formation. I focus on a wide range of child development outcomes, including novel cognitive and non-cognitive indicators. Using monthly and municipality-level variation in the timing and severity of massacres in Colombia from 1999 to 2007, I show that children exposed to terrorist attacks in utero and in childhood achieve lower height-for-age (0.09 SD) and cognitive outcomes (PPVT falls by 0.18SD and math reasoning and general knowledge fall by 0.16SD), and that these results are robust to controlling for mother fixed-effects. The timing of these exposures matters and differs by type of skill. In terms of parental investments, I find some evidence that parents reinforce the negative effects of violence by increasing their frequency of physical aggression.
| S-EPMC5769021 | biostudies-literature
Project description:BackgroundPast research has shown that perfectionistic strivings (PS) and perfectionistic concerns (PC) in the parenting domain are associated with an increase in parental burnout (PB), and that PB causally increases violence towards one's offspring. One may therefore wonder whether parenting perfectionism may ironically increase violence towards one's offspring.ObjectiveTo the best of our knowledge, no study has ever investigated whether perfectionism (PS and PC) predicts violence towards one's offspring, or whether PB could explain this link. In the current pre-registered cross-lagged study, we hypothesized that an increase in PS and PC would lead to an increase in violence via an increase in PB.Method228 participants responded to a longitudinal online survey, with three measurement occasions spaced 2 months apart.ResultsContrary to expectations, cross-lagged path models revealed that violence towards the offspring prospectively predicted an increase in PS and PC. Mediation models showed that PB was not a significant mediator. Results of all models did not change when controlling for social desirability.ConclusionThe present study shows that violence towards the offspring increases the risk of PS and PC in parents. Results are discussed in light of the feeling of guilt experienced by parents.ImplicationsCurrent worries that parenting perfectionism may paradoxically increase violence appear to be unwarranted at this stage. Moreover, correlation is not causation; thus, emphasizing caution before coming to clinically and societally relevant conclusions in cross-sectional studies. Thus, the PB and child maltreatment literature should slowly shift to using more longitudinal and causal designs.
| S-EPMC10605908 | biostudies-literature
Project description:Conversations are an essential form of communication in daily family life. Specific patterns of caregiver-child conversations have been linked to children's socio-cognitive development and child-relationship quality beyond the immediate family environment. Recently, interpersonal neural synchronization has been proposed as a neural mechanism supporting conversation. Here, we present a functional near-infrared spectroscopy (fNIRS) hyperscanning study looking at the temporal dynamics of neural synchrony during mother-child conversation. Preschoolers (20 boys and 20 girls, M age 5;07 years) and their mothers (M age 36.37 years) were tested simultaneously with fNIRS hyperscanning while engaging in a free verbal conversation lasting for 4 min. Neural synchrony (using wavelet transform coherence analysis) was assessed over time. Furthermore, each conversational turn was coded for conversation patterns comprising turn-taking, relevance, contingency and intrusiveness. Results from linear mixed-effects modeling revealed that turn-taking, but not relevance, contingency or intrusiveness predicted neural synchronization during the conversation over time. Results are discussed to point out possible variables affecting parent-child conversation quality and the potential functional role of interpersonal neural synchronization for parent-child conversation.
| S-EPMC7812624 | biostudies-literature
Project description:BACKGROUND:Child mortality has been reduced by more than 50 % over the past 30 years. A range of secular economic and social developments have been considered to explain this phenomenon. In this paper, we examine the association between ratification of the Convention on the Rights of the Child (CRC), which was specifically put in place to ensure the well-being of children, and declines in child mortality. METHODS:Data come from three sources: the United Nations Treaty Series Database, the World Bank World Development Indicators database and, the Polity IV database. Because CRC was widely ratified, leaving few control cases, we used interrupted times series analyses, which uses the trend in the health outcome before policy exposure to mathematically determine what the trend in the health outcome would have been after the policy exposure, if it had continued 'as is' - meaning, if the policy exposure had not occurred. RESULTS:CRC ratification was associated with declining child mortality. CRC ratification was associated with a significant change in shorter-term child mortality trends in all groups except high-income, non-democratic countries and low-imcome democratic countries. CRC ratification was associated with long-term child mortality trends in all groups except middle-income, non-democratic countries. CONCLUSIONS:Child mortality rates would likely have declined even in the absence of CRC ratification, but CRC is associated with a larger decline. Our findings provide a way to assess the effects of widely-held societal norms on health and demonstrate the moderating effects of democracy and income level.
| S-EPMC7236469 | biostudies-literature
Project description:BackgroundSepsis is one of the leading causes of death among hospitalized patients. At the onset of this condition, there is an over-production of pro-inflammatory mediators that contribute to organ failure and death. The excess production of pro-inflammatory mediators also impairs insulin signaling, which may be a pathophysiological tissue marker of proinflammatory cytokine action before organ failure. Statins and diacerein have pleiotropic effects, such as the blockage of inflammatory signaling pathways, suggesting that these drugs may be an attractive therapeutic or prophylactic strategy against sepsis. The aim of the present study was to investigate whether a statin or diacerein can improve insulin signaling, disease tolerance and survival in sepsis by inhibiting inflammatory pathways.MethodsWe investigated the effect of these drugs on survival, tissue insulin signaling and inflammatory pathways in the liver and muscle of rats with sepsis induced by cecal ligation and puncture (CLP).ResultsThe results showed that administration of medications, with anti-inflammatory ability, to septic animals increased survival and improved disease tolerance and insulin resistance in the liver and muscle. The treatment also attenuated ER stress, NF-κB, JNK activation and restored glucose-6-phosphatase (G6Pase) levels in the liver.ConclusionsOur results indicate that atorvastatin and diacerein treatment can modulate inflammatory pathways and, in parallel, attenuate insulin resistance in sepsis. Since these two drugs have safety profiles and minimal side effects, we suggest that these drugs may be alternative therapies for the prevention or therapies for the treatment of insulin resistance in sepsis, which could potentially reduce mortality in patients with sepsis.
| S-EPMC5944072 | biostudies-literature