Socio-demographic differences of disability prevalence among the population aged 60 years and over in Bangladesh

This study aims to delineate the sociodemographic differences in disability prevalence across the population aged 60 years and over in Bangladesh, and to investigate the association of factors with reporting disability in later life. A microdata sample for those aged 60 years or over from the Census of Bangladesh 2011 was used where disability was assessed with a self-reported single response question. Logistic regression models were performed separately for men and women. Results reveal that the disability prevalence rate increased sharply with age, and it was higher among older women (5.2 per cent) compared to men (4.8 per cent). Physical and vision disabilities were the two categories with the highest prevalence of reported disabilities, with a higher prevalence of physical disability among men and vision disability among women. Being older, female, currently not in marital partnership, and having a lower educational attainment, not being employed, living alone, and residing in the rural areas were significantly associated with reporting disability in later life. The higher prevalence of disability among older women, those who are illiterate, and those residing in rural areas highlights the need for policies prioritising these groups. Special attention should also be given to those who are currently not in marital partnership, particularly women who are living alone.     

Interpreting Oral Pathology at Machu Picchu,Peru

This study analyzes oral pathological conditions—caries, antemortem tooth loss, and occlusal macrowear—among adults (N = 70) interred at Machu Picchu, Peru. Previous isotopic diet reconstructions at Machu Picchu suggest substantial early‐life variation that may have narrowed somewhat by the last decade of life. This study seeks to further elucidate the intersection of diet, sex, and health at Machu Picchu by analyzing oral pathological conditions with existing carbon and nitrogen isotopic data. Observed caries prevalence is corrected to control for age and tooth loss, and is described for both anterior and posterior teeth; wear data are scored and reported for individual tooth types. Results indicate caries prevalence consistent with carbohydrate‐rich diets and no significant difference between males and females. However, no significant isotopic parameters are associated with caries prevalence in young adult males, while caries prevalence is significantly associated only with enamel carbonate δ¹³C in older adult males. Dietary protein sources, but not C₄ resources, are associated with caries prevalence in young adult females, and to a lesser degree in older adult females. Significant associations between occlusal wear and caries exist among young adult males and young adult females, but involving different tooth types. These findings suggest differential protein consumption at Machu Picchu between males and females, and separate masticatory and physiological processes shaping caries prevalence between the sexes at the site. This study therefore underscores the role that gender roles may have played in diet variation among this population and the need to account for sex in analyzing oral pathology. Copyright © 2013 John Wiley & Sons, Ltd.     

Demographic events and economic conditions of rural households in Bangladesh

Demographic events, such as death of adults and marriage of children, place a heavy burden on household economy, while economic and labour migration may lessen the burden. This study examined the effects of demographic events on economic condition of rural households in Bangladesh. Household possessions of durable assets in the Matlab demographic surveillance area in 1996 and 2005 were used to calculate asset scores, a proxy for long-term economic condition. Events of adult (aged 15–59 years) death and marriage of girls during 1996–2005 were associated with lower asset scores in 2005 compared to households with no such events. Out-migration of adult males, but not females, to urban areas or other countries and marriage of boys were associated with higher asset scores in 2005 compared to households with no out-migration or boy's marriage. Findings suggest that the government should attach high priority to adult health, abolition of dowry, and encourage out-migration.     

Influence of Son Preference on Contraceptive Method Mix: Some Evidences from ‘Two Bengals’

Although the people of Bangladesh and the state of West Bengal in India share common cultural practices, they differ in contraceptive adoption and practice. The use of modern contraceptive methods among women and couples of the two Bengals differ from each other. The use of natural method is significantly higher among women and couples in West Bengal compared to that of their counterparts in Bangladesh. The study analyses data from Demographic and Health Survey (DHS) using sequential logit models. Results show that greater reliance on natural methods among women of West Bengal is related to higher preference for sons compared to that in Bangladesh.     

Narrating boundaries: Framing and contesting suffering,community, and belonging in enclaves along the India–Bangladesh border

This paper explores the politics of community making at the India–Bangladesh border by examining the public and private narratives of history and belonging in a Bangladeshi enclave—a sovereign piece of Bangladesh completely territorially surrounded by India. Drawing on framings of political society, this paper argues that understanding populations at the margins of South Asia and beyond requires attention to two processes: first, to the ways that para-legal activities are part and parcel of daily life; and second, to the strategies through which these groups construct themselves as moral communities deserving of inclusion within the state. Border communities often articulate narratives of dispossession, exceptionality, and marginalization to researchers and other visitors—narratives that are often unproblematically reproduced in academic treatments of the border. However, such articulations mask both the complicated histories and quotidian realities of border life. This paper views these articulations as political projects in and of themselves. By reading the more hidden histories of life in this border enclave, this article reconstructs the notion of borders as experienced by enclave residents themselves. It shows the ways that the politics of the India–Bangladesh border are constitutive of (and constituted by) a range of fractures and internal boundaries within the enclave. These boundaries are as central to forging community—to articulating who belongs and why—as are more public narratives that frame enclave residents as victims of confused territorial configurations.     

Examining social isolation by gender and geography: conceptual and operational challenges using population health data in Canada

In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate support to this vulnerable population, it is critical to untangle the complex web of relationships that influence the need for care, and the health status and service utilization patterns of socially isolated older adults. Using data from the 2000–01 Canadian Community Health Survey (CCHS), this article explores social isolation as a multidimensional social construct examining in particular the axes of gender and geography to try to tease out some of this complexity and its relationship to health status and service utilization. When individual characteristics like gender are considered together with broader contextual variables like place of residence, a more comprehensive and layered portrait of vulnerability among socially isolated persons begins to emerge with insights into their unique patterns of health and service use. For example, home care may be an extremely critical resource for keeping older women in their homes and out of hospital. On the other hand, among socially isolated older men, those living in rural communities may be particularly ‘invisible’, neither benefiting from home care nor having strong social supports. It seems plausible then that both men and women may be in need of special interventions or targeted programmes to help them to remain, or to become, more socially integrated in their communities as they age in place. In addition, this article addresses some of the limitations of using both a quantitative analytic approach and the CCHS dataset itself in grappling with such complexity.     

中国国民的健康指数及其区域差异

用“健康指数”来表征我国国民的健康状况,以预期寿命为核心,选择27项与寿命有密切关系的、能反映人的身体素质和化素质的健康指标,综合求得健康指数,基本上反映了各地区人群的健康状况及其区域差异,表明我国大城市和东南沿海地区人群的健康状况较好,西部地区稍差。     

Disability and Active Life Expectancy Among Older Cambodians

Older adults in Cambodia are survivors of harsh living conditions, including poverty and periods of extreme violence. Although these experiences may affect health outcomes, little data has existed to monitor Cambodia's older population. The current paper uses data from the 2004 Study of the Elderly in Cambodia (SEC) and focuses on disability status. The data is the first of its kind for Cambodia—a comprehensive survey employing a representative sample of adults 60 and older living across the country. Disability prevalence by age and sex, Active Life Expectancy (ALE) and common correlates of disability, using Activity of Daily Living (ADL) items, are examined. In addition, disability prevalence rates are compared to those for older adults living in other countries in South-east Asia. The results indicate that older Cambodians are more disabled than their counterparts living elsewhere. Possible reasons include long-term influence of social disruption and poverty. Women live longer than men, but spend a greater proportion of their remaining life in states of disability and severe disability. Correlates of disability show that younger age, being male, having higher income satisfaction, being married and living in urban areas associate with lower probabilities of reporting disability. A contribution of the analysis is the examination of a basic measure of health among a population of which little is known.     

Health Patterns of the Etruscan Population (6th–3rd Centuries bc) in Northern Italy: The Case of Spina

A sample of 303 skeletons from the Etruscan necropolis of Spina (Ferrara, Italy, 6th–3rd centuries bc ) was examined for paleopathological lesions in order to assess the general health, diseases and quality of life of this Iron Age population. The observed pathologies included porotic hyperostosis, specific and aspecific infections, metabolic and endocrine disorders, tumours and osteoarthritis. A total of 46.7% of adults and 7.7% of subadults showed at least one pathological lesion. Statistical comparisons were made between sexes and adult‐age classes (20–35 years and >35 years) to analyse the prevalence of the lesions. The analysis of porotic hyperostosis and osteoperiostitis allowed to determine the general health status of this group, and the analysis of osteoarthritis allowed to hypothesise a gender division of labour. The results suggest a relatively high‐life expectancy for the time as well as good health and quality of life. The few specific infections and metabolic disorders indicate fairly good nutrition, while the high frequency of porotic hyperostosis can be partly linked to some type of hereditary anaemia. Copyright © 2015 John Wiley & Sons, Ltd.     

Application of Health Expectancy Research on Working Male Population in Bangladesh

Lower quality of life and more work-loss days for the workforce are barriers for economic development in Bangladesh. Using nationally representative data—the Bangladesh Demographic and Health Surveys for the 2004–2007 period, we examined the prevalence of diseases (asthma, diabetes, heart problems, high blood pressure, jaundice/hepatitis, malaria/fever, tuberculosis, and other) that prevented ever-married male workers from doing their regular activities in Bangladesh, and we examined changes in partial work-loss free life expectancy (WLFLE). The study found improvements in the mean number of work-loss days as well as in WLFLE; male workers at age 30 in 2007 expected 212 days more WLFLE than male workers of the same age in 2004. Other diseases prevented 17.8 per cent of male workers in 2004 and 9.1 per cent of male workers in 2007 from doing their normal work. Malaria/fever prevented 14.4 per cent and 11.5 per cent of male workers in 2004 and 2007, respectively, from doing their normal work. In both years, of all the diseases, the other diseases category and malaria/fever were found to be the major causes preventing Bangladeshi male workers from doing their normal work. This study recommends taking action against malaria/fever so that people can continue working without health problems or illness, and it recommends identifying other diseases which cause work-loss days. It suggests collecting data for both the males and females in a consistent manner by keeping the same questions with the same wording, order, and age groups consistent over time.     

Gender,the work‐life course,and livelihood strategies in a South Indian fish market

This article examines how gender ideologies differentially inform men and women's work‐life courses in the fishing economy of southern India. Drawing on interviews conducted with fish traders in Trivandrum, India in 1993–94 and 1999, we construct economic life histories for men and women traders. These are then used to illustrate how gender creates different patterns of paid work for men and women throughout their life courses and to analyze how men and women formulate livelihood strategies differently as a result.     

Early marriage in Bangladesh

Using Matlab demographic surveillance data (HDSS), we assess if misreporting of age at marriage could be contributing to the apparent persistence of early marriage in Bangladesh. A random sample of 1766 women aged 15–29 born in HDSS area was selected. Almost two-thirds misreported their age at marriage, but not randomly—56 percent under-reported while seven percent over-reported their age at first marriage.

Among the currently married group aged 20–24, the reported mean age at first marriage was 16.8 years, comparable to 16.6 years given by Bangladesh Demographic and Health Survey 2011 for the same age group. However a cross-check with their actual dates of birth recorded in the Matlab HDSS database reveals that the true mean age at first marriage was 18.6 years—giving an average difference of almost two years between reported and actual ages at marriage. The paper identifies rising dowry as a likely determinant of age misreporting.     

Rural–Urban Migration and Gender Disparities in Child Healthcare in China and India

This article assesses the impact of rural–urban migration on gender disparities in children's access to healthcare in China and India. Much research has shown widespread discrimination against girl children in both countries, including in health investments, contributing to the well‐known problem of Asia's ‘missing’ women. Much less clear is the impact of the massive rural–urban migration now occurring in China and India on discrimination against daughters. Migration is usually thought to have a positive effect on child health, because of improved access to healthcare facilities, but this is not necessarily equally beneficial for both sons and daughters. Based on fourteen months of fieldwork with rural migrant families in Shenzhen (China) and Mumbai (India), this article argues that where migration improves access to healthcare, it may increase rather than decrease the gender gap in treatment of child illness in the short term, as resources are concentrated on the treatment of sons. Furthermore, it is not the case that rural–urban migration necessarily leads to better access to healthcare even for sons: some forms of migration may actually have an overall negative effect on child health outcomes. For these two reasons, development strategies focusing on large‐scale rural–urban migration should not be seen as a short‐term solution to problems of gender inequity in child health.     

The Intersection of Gender,Caste and Class Inequalities in Child Nutrition in Rural India

While studies have investigated inequalities in child nutrition along single axes of social power such as, gender, caste and class, there has not been any study that has examined the intersection of the different axes in determining nutritional outcomes of children. This paper examines the intersection of gender, class and caste in determining children's nutritional outcomes for rural north, rural south and rural India as a whole. The paper investigates the intersectionality of the three axes in rural India and focuses on regional differences. The results show that children with particular disadvantageous group affiliations often find significant compensatory benefits from other beneficial identities. Class inequality dominates caste inequality and caste inequality dominates gender inequality in rural North India for all levels of stunting. In contrast, caste inequality dominates class inequality which in turn dominates gender inequality for severe stunting in rural South India.     

Environmental influences on skilled worker migration from Bangladesh to Canada

We conducted focus groups in Toronto with 44 recent skilled worker immigrants from Bangladesh to explore whether their decisions to migrate to Canada may have been influenced by environmental problems. Previous research has documented how floods, cyclones, droughts, and seasonal precipitation variations affect rural‐urban migration patterns within Bangladesh, and to its neighbours. Most participants had not experienced such environmental hazards, having lived in Dhaka prior to migrating. However, Dhaka's ongoing problems with air and water pollution, sanitation, lack of green space, and food adulteration were cited by 70% as being relevant considerations for the decision to migrate. The degree of influence varied considerably among participants. Roughly 16% said pollution was their primary motivation for leaving, household members having suffered from illnesses traceable to air pollution or poor sanitation. Another 54% stated that Dhaka's environmental problems were part of a wider range of quality‐of‐life concerns that had some influence on their decision. The findings suggest that current migration to Canada is not connected with environmental migration that takes place within Bangladesh, but that urban environmental problems combined with other social, economic, and political factors can help drive migration.     

Children and playgrounds in Mediterranean cities

This paper presents the first results of a case study on the ways in which playgrounds are constructed and experienced in children's daily lives in two medium sized Mediterranean Catalan cities. The research is based on qualitative methodology through participant observation and interviews with institutional actors. Our research suggests that playgrounds are organised around age as the central category; nevertheless, gender is important in the use and activities developed as children get older. Specific aspects from Mediterranean and medium-sized cities are raised such as a positive perception and an intense use of public space by both adults and children. Specific childhood policies in city planning and a stronger gender awareness among institutional actors would improve the social role of playgrounds as participatory, socialising and inclusive spaces.     

Microfinance and poverty reduction: evidence from a village study in Bangladesh

To evaluate the competing claims on the impact of microfinance programs on multidimensional poverty, a village study in Bangladesh was conducted where three microfinance programs had been operating for more than five years. The study found that microfinance has resulted in a moderate reduction in the poverty of borrowers, as measured by a variety of socio-economic indicators, but has not reached many of the poorest in the village. To make microfinance a more effective means of poverty reduction other services such as skills training, technological support, education and health related strategies should be included with microfinance.     

Health prospects of older persons in Thailand: the role of education

ABSTRACT

Thailand’s population is aging rapidly and the number of older adults suffering from health limitations is expected to increase. Making use of several rounds of the Survey of Older Persons, we look at the education-specific prevalences of three health indicators over time and find a positive education gradient for difficulties with ADLs and poor self-rated health, but not for functional limitations. Combining these age-, sex- and education-specific prevalences for each indicator with population projections up to 2050, we see a lower projected number of persons with difficulties with ADLs or bad health as compared to an approach when we only account for differences by age and sex. Still, irrespective of the approach taken, we project a significant increase in the number of persons 50+ that have at least one ADL difficulty, at least one functional limitation or suffer from poor health. Our results provide estimates for future care needs and illustrate the possibly preventive effect of education.     

Reflections on Gender and Status Distinctions: An Analysis of the Liturgical Textiles Recorded in Mid–Sixteenth–Century London

This paper considers the relative significance of social standing and gender in parish life within early modern London, and how this was expressed via their liturgical textiles up to 1552. The data are drawn from the 1552 parish inventories that recorded these textiles and the other appurtenances of worship. Vestments worn for communion, robes for boy choristers and the range of textiles associated with birth, christening, churching, marriage and death are evaluated to see how far they reveal distinctions between men and women, adults and children, rich and poor, laity and clergy. A range of differences can be seen, as can the way in which social and gender considerations interlink.     

Abandoned spaces and bare life in the enclaves of the India–Bangladesh border

Based on an ethnography of the enclaves in India and Bangladesh, this paper explores enclave dwellers lived experiences of vulnerability where life is trapped in-between two states. These enclaves are geographically located in one country but politically and legally belong to another. The absence of a home country's rule of law and the irregular presence of the host country's sovereign power and control construct, in Giorgio Agamben's terms, a ‘space of exception’ where everyday life is characterised by exclusion from legal rights, but nonetheless subject to law, socio-political exploitation and gendered violence. By situating Agamben's ‘bare life’ in these enclaves, this paper argues that the conceptualisation of bare life as solely a sovereign production paints an inadequate picture of the zone of abandonment. The paper argues that in addition to the sovereign creation of bare life, social and gendered dimensions are essential for a nuanced approach to this concept.