Income inequality is a critical issue of socio-economic development, particularly in rural areas where forest-dependent people are often vulnerable to the intervention of forest policies. This paper aims to elucidate income distribution and inequality of rural households influenced by China's largest reforestation policy implemented in early 2000s. Drawing on socioeconomic and demographic data from household surveys in two rural sites, we applied the Gini coefficient to measure income inequality and used a regression-based approach to examine the underlying factors that are associated with income generation among households. We also performed a mediation analysis to test the role of labor out-migration in shaping household income distribution under the reforestation policy. Results show that remittances sent by rural out-migrants substantially contribute to household income but tend to worsen inequality, particularly for households having retired cropland for reforestation. The inequality in total income depends on capital accumulation for land endowment and labor availability that render diversified livelihoods possible. Such linkage reveals regional disparity, which, along with policy-implementing institutions (e.g., rules for tree species choice for reforestation), can influence income generation from a given source (e.g., agriculture). Rural out-migration of female labor significantly mediates the economic benefits of the policy delivered to the households with an estimated mediating share of 11.7%. These findings add value to the knowledge of poverty-environment interrelationships in a sense that supporting rural livelihoods of the more vulnerable and underrepresented groups is essential for securing and sustaining the stewardship of forests. Policymaking for such forest restoration programs needs to integrate strategies for targeted or precise poverty alleviation to strengthen the conservation effectiveness.
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http://dx.doi.org/10.1016/j.jenvman.2023.118539 | DOI Listing |
BMC Public Health
January 2025
Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China.
Background: Examining urban-rural disparity in Chinese adults' advance care planning (ACP) attitudes is crucial for healthcare decision-making. A comprehensive understanding of contributing factors, especially through decomposition and comparative analysis, remains limited.
Methods: Data were derived from Psychology and Behavior Investigation of Chinese Residents (PBICR) including 19,738 participants, representative of Chinese adults.
BMC Public Health
January 2025
Faculty of Science of Semlalia, Department of Biology, Cadi Ayyad University, Marrakesh, Morocco.
Low- and middle-income countries are facing a rapid increase in nutritional problems, particularly in Africa, where undernutrition, overweight and micronutrient deficiencies coexist, creating a double burden of malnutrition and a challenge to public health policies. In this context, Morocco stands out for its early nutritional transition, characterized by a moderate prevalence of overweight and undernutrition and elevated levels of micronutrient deficiencies. The aim of this study was to assess the weight status of women of childbearing age and identify its determinants to suggest ways to improve it.
View Article and Find Full Text PDFPLOS Glob Public Health
January 2025
World Vision Canada, Mississauga, Canada.
Community Health Workers (CHWs) in low- and middle-income countries are essential in providing primary health care to remote communities. However, due to limited diagnostic tools, CHWs often struggle to correctly identify childhood illnesses, especially pneumonia. We conducted a prospective pilot study and used qualitative research methods to evaluate acceptability and feasibility of a multimodal pulse oximeter used by CHWs during their integrated community case management (iCCM) of childhood illness consultations in rural Burundi.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Geography Education, University of Education, Winneba, Ghana.
This study investigates the effects of fuel price hikes on the livelihoods of small-scale coastal fisherfolk in Ghana. The study applied a mixed-methods approach consisting of a questionnaire survey of 320 fisherfolk and 20 interviews with stakeholders in the fisheries sector. Increase in expenses, reduced frequency of fishing, an upsurge in social vices, and declining small-scale fisheries opportunities were found to be the main effects of fuel price hikes on fisherfolk livelihoods.
View Article and Find Full Text PDFJAMA Neurol
November 2024
Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
Importance: How epilepsy may promote cardiovascular disease remains poorly understood.
Objective: To estimate the odds of new-onset cardiovascular events (CVEs) over 6 years in older people with vs without epilepsy, exploring how enzyme-inducing antiseizure medications (EIASMs) and traditional cardiovascular risk factors mediate these odds.
Design, Setting, And Participants: This was a prospective cohort study using the comprehensive cohort of the Canadian Longitudinal Study on Aging (CLSA), with 6 years of follow-up (2015-2021, analysis performed in December 2023).
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