614 results match your criteria: "Harvard Center for Population and Development Studies[Affiliation]"

Life course social mobility and cognitive function among middle-aged and older adults in India: Exploring heterogeneity by gender.

Soc Sci Med

December 2024

Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Division of Health Policy and Management, College of Health Science, Korea University, Seoul, Republic of Korea. Electronic address:

This study investigates the link between life course social mobility and cognitive function among middle-aged and older adults in India, specifically emphasizing whether upward and downward mobility exerts symmetric associations and potential gender heterogeneity within these associations. Leveraging data from the Longitudinal Aging Study in India 2017-2018, encompassing 64,710 individuals aged 45 years or above, we classified social mobility as 'consistently high,' 'upward mobility,' 'downward mobility,' and 'consistently low,' based on socioeconomic position during childhood and late adulthood. Multivariable regression and gender-interaction analyses were employed to assess associations.

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Metrics for access to water and sanitation need structural changes.

Lancet Glob Health

January 2025

Harvard Center for Population and Development Studies, Cambridge, MA, USA; Department of Social and Behavioral Sciences, Harvard T H Chan School of Public Health, Boston, MA, USA.

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Background: Pain in older adults is an increasing concern in low- and middle-income countries (LMICs), with literature suggesting an association with past traumatic events (TEs) in high-income settings. We aim to investigate this relationship in a population-representative sample of older adults with high burden of TEs in a rural South African community.

Methods: The Health and Aging in Africa: A longitudinal Study of an INDEPTH Community in South Africa (HAALSI) study collected data pain intensity, using the Brief Pain Inventory, and TEs with a 16-item questionnaire, from 2411 participants aged 40-79 in 2014-15.

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Introduction: There is growing interest in the relationship between neighborhood disadvantage and increased cannabis retail density, driven by evidence suggesting higher density is associated with increased cannabis use. Yet little is known on how this relationship varies across different measures of cannabis retail density. This study explores how measures of neighborhood advantage and disadvantage relate to four cannabis retail density measures in the US.

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Background: This study examines the effects of physical education on the social capital of university students, focusing on improving family, neighborhood, and academic relationships through group exercise.

Methods: In Zagreb, Croatia, 976 participants aged 19-20 years participated in a randomized controlled trial. The intervention group (n = 472) engaged in teamwork exercises, and the control group (n = 504) completed individual exercises.

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Though child anthropometric failure (CAF) is a persistent problem in India, previous studies have often neglected state-level variance and aggregated moderate and severe CAF categories. This study addresses this gap by examining moderate and severe malnutrition across India's states and union territories (UTs) from 1993 to 2021. Data of children under 2 years old from five waves of National Family Health Surveys, a representative cross-sectional survey of Indian households, were analysed.

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Article Synopsis
  • - The study explored the link between smoking and alcohol use disorder in 968 male firefighters, focusing on the role of polycyclic aromatic hydrocarbons (PAHs) found in tobacco smoke as potential mediators in this relationship.
  • - Results indicated that specific PAH metabolites, particularly 2-naphthol and 2-hydroxyfluorene, were associated with smoking history and significantly mediated the effects of smoking on the risk of developing alcohol use disorder.
  • - The findings suggest that exposure to PAHs through smoking may increase the likelihood of addiction issues, highlighting a crucial aspect of how smoking can contribute to alcohol use disorder.
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Estimating dementia prevalence using remote diagnoses and algorithmic modelling: a population-based study of a rural region in South Africa.

Lancet Glob Health

December 2024

Harvard Center for Population and Development Studies, Harvard University, Cambridge, MA, USA; Department of Social and Behavioral Sciences, Harvard T H Chan School of Public Health, Harvard University, Cambridge, MA, USA; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Dementia is a leading cause of global death and disability. High-quality data describing dementia prevalence and burden remain scarce in sub-Saharan Africa. Health and Aging in Africa: A Longitudinal Study in South Africa (HAALSI) fills evidence gaps with longitudinal data on cognition, biomarkers, and everyday function in a population-based cohort of Black South Africans, aged 40 years and older, in a rural subdistrict.

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Engaging Low-Wage Workers in Health and Well-Being Survey Research: Strategies From 5 Occupational Studies.

Am J Public Health

November 2024

Erika L. Sabbath is with the Boston College School of Social Work, Chestnut Hill, MA. Meg Lovejoy is with the Harvard Center for Population and Development Studies, Harvard University, Cambridge, MA. Daniel K. Schneider is with the Harvard Kennedy School, Harvard University, Cambridge, MA. Yaminette Diaz-Linhart and Grace DeHorn are with the Institute for Work and Employment Research, Massachusetts Institute of Technology Sloan School of Management, Cambridge. Susan E. Peters is with the Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA.

Article Synopsis
  • * Engaging low-wage workers in health survey research presents challenges, and the text discusses strategies identified through five case studies from 2020 to 2024 in various industries to enhance their participation.
  • * Key recommendations for researchers include building trust with workers and managers, providing support from management to allow survey participation during work hours, and employing high-touch recruitment methods to improve response rates in vulnerable populations.
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Dementia prevention in Africa is critically underexplored, despite the continent's high prevalence of modifiable risk factors. With a predominantly young and middle-aged population, Africa presents a prime opportunity to implement evidence-based strategies that could significantly reduce future dementia cases and mitigate its economic impact. The multinational Africa-FINGERS program offers an innovative solution, pioneering culturally sensitive, multidomain interventions tailored to the unique challenges of the region.

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Background: Breast cancer is a major global health issue, especially among women. Previous research has indicated a possible association between psychiatric conditions, particularly schizophrenia, and an increased risk of breast cancer. However, the specific risk of breast cancer in women with schizophrenia, compared with those with other psychiatric disorders and the general population, remains controversial and needs further clarification.

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Background: Diarrhea is a leading cause of death among children <5 years of age and can have long-term adverse consequences for human development. The World Health Organization has recommended the therapeutic use of zinc for the treatment of diarrhea, along with oral rehydration solutions, since 2004. We studied recent trends in the use of zinc to treat diarrhea in 23 low- and middle-income countries.

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Study Objectives: Sleep characteristics are associated with cardiovascular disease (CVD) risk and both sleep and CVD risk vary by gender. Our objective was to examine associations between polysomnographic sleep characteristics and CVD risk after excluding moderate-severe sleep apnea, and whether gender modifies these associations.

Methods: This was a cross-sectional study with at-home polysomnography in adults in Brazil (n= 1,102 participants with apnea-hypopnea index (AHI)<15 events/hour).

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Article Synopsis
  • * Data was analyzed from four National Family Health Surveys, and inadequate ANC quality was defined by the lack of seven essential services; results showed a substantial decline in inadequate ANC from 84.8% to 28.8% over the years.
  • * Despite the overall improvement, disparities in ANC quality among different states increased, with socioeconomically disadvantaged groups facing higher rates of inadequate care.
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Article Synopsis
  • This study investigates the relationship between loneliness and the risk of incident stroke, focusing on how changes in loneliness over time may affect stroke risk.
  • It uses data from the Health and Retirement Study, analyzing over a decade's worth of information from adults aged 50 and older, categorizing loneliness using a revised UCLA Loneliness Scale.
  • Findings indicate that higher loneliness scores are linked to an increased risk of stroke, particularly for individuals who consistently experienced high levels of loneliness over the study period.
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Background: The pandemic and its preventive measures disrupted daily routines and posed unforeseen obstacles for families. Users of public online forums chronicled these challenges by freely expressing their sentiments in unrestricted text-length formats. We explored a German COVID-19 forum to understand family perspectives and experiences of pandemic measures, particularly in terms of testing and vaccinating children.

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Article Synopsis
  • - The study investigates how socioeconomic status (SES) affects body mass index (BMI) trends in India over several years, using data from National Family Health Surveys between 1998 and 2021.
  • - Findings show that people in low SES groups are more likely to be underweight, while those in high SES groups tend to be overweight or obese, though the gap in these BMI categories has decreased over time.
  • - The research highlights ongoing inequalities in BMI related to SES and suggests the need for future studies to understand the factors linking these two issues.
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Article Synopsis
  • A study in Kenya looked at how to help young women learn about and start taking HIV prevention medicine called PrEP.
  • Young women were trained to guide their friends on how to use an HIV test and get to clinics for medication.
  • The results showed that many friends followed their guidance, leading to a high number of young women starting PrEP and using HIV tests successfully.
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Background: Patient experiences have not been documented at all India level among older adults for inpatient and outpatient services. We provide all-India and sub national estimates on six domains of patient experience, namely: waiting time, respectful treatment, clarity of explanation provided, privacy during consultation, treated by provider of choice, and cleanliness of facility.

Methods: Unit records of adults aged 45 years and above for their inpatient (n = 4330) or outpatient (n = 33,724) service use were assessed from the Longitudinal Ageing Survey of India (LASI), conducted in 2017-18.

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Article Synopsis
  • Not receiving a DPT vaccine in early childhood leads to increased risks of health issues and poor development, with 16% of children in low- and middle-income countries being identified as zero-dose.
  • Between 2014 and 2023, there was a slight annual decline of 0.8% in zero-dose children, and a 1 percentage point decrease was linked to 1.4 fewer deaths per 1,000 live births.
  • Gavi-eligible countries showed a faster reduction in zero-dose rates, suggesting targeted healthcare funding in high-prevalence areas is essential for achieving Immunization Agenda 2030.
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Background: Low birthweight (LBW) children have a higher risk of neonatal mortality. All institutional deliveries, therefore, should be weighed to determine appropriate care. Mortality risk for newborns who are not weighed at birth (NWB) is unknown.

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Artificial intelligence (AI) promises to transform medicine, but the geographic concentration of AI expertize may hinder its equitable application. We analyze 397,967 AI life science research publications from 2000 to 2022 and 14.5 million associated citations, creating a global atlas that distinguishes productivity (i.

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Effects of glycaemic control on memory performance, hippocampal volumes and depressive symptomology.

Diabetol Metab Syndr

September 2024

Faculty of Health and Medical Sciences, School of Psychology, University of Surrey, Guildford, Surrey, GU2 7XH, UK.

Background: Diabetes and poor glycaemic control have been shown to negatively impact cognitive abilities, while also raising risk of both mood disorders and brain structural atrophy. Sites of atrophy include the hippocampus, which has been implicated in both memory performance and depression. The current study set out to better characterise the associations between poor glycaemic control, memory performance, and depression symptoms, and investigate whether loss of hippocampal volume could represent a neuropathological mechanism underlying these.

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Social support receipt as a predictor of mortality: A cohort study in rural South Africa.

PLOS Glob Public Health

September 2024

Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.

The mechanisms connecting various types of social support to mortality have been well-studied in high-income countries. However, less is known about how these relationships function in different socioeconomic contexts. We examined how four domains of social support-emotional, physical, financial, and informational-impact mortality within a sample of older adults living in a rural and resource-constrained setting.

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Background: Intersectionality has rarely been considered in research studies of cognitive ageing. We investigated whether life-course financial mobility is differentially associated with later-life memory function and decline across intersectional identities defined by gender, and race and ethnicity.

Methods: Data were from two harmonised multiethnic cohorts (the Kaiser Healthy Aging and Diverse Life Experiences cohort and the Study of Healthy Aging in African Americans cohort) in northern California, USA (n=2340).

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