Financing for development and middle income-countries: new challenges

Spanish version avalilable at the Library

Poverty and income distribution in Latin America: on the complementarities between trade policy and social public spending

Includes bibliography

The evolution of world income inequality: assessing the impact of globalization

Includes bibliography

Condições sócio-ambientais da bacia hidrográfica do rio Caeté (Pará, Brasil)

A ausência de gerenciamento em bacias hidrográficas, na região Amazônica, tem afetado seus recursos hídricos nos últimos anos. Por esta razão, esta tese visa estudar os aspectos sociais e ambientais de dezoito comunidades rurais ao longo da Bacia Hidrográfica do Caeté, bem como o efeito da descarga de água residual lançada no estuário do Caeté e no rio Cereja, na cidade de Bragança. A metodologia adotada para o levantamento do perfil socioeconômico e das condições de vida e moradia foi baseada na aplicação de questionários estruturados e semi-estruturados. Em algumas comunidades, a produção doméstica de lixo foi estimada e catalogada, em 20% das residências. Quanto à qualidade da água subterrânea, análises das variáveis físicoquímicas e microbiológicas (turbidez, cor real, cor aparente, pH, temperatura, ferro dissolvido, nutrientes dissolvidos, coliformes termotolerantes e coliformes totais) foram realizadas nos principais poços que abastecem as comunidades rurais estudadas. Coletas oceanográficas (com medidas de variáveis hidrológicas e hidrodinâmicas) como também análises microbiológicas foram realizadas nas áreas mais urbanizadas do estuário do Caeté e do rio Cereja, para caracterizar a qualidade das águas nos setores estudados. Os principais impactos ambientais foram identificados, georreferênciados, fotografados e mapeados. Diretrizes de gerenciamento foram propostas para minimizar os problemas sócio-ambientais encontrados. Os resultados obtidos mostraram que das 2.207 famílias rurais (~9.573 habitantes), a maioria possui baixa-renda, baixo grau de escolaridade e precárias condições de vida e moradia. Os serviços e infraestrutura disponíveis são ineficientes ou ausentes, como evidenciados pela falta abastecimento de água potável, coleta de lixo, coleta de esgoto, escolas, atendimento médico etc. Por outro lado, a cidade de Bragança tem mais de 72.621 habitantes, vivendo sobre uma área de aproximadamente 16 km², e é uma das mais antigas cidades da região amazônica. Entretanto, os dois rios estudados recebem influência da descarga de esgoto por residências, hospitais, comércio, fábricas etc. e tem apresentado elevado índice de coliformes termotolerantes. A falta de políticas públicas eficazes tem acentuado os problemas ambientais e sócio-econômico. Desta forma, os autores sugerem várias medidas para melhorar a situação atual, incluindo: (i) a regulamentação do uso da terra para reduzir o impacto ambiental do setor econômico; (ii) a implementação de programas de gestão para a exploração sustentável dos recursos naturais (peixes, caranguejos, argila, madeira); (iii) a instalação de serviços públicos, em especial água encanada e saneamento e (iv) o controle e penalização da exploração ilegal dos recursos naturais.

Relações entre o global e o local: circulação e uso de referências de moda por grupos de baixa renda

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Poverty Reduction and the Income Inequality in China

In 2000, the United Nations adopted the Millennium Development Goals which set targets for raising living standards in low-income countries. The first goal was to “eradicate extreme poverty and hunger” (United Nations). The World Bank defines extreme poverty as income of less than $1.25 per day (World Bank, 2010a). Based on this definition, the World Bank estimates that the percentage of the population in China living in extreme poverty has fallen from 84 percent in 1981 to about 16 percent in 2005, a period during which China’s population grew by more than 300 million people (see Table 1 on last page). Because China is a very large country with a current population approaching 1.4 billion (more than four times the United States population), its dramatic reduction in poverty over the past 30 years has had a profound effect on global poverty measures. In fact, poverty reduction in China is the main reason that the incidence of extreme poverty in developing countries has fallen from about 52 percent in 1981 to 25 percent in 2005 (Table 1). While the absolute number of poor in China fell by some 627 million, the number of poor in other developing countries actually grew slightly (from 1,065 million to 1,166 million). These figures represent a decline in the percentage of the total population in poverty in other developing countries because of general population growth over that 25-year period (World Bank, 2010b).

Cause-specific mortality and income inequality in Sao Paulo, Brazil

OBJECTIVE: To analyze cause-specifi c mortality rates according to the relative income hypothesis. METHODS: All 96 administrative areas of the city of Sao Paulo, southeastern Brazil, were divided into two groups based on the Gini coefficient of income inequality: high (>= 0.25) and low (<0.25). The propensity score matching method was applied to control for confounders associated with socioeconomic differences among areas. RESULTS: The difference between high and low income inequality areas was statistically significant for homicide (8.57 per 10,000; 95% CI: 2.60; 14.53); ischemic heart disease (5.47 per 10,000 [95% CI 0.76; 10.17]); HIV/AIDS (3.58 per 10,000 [95% CI 0.58; 6.57]); and respiratory diseases (3.56 per 10,000 [95% CI 0.18; 6.94]). The ten most common causes of death accounted for 72.30% of the mortality difference. Infant mortality also had signifi cantly higher age-adjusted rates in high inequality areas (2.80 per 10,000 [95% CI 0.86; 4.74]), as well as among males (27.37 per 10,000 [95% CI 6.19; 48.55]) and females (15.07 per 10,000 [95% CI 3.65; 26.48]). CONCLUSIONS: The study results support the relative income hypothesis. After propensity score matching cause-specifi c mortality rates was higher in more unequal areas. Studies on income inequality in smaller areas should take proper accounting of heterogeneity of social and demographic characteristics.

Household income, sex and respiratory mortality in Sao Paulo, Brazil, 1996-2010

SETTING: Respiratory mortality rates are declining in several countries, including Brazil; however, the effect of socio-economic indicators and sex is unclear. OBJECTIVE: To identify differences in mortality trends according to income and sex in the city of Sao Paulo, Brazil. DESIGN: We performed a time-trend analysis of all respiratory diseases, including chronic obstructive pulmonary disease (COPD), lung cancer and tuberculosis, using Joinpoint regression comparing high, middle and low household income levels from 1996 to 2010. RESULTS: The annual per cent change (APC) and 95% confidence intervals (95%CIs) for death rates from all respiratory disease in men in high-income areas was -1.1 (95%CI -2.7 to 0.5) in 1996-2002 and -4.3 (95%CI -5.9 to -2.8) in 2003-2009. In middle- and low-income areas, the decline was respectively -1.5 (95%CI -2.2 to -0.7) and -1.4 (95%CI -1.9 to -0.8). For women, the APC declined in high-income (-1.0, 95%CI -1.9 to -0.2) and low-income areas (0.8, 95%CI -1.3 to -0.2), but not in middle-income areas (-0.5, 95%CI -1.4 to 0.3) from 1996 to 2010. CONCLUSION: Death rates due to COPD and all respiratory disease declined more consistently in men from high-income areas. Mortality due to lung cancer decreased in men, but increased in women in middle- and low-income areas.

Cause-specific mortality and income inequality in São Paulo, Brazil

OBJECTIVE: To analyze cause-specific mortality rates according to the relative income hypothesis. METHODS: All 96 administrative areas of the city of São Paulo, southeastern Brazil, were divided into two groups based on the Gini coefficient of income inequality: high (>0.25) and low (<0.25). The propensity score matching method was applied to control for confounders associated with socioeconomic differences among areas. RESULTS: The difference between high and low income inequality areas was statistically significant for homicide (8.57 per 10,000; 95%CI: 2.60;14.53); ischemic heart disease (5.47 per 10,000 [95%CI 0.76;10.17]); HIV/AIDS (3.58 per 10,000 [95%CI 0.58;6.57]); and respiratory diseases (3.56 per 10,000 [95%CI 0.18;6.94]). The ten most common causes of death accounted for 72.30% of the mortality difference. Infant mortality also had significantly higher age-adjusted rates in high inequality areas (2.80 per 10,000 [95%CI 0.86;4.74]), as well as among males (27.37 per 10,000 [95%CI 6.19;48.55]) and females (15.07 per 10,000 [95%CI 3.65;26.48]). CONCLUSIONS: The study results support the relative income hypothesis. After propensity score matching cause-specific mortality rates was higher in more unequal areas. Studies on income inequality in smaller areas should take proper accounting of heterogeneity of social and demographic characteristics.

Il ruolo delle idee e del loro cambiamento nei processi di policy making universitario nel mondo anglosassone dagli anni ottanta ad oggi. I casi di Inghilterra e Nuova Zelanda in prospettiva comparata

THE TITLE OF MY THESIS IS THE ROLE OF THE IDEAS AND THEIR CHANGE IN HIGHER EDUCATION POLICY-MAKING PROCESSES FROM THE EIGHTIES TO PRESENT-DAY: THE CASES OF ENGLAND AND NEW ZEALAND IN COMPARATIVE PERSPECTIVE UNDER A THEORETICAL POINT OF VIEW, THE AIM OF MY WORK IS TO CARRY OUT A RESEARCH MODELLED ON THE CONSTRUCTIVIST THEORY. IT FOCUSES ON THE ANALYSIS OF THE IMPACT OF IDEAS ON THE PROCESSES OF POLICY MAKING BY MEANS OF EPISTEMIC COMMUNITIES, THINK TANKS AND VARIOUS SOCIOECONOMIC CONTEXTS THAT MAY HAVE PLAYED A KEY ROLE IN THE CONSTRUCTION OF THE DIFFERENT PATHS. FROM MY POINT OF VIEW IDEAS CONSTITUTE A PRIORITY RESEARCH FIELD WHICH IS WORTH ANALYSING SINCE THEIR ROLE IN POLICY MAKING PROCESSES HAS BEEN TRADITIONALLY RATHER UNEXPLORED. IN THIS CONTEXT AND WITH THE AIM OF DEVELOPING A RESEARCH STRAND BASED ON THE ROLE OF IDEAS, I INTEND TO CARRY ON MY STUDY UNDER THE PERSPECTIVE OF CHANGE. DEPENDING ON THE DATA AND INFORMATION THAT I COLLECTED I EVALUATED THE WEIGHT OF EACH OF THESE VARIABLES AND MAYBE OTHERS SUCH AS THE INSTITUTIONS AND THE INDIVIDUAL INTERESTS, WHICH MAY HAVE INFLUENCED THE FORMATION OF THE POLICY MAKING PROCESSES. UNDER THIS LIGHT, I PLANNED TO ADOPT THE QUALITATIVE METHODOLOGY OF RESEARCH WHICH I BELIEVE TO BE VERY EFFECTIVE AGAINST THE MORE DIFFICULT AND POSSIBLY REDUCTIVE APPLICATION OF QUANTITIVE DATA SETS. I RECKON THEREFORE THAT THE MOST APPROPRIATE TOOLS FOR INFORMATION PROCESSING INCLUDE CONTENT ANALYSIS, AND IN-DEPTH INTERVIEWS TO PERSONALITIES OF THE POLITICAL PANORAMA (ÉLITE OR NOT) WHO HAVE PARTICIPATED IN THE PROCESS OF HIGHER EDUCATION REFORM FROM THE EIGHTIES TO PRESENT-DAY. THE TWO CASES TAKEN INTO CONSIDERATION SURELY SET AN EXAMPLE OF RADICAL REFORM PROCESSES WHICH HAVE OCCURRED IN QUITE DIFFERENT CONTEXTS DETERMINED BY THE SOCIOECONOMIC CHARACTERISTICS AND THE TRAITS OF THE ÉLITE. IN NEW ZEALAND THE DESCRIBED PROCESS HAS TAKEN PLACE WITH A STEADY PACE AND A GOOD GRADE OF CONSEQUANTIALITY, IN LINE WTH THE REFORMS IN OTHER STATE DIVISIONS DRIVEN BY THE IDEAS OF THE NEW PUBLIC MANAGEMENT. CONTRARILY IN ENGLAND THE REFORMATIVE ACTION OF MARGARET THATCHER HAS ACQUIRED A VERY RADICAL CONNOTATION AS IT HAS BROUGHT INTO THE AMBIT OF HIGHER EDUCATION POLICY CONCEPTS LIKE EFFICIENCY, EXCELLENCE, RATIONALIZATION THAT WOULD CONTRAST WITH THE GENERALISTIC AND MASS-ORIENTED IDEAS THAT WERE FASHIONABLE DURING THE SEVENTIES. THE MISSION I INTEND TO ACCOMPLISH THORUGHOUT MY RESEARCH IS TO INVESTIGATE AND ANALYSE INTO MORE DEPTH THE DIFFERENCES THAT SEEM TO EMERGE FROM TWO CONTEXTS WHICH MOST OF THE LITERATURE REGARDS AS A SINGLE MODEL: THE ANGLO-SAXON MODEL. UNDER THIS LIGHT, THE DENSE ANALYSIS OF POLICY PROCESSES ALLOWED TO BRING OUT BOTH THE CONTROVERSIAL AND CONTRASTING ASPECTS OF THE TWO REALITIES COMPARED, AND THE ROLE AND WEIGHT OF VARIABLES SUCH AS IDEAS (MAIN VARIABLE), INSTITUTIONAL SETTINGS AND INDIVIDUAL INTERESTS ACTING IN EACH CONTEXT. THE CASES I MEAN TO ATTEND PRESENT PECULIAR ASPECTS WORTH DEVELOPING AN IN-DEPTH ANALYSIS, AN OUTLINE OF WHICH WILL BE PROVIDED IN THIS ABSTRACT. ENGLAND THE CONSERVATIVE GOVERNMENT, SINCE 1981, INTRODUCED RADICAL CHANGES IN THE SECTOR OF HIGHER EDUCATION: FIRST CUTTING DOWN ON STATE FUNDINGS AND THEN WITH THE CREATION OF AN INSTITUTION FOR THE PLANNING AND LEADERSHIP OF THE POLYTECHNICS (NON-UNIVERSITY SECTOR). AFTERWARDS THE SCHOOL REFORM BY MARGARET THATCHER IN 1988 RAISED TO A GREAT STIR ALL OVER EUROPE DUE TO BOTH ITS CONSIDERABLE INNOVATIVE IMPRINT AND THE STRONG ATTACK AGAINST THE PEDAGOGY OF THE ‘ACTIVE’ SCHOOLING AND PROGRESSIVE EDUCATION, UNTIL THEN RECOGNIZED AS A MERIT OF THE BRITISH PUBLIC SCHOOL. IN THE AMBIT OF UNIVERSITY EDUCATION THIS REFORM, TOGETHER WITH SIMILAR MEASURES BROUGHT IN DURING 1992, PUT INTO PRACTICE THE CONSERVATIVE PRINCIPLES THROUGH A SERIES OF ACTIONS THAT INCLUDED: THE SUPPRESSION OF THE IRREMOVABILITY PRINCIPLE FOR UNIVERSITY TEACHERS; THE INTRODUCTION OF STUDENT LOANS FOR LOW-INCOME STUDENTS AND THE CANCELLATION OF THE CLEAR DISTINCTION BETWEEN UNIVERSITIES AND POLYTECHNICS. THE POLICIES OF THE LABOUR MAJORITY OF MR BLAIR DID NOT QUITE DIVERGE FROM THE CONSERVATIVES’ POSITION. IN 2003 BLAIR’S CABINET RISKED TO BECOME A MINORITY RIGHT ON THE OCCASION OF AN IMPORTANT UNIVERSITY REFORM PROPOSAL. THIS PROPOSAL WOULD FORESEE THE AUTONOMY FOR THE UNIVERSITIES TO RAISE UP TO 3.000 POUNDS THE ENROLMENT FEES FOR STUDENTS (WHILE FORMERLY THE CEILING WAS 1.125 POUNDS). BLAIR HAD TO FACE INTERNAL OPPOSITION WITHIN HIS OWN PARTY IN RELATION TO A MEASURE THAT, ACCORDING TO THE 150 MPS PROMOTERS OF AN ADVERSE MOTION, HAD NOT BEEN INCLUDED IN THE ELECTORAL PROGRAMME AND WOULD RISK CREATING INCOME-BASED DISCRIMINATION AMONG STUDENTS. AS A MATTER OF FACT THE BILL FOCUSED ON THE INTRODUCTION OF VERY LOW-INTEREST STUDENT LOANS TO BE SETTLED ONLY WHEN THE STUDENT WOULD HAVE FOUND A REMUNERATED OCCUPATION (A SYSTEM ALREADY PROVIDED FOR BY THE AUSTRALIAN LEGISLATION). NEW ZEALAND CONTRARILY TO MANY OTHER COUNTRIES, NEW ZEALAND HAS ADOPTED A VERY WIDE VISION OF THE TERTIARY EDUCATION. IT INCLUDES IN FACT THE FULL EDUCATIONAL PROGRAMME THAT IS INTERNATIONALLY RECOGNIZED AS THE POST-SECONDARY EDUCATION. SHOULD WE SPOTLIGHT A PECULIARITY OF THE NEW ZEALAND TERTIARY EDUCATION POLICY THEN IT WOULD BE ‘CHANGE’. LOOKING AT THE REFORM HISTORY RELATED TO THE TERTIARY EDUCATION SYSTEM, WE CAN CLEARLY IDENTIFY FOUR ‘SUB-PERIODS’ FROM THE EIGHTIES TO PRESENT-DAY: 1. BEFORE THE 80S’: AN ELITARIAN SYSTEM CHARACTERIZED BY LOW PARTICIPATION RATES. 2. BETWEEN MID AND LATE 80S’: A TREND TOWARDS THE ENLARGEMENT OF PARTICIPATION ASSOCIATED TO A GREATER COMPETITION. 3. 1990-1999: A FUTHER STEP TOWARDS A COMPETITIVE MODEL BASED ON THE MARKET-ORIENTED SYSTEM. 4. FROM 2000 TO TODAY: A CONTINUOUS EVOLUTION TOWARDS A MORE COMPETITIVE MODEL BASED ON THE MARKET-ORIENTED SYSTEM TOGETHER WITH A GROWING ATTENTION TO STATE CONTROL FOR SOCIAL AND ECONOMIC DEVELOPMENT OF THE NATION. AT PRESENT THE GOVERNMENT OF NEW ZEALAND OPERATES TO STRENGHTHEN THIS PROCESS, PRIMARILY IN RELATION TO THE ROLE OF TERTIARY EDUCATION AS A STEADY FACTOR OF NATIONAL WALFARE, WHERE PROFESSIONAL DEVELOPMENT CONTRIBUTES ACTIVELY TO THE GROWTH OF THE NATIONAL ECONOMIC SYSTEM5. THE CASES OF ENGLAND AND NEW ZEALAND ARE THE FOCUS OF AN IN-DEPTH INVESTIGATION THAT STARTS FROM AN ANALYSIS OF THE POLICIES OF EACH NATION AND DEVELOP INTO A COMPARATIVE STUDY. AT THIS POINT I ATTEMPT TO DRAW SOME PRELIMINARY IMPRESSIONS ON THE FACTS ESSENTIALLY DECRIBED ABOVE. THE UNIVERSITY POLICIES IN ENGLAND AND NEW ZEALAND HAVE BOTH UNDERGONE A SIGNIFICANT REFORMATORY PROCESS SINCE THE EARLY EIGHTIES; IN BOTH CONTEXTS THE IMPORTANCE OF IDEAS THAT CONSTITUTED THE BASE OF POLITICS UNTIL 1980 WAS QUITE RELEVANT. GENERALLY SPEAKING, IN BOTH CASES THE PRE-REFORM POLICIES WERE INSPIRED BY EGALITARIANISM AND EXPANSION OF THE STUDENT POPULATION WHILE THOSE BROUGHT IN BY THE REFORM WOULD PURSUE EFFICIENCY, QUALITY AND COMPETITIVENESS. UNDOUBTEDLY, IN LINE WITH THIS GENERAL TENDENCY THAT REFLECTS THE HYPOTHESIS PROPOSED, THE TWO UNIVERSITY SYSTEMS PRESENT SEVERAL DIFFERENCES. THE UNIVERSITY SYSTEM IN NEW ZEALAND PROCEEDED STEADILY TOWARDS THE IMPLEMENTATION OF A MANAGERIAL CONCEPTION OF TERTIARY EDUCATION, ESPECIALLY FROM 1996 ONWARDS, IN ACCORDANCE WITH THE REFORMATORY PROCESS OF THE WHOLE PUBLIC SECTOR. IN THE UNITED KINGDOM, AS IN THE REST OF EUROPE, THE NEW APPROACH TO UNIVERSITY POLICY-MAKING HAD TO CONFRONT A DEEP-ROOTED TRADITION OF PROGRESSIVE EDUCATION AND THE IDEA OF EDUCATION EXPANSION THAT IN FACT DOMINATED UNTIL THE EIGHTIES. FROM THIS VIEW POINT THE GOVERNING ACTION OF MARGARET THATCHER GAVE RISE TO A RADICAL CHANGE THAT REVOLUTIONIZED THE OBJECTIVES AND KEY VALUES OF THE WHOLE EDUCATIONAL SYSTEM, IN PARTICULAR IN THE HIGHER EDUCATION SECTOR. IDEAS AS EFFICIENCY, EXCELLENCE AND CONTROL OF THE PERFORMANCE BECAME DECISIVE. THE LABOUR CABINETS OF BLAIR DEVELOPED IN THE WAKE OF CONSERVATIVE REFORMS. THIS APPEARS TO BE A FOCAL POINT OF THIS STUDY THAT OBSERVES HOW ALSO IN NEW ZEALAND THE REFORMING PROCESS OCCURRED TRANSVERSELY DURING PROGRESSIVE AND CONSERVATIVE ADMINISTRATIONS. THE PRELIMINARY IMPRESSION IS THEREFORE THAT IDEAS DEEPLY MARK THE REFORMATIVE PROCESSES: THE AIM OF MY RESEARCH IS TO VERIFY TO WHICH EXTENT THIS STATEMENT IS TRUE. IN ORDER TO BUILD A COMPREHENSIVE ANALYLIS, FURTHER SIGNIFICANT FACTORS WILL HAVE TO BE INVESTIGATED: THE WAY IDEAS ARE PERCEIVED AND IMPLEMENTED BY THE DIFFERENT POLITICAL ELITES; HOW THE VARIOUS SOCIOECONOMIC CONTEXTS INFLUENCE THE REFORMATIVE PROCESS; HOW THE INSTITUTIONAL STRUCTURES CONDITION THE POLICY-MAKING PROCESSES; WHETHER INDIVIDUAL INTERESTS PLAY A ROLE AND, IF YES, TO WHICH EXTENT.

Selection of Matching Variables in Community Health Intervention Trials

In a matched experimental design, the effectiveness of matching in reducing bias and increasing power depends on the strength of the association between the matching variable and the outcome of interest. In particular, in the design of a community health intervention trial, the effectiveness of a matched design, where communities are matched according to some community characteristic, depends on the strength of the correlation between the matching characteristic and the change in the health behavior being measured. We attempt to estimate the correlation between community characteristics and changes in health behaviors in four datasets from community intervention trials and observational studies. Community characteristics that are highly correlated with changes in health behaviors would potentially be effective matching variables in studies of health intervention programs designed to change those behaviors. Among the community characteristics considered, the urban-rural character of the community was the most highly correlated with changes in health behaviors. The correlations between Per Capita Income, Percent Low Income & Percent aged over 65 and changes in health behaviors were marginally statistically significant (p < 0.08).

Racial and ethnic disparities in diabetes mellitus and hypertension: Influence of income and insurance status in a cross-sectional study of the United States

Racial/ethnic disparities in diabetes mellitus (DM) and hypertension (HTN) have been observed and explained by socioeconomic status (education level, income level, etc.), screening, early diagnosis, treatment, prognostic factors, and adherence to treatment regimens. To the author's knowledge, there are no studies addressing disparities in hypertension and diabetes mellitus utilizing Hispanics as the reference racial/ethnic group and adjusting for sociodemographics and prognostic factors. This present study examined racial/ethnic disparities in HTN and DM and assessed whether this disparity is explained by sociodemographics. To assess these associations, the study utilized a cross-sectional design and examined the distribution of the covariates for racial/ethnic group differences, using the Pearson Chi Square statistic. The study focused on Non-Hispanic Blacks since this ethnic group is associated with the worst health outcomes. Logistic regression was used to estimate the prevalence odds ratio (POR) and to adjust for the confounding effects of the covariates. Results indicated that except for insurance coverage, there were statistically significant differences between Non-Hispanic Blacks and Non-Hispanic Whites, as well as Hispanics with respect to study covariates. In the unadjusted logistic regression model, there was a statistically significant increased prevalence of hypertension among Non-Hispanic Blacks compared to Hispanics, POR 1.36, 95% CI 1.02-1.80. Low income was statistically significantly associated with increased prevalence of hypertension, POR 0.38, 95% CI 0.32-0.46. Insurance coverage, though not statistically significant, was associated with an increase in the prevalence of hypertension, p>0.05. Concerning DM, Non-Hispanic Blacks were more likely to be diabetic, POR 1.10, 95% CI 0.85-1.47. High income was statistically significantly associated with decreased prevalence of DM, POR 0.47, 95% CI 0.39-0.57. After adjustment for the relevant covariates, the racial disparities between Hispanics and Non-Hispanic Blacks in HTN was removed, adjusted prevalence odds (APOR) 1.21, 95% CI 0.88-1.67. In this sample, there was racial/ethnic disparity in hypertension but not in diabetes mellitus between Hispanics and Non-Hispanic Blacks, with disparities in hypertension associated with socioeconomic status (family income, education, marital status) and also by alcohol, physical activity and age. However, race, education and BMI as class variables were statistically significantly associated with hypertension and diabetes mellitus p<0.0001. ^

Crack and powder cocaine federal legislation: A sentencing disparity and potential for policy improvement

Since its introduction into the United States in the 1980s, crack cocaine has been a harsh epidemic that has taken its toll on a countless number of people. This highly addictive, cheap and readily available drug of abuse has permeated many demographic sectors, mostly in low income, lesser educated, and urban communities. This epidemic of crack cocaine use in inner city areas across the Unites States has been described as an expression of economic marginality and “social suffering” coupled with the local and international forces of drug market economies (Agar 2003). As crack cocaine is a derivative of cocaine, it utilizes the psychoactive component of the drug, but delivers it in a much stronger, quicker, and more addictive fashion. This, coupled with its ready availability and cheap price has allowed for users to not only become very addicted very quickly, but to be subject to the stringent and sometimes unequal or inconsistent punishments for possession and distribution of crack-cocaine. ^ There are many public health and social ramifications from the abuse of crack-cocaine, and these epidemics appear to target low income and minority groups. Public health issues relating to the physical, mental, and economic strain will be addressed, as well as the direct and indirect effects of the punishments that come as a result of the disparity in penalties for cocaine and crack-cocaine possession and distribution. ^ Three new policies have recently been introduced into the United Stated Congress that actively address the disparity in sentencing for drug and criminal activities. They are, (1) Powder-Crack Cocaine Penalty Equalization Act of 2009, (HR 18, 111th Cong. 2009), (2) The Drug Sentencing Reform and Cocaine Kingpin Trafficking Act of 2009, (HR 265, 111th Cong. 2009) and (3) The Justice Integrity Act of 2009, (111th Cong. 2009). ^ Although they have only been initiated, if passed, they have potential to not only eliminate the crack-cocaine disparity, but to enact laws that help those affected by this epidemic. The final and overarching goal of this paper is to analyze and ultimately choose the ideal policy that would not only eliminate the cocaine and crack disparity regardless of current or future state statutes, but will provide the best method of rehabilitation, prevention, and justice. ^

Quasi-experimental evidence on the drivers of index-based livestock insurance demand in Southern Ethiopia

Microinsurance is widely considered an important tool for sustainable poverty reduction, especially in the face of increasing climate risk. Although index-based microinsurance, which should be free from the classical incentive problems, has attracted considerable attention, uptake rates have generally been weak in low-income rural communities. We explore the purchase patterns of index-based livestock insurance in southern Ethiopia, focusing in particular on the role of accurate product comprehension and price, including the prospective impact of temporary discount coupons on subsequent period demand due to price anchoring effects. We find that randomly distributed learning kits contribute to improving subjects' knowledge of the products; however, we do not find strong evidence that the improved knowledge per se induces greater uptake. We also find that reduced price due to randomly distributed discount coupons has an immediate, positive impact on uptake, without dampening subsequent period demand due to reference-dependence associated with price anchoring effects.

Cadena de valor de papas nativas (Solanum andigenum sp.) en la provincia de Jauja, Perú

La Asamblea General de la ONU, a solicitud del gobierno peruano, declara en el año 2008 el Año Internacional de la Papa, (AIP). Desde el año 2005, el gobierno peruano ha puesto en marcha estrategias en torno a la importancia de la papa, como la declaración del 30 de Mayo como el Día Nacional de la Papa. El año 2014 es declarado por la FAO, (Food and Agriculture Organization of the United Nations), Año Internacional de la Agricultura Familiar, con un enfoque compartido por esta Tesis Doctoral en el apoyo a la familia campesina peruana. El gobierno peruano utiliza las cadenas de valor como una estrategia de promoción de desarrollo sostenible, que ha permitido contribuir a la inclusión social y económica de productores pobres de zonas alto andinas, como las localizadas en la mancomunidad municipal del Yacus, (MMY), provincia de Jauja, departamento de Junín. Esta estrategia, en la que el mercado incorpora a los pequeños agricultores de las zonas altas de los Andes, (que disponen de recursos económicos muy bajos), en procesos productivos rentables, implica una serie de cambios a realizar, como la transformación de los patrones de producción tradicional hacia aquellos productos o servicios que tienen demanda en el mercado, o la variación de la mentalidad del agricultor pequeño hacia una concepción empresarial de su producción. (Fabián, 2013). Por otra parte, la sostenibilidad de las cadenas de valor depende del eslabón más débil, lo que obliga a conocer la situación de todos los eslabones para poder integrar y reforzar la cadena. Se requiere un sistema de transparencia adecuado que facilite el flujo de la información entre los distintos eslabones. (Briz et al., 2012). Además, el establecimiento de la cadena de valor debe hacerse con cuidado, ya que la eficacia y supervivencia de las empresas están cada vez más ligadas a la cadena de valor a la que pertenece y a la coordinación de la misma. (Briz, 2011). En esta situación, adquiere importancia el estudio de la cadena de valor de la papa nativa, para una vez establecidas sus características, poder determinar la viabilidad o no de una cadena de valor de este producto que repercuta parte de la riqueza generada en los pequeños agricultores alto andinos, e incluso, de su extensión hasta España. Existen estudios sobre las papas nativas, realizadas por diferentes universidades de distintos países, e incluso, de diferentes continentes. Sin embargo, la mayoría de los estudios se centran en la mejora de la producción de la papa nativa. La novedad de la investigación realizada en la presente Tesis Doctoral radica en el estudio de la viabilidad de la comercialización de la papa nativa, mediante el establecimiento de una cadena de valor que se inicie en la provincia de Jauja, Perú, y finalice tanto en los mercados peruanos de las regiones de Junín y Lima, como en España. El objetivo planteado en esta investigación es la mejora de las condiciones económicas y sociales de las comunidades agrícolas de la provincia de Jauja en el Perú, así como fomentar su desarrollo tecnológico e industrial, mediante el fomento de la cadena de valor de la papa nativa y sus derivados. Se establecen como objetivos específicos la caracterización de los eslabones de la cadena de valor de la papa nativa y sus derivados en la provincia de Jauja del Perú y en España, de manera que se determine el valor agregado en los mismos; el fortalecimiento de las organizaciones de productores de papas nativas para la comercialización de sus producciones y para el fomento de la cultura empresarial; y el desarrollo de una cadena de comercialización papas nativas y sus derivados con origen en la Provincia de Jauja, Perú, y que finalice en España, con la venta al consumidor español. Para alcanzar estos objetivos la metodología utilizada es la cadena de valor agroalimentaria, utilizando como herramientas de análisis el análisis DAFO de la cadena de valor de la papa nativa. Las fuentes de información primarias utilizadas proceden en parte del proyecto de cooperación de UPM, “Mejora de la cadena de valor de la patata andina como impulso al desarrollo rural. Caso de tres Comunidades Campesinas en la Provincia de Jauja del Perú”, en el que participó el doctorando, y en parte proceden de la batería de encuestas específicamente diseñadas para los diferentes eslabones de la cadena de valor de la papa nativa. Las fuentes de información secundarias proceden de artículos académicos publicados, de artículos publicados por revistas especializadas del sector y de informes realizados por diferentes instituciones gubernamentales, tanto españolas como peruanas. Las conclusiones de la investigación son las siguientes. La creación de la mancomunidad del Yacus ha beneficiado a los pequeños agricultores. Estos consiguen mejores condiciones de venta y mejores precios para sus productos, lo que repercute en la mejora de sus condiciones de vida. Estas mejoras en las condiciones de venta de los productos se deben a su pertenencia a una cadena de valor de papa nativa que está funcionando de forma eficaz. Las empresas consideradas para constituir la cadena de valor han mostrado interés por formar parte de ella: los campesinos para obtener mejores precios por sus productos y unas mejores condiciones de venta; los distribuidores para asegurarse una calidad determinada de unas variedades fijas de papa nativa; la industria transformadora por disponer de un suministro de producto adecuado al derivado de papa nativa correspondiente, (hojuelas, tunta, etc.); las empresas exportadoras para tener suministro garantizado de los productos que ellos requieren en los volúmenes adecuados. Es una situación ventajosa para todas las empresas participantes. A pesar de trabajar con un producto tradicional, la cadena de valor de la papa nativa presenta innovación en los productos comercializados, tanto en la papa nativa fresca como en sus derivados, en los formatos de los productos, en la red de distribución, en las instituciones peruanas y en el consumidor final. Se percibe una demanda de papa nativa y de sus productos derivados en aquellos países donde existen comunidades de latinoamericanos que han emigrado de sus países de origen. España está entre los países que han acogido a un importante número de personas de origen latinoamericano. A pesar de la fuerte crisis económica sufrida por España, que ha llevado consigo la vuelta a sus países de origen de parte de su comunidad latinoamericana, el tamaño de esta población sigue siendo importante. Esta población demanda productos originarios de sus propios países, y los consumirían de forma frecuente si los precios son adecuados a su capacidad de consumo. El precio de venta de la papa nativa y sus derivados en España es de gran importancia. La importación de estos productos desde Perú hace que este eleve a niveles que le resta competitividad, en especial en la papa fresca. Se aconseja la búsqueda de empresas que puedan adaptar la producción de la papa fresca de forma local, y mantener para los derivados la exportación directa a España. Las preferencias de los consumidores peruanos y españoles en cuanto a formatos y marcas se refieren no son coincidentes. De las encuestas realizadas, se concluye que no puede seguirse la misma estrategia de marketing en ambos países, debiéndose diferenciar los formatos de los paquetes de la papa nativa y de sus derivados en España y en Perú, para así lograr llegar a los consumidores potenciales de ambos países. ABSTRACT At the request of the Peruvian government, the UN General Assembly declared the International Year of the Potato in 2008. Since 2005, the Peruvian government has implemented strategies around the importance of the potato, as the declaration of the 30th of May as the National Day of the Potato. FAO (Food and Agriculture Organization of the United Nations) has declared 2014 as the International Year of Family Farming, with an approach shared by this Ph.D. dissertation about the Peruvian peasant family. The Peruvian government uses value chains as a strategy to promote sustainable development, which has allowed to contribute to the social and economic inclusion of poor farmers in the high Andean regions as those located in the municipal commonwealth of Yacus (MMY) province of Jauja, department of Junín. This strategy, which incorporates small farmers in the high Andean regions, (who have very low income), to the market with profitable production processes, implies a number of changes that should take place, such as changing patterns of traditional production to those products or services that are in demand in the market, or changes in the mentality of the small farmer into a concept of production business. (Fabián, 2013). Moreover, the sustainability of value chains depends on the weakest link, which demands a knowledge of the status of all the links, in order to integrate and strengthen the chain. It is required an adequate transparency to facilitate the flow of information between the various actors. (Briz et al., 2012). Furthermore, the establishment of the value chain should be done carefully, since the effectiveness and the survival of the businesses are increasingly linked to the value chain where the firm is included and to its coordination. (Briz, 2011). In this situation, it becomes important to study the value chain of the native potato, once we establish its features, to be able to determine the feasibility or not of a value chain of this product, which has an impact of the generated wealth in small farms of the high Andean regions, and even the extension of this value chain to Spain. There are studies on native potatoes, made by different universities in several countries and even in more than one continent. However, most studies focus on improving the production of native potato. The originality of the research conducted in this Ph.D. dissertation is the study of the feasibility of commercialization of native potato, by the creation of a value chain that starts in the province of Jauja, Perú, and ends both in Peruvian markets in the region of Lima, and in Spain. The main goal of this research is to improve the economic and social conditions of farming communities in the province of Jauja in Perú, while promoting its technological and industrial development, by the establishment of a value chain of the native potato and derivatives. The specific objectives of the research are the characterization of the links in the value chain of the native potato and its derivatives in the province of Jauja, (Perú) and in Spain, in order to determine the added value; the strengthening of organizations of native potato producers, to commercialize their products and the promotion of enterprise culture; and the development of a chain to market native potato and its derivatives, with its origin in the province of Jauja, (Perú), and its end in Spain, with the sale to the Spanish consumer. In order to achieve these objectives, the used methodology is the agrifood value chain, using as a tool to analysis it the SWOT analysis of the value chain of the native potato. The primary sources of information used in the research come partly from UPM cooperation project, "Improving the value chain of Andean potato as a boost to rural development. Case Three Rural Communities in the Province of Jauja, (Perú)", in which the Ph.D. student was involved, and partly from the surveys, which were specifically designed for the different links of the value chain of the native potato. The secondary sources of information come from academic articles, from articles published by magazines of the industry, and from reports of several government institutions, both Spanish and Peruvian. The conclusions of the research are as follows. The creation of the commonwealth of Yacus has benefited small farmers. They get better sales conditions and better prices for their products, which results in the improvement of their living conditions. These improvements are due to a value chain of native potato which is working effectively. All the firms invited to constitute the value chain have shown interest in being part of it: the farmers to get better prices for their products and better sale conditions; the distributors to ensure a certain quality of fixed varieties of native potato, the processing industry in order to have an adequate supply of product to the corresponding derivative of native potato (chips, “tunta”, etc.); exporting firms to have a guaranteed supply of the products that they require with the right volumes. It's a win-win situation for all participating companies. Despite being a traditional product, the value chain of the native potato presents innovation in marketed products, (both fresh native potato and its derivatives), in the formats of products, in the distribution network, in Peruvian institutions and in relation with the consumer. There is a perceived demand of native potato and its products in countries where communities of Latin Americans have settled down. Spain is among the countries that have received a significant number of people from Latin America. Despite the strong economic crisis suffered by Spain, which has lead to a return to their home countries of part of the Latin American community, the size of this population is still considerable. This population demands products from their own countries, and they frequently consume them if the prices are suitable to their standard of living. The selling price of the native potato and its derivatives in Spain is of great importance. The import of these products from Perú makes the prices rise to levels that reduce competitiveness, especially in fresh native potatoes. It is advised to look for companies which can adapt the fresh potato production in our country, and keep direct export to Spain for the derivatives products. The preferences of Peruvian and Spanish consumers in terms of formats and brands are not the same. The surveys concluded that the same marketing strategy cannot be followed in both countries. Packet formats of native potato and its derivatives should be differentiated in Spain and Perú, in order to reach the potential consumers of both countries.