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.

Ethnic Minority Children’s Active Commuting to School and Association with Physical Activity and Pedestrian Safety Behaviors

Background: Children's active commuting to school, i.e. walking or cycling to school, was associated with greater moderate-to-vigorous physical activity, although studies among ethnic minorities are sparse. Objectives: Among a low-income, ethnic minority sample of fourth grade students from eight public schools, we examined (1) correlates of active commuting to school and (2) the relationship between active commuting to school and moderate-to-vigorous physical activity. Methods: We conducted a cross-sectional analysis of baseline measurements from a sample of participants (n=149) aged 9-12 years from a walk to school intervention study in Houston, Texas. The primary outcome was the weekly rate of active commuting to school. Daily moderate-to-vigorous physical activity, measured by accelerometers, was a secondary outcome. Child self-efficacy (alpha=0.75), parent self-efficacy (alpha=0.88), and parent outcome expectations (alpha=0.78) were independent variables. Participant characteristics (age, gender, race/ethnicity, distance from home to school, acculturation, and BMI percentile) were independent sociodemographic variables. We used mixed-model regression analyses to account for clustering by school and a stepwise procedure with backward elimination of non-significant interactions and covariates to identify significant moderators and predictors. School-level observations of student pedestrians were assessed and compared using chi-square tests of independence. Results: Among our sample, which was 61.7% Latino, the overall rate of active commuting to school was 43%. In the mixed model for active commuting to school, parent self-efficacy (std. beta = 0.18, p=0.018) and age (std. beta = 0.18, p=0.018) were positively related. Latino students had lower rates of active commuting to school than non-Latinos ( 16.5%, p=0.040). Distance from home to school was inversely related to active commuting to school (std. beta = 0.29, p<0.001). In the mixed model for moderate-to-vigorous physical activity, active commuting to school was positively associated (std. beta = 0.31, p <0.001). Among the Latino subsample, child acculturation was negatively associated with active commuting to school (std. beta = -0.23, p=0.01). With regard to school-level pedestrian safety observations, 37% of students stopped at the curb and 2.6% looked left-right-left before crossing the street. Conclusion: Although still below national goals, the rate of active commuting was relatively high, while the rate of some pedestrian safety behaviors was low among this low-income, ethnic minority population. Programs and policies to encourage safe active commuting to school are warranted and should consider the influence of parents, acculturation, and ethnicity.

The Black-White Achievement Gap Amongst Struggling Readers: A Case Study of Early Intervention Outcomes in Massachusetts

A number of analyses of large data sets have suggested that the reading achievement gap between African American and White U.S. is negligible or small at school entry, but widens substantially during the school years because African American students show slower rates of growth in elementary and secondary school. Identifying when and why gaps occur, therefore, is a an important research endeavor. In addition, being able to predict which African American children are most likely to fall behind can contribute to efforts to close the achievement gap. This paper analyzes first grade and third grade data on African American and White children in Massachusetts who all were identified in first grade as struggling readers and enrolled in Reading Recovery—an individualized intervention. All the children were low-income and attending urban schools. Using Observation Survey data from first grade, and MCAS Reading data from 3rd grade, we found that the African American and White students made equal average progress while in first grade, but by the end of third grade showed a large gap in MCAS proficiency rates. We discuss the results in terms of school quality, reading development, dialect issues, testing formats, and the need to provide long-term support to vulnerable learners.

The Associations Between Social, Behavioral, and Health Risk Factors on a High School Student’s Decision to Pursue Post High School Plans

Background: Due to the relationship between SES and health, pursuing post high-school plans can lead to better future health outcomes for the student. The current paper assesses how behavioral and health risk factors, and family and social support, effect a student’s decision to pursue post high school plans. Methods: Data from the Youth Behavioral Component of the 2007 Connecticut School Health Survey were analyzed. Composite measures of exposure to/participation in violent behavior, mental and physical health, family/social support and substance abuse were created. The effects of these domains on the decision to pursue post high-school plans were assessed using logistic regression. Data were stratified by socioeconomic status. Results: Low SES students were more likely than high SES students to be doubtful for post high-school plans. Cocaine abuse emerged as the risk factor that put low SES students at the highest odds of not pursuing post high-school plans, followed by involvement in violent/aggressive behavior, and receiving less family/social support than their peers. Similar findings regarding violence and family/social support were found in the high SES group. Findings regarding substance abuse in the high SES group were not statistically significant. Discussion: Prevention programs regarding violence and substance abuse may have the added benefit of increasing the likelihood that high school students will make post high school plans. Preventing cocaine use among low SES students may be of particular importance. Violence prevention measures should be tailored to the target group. Adequate family/social support emerged as an encouraging factor for post high school plans.

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. ^

Effectiveness of healthcare waste management interventions in developing countries

Inefficiencies during the management of healthcare waste can give rise to undesirable health effects such as transmission of infections and environmental pollution within and beyond the health facilities generating these wastes. Factors such as prevalence of diseases, conflicts, and the efflux of intellectual capacity make low income countries more susceptible to these adverse health effects. The purpose of this systematic review was to describe the effectiveness of interventions geared towards better managing the generation, collection, transport, treatment and disposal of medical waste, as they have been applied in lower and middle income countries.^ Using a systematic search strategy and evaluation of study quality, this study reviewed the literature for published studies on healthcare waste management interventions carried out in developing countries, specifically the low and lower middle income countries from year 2000 to the current year. From an initially identified set of 829 studies, only three studies ultimately met all inclusion, exclusion and high quality criteria. A multi component intervention in Syrian Arab Republic, conducted in 2007 was aimed at improving waste segregation practice in a hospital setting. There was an increased use of segregation boxes and reduced rates of sharps injury among staff as a result of the intervention. Another study, conducted in 2008, trained medical students as monitors of waste segregation practice in an Indian teaching hospital. There was improved practice in wards and laboratories but not in the intensive care units. The third study, performed in 2008 in China, consisted of modification of the components of a medical waste incinerator to improve efficiency and reduce stack emissions. Gaseous pollutants emitted, except polychlorodibenzofurans (PCDF) were below US EPA permissible exposure limits. Heavy metal residues in the fly ash remained unchanged.^ Due to the paucity of well-designed studies, there is insufficient evidence in literature to conclude on the effectiveness of interventions in low income settings. There is suggestive but insufficient evident that multi-component interventions aimed at improving waste segregation through behavior modification, provision of segregation tools and training of monitors are effective in low income settings.^

Commentary on "Alternative Strategies for Identifying High-Performing Charter Schools in Texas"

In the last few years policy makers and practitioners nationally have shown much interest in identifying, recognizing, and replicating successful charter schools, many of which are showing that they can educate low-income and otherwise at-risk students remarkably well. However past efforts to identify high performing schools have been problematic. Using these systematic, rigorous value-added methods, the authors identify 44 Open Enrollment charter schools that merit a “high-performer” rating. Nearly all of those campuses identified serve a disadvantaged student population. The article also finds that most of those high performers are highly cost-effective, earning high ratings on the cost-efficiency measures. The authors argue for more widespread use of value-added modeling in the state accountability system. The approach taken to identifying high-performers is sensible and fair, but any formulaic approach to school labels comes with some limitations.

Student consumption of a la carte foods during school lunch meals

The purpose of this study was to evaluate students' lunch consumption compared to NSLP guidelines, the contribution of competitive foods to calorie intake at lunch, and the differences in nutrient and food group intake between the a la carte food consumers and non- a la carte food consumers.^ In Fall 2011, 1170 elementary and 440 intermediate students were observed anonymously during school lunch. The foods eaten, their source, grade level, and gender were recorded. All a la carte offerings met the Texas School Nutrition Policy.^ Differences in nutrient and food group intake by grade level and between students who consumed a la carte and those who did not were assessed using ANCOVA. A chi-squared analysis was conducted to evaluate differences in a la carte food consumption by grade level, gender, and the school's low income status.^ Average lunch intakes for elementary students were 457 (SD 164) calories for elementary students and 541 calories (SD 188) for intermediate students (p<0.001). 760 students (47%) consumed 937 a la carte foods, with the most often consumed items being chips (32%), ice cream (22%) and snack items (18%). Mean a la carte food intakes were 60 and 98 calories for elementary and intermediate schools respectively (p<0.001). Significantly more (p<0.000) intermediate students (34.3%) consumed a la carte items compared to elementary students (27.5%).^ Students who consumed a la carte foods had significantly higher intakes of calories (p<0.000), fat (p<0.000), sodium (p<0.002), fiber (p<0.000), added sugar (p<0.000), total grains (p<0.000), dessert foods (p<0.000), and snack chips (p<0.000) and lower intakes of vitamin A (p<0.001), iron (p<0.000), fruit (p<0.022), vegetables (p<0.031), milk (p<0.000), and juice (p<0.000) compared to students who did not eat a la carte foods.^ Although previous studies have found that reducing availability of unhealthy items at school decreased student consumption of these items, the results of this study indicate that even the strict guidelines set forth by the state of Texas are not sufficient to prevent increased caloric intake and poor nutrient intake. Strategies to improve student selection and consumption at school lunch when a la carte foods are available are warranted.^

OS SENTIDOS DO FUTEBOL ESPETÁCULO PARA ESTUDANTES DE DISTINTAS CLASSES SOCIAIS

O presente estudo busca identificar em que medida o pertencimento de classe social interfere nos sentidos e perspectivas do jovem brasileiro frente ao futebol espetáculo, bem como compreender os mecanismos sociais que determinam a decisão de os sujeitos investirem na carreira profissional esportiva em detrimento da trajetória escolar longa. Começamos com uma abordagem sociológica, a análise crítica dos processos de difusão, massificação e profissionalização do futebol ocorridas no contexto da sociedade pós-industrial. Enfocamos a conflituosa mutação da modalidade, inicialmente elitizada com fins social-distintivos para esporte de massa ideal de ascensão social da classe popular , além da dependência com a mídia, das razões que levaram a caracterizar-se como produto da indústria cultural, culminando com a transformação do futebol em mercadoria submetida às leis e lógica da sociedade de consumo. Em seguida, entrelaçamos as relações de poder, aliança e concorrência dos agentes sociais que participam do complexo campo das práticas esportivas com os canais com que o público jovem estabelece contato com o esporte espetáculo. Neste aspecto, especial atenção foi dada à mídia, difusora da ideologia de uma sociedade capitalista aberta, que reforça a idéia do esporte como via de ascensão social para indivíduos de baixa renda, na mesma medida em que oculta em seu discurso as reais probabilidades de concretização do sucesso esportivo. A pesquisa de campo foi realizada em duas escolas do município de São Bernardo do Campo (SP), uma da rede pública estadual e outra da rede particular de ensino. Assim, constituímos dois grupos com alunos de distintas classes sociais, compostos por estudantes do 1º ano do Ensino Médio, sexo masculino, com 15 anos de idade e praticantes de futebol nas aulas de Educação Física. Metodologicamente, fizemos uso da observação participante e de entrevistas como instrumentos para a coleta de dados. Conjugadas aos objetivos do estudo, estruturamos a análise do material colhido em seis categorias, articulando questões sobre o prosseguimento nos estudos e o trabalho, as tendências para a pratica esportiva profissional, as representações sociais em torno do futebol, os usos e costumes no tempo livre e as expectativas da pratica esportiva implicadas pela herança cultural familiar. Como referencial teórico de análise, utilizamos de Pierre Bourdieu os conceitos de campo, habitus, estratégia, capital econômico, social e, principalmente, capital cultural, partindo da hipótese de que o nível cultural dos alunos e seus familiares interferem nos sentidos e formas de apropriação do esporte. Entre outras conclusões, obtivemos como resultado a configuração de uma trajetória esportiva profissional voltada para os alunos de baixa classe social, em oposição à trajetória escolar longa, estrategicamente adotada pelos alunos de classe social alta.(AU)

OS SENTIDOS DO FUTEBOL ESPETÁCULO PARA ESTUDANTES DE DISTINTAS CLASSES SOCIAIS

O presente estudo busca identificar em que medida o pertencimento de classe social interfere nos sentidos e perspectivas do jovem brasileiro frente ao futebol espetáculo, bem como compreender os mecanismos sociais que determinam a decisão de os sujeitos investirem na carreira profissional esportiva em detrimento da trajetória escolar longa. Começamos com uma abordagem sociológica, a análise crítica dos processos de difusão, massificação e profissionalização do futebol ocorridas no contexto da sociedade pós-industrial. Enfocamos a conflituosa mutação da modalidade, inicialmente elitizada com fins social-distintivos para esporte de massa ideal de ascensão social da classe popular , além da dependência com a mídia, das razões que levaram a caracterizar-se como produto da indústria cultural, culminando com a transformação do futebol em mercadoria submetida às leis e lógica da sociedade de consumo. Em seguida, entrelaçamos as relações de poder, aliança e concorrência dos agentes sociais que participam do complexo campo das práticas esportivas com os canais com que o público jovem estabelece contato com o esporte espetáculo. Neste aspecto, especial atenção foi dada à mídia, difusora da ideologia de uma sociedade capitalista aberta, que reforça a idéia do esporte como via de ascensão social para indivíduos de baixa renda, na mesma medida em que oculta em seu discurso as reais probabilidades de concretização do sucesso esportivo. A pesquisa de campo foi realizada em duas escolas do município de São Bernardo do Campo (SP), uma da rede pública estadual e outra da rede particular de ensino. Assim, constituímos dois grupos com alunos de distintas classes sociais, compostos por estudantes do 1º ano do Ensino Médio, sexo masculino, com 15 anos de idade e praticantes de futebol nas aulas de Educação Física. Metodologicamente, fizemos uso da observação participante e de entrevistas como instrumentos para a coleta de dados. Conjugadas aos objetivos do estudo, estruturamos a análise do material colhido em seis categorias, articulando questões sobre o prosseguimento nos estudos e o trabalho, as tendências para a pratica esportiva profissional, as representações sociais em torno do futebol, os usos e costumes no tempo livre e as expectativas da pratica esportiva implicadas pela herança cultural familiar. Como referencial teórico de análise, utilizamos de Pierre Bourdieu os conceitos de campo, habitus, estratégia, capital econômico, social e, principalmente, capital cultural, partindo da hipótese de que o nível cultural dos alunos e seus familiares interferem nos sentidos e formas de apropriação do esporte. Entre outras conclusões, obtivemos como resultado a configuração de uma trajetória esportiva profissional voltada para os alunos de baixa classe social, em oposição à trajetória escolar longa, estrategicamente adotada pelos alunos de classe social alta.(AU)

Will income inequality cause a middle-income trap in Asia? Bruegel Working Paper 2013/06, 10 October 2013

The Asian economy is expected to realise favourable growth during the first half of this century, but there is no guarantee. There is a discussion about a ‘middle-income trap’, which refers to a country that has realised rapid growth to become a middle-income country but is unable to grow further. A middle-income trap could occur not only if there is a delay in shifting the economy toward a productivity-driven structure, but also if there is a worsening of income distribution.We consider this in line with the theories of development economics and through a quantitative analysis. The relationship between income inequality and the trap can be explained by the Kuznets hypothesis and the basic-needs approach. Our quantitative analysis supports the Kuznets hypothesis, and indicates that,although a low-income country can accelerate its economic growth with the worsening of income distribution as an engine, a middle income country would experience a decreasing growth rate if it fails to narrow the income gap between the top and bottom income groups. The results also show that the basic-needs approach is also applicable in practice, and imply that the improvement of access to secondary education is important. A sensitivity analysis for three Asian upper-middle-income countries(China, Malaysia and Thailand) also shows that the situation related to a middle-income trap is worse than average in China and Malaysia. These two countries, according to the result of the sensitivity analysis, should urgently improve access to secondary education and should implement income redistribution measures to develop high-tech industries, before their demographic dividends expire. Income redistribution includes the narrowing of rural urban income disparities, benefits to low-income individuals, direct income transfers, vouchers or free provision of education and health-care, and so on, but none of these are simple to implement.

Technical guide for determining income and allowances for the HOME program.

"HUD-1470-CPD"--P. [4] of cover.

REPRESENTAÇÕES SOCIAIS DE PROFESSORES DE MATEMÁTICA SOBRE ALUNOS QUE APRESENTAM BAIXO RENDIMENTO: DISCUTINDO POSSIBILIDADES.

Esta pesquisa tem como objetivo descrever e analisar representações sociais construídas por professores de matemática em atuação na Região da Grande São Paulo e que envolvem dificuldades na aprendizagem dessa disciplina. O objeto desta investigação está centrado nas vivências desses professores da educação básica com o ensino de matemática. O conceito de representação social (Moscovici, 1978, 2004; Jodelet, 2001, 2002) e a formação de professores de matemática (Fiorentini e Lorenzato, 2001, 2006; Valente, 2002; Miorim, 1998) foram os pressupostos teóricos que fundamentaram esta pesquisa. Este estudo, realizado com professores de matemática em atuação, teve como principal motivação a possibilidade de contribuir para uma reflexão tanto sobre a formação de professores de matemática em cursos de licenciatura como a respeito dos entraves e avanços na formação pedagógica e suas relações com a aprendizagem dos alunos na disciplina. Os resultados da presente pesquisa apontam para a seguinte constatação: as representações que os professores têm de seus alunos com baixo rendimento os levam a refletir sobre a própria atuação pedagógica e definem a ação a ser tomada perante esses alunos.

O APARELHO (ESTIGMATIZADOR) ESCOLAR E A EDUCAÇÃO COMPENSATÓRIA: UM ESTUDO SOBRE OS PROGRAMAS DE AUXILIO PEDAGÓGICO

A maior parte das famílias de baixa renda atribui à escola a solução para os seus problemas sociais, vendo no aparelho escolar a única chance de ascensão social. Contudo, cabe aqui perguntar: Qual é o espaço das crianças pobres dentro da escola publica? Afinal, quando inseridas dentro do sistema educacional, em sua maioria demonstram grande dificuldade para avançar, criando assim um grande problema para instituição escolar, uma vez que crianças que não conseguem obter sucesso nos primeiros anos do ensino fundamental acabam arrastando esse fracasso ao longo de toda sua vida escolar. Para essas crianças, foram criados os programas de auxilio pedagógico. Mas até que ponto eles ajudam e onde acabam por estigmatizar os alunos que deles participam? Na tentativa de responder essa pergunta, este trabalho buscou fazer a análise de alguns projetos de auxilio pedagógico que propuseram a mudança da realidade educacional, dando mais oportunidades de avanços às crianças de baixa renda. A pesquisa procura saber se eles realmente cumpriram com a sua finalidade ou acabaram por estigmatizar os alunos que participaram destes projetos de auxilio pedagógico.

Professor de inglês: um olhar sobre a atuação docente e profissional

O presente estudo foi desenvolvido com o objetivo de discutir os desafios da formação docente e profissional dos alunos-professores do curso de Especialização em Língua Inglesa (LI), que já atuam como docentes, de uma instituição confessional localizada na região do ABC, na cidade de São Bernardo do Campo. Para tanto, discute os desafios relacionados à profissão enfrentados por eles em escolas regulares do ensino público e privadas, em cursos livres, bem como em aulas particulares, com a intenção de refletir sobre sua atuação profissional e acadêmica. Foram utilizados autores que refletem sobre o tema como Maria Antonieta Alba Celani, Antonio Nóvoa, Maurice Tardif, Francisco Imbernón, entre outros. A primeira etapa foi realizada por meio de um questionário com questões abertas com catorze participantes. Analisadas as respostas, aplicamos novo questionário com o intuito de aprofundar os aspectos observados inicialmente. Os dados deste estudo foram analisados por meio das referências da análise de conteúdo de Laurence Bardin e Maria Laura Puglisi Barbosa Franco. Os resultados indicaram que a procura pelo curso de Especialização em LI se deu pela necessidade de maior embasamento teórico na área. A maioria dos alunos-professores iniciou a carreira docente como ex-alunos nas escolas de idiomas onde estudavam. Os sujeitos também descreveram como grandes desafios e dificuldades da profissão ter de lidar com diferentes materiais didáticos, públicos, faixa etária, metodologias além da falta de interesse de alunos, a instabilidade de emprego, o pouco reconhecimento da profissão e a baixa renda. Em seus relatos, após a conclusão do curso de Especialização em LI, foi possível perceber que todos os docentes valorizaram significantemente o curso. Apesar de não se sentirem satisfeitos com o cenário atual, quase todos os docentes querem seguir na profissão e afirmam ainda na continuidade dos estudos na área de Língua Inglesa.