Actividad física, sedentarismo frente a pantallas y su relación en adolescentes

Programa de Doctorado: Actividad Física, Salud y Rendimiento Deportivo

Analyzing convergence of Agricultural and Rural Areas in the Enlarged EU: The case of Hungary

The fall of the Berlin Wall opened the way for a reform path – the transition process – which accompanied ten former Socialist countries in Central and South Eastern Europe to knock at the EU doors. By the way, at the time of the EU membership several economic and structural weaknesses remained. A tendency towards convergence between the new Member States (NMS) and the EU average income level emerged, together with a spread of inequality at the sub-regional level, mainly driven by the backwardness of the agricultural and rural areas. Several progresses were made in evaluating the policies for rural areas, but a shared definition of rurality is still missing. Numerous indicators were calculated for assessing the effectiveness of the Common Agricultural Policy and Rural Development Policy. Previous analysis on the Central and Eastern European countries found that the characteristics of the most backward areas were insufficiently addressed by the policies enacted; the low data availability and accountability at a sub-regional level, and the deficiencies in institutional planning and implementation represented an obstacle for targeting policies and payments. The next pages aim at providing a basis for understanding the connections between the peculiarities of the transition process, the current development performance of NMS and the EU role, with particular attention to the agricultural and rural areas. Applying a mixed methodological approach (multivariate statistics, non-parametric methods, spatial econometrics), this study contributes to the identification of rural areas and to the analysis of the changes occurred during the EU membership in Hungary, assessing the effect of CAP introduction and its contribution to the convergence of the Hungarian agricultural and rural. The author believes that more targeted – and therefore efficient – policies for agricultural and rural areas require a deeper knowledge of their structural and dynamic characteristics.

Verso il consumo sostenibile: i prodotti biologici nelle abitudini alimentari degli italiani

Scegliere di consumare in modo sostenibile significa passare ad un nuovo modello di consumo. Tale modello richiede una maggiore consapevolezza e responsabilità da parte dei consumatori, unite all'adozione di nuovi stili di vita e di scelte d’acquisto, che permettano il raggiungimento di elevati livelli di benessere nel rispetto dell'ambiente. Un notevole sforzo è stato compiuto recentemente dai policy maker per incoraggiare il consumo sostenibile quali implementazioni dello sviluppo sostenibile. Ancora lunga, tuttavia, è la strada da percorrere per raggiungere pienamente questo obiettivo. Tra i prodotti sostenibili, il biologico si è rivelato di gran lunga il più rappresentativo: le statistiche di questo mercato mostrano, infatti, tendenze positive, sebbene il consumo risulti ancora eterogeneo e contenuto rispetto al consumo di alimenti convenzionali. Ciò mostra che il comportamento dei consumatori non è ancora abbastanza reattivo alle suddette politiche. Il presente studio si propone di contribuire alla ricerca sul consumo sostenibile approfondendo i fattori che incoraggiano o impediscono il consumo di prodotti alimentari biologici in Italia. Adottando un nuovo approccio si cerca di capire come i diversi segmenti di diete alimentari affrontino gli alimenti biologici in termini di consumi e di atteggiamenti. Un'analisi multivariata a più fasi è stata condotta su un campione di 3.004 consumatori. Un’analisi delle componenti principali non lineare è stata applicata alle variabili ordinali che misurano il consumo di ventuno categorie di alimenti. Successivamente è stata applicata la cluster analysis che ha dato luogo a quattro segmenti di abitudini alimentari. I prodotti biologici sono diventati parte delle abitudini alimentari in Italia in quasi un terzo della popolazione. Il consumo sembra essersi affermato soprattutto nel segmento con abitudini alimentari sane. Una scarsa attenzione ad una dieta sana, gli stili di vita, il reddito, l'accessibilità, la mancanza di consapevolezza condizionano le abitudini alimentari a scapito di un consumo più sostenibile.

Variability in the Treatment of Elderly Patients with Stage IIIA (N2) Non–Small-Cell Lung Cancer

INTRODUCTION: We evaluated treatment patterns of elderly patients with stage IIIA (N2) non-small-cell lung cancer (NSCLC). METHODS: The use of surgery, chemotherapy, and radiation for patients with stage IIIA (T1-T3N2M0) NSCLC in the Surveillance, Epidemiology, and End Results-Medicare database from 2004 to 2007 was analyzed. Treatment variability was assessed using a multivariable logistic regression model that included treatment, patient, tumor, and census track variables. Overall survival was analyzed using the Kaplan-Meier approach and Cox proportional hazard models. RESULTS: The most common treatments for 2958 patients with stage IIIA (N2) NSCLC were radiation with chemotherapy (n = 1065, 36%), no treatment (n = 534, 18%), and radiation alone (n = 383, 13%). Surgery was performed in 709 patients (24%): 235 patients (8%) had surgery alone, 40 patients (1%) had surgery with radiation, 222 patients had surgery with chemotherapy (8%), and 212 patients (7%) had surgery, chemotherapy, and radiation. Younger age (p < 0.0001), lower T-status (p < 0.0001), female sex (p = 0.04), and living in a census track with a higher median income (p = 0.03) predicted surgery use. Older age (p < 0.0001) was the only factor that predicted that patients did not get any therapy. The 3-year overall survival was 21.8 ± 1.5% for all patients, 42.1 ± 3.8% for patients that had surgery, and 15.4 ± 1.5% for patients that did not have surgery. Increasing age, higher T-stage and Charlson Comorbidity Index, and not having surgery, radiation, or chemotherapy were all risk factors for worse survival (all p values < 0.001). CONCLUSIONS: Treatment of elderly patients with stage IIIA (N2) NSCLC is highly variable and varies not only with specific patient and tumor characteristics but also with regional income level.

Association between length of stay in the U.S. and diabetes risk factors among Chinese Americans in Houston, Texas in 2004-2005

Studies have suggested that acculturation is related to diabetes prevalence and risk factors among immigrant groups in the United States (U.S.), however scant data are available to investigate this relationship among Asian Americans and Asian American subgroups. The objective of this cross-sectional study was to examine the association between length of stay in the U.S. and type 2 diabetes prevalence and its risk factors among Chinese Americans in Houston, Texas. Data were obtained from the 2004-2005 Asian-American Health Needs Assessment in Houston, Texas (N=409 Chinese Americans) for secondary analysis in this study. Diabetes prevalence and risk factors (overweight/obesity and access to medical care) were based on self-report. Descriptive statistics summarized demographic characteristics, diabetes prevalence, and reasons for not seeing a doctor. Logistic regression, using an incremental modeling approach, was used to measure the association between length of stay and diabetes prevalence and related risk factors, while adjusting for the potential confounding factors of age, gender, education level, and income level. Although the prevalence of type 2 diabetes was highest among those living in the U.S. for more than 20 years, there was no significant association between length of stay in the U.S. and diabetes prevalence among these Chinese Americans after adjustment for confounding factors. No association was found between length of stay in the U.S. and overweight/obese status among this population either, after adjusting for confounding factors, too. On the other hand, a longer length of stay was significantly associated with increased health insurance coverage in both unadjusted and adjusted models. The findings of this study suggest that length of stay in the U.S. alone may not be an indicator for diabetes risk among Chinese Americans. Future research should consider alternative models to measure acculturation (e.g., models that reflect acculturation as a multi-dimensional, not uni-dimensional process), which may more accurately depict its effect on diabetes prevalence and related risk factors.^

Associations between ambient levels of combustion pollutants and small for gestational age infants in Texas

There is scant evidence regarding the associations between ambient levels of combustion pollutants and small for gestational age (SGA) infants. No studies of this type have been completed in the Southern United States. The main objective of the project presented was to determine associations between combustion pollutants and SGA infants in Texas using three different exposure assessments. ^ Birth certificate data that contained information on maternal and infant characteristics were obtained from the Texas Department of State Health Services (TX DSHS). Exposure assessment data for the three aims came from: (1) U.S. Environmental Protection Agency (EPA) National Air Toxics Assessment (NATA), (2) U.S. EPA Air Quality System (AQS), and (3) TX Department of Transportation (DOT), respectively. Multiple logistic regression models were used to determine the associations between combustion pollutants and SGA. ^ For the first study looked at annual estimates of four air toxics at the census tract level in the Greater Houston Area. After controlling for maternal race, maternal education, tobacco use, maternal age, number of prenatal visits, marital status, maternal weight gain, and median census tract income level, adjusted ORs and 95% confidence intervals (CI) for exposure to PAHs (per 10 ng/m3), naphthalene (per 10 ng/m3), benzene (per 1 µg/m3), and diesel engine emissions (per 10 µg/m3) were 1.01 (0.97–1.05), 1.00 (0.99–1.01), 1.01 (0.97–1.05), and 1.08 (0.95–1.23) respectively. For the second study looking at Hispanics in El Paso County, AORs and 95% confidence intervals (CI) for increases of 5 ng/m3 for the sum of carcinogenic PAHs (Σ c-PAHs), 1 ng/m3 of benzo[a]pyrene, and 100 ng/m3 in naphthalene during the third trimester of pregnancy were 1.02 (0.97–1.07), 1.03 (0.96–1.11), and 1.01 (0.97–1.06), respectively. For the third study using maternal proximity to major roadways as the exposure metric, there was a negative association with increasing distance from a maternal residence to the nearest major roadway (Odds Ratio (OR) = 0.96; 95% CI = 0.94–0.97) per 1000 m); however, once adjusted for covariates this effect was no longer significant (AOR = 0.98; 95% CI = 0.96–1.00). There was no association with distance weighted traffic density (DWTD). ^ This project is the first to look at SGA and combustion pollutants in the Southern United States with three different exposure metrics. Although there was no evidence of associations found between SGA and the air pollutants mentioned in these studies, the results contribute to the body of literature assessing maternal exposure to ambient air pollution and adverse birth outcomes. ^

Identificación de la pobreza rural y algunas estrategias de intervención : Mendoza (Argentina)

En Mendoza, Argentina, más del 60 % de los productores agrícolas tiene predios menores de 10 ha, algunos de ellos con modelos productivos que no alcanzan para la sustentabilidad del grupo familiar. La presente investigación identifica la situación actual de la población estudiada, mediante variables de ingreso familiar, grado de asociativismo, características de la comercialización y algunas prácticas de gestión, para establecer comparaciones entre grupos poblacionales. Se trabajó en una muestra de productores regantes del Río Mendoza. Para los de menos de 10 ha se agregó un cuestionario complementario que indagó sobre niveles de asociación y sus resultados. Se analizó con mayor detalle el sector vitícola y olivícola con nuevas encuestas y entrevistas en profundidad. El 42 % de los productores tiene vid, el 30 % olivos y el 28 % horticultura, fruticultura y floricultura. El mayor nivel de asociación se encuentra entre los viticultores. En los demás sectores, éste es muy bajo o nulo. En la comparación de grupos, los mayores niveles de pobreza están en los productores de menos de 10 ha y baja tecnología. Además, en el sector vitícola, los menores niveles de ingreso se encuentran en aquellos no asociados y en toda la población estudiada la pobreza es mayor en el sector asalariado que en los propietarios de la tierra. Este proyecto identifica la capacitación como una de las acciones para mejorar la situación socioeconómica de los productores.

Informalidad laboral, pobreza y regiones : Un análisis desde la coyuntura argentina

El objetivo del presente trabajo es analizar comparativamente el impacto sobre la pobreza de la informalidad laboral en las distintas regiones argentinas. Los resultados obtenidos indican que el Empleo Informal reduce el nivel de ingreso entre un 53 y un 71, y el empleo en el Sector Informal disminuye el nivel de salario entre un 46 y un 63, según la región considerada. En tanto, la formalización de los empleados informales implica reducciones de la pobreza de entre un 10 y un 16, y la erradicación del empleo en el Sector Informal conlleva disminuciones de la incidencia de la pobreza que se ubican entre el 7 y el 14, según la región que se considere. La metodología adoptada consistió, en una primera etapa, en estimar el efecto ceteris paribus de la informalidad en la pobreza. De este modo, fue posible obtener el diferencial de ingreso laboral causado por la informalidad. Luego, sobre la base de las brechas salariales estimadas, se realizó una microsimulación de la incidencia de la pobreza en un escenario contrafactual en el que se formalizaran todos los ocupados informales (o los trabajadores del Sector Informal). Con este procedimiento, se pudo cuantificar el efecto de la informalidad en la pobreza

Informalidad laboral, pobreza y regiones : Un análisis desde la coyuntura argentina

El objetivo del presente trabajo es analizar comparativamente el impacto sobre la pobreza de la informalidad laboral en las distintas regiones argentinas. Los resultados obtenidos indican que el Empleo Informal reduce el nivel de ingreso entre un 53 y un 71, y el empleo en el Sector Informal disminuye el nivel de salario entre un 46 y un 63, según la región considerada. En tanto, la formalización de los empleados informales implica reducciones de la pobreza de entre un 10 y un 16, y la erradicación del empleo en el Sector Informal conlleva disminuciones de la incidencia de la pobreza que se ubican entre el 7 y el 14, según la región que se considere. La metodología adoptada consistió, en una primera etapa, en estimar el efecto ceteris paribus de la informalidad en la pobreza. De este modo, fue posible obtener el diferencial de ingreso laboral causado por la informalidad. Luego, sobre la base de las brechas salariales estimadas, se realizó una microsimulación de la incidencia de la pobreza en un escenario contrafactual en el que se formalizaran todos los ocupados informales (o los trabajadores del Sector Informal). Con este procedimiento, se pudo cuantificar el efecto de la informalidad en la pobreza

Informalidad laboral, pobreza y regiones : Un análisis desde la coyuntura argentina

El objetivo del presente trabajo es analizar comparativamente el impacto sobre la pobreza de la informalidad laboral en las distintas regiones argentinas. Los resultados obtenidos indican que el Empleo Informal reduce el nivel de ingreso entre un 53 y un 71, y el empleo en el Sector Informal disminuye el nivel de salario entre un 46 y un 63, según la región considerada. En tanto, la formalización de los empleados informales implica reducciones de la pobreza de entre un 10 y un 16, y la erradicación del empleo en el Sector Informal conlleva disminuciones de la incidencia de la pobreza que se ubican entre el 7 y el 14, según la región que se considere. La metodología adoptada consistió, en una primera etapa, en estimar el efecto ceteris paribus de la informalidad en la pobreza. De este modo, fue posible obtener el diferencial de ingreso laboral causado por la informalidad. Luego, sobre la base de las brechas salariales estimadas, se realizó una microsimulación de la incidencia de la pobreza en un escenario contrafactual en el que se formalizaran todos los ocupados informales (o los trabajadores del Sector Informal). Con este procedimiento, se pudo cuantificar el efecto de la informalidad en la pobreza

International Competitiveness of Manufacturing Firms in sub-Saharan Africa

As the success of East Asian countries has shown, labor-intensive industry is recognized to lead economic growth in the early stages of development, utilizing relatively low labor costs. This same growth process has already started in South and South East Asian LDCs since the mid-1990s. However, the manufacturing sector in sub-Saharan Africa has been underdeveloped and manufacturing exports, in particular labour-intensive goods, have stagnated. This paper investigates the international competitiveness of the African manufacturing sector and its determinants through an analytical survey of empirical studies and a comparison with Asian low income countries. Empirical evidences indicate that primary factors of competitiveness, namely productivity, labour cost and exchange rate are unfavorable in sub-Saharan Africa. Representative arguments attribute the weak competitiveness to problems in the business environment, factor endowment, and the exchange rate. However, careful review shows that labour cost is beyond the range explained by endowment and misalignment of exchange rates have been reduced in Africa. Moreover, comparison with Asian low income countries which have competitiveness in labour-intensive goods shows no difference in the quality of business environment, while the labour cost is significantly lower than sub-Saharan African countries. Although results should be considered tentative, high labour cost beyond endowment and conservative investment behavior emerge as important factors for the weak competitiveness in sub-Saharan Africa when controlling income level.

User benefit assessment by a dynamic LUTI model for Madrid

Assessing users’ benefit in a transport policy implementation has been studied by many researchers using theoretical or empirical measures. However, few of them measure users’ benefit in a different way from the consumer surplus. Therefore, this paper aims to assess a new measure of user benefits by weighting consumer surplus in order to include equity assessment for different transport policies simulated in a dynamic middle-term LUTI model adapted to the case study of Madrid. Three different transport policies, including road pricing, parking charge and public transport improvement have been simulated through the Metropolitan Activity Relocation Simulator, MARS, the LUTI calibrated model for Madrid). A social welfare function (WF) is defined using a cost benefit analysis function that includes mainly costs and benefits of users and operators of the transport system. Particularly, the part of welfare function concerning the users, (i.e. consumer surplus), is modified by a compensating weight (CW) which represents the inverse of household income level. Based on the modified social welfare function, the effects on the measure of users benefits are estimated and compared with the old WF ́s results as well. The result of the analysis shows that road pricing leads a negative effect on the users benefits specially on the low income users. Actually, the road pricing and parking charge implementation results like a regressive policy especially at long term. Public transport improvement scenario brings more positive effects on low income user benefits. The integrated (road pricing and increasing public services) policy scenario is the one which receive the most user benefits. The results of this research could be a key issue to understanding the relationship between transport systems policies and user benefits distribution in a metropolitan context.

Exploring users inter-temporal preferences for measuring transport social equity effects

There exist different ways for defining a welfare function. Traditionally, welfare economic theory foundation is based on the Net Present Value (NPV) calculation where the time dependent preferences of considered agents are taken into account. However, the time preferences, remains a controversial subject. Currently, the traditional approach employs a unique discount rate for various agents. Nevertheless, this way of discounting appears inconsistent with sustainable development. New research work suggests that the discount rate may not be a homogeneous value. The discount rates may change following the individual’s preferences. A significant body of evidence suggests that people do not behave following a constant discount rate. In fact, UK Government has quickly recognized the power of the arguments for time-varying rates, as it has done in its official guidance to Ministries on the appraisal of investments and policies. Other authors deal with not just time preference but with uncertainty about future income (precautionary saving). In a situation in which economic growth rates are similar across time periods, the rationale for declining social optimal discount rates is driven by the preferences of the individuals in the economy, rather than expectations of growth. However, these approaches have been mainly focused on long-term policies where intergenerational risks may appear. The traditional cost-benefit analysis (CBA) uses a unique discount rate derived from market interest rates or investment rates of return for discounting the costs and benefits of all social agents included in the CBA. However, recent literature showed that a more adequate measure of social benefit is possible by using different discount rates including inter-temporal preferences rate of users, private investment discount rate and intertemporal preferences rate of government. Actually, the costs of opportunity may differ amongst individuals, firms, governments, or society in general, as do the returns on savings. In general, the firms or operators require an investment rate linked to the current return on savings, while the discount rate of consumers-users depends on their time preferences with respect of the current and the future consumption, as well as society can take into account the intergenerational well-being, adopting a lower discount rate for today’s generation. Time discount rate of social actors (users, operators, government and society) places a lower value in a future gain, but the uncertainty about future income strongly determines the individual preferences. These time and uncertainty depends on preferences and should be integrated into a transport policy formulation that may have significant social impacts. The discount rate of a user cannot be the same than the operator’s discount rate. The preferences of both are different. In addition, another school of thought suggests that people, such as a social group, may have different attitudes towards future costs and benefits. Particularly, the users have different discount rates related to their income. Some research work tried to modify user discount rates using a compensating weight which represents the inverse of household income level. The inter-temporal preferences are a proxy of the willingness to pay during the time. Its consideration is important in order to make acceptable or not a policy or investment

Los impactos de los cuidados de salud en los ámbitos de vida de las personas cuidadoras

El objetivo del artículo es analizar la distribución del tiempo de las personas cuidadoras en las distintas esferas de la vida (la esfera laboral, la privada o personal y la doméstica). El estudio se basa en el análisis de los datos de la Encuesta de Empleo del Tiempo 2002-2003 del Instituto Nacional de Estadística (INE). Los resultados de la investigación muestran los impactos negativos del cuidado informal sobre los distintos ámbitos de la vida en términos de reducción de la vida privada o personal, de la participación en el ámbito laboral y de mayor carga del trabajo total. Asimismo, también ponen de manifiesto la heterogeneidad de los efectos del cuidado informal en la vida cotidiana de las personas cuidadoras según el sexo, la edad y el nivel de ingresos.

Female Labour Force Participation and Economic Development in Southern Mediterranean Countries: What scenarios for 2030? MEDPRO Technical Report No. 19/December 2012

This paper investigates the relationship between female labour force participation rates and economic growth in southern Mediterranean countries. A two-step methodology involving econometric estimations and the use of a general equilibrium model was used for this purpose. The econometric estimations suggest that there is a U-shaped relationship between economic growth and female labour force participation rates and they indicate the presence of region-specific barriers impeding women's entry into the labour force in southern Mediterranean countries. The econometric results were fed into a general equilibrium model, the GEM-E3-MEDPRO, which was used to simulate two alternative assumptions on developments in female labour participation rates in the region up to 2030. The first of these simulated changes in female labour force participation rates arising from income level trends projected for the period 2015–2030 in southern Mediterranean countries. The second assumed the lowering of region-specific barriers which deter female labour force participation. The results of these simulations suggest that lower female labour force participation rates may lead to marginally lower economic growth in the region, while the removal of region-specific barriers to female labour force participation may encourage economic growth. This has important policy implications, suggesting that policies intended to remove such barriers could help to promote the growth of the region's economies.