Food choices and practices during pregnancy of immigrant and Aboriginal women in Canada: a study protocol

Abstract Background Facilitating the provision of appropriate health care for immigrant and Aboriginal populations in Canada is critical for maximizing health potential and well-being. Numerous reports describe heightened risks of poor maternal and birth outcomes for immigrant and Aboriginal women. Many of these outcomes may relate to food consumption/practices and thus may be obviated through provision of resources which suit the women's ethnocultural preferences. This project aims to understand ethnocultural food and health practices of Aboriginal and immigrant women, and how these intersect with respect to the legacy of Aboriginal colonialism and to the social contexts of cultural adaptation and adjustment of immigrants. The findings will inform the development of visual tools for health promotion by practitioners. Methods/Design This four-phase study employs a case study design allowing for multiple means of data collection and different units of analysis. Phase 1 consists of a scoping review of the literature. Phases 2 and 3 incorporate pictorial representations of food choices (photovoice in Phase 2) with semi-structured photo-elicited interviews (in Phase 3). The findings from Phases 1-3 and consultations with key stakeholders will generate key understandings for Phase 4, the production of culturally appropriate visual tools. For the scoping review, an emerging methodological framework will be utilized in addition to systematic review guidelines. A research librarian will assist with the search strategy and retrieval of literature. For Phases 2 and 3, recruitment of 20-24 women will be facilitated by team member affiliations at perinatal clinics in one of the city's most diverse neighbourhoods. The interviews will reveal culturally normative practices surrounding maternal food choices and consumption, including how women negotiate these practices within their own worldview and experiences. A structured and comprehensive integrated knowledge translation plan has been formulated. Discussion The findings of this study will provide practitioners with an understanding of the cultural differences that affect women's dietary choices during maternity. We expect that the developed resources will be of immediate use within the women's units and will enhance counseling efforts. Wide dissemination of outputs may have a greater long term impact in the primary and secondary prevention of these high risk conditions.

Imigrantes da Bolívia na escola em São Paulo: fronteiras do direito à educação

Entender como está sendo realizado o direito humano à educação para os e as imigrantes da Bolívia que vivem em São Paulo é o principal objetivo deste estudo, que se insere no ponto de encontro entre dois debates globais contemporâneos: de um lado, os que envolvem a complexidade das migrações internacionais e, de outro, os que tratam das tensões relativas à universalização de direitos em sociedades desiguais e discriminatórias. Ao longo da pesquisa, analisamos a legislação nacional e internacional e percorremos a literatura contemporânea sobre migrações internacionais e sua interface com o campo dos Direitos Humanos, em especial problematizando a relação entre os direitos de todos e os direitos dos cidadãos - dado que muitos que integram o grupo pesquisado vivem em situação irregular no Brasil, o que não lhes tira a garantia da realização de direitos fundamentais. Para uma melhor compreensão dessa dinâmica, visitamos locais de convivência dos imigrantes bolivianos(as) na cidade, realizamos encontros com representantes das organizações que atuam com o tema e, finalmente, fizemos 16 entrevistas com estudantes, mães, pais, professores(as) e funcionários de escolas públicas da capital.

Aquém e além-mar: imigrantes e cidades

O objetivo central deste artigo é problematizar a questão da imigração para as cidades refletindo sobre a temática dos deslocamentos, que articula lugar de origem e acolhimento. A pesquisa se fez a partir da migração de italianos que ocuparam e construíram o bairro do Bexiga em São Paulo. Para tanto, procuramos refletir sobre as motivações da imigração, as condições de vida na Itália e no Brasil e as construções de redes de sociabilidade e pertencimento que viabilizaram o ato migratório.

Suicide rates and trends in São Paulo, Brazil, according to gender, age and demographic aspects: a joinpoint regression analysis

OBJECTIVE: To evaluate suicide rates and trends in São Paulo by sex, age-strata, and methods. METHODS: Data was collected from State registry from 1996 to 2009. Population was estimated using the National Census. We utilized joinpoint regression analysis to explore temporal trends. We also evaluated marital status, ethnicity, birthplace and methods for suicide. RESULTS: In the period analyzed, 6,002 suicides were accrued with a rate of 4.6 per 100,000 (7.5 in men and 2.0 in women); the male-to-female ratio was around 3.7. Trends for men presented a significant decline of 5.3% per year from 1996 to 2002, and a significant increase of 2.5% from 2002 onwards. Women did not present significant changes. For men, the elderly (> 65 years) had a significant reduction of 2.3% per year, while younger men (25-44 years) presented a significant increase of 8.6% from 2004 onwards. Women did not present significant trend changes according to age. Leading suicide methods were hanging and poisoning for men and women, respectively. Other analyses showed an increased suicide risk ratio for singles and foreigners. CONCLUSIONS: Specific epidemiological trends for suicide in the city of São Paulo that warrant further investigation were identified. High-risk groups - such as immigrants - could benefit from targeted strategies of suicide prevention.

Minka - The houses of Japanese imigrants in Ribeira valley, São Paulo,Brazil

O artigo analisa o processo de produção de moradia do imigrante japonês no Vale do Ribeira, na região sul do estado de São Paulo, ocorrido no início do século XX. Partindo do contexto histórico do início da colonização da região e as condicionantes que possibilitaram a criação da colônia, o trabalho busca verificar como foram construídas as casas que, baseados na autoconstrução e tendo a terra e madeira formaram o repertório de quase 500 casas. Põe foco em dois exemplares onde são analisadas a técnica do tsuchikabe e as sambladuras; verificando que mesmo diante das adversidades encontradas na natureza distinta de sua origem construíram casas de elevada qualidade. Os saberes trazidos do extremo oriente foram aplicados e se mesclaram às influências, cabocla, quilombola e europeia que hoje, após um século, representam uma categoria expressiva e variada sob os aspectos construtivo, tipológico e programático.

Skyddandets förnuft : En studie om anhöriga till hjälpbehövande äldre som invandrat sent i livet

This dissertation aims to examine and deepen the knowledge of family member caregiving where the care recipient is an elderly person who immigrated late in life. It also aims to contribute to the knowledge of the complexities underlying informal care giving and add to our understandings of what it means to be an immigrant in Sweden. The caregiver is in focus. The research conducted is explorative and partly inductive. The main material used is a qualitative interview study carried out with family members from different countries who are providing informal care to elderly immigrant relatives. The analysis gives three patterns of caregiving. One shows help from informal caregivers only who are not compensated economically. Another shows help from family members who are compensated. The third shows help from family members and staff from the public care system. Three ideal-typical informal caregiver roles show different positions vis-à-vis the new: “guardian”, “filter” and “reinterpreter of traditional care ideals”. Swedish born and immigrated informal caregivers are also compared through analysis of data gathered in telephone interviews with a representative selection of inhabitants in the County of Stockholm. A philosophy of action together with theory on integration and multiculturalism serves as theoretical frameworks to understand discrepancies and ambiguities in the data. Young immigrants experience different integration processes than do the older ones. They strive to protect older family members from changes linked to the migration experience. Talk about dependence on culture underlines family feelings and legitimates the processes of protection. Preconceptions about great differences between Swedish born and immigrant families are not supported by quantitative data. A conclusion is that protection can be understood in relation both to the traditional and the new, the latter in the forms of meetings with Swedish society where unequal relations prevail. It is a kind of counter-strategy where the range of actions is diminished, and thus it has its own logic. Protection can be loosened up when the circumstances change and the range of actions grow.

La investigación biográfica en el estudio de las migraciones internacionales: la utilización de la técnica "BNIM"

[ES] El uso de técnicas cualitativas de investigación en Geografía se ha visto enriquecido, en los últimos años, con nuevos enfoques que proceden de la Sociología. Entre dichos enfoques tiene un papel destacado el biográfico, suponiendo esta mirada un giro al sujeto, que se convierte en objeto de estudio y en fuente esencial de información. Uno de los métodos más novedosos en relación con esta perspectiva es el método BNIM (Biographic Narrative Interpretative Method), que hemos ensayado para el análisis de la trayectoria socioprofesional de los inmigrados latinoamericanos en Canarias, en un momento de particular incidencia de la crisis económica. Sus historias de vida ponen de manifiesto cómo viven la crisis y los sentimientos de pérdida, de desarraigo, de transición, de renuncia, de dificultades… que, aunque consustanciales al propio proceso migratorio, se refuerzan en la actual situación.

Valutazione dell'impatto della farmacogenetica in ambito di Sanità Pubblica. Analisi del polimorfismo genetico dell'enzima CYP2D6 metabolizzante xenobiotici.

Pharmacogenetic testing provides an outstanding opportunity to improve prescribing safety and efficacy. In Public health policy pharmacogenetics is relevant for personalized therapy and to maximize therapeutic benefit minimizing adverse events. CYP2D6 is known to be a key enzyme responsible for the biotransformation of about 25-30% of extensively used drugs and genetic variations in genes coding for drug-metabolizing enzymes might lead to adverse drug reactions, toxicity or therapeutic failure of pharmacotherapy. Significant interethnic differences in CYP2D6 allele distribution are well established, but immigration is reshaping the genetic background due to interethnic admixture which introduces variations in individual ancestry resulting in distinct level of population structure. The present thesis deals with the genetic determination of the CYP2D6 alleles actually present in the Emilia-Romagna resident population providing insights into the admixture process. A random sample of 122 natives and 175 immigrants from Africa, Asia and South America where characterized considering the present scenario of migration and back migration events. The results are consistent with the known interethnic genetic variation, but introduction of ethnic specific variants by immigrants predicts a heterogeneous admixed population scenario requiring, for drugs prescription and pharmacogenetics studies, an interdisciplinary approach applied in a properly biogeographical and anthropological frame. To translate pharmacogenetics knowledge into clinical practice requires appropriated public health policies, possibly guiding clinicians to evaluate prospectively which patients have the greatest probability of expressing a variant genotype.

Donne e precarietà del lavoro nell’industria bolognese dagli anni Cinquanta alla crisi degli anni Settanta

This dissertation uses the concept of “precariousness” to analyze women’s labour conditions in Italian industry over the Fifties and Sixties, when the agricultural basis of the Italian economy was replaced by an industrial one. The present research studies the way in which female work has been employed on different and nearly always inferior terms to male work, whether quantitatively or qualitatively. In most cases wages have been lower, periods of qualification and dequalification more unfavourable, and contract terms generally less secure than for male workers. The combination of these aspects of women work conditions has resulted in what will be called job precariousness. Job precariousness is adopted as a paradigm for an in-depth analysis of women’s working conditions. Women (like immigrants) have always experienced considerably worse working conditions than men throughout the capitalist industrial age. Even in the “Golden Age” of the 20th century (1945-1975), considered by most sociologists and economists “the era of job stability”, women’s working conditions were worse than men’s and can be defined precarious. Women in Bolognese industry are not an exception. The dissertation will show how many women’s jobs in industry were the opposite of stable and therefore can be called precarious in the period of 1950s and 1960s, when the Italian economy experienced the most intense economic and industrial growth of the 20th century. The comparison between female and male work conditions will address several aspects related to job precariousness: duration and continuity of work, salary variability, forms of discrimination and the relation between contract and social rights. In addition, attention will be paid to the forms of contract, gender-specific forms of discrimination and material working conditions of women.

Economie locali, mondi globali. Per un'etnografia del microcredito in Italia

Local worlds, global economies. For an ethnography of microcredit in Italy. The research main purpose is to provide an anthropological analysis of a microcredit project targeting migrant women in Venice, Italy. Microcredit is a globally widespread financial strategy. Muhammad Yunus’ Grameen Bank success in Bangladesh was pivotal in promoting microfinance as one of the most important poverty alleviation strategies in the Development Countries. Post Industrial Countries adopted microcredit to foster “non bankable” categories – notably immigrants, women and young people - financial inclusion. The history of the Venice project is reconstructed starting from the perspectives of its main characters (promoters, social workers, beneficiaries and local stakeholders). Their positioned representations are analyzed in order to understand how different actors reproduced or renegotiated some of the main rhetorics underpinning the hegemonic “microcredit discourse”. Specifically, keywords such as “sustainability”, “empowerment” and “trust” are critically deconstructed to see how they are meant and translated into practice by different actors. Fieldwork data allows some considerations on the Italian way to microfinance.

The Role of Multiple Social Categorisation in Promoting the Inclusion in the Human Group of Outgroup Members

Ergodicity and regularity of invariant measure for branching Markov processes with immigration

In this thesis we consider systems of finitely many particles moving on paths given by a strong Markov process and undergoing branching and reproduction at random times. The branching rate of a particle, its number of offspring and their spatial distribution are allowed to depend on the particle's position and possibly on the configuration of coexisting particles. In addition there is immigration of new particles, with the rate of immigration and the distribution of immigrants possibly depending on the configuration of pre-existing particles as well. In the first two chapters of this work, we concentrate on the case that the joint motion of particles is governed by a diffusion with interacting components. The resulting process of particle configurations was studied by E. Löcherbach (2002, 2004) and is known as a branching diffusion with immigration (BDI). Chapter 1 contains a detailed introduction of the basic model assumptions, in particular an assumption of ergodicity which guarantees that the BDI process is positive Harris recurrent with finite invariant measure on the configuration space. This object and a closely related quantity, namely the invariant occupation measure on the single-particle space, are investigated in Chapter 2 where we study the problem of the existence of Lebesgue-densities with nice regularity properties. For example, it turns out that the existence of a continuous density for the invariant measure depends on the mechanism by which newborn particles are distributed in space, namely whether branching particles reproduce at their death position or their offspring are distributed according to an absolutely continuous transition kernel. In Chapter 3, we assume that the quantities defining the model depend only on the spatial position but not on the configuration of coexisting particles. In this framework (which was considered by Höpfner and Löcherbach (2005) in the special case that branching particles reproduce at their death position), the particle motions are independent, and we can allow for more general Markov processes instead of diffusions. The resulting configuration process is a branching Markov process in the sense introduced by Ikeda, Nagasawa and Watanabe (1968), complemented by an immigration mechanism. Generalizing results obtained by Höpfner and Löcherbach (2005), we give sufficient conditions for ergodicity in the sense of positive recurrence of the configuration process and finiteness of the invariant occupation measure in the case of general particle motions and offspring distributions.

Métamorphoses de l'Image des Tartares dans la littérature européenne du XXème siècle

Ce travail doctoral analyse le changement de l’image des Tartares dans la littérature européenne en langue allemande, anglaise, française et italienne du XXe siècle par l’étude de trois figures : la horde mongole, Gengis-khan et Khoubilaï-khan. Il soutient la thèse que, grâce à quelques facteurs historico-culturels comme la remise en question du concept de barbarie, l’essor des totalitarismes, l’ouverture de la Mongolie vers l’Occident, la redécouverte de l’Histoire secrète des Mongols et la fortune de Le divisament dou monde, au cours du XXe siècle, l’image littéraire des gengiskhanides de négative devient positive. Cette étude se compose d’une introduction, de trois chapitres et d’une conclusion. Dans l’introduction, on analyse la formation de l’image des Tartares et son évolution jusqu’à la fin du XIXe siècle, on retrace les facteurs historico-culturels qui la remettent au goût du jour et en provoquent le changement au XXe siècle et on présente le travail. Dans le premier chapitre, on se penche sur la prosopographie des Tartares dans les textes littéraires du XXe siècle, en la confrontant avec leur représentation dans l’art contemporain. Dans le deuxième chapitre, on étudie la façon des Tartares de se rapporter aux autres au sein de la société dans les textes littéraires du XXe siècle. Dans le troisième chapitre, on examine les lieux des gengiskhanides dans les textes littéraires du XXe siècle. Enfin, dans la conclusion, les données acquises au moyen de l’analyse conduite sont confrontées et interprétées. Le changement de l’image des Tartares va de pair avec une Europe qui, après avoir fait l’expérience de deux guerres mondiales, avoir assisté aux revendications de la décolonisation et avoir introjecté la thèse freudienne du « malaise dans la civilisation », remet en discussion sa façon de concevoir la barbarie et l’Altérité.

La vita culturale ebraica a Candia nei secoli XIV-XVI: l'impatto dell'immigrazione sulla cultura della comunità locale

La tesi ha per oggetto la cultura ebraica cretese nei secoli XIV-XVI e, in particolare, l’influsso esercitato su di essa dalla cultura e dalle tradizioni degli ebrei sefarditi e ashkenaziti che cominciarono a stabilirsi sull’isola a partire dalla metà del Trecento. La tesi si basa da un lato su fonti amministrative e notarili e, dall’altro, sui manoscritti ebraici prodotti o portati a Candia nel periodo considerato. Il primo capitolo tratta della comunità ebraica nel primo Cinquecento e porta nuove notizie a proposito della geografia della zudeca, delle sue sinagoghe, della sua composizione sociale, dell’entità della sua popolazione e della biografia del principale leader spirituale e culturale attivo a Candia a quell’epoca: Elia Capsali. Il secondo capitolo offre una panoramica sull’immigrazione ebraica a Candia nei secoli XIV-XV. Il terzo capitolo esplora alcune particolarità della liturgia sinagogale elaborata dagli ebrei candioti sotto l’influsso della tradizione ashkenazita. Il quarto capitolo tratta di due liste di libri databili alla seconda metà del Quattrocento (Bologna, Biblioteca Universitaria, ms. 3574 B) e suggerisce di considerarle come indicative del peso che ebbero alcuni immigrati ebrei catalani nella diffusione della cultura medica sefardita a Candia. Il quinto capitolo è dedicato al medico, filosofo e astronomo Mosheh ben Yehudah Galiano, il quale visse a Candia tra la seconda metà degli anni Venti del Cinquecento e il 1543. L’ultimo capitolo tratta degli effetti provocati dall’epidemia di peste del 1592-95 all’interno della zudeca di Candia.

Il child language brokering a Ravenna e provincia: la parola agli studenti e ai professori

The main aim of this study is to provide a description of the phenomenon defined as Child Language Brokering (CLB), a common practice among language minority communities but which has received less attention in the academic literature. As the children of immigrants often learn the host language much more quickly than their parents, they contribute to family life by acting as language and cultural mediators between a family members and different language speakers. Many immigrant families prefer a language broker from within their own family to an external mediator or interpreter, even though there is a well-found resistance to the use of these young interpreters by professionals. In this study I report some findings from surveys of teachers in schools in Ravenna where there has been some use of students as CLBs and of students who have acted or are still acting as mediators for their families in different contexts, not only while at school. This dissertation is divided into five chapters. Chapter one aims at providing an overview of recent migration to Italy and of the differences between first-generation immigrants and second-generation immigrants. The chapter also discusses the available professional interpreting facilities provided by the municipality of Ravenna. Chapter two presents an overview of the literature on child language brokering. Chapter three provides a description of the methodology used in order to analyze the data collected. Chapter four contains a detailed analysis of the questionnaires administered to the students and the interviews submitted to the teachers in four schools in Ravenna. Chapter five focuses on the studies carried out by the researchers of the Thomas Coram Research Unit and University College London and draws a general comparison between their findings from on-line surveys of teachers in schools and my own findings on teachers’ points of view. The results of this study demonstrate that CLB is a common practice among immigrant children living in Ravenna and, although almost all students reported positive appreciation, further work is still needed to assess the impact of this phenomenon.