Search Results (466)

Background/Objectives: Dietary patterns have changed over time, characterising a process of nutritional transition that reflects socioeconomic and demographic inequalities among different populations. This study assessed changes in dietary consumption patterns and the associated social determinants, comparing two time periods in a sample of individuals from a state in the Northeast Region of Brazil. Methods: Data from the 2008–2009 and 2017–2018 Household Budget Survey for the state of Paraíba were analysed, totalling 951 and 1456 individuals, respectively. Foods were categorised according to the NOVA classification and compared based on sociodemographic and economic variables. To determine the factors that most strongly explain the contribution of each NOVA food group to the diet, beta regression analysis was conducted. Results: Differences were observed between the two periods regarding the dietary contribution of the NOVA food groups, with a decrease in consumption of unprocessed foods and an increase in ultra-processed foods. Living in urban areas, being an adolescent, and having an income above the minimum wage were associated with reduced intake of unprocessed foods in both periods. Additionally, being an adolescent and having more than eight years of schooling were associated with higher consumption of ultra-processed foods. Conclusions: The population under study showed changes in food consumption, reflecting a transition process that is occurring unevenly across socioeconomic and demographic groups, thereby reinforcing social inequalities. These findings can guide priorities in food and nutrition policies, highlighting the need for intervention studies to evaluate the effectiveness of such actions. Full article

Urban health planning requires a multi-scalar understanding of the territory, capable of capturing socio-economic inequalities and health needs at the local level. In the case of Rome, current administrative subdivisions—Urban Zones (Zone Urbanistiche)—are too large and internally heterogeneous to serve as effective units for equitable health planning. This study presents a methodology for the territorial redefinition of Rome’s Municipality III, aimed at supporting healthcare planning through an integrated analysis of census sections. These were grouped using a combination of census-based socio-demographic indicators (educational attainment, employment status, single-person households) and real estate values (OMI data), alongside administrative and road network data. The resulting territorial units—21 newly defined Mesoareas—are smaller than Urban Zones but larger than individual census sections and correspond to socio-territorially homogeneous neighborhoods; this structure enables a more nuanced spatial understanding of health-related inequalities. The proposed model is replicable, adaptable to other urban contexts, and offers a solid analytical basis for more equitable and targeted health planning, as well as for broader urban policy interventions aimed at promoting spatial justice. Full article

This study assesses the effects of the COVID-19 pandemic on catastrophic health expenditures and income inequality in Benin. A microsimulation was calibrated to estimate the impact of the pandemic under three different shock scenarios: low, moderate, and severe. The analysis relies on secondary data from household living condition surveys. The results indicate that the COVID-19 crisis would lead to a significant average income loss of up to 20% and income inequality, while the number of households with catastrophic health expenditures would increase by 4%. More importantly, the findings reveal heterogeneous impacts across households, with urban residents, younger individuals, more educated households, and male-headed households experiencing the greatest income decline. These findings underscore the need for targeted health coverage and employment policies to better protect vulnerable populations in Benin in the face of future shocks. Full article

This article examines the relationship between human capital accumulation, household income, and shared prosperity using 2005–2018 household surveys in Cameroon, Ethiopia, Kenya, Nigeria, and Uganda. Human capital is found to be positively and significantly correlated with household wellbeing in all five nations. Health’s indirect benefits in Cameroon, Ethiopia, and Kenya augment its direct benefits. Education has monotonic welfare benefits from primary to tertiary levels in all countries. Human capital and labour market participation are strongly associated with household wellbeing. The equalization of human capital endowments increases income for the 40% of the least well-off groups in three of the sample countries. All countries except Uganda record a decrease in human capital deprivation over the period studied. Redistribution is associated with a reduction in human capital deprivation, although less systematically than in the growth scenario. These results suggest that sizeable reductions in human capital deprivation are more likely to be accomplished by interventions that focus on boosting general human capital outcomes than those that redistribute the human capital formation inputs. In countries with declining human capital deprivation, the within-sector interventions seem to account for this success. Substantial heterogeneity in human capital poverty exists within and across countries and between rural and urban areas. Full article

Africa’s rapid urbanization often exceeds the capacity of governments to provide essential services and infrastructure, exacerbating structural inequalities and exposing vulnerable populations to serious health risks. This paper examines the case of Douala, Cameroon, to demonstrate that health inequities in African cities are not simply the result of urban growth but are shaped by spatial inequities, historical legacies, and systemic exclusion. Disadvantaged neighborhoods are particularly impacted, becoming epicenters of health crises. Using a mixed-methods approach combining spatial analysis, household surveys and interviews, the study identifies three key findings: (1) Healthcare services in Douala are unevenly distributed and dominated by private providers, which limits access for low-income residents. (2) Inadequate infrastructure and environmental risks in informal settlements lead to a higher disease burden and an overflow of demand into better-equipped districts, which overwhelms public health centers across the city. (3) This structural mismatch fuels widespread reliance on informal and unregulated care practices. This study positions Douala as a microcosm of broader public health challenges in rapidly urbanizing African cities. It highlights the need for integrated urban planning and health system reforms that address spatial inequalities, strengthen public health infrastructure, and prioritize equity—key principles for achieving the third Sustainable Development Goal (ensuring good health and well-being for all residents) in sub-Saharan Africa. Full article

Women’s decision-making autonomy is widely recognized as a critical determinant of maternal, newborn, and child health (MNCH). However, prevailing measures often conflate genuine autonomy with decisions made within traditional gender roles, risking an overstatement of women’s empowerment. This study examines the extent to which reported female decision-making autonomy reflects authentic agency versus role-based compliance in a patriarchal context. A cross-sectional study was conducted among 280 male household heads in Kakamega County, Kenya, whose partners were pregnant or recently postpartum. Using multi-stage cluster sampling and structured interviews, men reported on household and MNCH decision-making and their rationales, categorized as gender-role conformity, belief in gender equality, or other reasons. Although 40.4% reported that their partners made decisions independently, only 11.4% attributed it to a belief in women’s equality; 28% framed it within traditional gender roles. Men were over four times more likely to perceive women’s decisions as role-based than autonomous (AOR = 4.40; 95% CI: 2.48–5.78). Younger men (18–34) were more likely to report female decision-making (AOR = 5.54; 95% CI: 5.08–7.27), without necessarily endorsing egalitarian norms. Findings highlight the urgent need for gender-transformative MNCH interventions that move beyond surface-level autonomy to address deeper structural inequities. Full article

This study examines how U.S. immigration policies enact legal violence and multigenerational punishment through the spousal reunification process, particularly in mixed-status, transnational families. Building on the concept of “deportability,” we introduce “importability” to describe a beneficiary’s potential to secure permanent residency, which varies according to social markers such as race, gender, and region of origin. Drawing from a content analysis of threads on the Immigration Pathways (IP) web forum, we analyze discussions among U.S. citizen petitioners navigating marriage-based green card applications, with a focus on experiences involving administrative processing (AP) (i.e., marriage fraud investigations). Our findings show that couples who do not align with the state’s conception of “proper” family—particularly U.S. citizen women petitioning for Black African partners—face intensified scrutiny, long delays, and burdensome requirements, including DNA tests and surveillance. These bureaucratic obstacles produce prolonged family separation, financial strain, and diminished sense of belonging, especially for children in single-parent households. Through the lens of “importability,” we reveal how legal violence and multigenerational punishment of immigration policies on mixed-status families beyond deportation threats, functioning as a gatekeeping mechanism that disproportionately affects marginalized families. This research highlights the understudied consequences of immigration policies on citizen petitioners and contributes to a broader understanding of inequality in U.S. immigration enforcement. Full article

The equitable allocation of clean energy access across towns–rural divides is a critical benchmark of modernization in developing economies. This is because it is intricately linked to the realization of strategic goals such as shared prosperity, ecological civilization advancement, and national energy security reinforcement. This research examines the impact of China’s digital village (DV) construction in reducing the urban–rural disparity in household clean energy access, evaluates the effect on towns–rural clean energy consumption inequality (CEI), explores the mediating mechanisms, and considers regional heterogeneity. It is an innovative approach to test the influence of digital village construction on clean energy consumption inequality between urban and rural areas, beyond which conventional research is limited to infrastructure investment and policy considerations. We can reach the following three results: (1) With the continuous improvement of digital village construction, CEI between towns and rural areas shows an “inverted U-shaped” change. (2) From the perspective of the intermediary mechanism, agricultural technological progress (ATP) and industrial structure upgrading (IND) can facilitate digital village construction and reduce the disparity in clean energy consumption between towns and rural regions. (3) From the perspective of heterogeneity analysis, digital village construction in areas with low urbanization levels, high terrain undulation, and non-clean energy demonstration provinces can significantly alleviate CEI. It is on this basis that the present paper proposes a policy recommendation for the Chinese government to effectively reduce the gap between towns and rural clean energy consumption in the process of digital village construction. Full article

This study investigates the impact of remittances on income inequality in Lebanon using annual time-series data for the years 2000–2023. Applying Johansen’s cointegration test, with financial development (FD), GDP, and household consumption expenditure (HCE) as the control variables, the study examines the long-run and short-run relationship between remittances and inequality. The study also considers the moderating impacts of FD and HCE to account for their indirect role in the remittance–inequality relationship. Dynamic relations are also examined by using impulse response functions (IRFs) and Forecast Error Variance Decomposition (FEVD) analyses. The long-run model estimates validate that remittances and income inequality are significantly and negatively related, i.e., increased remittance receipts serve to reduce income inequality in Lebanon. Remittance effects, however, are statistically insignificant in the short run. Interestingly, the results reveal that financial development weakens the remittances’ inequality-reducing effect, dampening their impact. Contrarily, a higher household consumption expenditure slightly strengthens the inequality-reducing effect of remittances. A comparison between the pre- and post-2019 periods reveals that the explanatory strength of remittances weakened during times of economic crisis, since the function of remittances was different during times of economic distress. Based on these findings, this study recommends that Lebanon not only promote financial development but also focus on financial inclusion, improve social safety nets, and provide inclusive economic growth to maximize remittance inflow benefits and efficiently reduce inequality. Full article

Promoting clean energy transition in rural areas is a key path to achieving global sustainable development, protecting public health, and promoting ecological livability. Based on data from the China Family Panel Studies (CFPS), this paper employs a multi-dimensional fixed effects model to evaluate the impact of income inequality on rural households’ clean energy transition (CET) and examines its underlying mechanisms. Research findings indicate that income inequality significantly suppresses rural households’ CET, primarily by reducing basic energy consumption and hindering the upgrading of basic energy consumption structures. Government governance quality exerts a significant negative moderating effect on the relationship between income inequality and rural households’ CET. Further analysis shows that the inhibitory effect of income inequality on CET is more significant in the regions with a low economic development level and low coal resource endowment, and in the western and northeastern regions of China. Therefore, while continuously promoting rural income growth, the government should prioritize equitable distribution, strengthen institutional capacity-building, improve the social service and security system, and facilitate rural households’ CET. Full article

Energy poverty, resulting from poor energy efficiency and economic and social barriers to accessing appropriate, modern, and sustainable energy services, remains a critical issue in Jordan, a country facing growing climate pressures, particularly given its history of rapid urbanization. This study examines energy poverty through a multidimensional lens, considering its spatial and socio-demographic variations across Jordan. Drawing on data from 19,475 households, we apply a novel energy poverty index and binary logistic regression to analyze key determinants of energy poverty and discuss their intersection with climate vulnerability. The energy poverty index (EPI) is structured around four pillars: housing, fuel, cooling, and wealth. The results show that 51% of households in Jordan are affected by energy poverty. Contributing factors include geographic location, gender, age, education level, dwelling type, ownership of cooling appliances, and financial stability. The results indicate that energy poverty is both a socio-economic and infrastructural issue, with the highest concentrations in the northern and southern regions of the country, areas also vulnerable to climate risks such as drought and extreme heat. Our findings emphasize the need for integrated policy approaches that simultaneously address income inequality, infrastructure deficits, and environmental stressors. Targeted strategies are needed to align social and climate policies for effective energy poverty mitigation and climate resilience planning in Jordan. Full article

Eliminating all forms of poverty is a core component of the United Nations’ Sustainable Development Goals. At the household level, poverty and income inequality significantly threaten farmers’ sustainable development and food security. Based on a sample of 1234 kiwi farmers from the Shaanxi and Sichuan provinces in China, this paper empirically examines the impact of participation in agricultural industry organizations (AIOs) on household income and income inequality, as well as the underlying mechanisms. The results indicate the following: (1) Participation in AIOs increased farmers’ average household income by approximately 19,570 yuan while simultaneously reducing the income inequality index by an average of 4.1%. (2) Participation increases household income and mitigates income inequality through three mechanisms: promoting agricultural production, enhancing sales premiums, and improving human capital. (3) After addressing endogeneity concerns, farmers participating in leading agribusiness enterprises experienced an additional average income increase of 21,700 yuan compared to those participating in agricultural cooperatives. Therefore, it is recommended to optimize the farmer–enterprise linkage mechanisms within agricultural industry organizations, enhance technical training programs, and strengthen production–marketing integration and market connection systems, aiming to achieve both increased farmer income and improved income distribution. Full article

Although Bangladesh is frequently regarded as ‘ground zero’ for climate change, the Chittagong Hill Tracts (CHTs) have only recently been acknowledged for their environmental vulnerabilities, especially after the devastating rainfall and landslides of 2017. However, attributing these risks solely to climate change overlooks their entanglement with structural inequalities, extractive development, deforestation, and long-standing marginalization. The study examines how climate variability intersects with broader environmental risks through a mixed-methods approach, integrating 30 years of NASA TRMM_3B42_daily rainfall data with a household survey (n = 400), life stories, focus group discussions, and key informant interviews conducted across all three CHT districts. Findings do not support a singular attribution to climate change. Rather, they reveal compounded vulnerabilities shaped by land degradation, water scarcity, flash flooding, and landslides—often linked to deforestation and neoliberal development interventions. We argue that the CHT exemplifies ecological entanglement, shaped by climate variability and structural inequalities rooted in land governance and Indigenous dispossession. By integrating spatially disaggregated climate data with historically grounded local experiential narratives, this study contributes to climate justice debates through relational, place-based understandings of vulnerability in the Global South. Full article

Japan’s shift to a super-aged society is reshaping household carbon footprint (HCF) in ways that vary by age, income, and region. Drawing on a two-tier national–prefectural framework, we quantify the influence of demographic shifts on HCF and evaluate inequalities, and project prefectural HCF to 2050 under fixed 2005 technology and consumption baselines. Nationally, emissions follow an inverted-U age curve, peaking at the 50–54 s (2.16 tCO₂) and dropping at both the younger and older ends. Carbon inequality—the gap between high- and low-income households—displays the opposite U shape, being the widest below 30 and above 85. Regional HCF patterns add a further layer: while the inverted U persists, its peak shifts to the 60–64 s in high-income prefectures such as Tokyo—where senior emissions rise by 44% by 2050—and to the 45–49 s in low-income prefectures such as Akita, where younger age groups cut emissions by 58%. Although spatial carbon inequality narrows through midlife, it widens again in old age as eldercare and home energy needs grow. These findings suggest that a uniform mitigation trajectory overlooks key cohorts and regions. To meet the 2050 net-zero target, Japan should integrate age-, income-, and region-specific interventions—for example, targeted carbon pricing, green finance for middle-aged consumers, and less-urban low-carbon eldercare—into its decarbonization roadmap. Full article

Background: Caregivers in urban settings often face unique challenges in providing nurturing care. This qualitative study explores the complex realities of caregiving among mothers and grandmothers in urban poor neighbourhoods of Bangalore, South India. Grounded in Bronfenbrenner’s ecological systems theory, this is the first study in urban India that examines how caregivers’ perceptions, along with individual and systemic factors, shape caregiving practices in this setting. Methods: In-depth interviews (IDIs) were conducted with 22 mothers and grandmothers of 4–6-year-old children from the urban MAASTHI cohort in Bangalore, South India. Topic guides were developed, pre-tested, and piloted. IDIs were conducted in local languages (Kannada and Hindi). Transcripts were coded using NVivo 12 plus and analyzed via a thematic analysis approach using Bronfenbrenner’s ecological systems framework to organize themes. Findings: At the microsystem level, caregivers engaged with children through storytelling and play, though competing demands like household chores often constrained these interactions. Disciplining techniques varied, and the absence of fathers placed additional burdens on mothers. The mesosystem revealed the critical role of extended family in providing support. At the exosystem level, unsafe neighbourhoods limited children’s opportunities for outdoor play. The macrosystem highlighted how religious values provided moral frameworks for parenting and the presence of stigma against single mothers. The chronosystem explored declining social support over time and challenges. Conclusions: These findings emphasize that caregiving inequities are not isolated but structurally embedded, demanding interventions that address sociocultural, economic, and spatial barriers to equitable support for caregivers, particularly those in disadvantaged settings. It calls for context-sensitive interventions, including community-based parenting programmes including maternal well-being, strengthening community and public support systems, improving safe play spaces, and longitudinal research. By amplifying marginalized caregivers’ voices, this research highlights the need for policies that support nurturing care in low-resource settings to break intergenerational cycles of disadvantage. Full article