Search Results (89)

Root caries is a form of decay affecting root surfaces of teeth, often exacerbated by periodontal disease, reduced salivary flow, and compromised mucosal health, all factors strongly influenced by nutrition. Despite this connection, few studies have addressed the role of vitamins in oral health. This study examines the association between serum levels of alpha-carotene (α-carotene), a potent antioxidant and proxy for vitamin A, and the experience of root caries. Using data from the 2017–2018 National Health and Nutrition Examination Survey (NHANES), we conducted a cross-sectional analysis and applied a weighted multiple logistic regression model, adjusting for potential confounders including age, sex, education level, race, income-to-poverty ratio, and presence of gum disease. Higher serum α-carotene levels were inversely associated with root caries. Each unit increase in serum α-carotene was associated with a 9% decrease in the odds of having root caries (OR = 0.91; 95% CI: 0.86–0.97; p = 0.004). In this nationally representative sample of U.S. adults, lower serum α-carotene levels were associated with a higher prevalence of root caries. These findings highlight the potential role of nutritional assessment and integration in oral health. Longitudinal and mechanistic studies are needed to confirm and further explore α-carotene’s effects on oral health. Full article

Currently, the management, availability, and equitable access to water are some of the most critical environmental challenges in many countries, including Mexico. The Household Water Insecurity Experience Scale (HWISE) offers a more comprehensive and accurate assessment of water insecurity (WI) as well as its relationship to poverty, at the local, state, and national levels, than traditional usage indicators do. Therefore, this study aims to estimate the association between water insecurity and household wellbeing in Mexico, as well as the role of geographic factors. Methods: We analyzed data from 11,512 households that had previously participated in a representative survey at the national, regional, and urban/rural levels. We conducted descriptive and bivariate analyses on the variables of interest according to household WI status. Multivariate logistic regression models were used to determine the association between WI and the geographic, household, and household head variables of interest. Results: The factors associated with a greater odds ratio of household WI were low wellbeing conditions (OR = 1.74, p < 0.01), no running water in the home (OR = 2.71, p < 0.01), a monthly household income less than 6000 Mexican pesos (less than 352 dollars) (OR = 2.31, p = 0.006), living in an urban area (OR = 1.93, p = 0.001), and living in the Mexico State (OR = 3.92, p < 0.01), Mexico City (OR = 3.19, p < 0.01), or Central Pacific (OR = 3.27, p < 0.01) regions. Conclusions: Currently, multiple factors threaten household water security. These findings can inform decision-makers about the driving factors behind gaps in water access, availability, and use in Mexican households, thereby ensuring the “availability and sustainable management of water and sanitation for all”. Full article

Although breastfeeding provides health benefits to both mother and child, this study aimed to explore whether disparities in breastfeeding continue to exist, particularly among non-Hispanic Black (NHB) mothers and children. We performed a cross-sectional analysis among 19,830 children in the United States (US) using the National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2020. Breastfeeding initiation and duration rates increased overall from 1999 to 2020. Children who were ever breastfed were more likely to have higher body weight, older mothers, mothers who did not smoke during pregnancy, a higher family poverty–income ratio (PIR), food security, mothers in excellent health, and mothers who had not seen a mental health professional in the past year. NHB children were breastfed at significantly lower rates and for shorter duration than non-Hispanic White (NHW), Mexican, Other Hispanic, and Other/Multi-Racial children. NHB children were breastfed less than other racial groups, including minority Mexican children with similar average PIR, suggesting a possible unique experience for NHB mothers and children. Strategies include impacting social norms and offering culturally tailored breastfeeding supports. The provision of structural supports to remove barriers to breastfeeding is a social justice issue. Breastfeeding confers health benefits to mother and child, and disparities exist among mothers and children, particularly among NHB mothers and children. The current study provides data on the most recent breastfeeding trends, showing that these disparities by race/ethnicity are present. Interestingly, even among Mexican participants of a similar PIR, NHB children were still breastfed less. Full article

This article examines the relationship between environmental income dependence and household vulnerability in rural settings. Using household-level livelihood data from the Poverty Environment Network (PEN) dataset of Nepal, we construct a household vulnerability index and analyze its relationship with environmental dependence, measured as the share of environmental income in total income, while controlling for other variables. The findings reveal that higher environmental dependence significantly increases household vulnerability. In contrast, household debt helps mitigate vulnerability by providing financial support and enabling productive investments. However, high dependency ratios and exposure to shocks exacerbate vulnerability by limiting income generation and destabilizing livelihoods. Policy measures such as promoting economic diversification and social safety net programs could reduce environmental dependence and mitigate household vulnerability in rural Nepal. Furthermore, providing timely access to credit during hardships and addressing unforeseen shocks could enhance household resilience. Full article

Background: Trace elements (TEs) are essential nutrients for the human body and have a significant impact on fertility and hormone levels in women of reproductive age, underscoring the importance of understanding sociodemographic variations in their concentrations within this population. Objective: To investigate the socio-demographic factors influencing blood concentrations of four essential TEs, including iron, zinc, copper, and selenium among women of reproductive age. Methods: A cross-sectional analysis of women aged 20–44 years was performed using the National Health and Nutrition Examination Survey, 1999–2018. Serum iron data were analyzed for 9211 women across 10 cycles, while serum copper, zinc, and selenium data were available for 1027 women across 3 cycles. Generalized linear and logistic regressions examined the individual associations of socio-demographic factors, including age, race and ethnicity, education, and poverty index ratio, with iron, zinc, copper, and selenium concentrations treated as continuous and categorical outcomes, respectively. A qualitative heatmap explored the joint associations between the socio-demographic factors and the four essential TEs. Results: Reduced iron concentrations and increased risks of insufficiency occurred in older, Black, low-education, or low-income women. Black women were more likely to have lower zinc and selenium concentrations and an increased risk of zinc insufficiency but higher copper concentrations. The qualitative heatmap found that older, Black, low-education, and low-income women generally had lower concentrations of the four TEs, particularly iron (β = −0.10; p < 0.01). Conclusions: Socially disadvantaged women are more likely to present with lower TE concentrations, and these specific population groups should be targeted by replenishment planning by public health initiatives. Full article

Introduction: Evidence supports the relationships between socioeconomic status and access to health care, incidence of pathologies, and lifestyle. Objective: The aim of this research was to investigate whether there are associations between having a household income below the poverty line, and participation in unhealthy lifestyle habits, the prevalence of non-communicable diseases, and the number of comorbidities in US middle-aged and older adults. Methods: This cross-sectional study is based on the NHANES 2011–2020. A total of 10,788 US middle-aged and older adults (5653 males and 5135 females) participated in this research. Associations were studied through the Chi-squared test, and odds ratios were calculated using a binary logistic regression model. Results: There were associations between a household income below the poverty line and physical inactivity, unhealthy diet, and being or having been an alcoholic. Associations were found between this adverse economic situation and having hypertension, diabetes, liver disease, kidney problems, arthritis, congestive heart failure, angina pectoris, heart attack, stroke, and also with having two or more, three or more, four or more, and five or more comorbidities. Increased odds of being involved in these unhealthy habits and of suffering these diseases and multimorbidity were found for those with a family income below the poverty threshold. Conclusions: The existence of associations between having a family income under the poverty threshold and having unhealthy habits, suffering non-communicable diseases, and having multimorbidity is confirmed in US middle-aged and older adults. Increased odds for various non-communicable diseases, multimorbidity, and for being involved in these unhealthy habits were found for this low-income group. These findings should serve to draw the attention of policy makers to the increased health vulnerability of the adult population below the poverty line in the US. Full article

Italy has long experienced a significant developmental gap between its northern and southern regions, with the latter being less developed. The 2007–2008 financial crisis accentuated this gap, leading to distinct patterns of interregional migration. This paper aims to investigate the effects of past migration flows and income inequality on interregional mobility in Italy, using a gravity model with bidirectional dyads and three different measures of inequality as dependent variables: Gini Index, Relative Poverty, and Income Ratio. Previous research has shown that living in highly unequal regions is associated with increased mistrust and anxiety about social status, contributing to unhappiness among residents. Using bilateral gross migration flows for the period 2007–2018, the study aims to control for the potential endogeneity between interregional mobility and inequality. The results indicate a positive relationship between high levels of inequality and interregional out-mobility, underscoring the need for policies aimed at reducing both horizontal and vertical inequality within and among Italian regions. Full article

The socio-economic conditions of the world’s underprivileged people have been a matter of concern to the whole world for over three decades. Not-for-profit human development institutes helping this sector have financial sustainability as an important issue due to their usual dependence principally on funding from donors to operate and fund their tasks. This research has adopted a two-fold examination method. Primarily, the financial sustainability of the not-for-profit human development institutes working in Pakistan have been investigated by conducting ratio analysis grounded on donor dependence ratio (DDR), and using constructive grounded theory, a FinTech-enabled financial sustainable model, has been proposed for NPHDIs. Results of the initial phase demonstrated a heavy reliance on donors’ funding, with the DDR varying between 91.73% and 100% based on 10 randomly selected NPHDIs working in Pakistan as a sample. Furthermore, four key themes have been categorized during the subsequent phase, which have been articulated collectively to outline the FinTech-enabled endowment—a proposed financially sustainable model. The DDR for the selected NPHDIs have been found to be greater than 25%, so they are regarded as financially unsustainable. FinTech-empowered endowment is considered as an alternative to donor fundings, as such endowments based on social finance can provide income streams that are considered sustainable for these NPHDIs. The overview and implications lead to new knowledge of tackling the biggest challenges of providing sustainable finance to the social sector. This perspective of ethical finance helps to address the issues faced by this world’s underprivileged segment and address the problems of poverty and inequality elimination. Full article

Background: This study aimed to analyze the relationship between socioeconomic status (SES), poverty rate, and the prevalence of overweight/obesity or obesity in children and adolescents aged 2–14. Methods: Parents or guardians reported the weight and height of participants, used to calculate body mass index (BMI) and BMI z-scores according to the International Obesity Task Force standards. Participants were categorized into “overweight/obesity” and “no overweight/obesity” and further into “obesity” and “no obesity”. The rate of poverty rate was determined using data from the National Statistics Institute of Spain, defining it as the percentage of people with income below 60% of the national median. SES was based on the head of household’s occupation and categorized into low, medium, and high levels. Results: Adjusted multilevel models showed participants with medium or high SES had lower odds of overweight/obesity compared to those with low SES (medium SES: odds ratio [OR]: 0.63, 95% confidence interval [CI]: 0.54–0.73; high SES: OR: 0.59, 95% CI: 0.49–0.70). Participants in the high-poverty group had higher odds of having overweight/obesity (OR: 1.40, 95% CI: 1.13–1.74) compared to the low-poverty group. Conclusions: The study highlights significant socioeconomic disparities in childhood overweight/obesity, emphasizing the potential impact of SES and poverty on health outcomes in Spanish children and adolescents. Full article

Pain is a prevalent issue among cancer patients, yet its link with socioeconomic status has not been thoroughly examined. This study investigated chronic pain (lasting ≥3 months) and high-impact pain (chronic pain limiting activities) among cancer survivors based on household income relative to the federal poverty level (FPL), using data from the National Health Interview Survey (2019–2020). Of the 4585 participants with a history of solid cancers, 1649 (36.3%) reported chronic pain and 554 (12.6%) reported high-impact chronic pain. After adjustment, participants with incomes < 200% FPL had significantly higher odds of chronic pain (adjusted odds ratio [aOR]: 1.60, 95% CI: 1.25–2.05) and high-impact chronic pain (aOR: 1.73, 95% CI: 1.09–2.74) compared to those with incomes ≥ 400% FPL. Opioid use for chronic pain was most prevalent among those with incomes < 200% FPL (28.3%) compared to those with 200–399% (21.3%) and ≥400% (19.0%). Higher-income participants reported greater use of alternative pain management methods such as yoga (50.5%), chiropractic care (44.8%), and physical therapy (44.3%). This study highlights the association between household income and chronic pain outcomes among cancer survivors, emphasizing the necessity for targeted interventions to mitigate healthcare access disparities and improve pain management for all individuals affected by cancer. Full article

(1) Background: A low socioeconomic status significantly increases the risk of hypertension and its associated cardiovascular diseases due to limited access to healthcare and may be even more accentuated by the presence of unhealthy lifestyle habits. The aim of the present research was to study if associations exist between having a family income under the poverty threshold and having an unhealthy diet, being physically inactive, being an alcohol drinker, perceiving one’s own health as bad, and suffering from congestive heart failure, coronary heart disease, angina pectoris, heart attack, or stroke. Additionally, the odds ratios of having these unhealthy habits and of suffering from the abovementioned cardiac complications of participants under the poverty threshold were calculated. (2) Methods: This cross-sectional study was based on the National Health and Nutrition Examination Survey (NHANES) 2011–2020. The sample comprised 6120 adults with hypertension (3188 males and 2932 females). A descriptive analysis and non-parametric chi-squared tests were used to study the associations. A binary logistic regression model and backward LR method were used to calculate the odds ratios, normalized by age and sex. (3) Results: The chi-squared test showed associations between having a family income under the poverty threshold and being physically inactive (p < 0.001), having an unhealthy diet (p < 0.001), being an alcohol drinker (p < 0.001), perceiving one’s own health as bad (p < 0.001), and suffering from congestive heart failure (p = 0.002), heart attack (p = 0.001), or stroke (p = 0.02). A significantly increased odds ratio for these unhealthy habits and cardiac complications, and also for having coronary heart disease and angina pectoris, were found for hypertension sufferers under the poverty threshold. (4) Conclusions: It was confirmed that having a family income under the poverty threshold is associated with perceiving one’s own health as bad, having a series of negative habits in terms of physical activity, diet, and alcohol consumption, and with suffering from congestive heart failure, heart attack, or stroke. Increased odds ratios for these unhealthy habits and these conditions, plus coronary heart disease and angina pectoris, were found for hypertension sufferers under the poverty threshold. Full article

This study aimed to investigate whether non-fasting plasma triglycerides were associated with diabetes mortality. It included 7312 US adult participants. Diabetes mortality data were obtained via the linkage to National Death Index (NDI) records. Hazard ratios of non-fasting plasma triglycerides for diabetes mortality were assessed using Cox proportional hazards models, adjusting for age, gender, ethnicity, obesity, poverty–income ratio, education levels, physical activity, alcohol consumption, cigarette smoking status, survey period, hypercholesterolemia, hypertension, diabetes, and family history of diabetes. Among these participants, 1180 had diabetes. A total of 420 diabetes-caused deaths were recorded during a mean follow-up of 16.8 years. A 1-natural-log-unit increase in non-fasting plasma triglycerides was associated with a 41% higher diabetes mortality risk (hazard ratio, 1.41; 95% confidence interval, 1.19–1.67). Participants with non-fasting plasma triglycerides in the highest quintile, versus those in the lowest quintile, had a 141% higher diabetes mortality risk (hazard ratio, 2.41; 95% confidence interval, 1.46–3.97). The positive association of non-fasting plasma triglycerides with diabetes mortality was independent of diabetes status at the baseline. In conclusion, this study demonstrated that non-fasting plasma triglycerides were positively associated with diabetes mortality, independent of diabetes status at baseline. Non-fasting triglycerides may be a therapeutic target for diabetes-related complications. Full article

Poverty, particularly in developing regions, is a complex, multifaceted issue deeply embedded in various interrelated factors. It extends beyond mere financial insufficiency, encompassing limited access to essential services such as healthcare, education, and overall living standards. This study examines both the unidimensional and multidimensional aspects of rural poverty in Suri Sadar Sub-Division, located in Eastern India. For the unidimensional aspect, this study employs the poverty headcount ratio and the Poverty Gap Index to gauge the incidence and intensity of poverty. In contrast, the multidimensional approach utilized three dimensions and 12 indicators to assess the incidence, severity, and multidimensional poverty index utilizing the Alkire–Foster (AF) methodology. The unidimensional analysis, focusing on income and consumption, highlights significant economic disparities, particularly in the western Community Development Blocks, namely, Khoyrasole, Md. Bazar, and Rajnagar. The highest levels of multidimensional poverty are generally consistent with the unidimensional findings, particularly in the western blocks. These results underscore the need for comprehensive poverty reduction strategies that address both economic and broader aspects of poverty. In areas like the western blocks, where both income-based and multidimensional poverty rates are high, strategies should integrate economic development, improved healthcare access, enhanced educational quality, and living standards improvement. Therefore, this study serves not only as an academic endeavor but also as a vital tool for informed policymaking in poverty alleviation, providing planners, administrative officials, and researchers with essential insights to develop effective, localized, and sustainable poverty reduction strategies. Full article

This paper aims to identify income-poverty risk factors in urban Mexican households. Special emphasis is paid to examine differences between female- and male-headed families. To this, a dataset with 45 theoretical factors at the individual/household, community, and regional levels, integrating information from nine sources, is created. To these data, additive quantile models are estimated via the boosting algorithm. From a gender standpoint, the following main contributions come from this paper. First, educational lag is particularly relevant for female-headed households. Second, there is a gendered life cycle in the income trajectory for poor households with a head having a medium level of education. Third, some households, traditionally disregarded, are found to be even poorer: those lacking social connectedness, without credit cards, with an extended composition, in which the female head spends a large part of her time on housework, and families headed by young women with a medium level of education. Finally, communities and regions where families have a lower income-to-poverty ratio are characterized as having an unequal income distribution, lower human development, lower levels of women’s economic participation, poor quality of services, and lower gender-based violence levels in the public sphere but higher gender-based violence levels in the family context. Full article

Energy poverty is a significant social, economic, and health issue which increasingly affects millions of households worldwide. Both climate change and the socio-economic crisis have aggravated this phenomenon, making families unable to keep adequate comfort conditions at home because of economic constraints and/or dwelling inefficiencies. Considering the recent inflation trends, as well as the global effort to reduce the building sector’s carbon emissions, energy retrofitting of buildings emerges as the most forward-looking strategy to cope with energy poverty risk. In the case of large building stocks, which are typical for social housing complexes across the EU, deep and fast energy retrofitting might prove challenging, especially considering the resource shortages and disruptions to occupants that may arise. Therefore, this article investigates the relationship between the envelope’s insulation ratio and the risk of energy poverty for households. To this end, diverse scenarios are defined, corresponding to progressive increases in the percentage of building envelope that is insulated. The resulting energy needs are calculated for each of them and correlated with local average incomes and relative energy expenses of households. This is tested on an Italian social housing demo case. The results confirm a predictable but not linear correlation between thermal insulation and reduced energy needs for heating, and an interesting side effect on cooling needs for scenarios that perform better in winter. As for income, energy cost has a greater effect on the energy poverty risk when monthly rent is lower, while energy prices have a major role when rent per month is higher. Full article