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2.
Indian Pediatr ; 56(8): 633-638, 2019 08 15.
Article in English | MEDLINE | ID: mdl-31477640

ABSTRACT

There is a large child work force in India reported to be about 40 million. Child labor is being regarded as a form of modern slavery, as children are forced to work or have no choice to refuse work. Children are employed in a variety of occupations, many of which are hazardous. Exposure to machinery, pesticides, dust in agricultural work and fumes, chemicals, acids, cotton and wool fiber in other forms of work is detrimental to health. A large number are held in bonded servitude. In urban areas, children are employed as domestic helpers and engaged in eateries and auto-repair work. Trafficking and trading of children for work and sexual slavery are also major concerns. Poverty and illiteracy are root causes of child labor, but iniquitous societal attitudes are responsible for abuse and exploitation. Working children are deprived of proper health care and education, and lose their childhood and dignity. Several legal measures exist to prevent child labor and protect them from harm, but are thwarted by the distressing socioeconomic conditions. Although child labor would be difficult to abolish, exploitation can be prevented with concerted efforts of the government agencies, professional bodies and the civil society.


Subject(s)
Child Abuse , Child Labor , Child Welfare , Enslavement , Human Trafficking , Child , Child Abuse/legislation & jurisprudence , Child Abuse/prevention & control , Child Abuse/psychology , Child Abuse/statistics & numerical data , Child Labor/legislation & jurisprudence , Child Labor/statistics & numerical data , Child Welfare/legislation & jurisprudence , Child Welfare/psychology , Child Welfare/statistics & numerical data , Enslavement/legislation & jurisprudence , Enslavement/prevention & control , Enslavement/psychology , Enslavement/statistics & numerical data , Human Trafficking/legislation & jurisprudence , Human Trafficking/prevention & control , Human Trafficking/psychology , Human Trafficking/statistics & numerical data , Humans , India
3.
Am J Public Health ; 109(8): 1092-1100, 2019 08.
Article in English | MEDLINE | ID: mdl-31219723

ABSTRACT

Public health professionals have long played a vital-albeit underappreciated-role in shaping, not simply using, US Census data, so as to provide the factual evidence required for good governance and health equity. Since its advent in 1790, the US Census has constituted a key political instrument, given the novel mandate of the US Constitution to allocate political representation via a national decennial census. US Census approaches to categorizing and enumerating people and places have profound implications for every branch and level of government and the resources and representation accorded across and within US states. Using a health equity lens to consider how public health has featured in each generation's political battles waged over and with census data, this essay considers three illustrations of public health's engagement with the enduring ramifications of three foundational elements of the US Census: its treatment of slavery, Indigenous populations, and the politics of place. This history underscores how public health has major stakes in the values and vision for governance that produces and uses census data.


Subject(s)
Censuses/history , Enslavement/statistics & numerical data , Health Equity/legislation & jurisprudence , Indians, North American/legislation & jurisprudence , Indians, North American/statistics & numerical data , Population Health/statistics & numerical data , Public Health/legislation & jurisprudence , History, 18th Century , History, 19th Century , History, 20th Century , History, 21st Century , Humans , United States
4.
Proc Natl Acad Sci U S A ; 116(24): 11693-11698, 2019 06 11.
Article in English | MEDLINE | ID: mdl-31138682

ABSTRACT

Implicit racial bias remains widespread, even among individuals who explicitly reject prejudice. One reason for the persistence of implicit bias may be that it is maintained through structural and historical inequalities that change slowly. We investigated the historical persistence of implicit bias by comparing modern implicit bias with the proportion of the population enslaved in those counties in 1860. Counties and states more dependent on slavery before the Civil War displayed higher levels of pro-White implicit bias today among White residents and less pro-White bias among Black residents. These associations remained significant after controlling for explicit bias. The association between slave populations and implicit bias was partially explained by measures of structural inequalities. Our results support an interpretation of implicit bias as the cognitive residue of past and present structural inequalities.


Subject(s)
Enslavement/statistics & numerical data , Racism/statistics & numerical data , Adult , Black or African American/statistics & numerical data , Female , Humans , Male , Prejudice/statistics & numerical data , Socioeconomic Factors , White People/statistics & numerical data
5.
Demography ; 55(4): 1547-1565, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29971701

ABSTRACT

Intergenerational mobility has remained stable over recent decades in the United States but varies sharply across the country. In this article, I document that areas with more prevalent slavery by the outbreak of the Civil War exhibit substantially less upward mobility today. I find a negative link between prior slavery and contemporary mobility within states, when controlling for a wide range of historical and contemporary factors including income and inequality, focusing on the historical slave states, using a variety of mobility measures, and when exploiting geographical differences in the suitability for cultivating cotton as an instrument for the prevalence of slavery. As a first step to disentangle the underlying channels of persistence, I examine whether any of the five broad factors highlighted by Chetty et al. (2014a) as the most important correlates of upward mobility-family structure, income inequality, school quality, segregation, and social capital-can account for the link between earlier slavery and current mobility. More fragile family structures in areas where slavery was more prevalent, as reflected in lower marriage rates and a larger share of children living in single-parent households, is seemingly the most relevant to understand why it still shapes the geography of opportunity in the United States.


Subject(s)
Enslavement/statistics & numerical data , Social Mobility/statistics & numerical data , Family Characteristics , Geography , Humans , Income , Intergenerational Relations , Regression Analysis , Social Mobility/trends , Sociological Factors , United States
6.
N Z Med J ; 130(1463): 63-69, 2017 Oct 06.
Article in English | MEDLINE | ID: mdl-28981497

ABSTRACT

Contemporary forms of slavery and associated adverse health effects are a serious, complex and often neglected issue within the New Zealand health sector. Slavery in New Zealand has most recently been associated with the fishing and horticulture industries. However, victims may be found in a number of other industry sectors, including the health and aged-care sectors, or outside of the labour market such as in forced, early (underage) and servile forms of marriage. Victims of slavery are at increased risk of acute and chronic health problems, injuries from dangerous working and living conditions, and physical and sexual abuse. These issues are compounded by restricted access to high-quality healthcare. Slavery is a violation of many human rights, including the right to health. New Zealand has obligations under international law to ensure that all victims of slavery have access to adequate physical and psychological care. The health sector has opportunities to identify, intervene and protect victims. This requires doctors and other health practitioners to demonstrate their leadership, knowledge and commitment towards addressing slavery and its health consequences in ways that are effective and do not cause further harm. Key recommendations for a safe approach towards identifying and managing people in situations of slavery include building rapport, and culturally competent practice with an empathetic non-judgmental approach. We also recommend that health organisations and regulatory and professional bodies develop culturally competent guidelines to respond safely to those identified in situations of slavery. These responses should be based on the respect, promotion and protection of human rights, and occur within a robust person-centric coordinated government response to addressing slavery in New Zealand.


Subject(s)
Enslavement , Human Rights Abuses/prevention & control , Physician's Role , Enslavement/prevention & control , Enslavement/statistics & numerical data , Enslavement/trends , Health Services Accessibility/standards , Health Status Disparities , Humans , Industry/methods , New Zealand , Risk Factors , Social Responsibility
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