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Pediatria , Humanos , Criança , Projetos de Pesquisa , Inquéritos e Questionários , Pesquisa BiomédicaRESUMO
In this article, we present and empirically illustrate two concepts about vaccines and the way they are perceived by the Argentinean population and the easiness in accessing vaccination in developing countries. First, we focus on the perceptions of people about vaccines in general and develop a confidence index, and second, we analyze barriers to vaccination, measuring the burden citizens have when they intend to receive immunization (or as caretakers, trying to comply with the vaccination calendar of children and adolescents): for this second concept, we develop an access index. The data comes from representative annual surveys from Argentina from 2019 until 2022 (each one with approximately 7000 responders), which allows us to describe trends and check for changes in the confidence in vaccines and barriers towards vaccination. We find high confidence in vaccines in Argentina, although there is a "structural break" in the confidence for all years after 2020. Because we changed the questionnaire and methodology regarding the access to vaccines index in 2022, the discussion focuses on the cross-section of 2022, observing that barriers to vaccination tend to affect less educated caretakers.
Assuntos
Vacinação , Vacinas , Argentina , Humanos , Vacinação/estatística & dados numéricos , Vacinação/psicologia , Vacinas/administração & dosagem , Feminino , Inquéritos e Questionários , Masculino , Adulto , Adolescente , Pessoa de Meia-Idade , Conhecimentos, Atitudes e Prática em Saúde , Adulto Jovem , Estudos Transversais , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Criança , Hesitação Vacinal/estatística & dados numéricos , Hesitação Vacinal/psicologiaRESUMO
Abstract Given the lack of studies focused on Honduran domestic workers abroad, this article aims to characterize Honduran women living in the U.S. employed in domestic occupations. For this purpose, I employed survey data on women living in five American states, and calculated descriptive and inferential statistics. Furthermore, I employed binary logistic regression modeling to analyze the determinants of domestic work participation. When compared with all other occupations, domestic female workers of Honduran origin present significant differences in age, number of dependents, asset ownership, savings, income, and bank account ownership. Similarly, age (95% CI 0.92-2.63, p = 0.94), savings (95% CI 0.01-0.97, p = 0.047), account ownership in Honduras (95% CI 0.88-71.05, p = 0.064), monthly income (95% CI 0.99-1.00, p = 0.096), and social security (95% CI 0.02-1.29, p = 0.086) seem to be the key determinants explaining domestic work participation. Engaging and promoting compliance with international legal instruments might provide a means to consolidate the rights of these populations. The article concludes by highlighting future lines of research regarding the migration and rights of Honduras and Central American women living in the U.S.
Resumo Em função da escassa literatura sobre o tema, o presente artigo visa caracterizar as mulheres hondurenhas empregadas em ocupações domésticas nos Estados Unidos. Com esse objetivo, empregam-se questionários preenchidos por mulheres morando em cinco estados desse país norte-americano. Para realizar tal caracterização, é utilizada estatística descritiva e inferencial. Adicionalmente, emprega-se regressão logística para analisar os determinantes da participação em empregos domésticos. Quando comparadas com todas as outras ocupações, as mulheres hondurenhas fazendo trabalhos domésticos possuem diferenças em termos de idade, número de dependentes, posse de bens, poupanças e existência de conta bancária. Similarmente, a análise dos determinantes estatísticos mostra que variáveis significativas incluem idade (95% IC 0,92-2,63 p = 0.94), poupanças (95% IC 0,01-0,97, p = 0.047), existência de conta bancária (95% IC 0,88-71,05, p = 0.064), renda mensal (95% IC 0,99-1.00, p = 0.096) e contribuição à previdência social (95% IC 0,02-1,29 p = 0.086). Promover a adoção de instrumentos de direito internacional pode representar uma alternativa para fomentar os direitos humanos desse grupo de pessoas. O artigo finaliza ressaltando possíveis linhas de pesquisa relacionadas à migração de mulheres hondurenhas e da América Central morando nos Estados Unidos.
Resumen En vista de la escasa literatura centrada en trabajadoras domésticas hondureñas en el extranjero, el presente artículo busca caracterizar a mujeres hondureñas empleadas en ocupaciones domésticas en Estados Unidos. Para ello, se utilizan encuestas aplicadas a mujeres hondureñas que viven en cinco estados del país norteamericano y se emplea estadística descriptiva e inferencial. Adicionalmente, se usa una regresión logística para analizar los determinantes de la participación en empleos domésticos. Cuando se compara con todas las otras ocupaciones, las mujeres hondureñas que trabajan en este rubro presentan diferencias en edad, número de dependientes, posesión de bienes, ahorros y posesión de cuenta bancaria. Similarmente, el análisis de determinantes muestra las variables significativas que incluyen edad (95 % IC 0,92-2,63 p= 0,94), ahorros (95 % IC 0,01-0,97, p= 0,047), cuenta bancaria (95 % IC 0,88-71,05, p= 0,064), ingreso mensual (95 % IC 0,99-1,00, p= 0,096) y seguro social (95 % IC 0,02-1,29 p= 0,086). Promover la adopción de instrumentos de derecho internacional puede ser una alternativa para fomentar los derechos humanos de esta población. El artículo termina mostrando líneas de investigación sobre migración para mujeres hondureñas y centroamericanas viviendo en Estados Unidos.
Assuntos
Humanos , Inquéritos e Questionários , Condições de Trabalho , Zeladoria , Estados Unidos , Mulheres , Honduras , Categorias de TrabalhadoresRESUMO
BACKGROUND: Much applied research on the consequences of conflicts for health suffers from data limitations, particularly the absence of longitudinal data spanning pre-, during- and post-conflict periods for affected individuals. Such limitations often hinder reliable measurement of the causal effects of conflict and their pathways, hampering also the design of effective post-conflict health policies. Researchers have sought to overcome these data limitations by conducting ex-post surveys, asking participants to recall their health and living standards before (or during) conflict. These questions may introduce important analytical biases due to recall error and misreporting. METHODS: We investigate how to implement ex-post health surveys that collect recall data, for conflict-affected populations, which is reliable for empirical analysis via standard quantitative methods. We propose two complementary strategies based on methods developed in the psychology and psychometric literatures-the Flashbulb and test-retest approaches-to identify and address recall bias in ex-post health survey data. We apply these strategies to the case study of a large-scale health survey which we implemented in Colombia in the post-peace agreement period, but that included recall questions referring to the conflict period. RESULTS: We demonstrate how adapted versions of the Flashbulb and test-retest strategies can be used to test for recall bias in (post-)conflict survey responses. We also show how these test strategies can be incorporated into post-conflict health surveys in their design phase, accompanied by further ex-ante mitigation strategies for recall bias, to increase the reliability of survey data analysis-including by identifying the survey modules, and sub-populations, for which empirical analysis is likely to yield more reliable causal inference about the health consequences of conflict. CONCLUSIONS: Our study makes a novel contribution to the field of applied health research in humanitarian settings, by providing practical methodological guidance for the implementation of data collection efforts in humanitarian contexts where recall information, collected from primary surveys, is required to allow assessments of changes in health and wellbeing. Key lessons include the importance of embedding appropriate strategies to test and address recall bias into the design of any relevant data collection tools in post-conflict or humanitarian contexts.
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COVID-19 pandemic has heavily impacted the global community. To curb the viral transmission, travel restrictions have been enforced across the world. The dataset documents the mobility disruptions and the modal shifts that have occurred as a consequence of the restrictive measures implemented in ten countries: Australia, Brazil, China, Ghana, India, Iran, Italy, Norway, South Africa and the United States. An online questionnaire was distributed during the period from the 11st to the 31st of May 2020, with a total of 9 394 respondents. The first part of the survey has characterized the frequency of use of all transport modes before and during the enforcement of the restrictions, while the second part of the survey has dealt with perceived risks of contracting COVID-19 from different transport modes and perceived effectiveness of travel mitigation measures. Overall, the dataset (stored in a repository publicly available) can be conveniently used to quantify and understand the modal shifts and people's cognitive behavior towards travel due to COVID-19. The collected responses can be further analysed by considering other demographic and socioeconomic covariates.
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The dataset deals with the air quality perceived by citizens before and during the enforcement of COVID-19 restrictions in ten countries around the world: Australia, Brazil, China, Ghana, India, Iran, Italy, Norway, South Africa and the United States. An online survey conveniently translated into Chinese, English, Italian, Norwegian, Persian, Portuguese collected information regarding the perceived quality of air pollution according to a Likert scale. The questionnaire was distributed between 11-05-2020 and 31-05-2020 and 9 394 respondents took part. Both the survey and the dataset (stored in a Microsoft Excel Worksheet) are available in a public repository. The collected data offer the people's subjective perspectives related to the objective improvement in air quality occurred during the COVID-19 restrictions. Furthermore, the dataset can be used for research studies involving the reduction in air pollution as experienced, to a different extent, by populations of all the ten countries.
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Abstract This paper studies the relative evaluation of young people and the possible benefits associated with three methods of avoiding sexually transmitted infections/AIDS and/or unwanted pregnancies (condoms, contraceptive pills, morning-after pills). A survey evaluating these three methods, with respect to ten different items, was given to 145 undergraduate students (76% females, 24% males). Results show that, compared to pills, condoms are positively valued as protection against sexually transmitted infections/AIDS, couples are interested in using them to protect their health, and they are appreciated for their lack of side effects. Pills are better valued than condoms with respect to feelings of pleasure for both sexes and not as valued in preventing sexually transmitted infections. Females' assessments are less extreme than male's for five of the six items, but are more pronounced with respect to the assumption that using condoms shows an interest in the couple taking care of their sexual health. The study shows a general preference towards condoms rather than contraceptive pills and postcoital pills, but men are far more likely to choose this option. The conclusions are based on a compositional analysis of two way tables.
Resumen Este trabajo estudia la percepción relativa de los jóvenes de los posibles beneficios asociados a tres métodos para evitar infecciones de transmisión sexual/SIDA y/o embarazos no deseados (condones, píldoras anticonceptivas, píldoras poscoitales o del día después). Al efecto de evaluar estos tres métodos se pasó una encuesta a 145 estudiantes de pregrado (76% mujeres, 24% hombres) con respecto a diez ítems diferentes. Los resultados muestran que, en comparación con las píldoras, los condones se valoran positivamente como protección contra infecciones de transmisión sexual/SIDA, las parejas están interesadas en utilizarlas para proteger su salud, y son apreciados por su falta de efectos secundarios. Las dos píldoras están mejor valoradas que los condones con respecto a los sentimientos de placer para ambos sexos y no tan valoradas en la prevención de infecciones de transmisión sexual. Las evaluaciones de las mujeres son menos extremas que las de los hombres en cinco de los seis ítems, pero son más pronunciadas con respecto a la suposición de que el uso de condones muestra un interés por la pareja cuidando su salud sexual. El estudio muestra una preferencia general hacia los condones en lugar de las píldoras anticonceptivas y las píldoras poscoitales, pero es mucho más probable que los hombres elijan esta opción. Las conclusiones se basan en un análisis composicional de tablas de doble entrada.
Assuntos
Síndrome da Imunodeficiência Adquirida/prevenção & controle , Análise de Dados , Infecções Sexualmente Transmissíveis , Inquéritos e Questionários , Preservativos , Anticoncepcionais , Saúde SexualRESUMO
During the outbreak of the Zika virus, Brazilian health authorities recommended that pregnant women take meticulous precaution to avoid mosquito bites and that women in general use contraceptive methods to postpone/delay pregnancies. In this article, we present new estimates on the Zika virus incidence, its correlates and preventive behaviors in the Northeast of Brazil, where the outbreak initiated, using survey data collected between March 30th and June 3rd of 2016. The target population were women aged 15-49 in the capital cities of the nine states of the Northeast region of Brazil. We find that more educated women were less likely to report suffering from Zika (or its symptoms) and more likely to report having taken precaution against Zika, such as having used long and light-colored clothes, having used mosquito repellent or insecticides, having used mosquito protective screens or kept windows closed, and having dumped standing water where mosquitoes can breed. In addition, more educated women were more likely to report being informed about the association between Zika and microcephaly and to avoid pregnancy in the last 12 months. Finally, we also find that women who reported experiencing sexual domestic violence in the last 12 months were more likely to report suffering from Zika.
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Infecção por Zika virus/epidemiologia , Infecção por Zika virus/prevenção & controle , Adolescente , Adulto , Brasil/epidemiologia , Anticoncepção , Surtos de Doenças , Escolaridade , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Incidência , Inseticidas/administração & dosagem , Microcefalia/etiologia , Pessoa de Meia-Idade , Controle de Mosquitos/métodos , Comportamento Reprodutivo , Fatores Socioeconômicos , Adulto Jovem , Zika virus , Infecção por Zika virus/complicaçõesRESUMO
We aimed to estimate the population fraction of poor early child health and developmental outcomes attributable to maternal depressive symptoms (DS) contrasting it between low- and middle/high-income households. We used a nationally representative probabilistic sample of 4240 children younger than 5 years old and their mothers, derived from the Mexican National Health and Nutrition Survey Data (ENSANUT 2012). Complex survey design, sampling, and analytic weights were taken into account in analyses. DS was measured by CESD-7. Child outcomes were as follows: breastfeeding, attending well-child check-ups, respiratory disease, diarrhea and general health problems, immunization, accidents, growth, obesity, and food insecurity. Prevalence of DS among mothers was 21.36%. In low-SES households, DS was associated with higher risk of never being breastfed (RR = 1.77; p < .05), health problems (RR = 1.37; p < .05), acute respiratory disease (RR = 1.51; p < .05), accidents requiring child hospitalization (RR = 2.16; p < .01), and moderate or severe food insecurity (RR = 1.58; p < .001). In medium- or high-SES households, DS was associated with higher risk of never attending a developmental check-up (RR = 2.14; p < .05) and moderate or severe food insecurity (RR = 1.75; p < .01). Population risks attributable to DS ranged from 2.30 to 17.45%. Prevention of DS could lead to reduction of problematic early childhood outcomes in both low and medium/high SES.