Socio-economic status and body mass index in low-income Mexican adults

The study reported here explored the associations of body mass index (BMI), socio-economic status (SES), and beverage consumption in a very low-income population. A house-to-house survey was conducted in 2003 of 12,873 Mexican adults. The sample was designed to be representative of the poorest communities in seven of Mexico's 31 states. Greater educational attainment was significantly associated with higher BMI and a greater prevalence of overweight (25[less-than-or-equals, slant]BMINutrition transition Socio-economic status (SES) Social status Poverty Mexico Body mass index (BMI)

Poverty-alleviation program participation and salivary cortisol in very low-income children

Correlational studies have shown associations between social class and salivary cortisol suggestive of a causal link between childhood poverty and activity of the stress-sensitive hypothalamic-pituitary-adrenocortical (HPA) system. Using a quasi-experimental design, we evaluated the associations between a family's participation in a large-scale, conditional cash transfer program in Mexico (Oportunidades, formerly Progresa) during the child's early years of life and children's salivary cortisol (baseline and responsivity). We also examined whether maternal depressive symptoms moderated the effect of program participation. Low-income households (incomeMexico Low social status Poverty-alleviation intervention Conditional cash transfer program Salivary cortisol Children

Mothers' labor market choices and child development outcomes in Chile

This paper examines associations between labor market participation of Chilean mothers and the cognitive, language, and socio-economic development of their children. Using a nationally-representative sample of 3-year-old children, we test if mothers’ work intensity in the two previous years is associated with child development outcomes; data were collected in 2010 when children were one year old, and again in 2012, when they were three years old. We find that children who were three years old with mothers who worked for higher fractions of their children’s lives in the previous two years perform significantly better on all tests (cognitive, language, socio-emotional) than children whose mothers had worked less, while controlling for baseline test performance. These main effects did not remain significant with the inclusion of a wide range of socio-economic, demographic control variables, however. Our results were similarly null when using an IV analysis or a propensity score matching approach. We provide descriptive information on theoretical pathways by which maternal work may influence child development. Though several of these pathways (e.g. preschool, toys, maternal stress) seem to be associated with both maternal work and child development outcomes, the pathways are not sufficiently strong to generate an association between maternal work and child development. We conclude that Chilean mothers’ employment in early childhood generally does not have an effect on child development

Family structure and child development in Chile: A longitudinal analysis of household transitions involving fathers and grandparents

Background: Adults support child development economically, socially, and emotionally. Household transitions may disrupt these support structures, impacting child development. Objective: We document the large portion of children in Chile that experience biological-father and grandparent household transitions, and test if these transitions are associated with child vocabulary and behavior and if income could be a mechanism behind our findings. Methods: We apply first-differences and lagged-dependent-variable analyses to a large, nationally representative, longitudinal survey of over 5,000 Chilean children. Results: We find that children whose mothers separated from their parents' homes within the two years between two survey rounds have worse age-normalized Peabody Picture Vocabulary Test scores than children in households without such transitions. Changes in income per capita do not explain these associations. When fathers enter households between the two survey rounds there is a gain in income per capita but no association between father entrance and child's vocabulary score. Similarly, there is no significant association between fathers separating from the household and child vocabulary, though father departure is associated with lower income per capita. We find no association between household transitions and Child Behavioral Checklist (CBCL) scores. Conclusions: These findings provide evidence that Chilean grandparents promote language development when coresiding with their grandchildren and that Chilean fathers are an important source of household income. Contribution: Our study examines fathers and grandparents simultaneously. We are able to take the directionality (i.e., movement in or out of the home) of biological father transitions into account

Sanitation in Rural India: Exploring the Associations between Dwelling Space and Household Latrine Ownership

In 2017, the Joint Monitoring Programme estimated that 520 million people in India were defecating in the open every day. This is despite efforts made by the government, Non-Governmental Organizations (NGOs), and multilaterals to improve latrine coverage throughout India. We hypothesize that this might be because current interventions focus mostly on individual-level determinants, such as attitudes and beliefs, instead of considering all possible social determinants of latrine ownership. Given this, we ask two questions: what is the association between the amount of dwelling space owned by households in rural India and their likelihood of toilet ownership and what proportion of the variation in household latrine ownership is attributable to villages and states? We used multilevel modeling and found significant associations between the amount of household dwelling space and the likelihood of latrine ownership. Furthermore, considerable variation in latrine ownership is attributable to villages and states, suggesting that additional research is required to elucidate the contextual effects of villages and states on household latrine ownership. Thus, sanitation interventions should consider household dwelling space and village and state context as important social determinants of latrine ownership in rural India. Doing so could bolster progress towards Sustainable Development Goal (SDG) 6

Potential mechanisms linking poverty alleviation and health: an analysis of benefit spending among recipients of the U.S. earned income tax credit

Abstract Background The earned income tax credit (EITC) is the largest U.S. poverty alleviation program for low-income families, disbursed annually as a lump-sum tax refund. Despite its well-documented health impacts, the mechanisms through which the EITC affects health are not well understood. The objective of this analysis was to examine self-reported spending patterns of tax refunds among EITC recipients to clarify potential pathways through which income may affect health. Methods We first examined spending patterns among 2020–2021 Assessing California Communities’ Experiences with Safety Net Supports (ACCESS) study participants (N = 241) and then stratified the analysis by key demographic subgroups. Results More than half of EITC recipients reported spending their tax refunds on bills and debt (52.3%), followed by 49.4% on housing, and 37.8% on vehicles. Only 3.3% reported spending on healthcare. (Note: respondents could list more than one possible spending category.) Participants ages 30 + were more likely to spend on bills and debt relative to those ages 18–29 (57.6% versus 39.4%, respectively). Other subgroup analyses did not yield significant findings. Conclusions Our findings suggest that EITC recipients primarily use their refunds on bills and debt, as well as on household and vehicle expenses. This supports the idea of the EITC as a safety net policy which addresses key social determinants of health

A randomized effectiveness trial

PRIFPRI3; ISIPHN

Additional file 1 of Potential mechanisms linking poverty alleviation and health: an analysis of benefit spending among recipients of the U.S. earned income tax credit

Supplementary Material