Browsing by Subject "Poverty"
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Item Open Access A housing mobility program's impacts on teen and young adult parenting.(SSM - population health, 2019-12) Fuller, Taleria R; Sciandra, Matt; Koumans, Emilia H; Boulet, Sheree L; Warner, Lee; Cox, Shanna; Gennetian, Lisa AObjective:To assess the impact of Moving to Opportunity for Fair Housing Demonstration Program (MTO) implemented in 1994 in five U.S. cities (Baltimore, Boston, Chicago, Los Angeles, and New York City) on teen births. Methods:We analyzed baseline and long-term evaluation data for youth (ages 13-20) and young adults (ages 21-30) (N = 7861) who were children or teens at baseline. We used regression analyses to estimate the impact of housing vouchers on having a teen birth. Results:Overall, MTO had no significant effect on teen births. However, among young adults whose parent had a child before age 20, the proportion with a teen birth themselves was 21% lower among those offered housing vouchers to low-poverty neighborhoods with no restrictions compared to those not offered housing vouchers (p < 0.05). Conclusion:MTO appeared to decrease intergenerational teen births among young adults. Further exploration of housing relocation may help untangle risks and protective factors for reducing intergenerational teen births. Public health implications:Reducing intergenerational teen births is important, especially among those facing economic, environmental, and health risks. Comprehensive programs addressing multiple social determinants of health are vital to reducing teen births.Item Open Access Accuracy of proactive case finding for mental disorders by community informants in Nepal.(Br J Psychiatry, 2015-12) Jordans, Mark JD; Kohrt, Brandon A; Luitel, Nagendra P; Komproe, Ivan H; Lund, CrickBACKGROUND: Accurate detection of persons in need of mental healthcare is crucial to reduce the treatment gap between psychiatric burden and service use in low- and middle-income (LAMI) countries. AIMS: To evaluate the accuracy of a community-based proactive case-finding strategy (Community Informant Detection Tool, CIDT), involving pictorial vignettes, designed to initiate pathways for mental health treatment in primary care settings. METHOD: Community informants using the CIDT identified screen positive (n = 110) and negative persons (n = 85). Participants were then administered the Composite International Diagnostic Interview (CIDI). RESULTS: The CIDT has a positive predictive value of 0.64 (0.68 for adults only) and a negative predictive value of 0.93 (0.91 for adults only). CONCLUSIONS: The CIDT has promising detection properties for psychiatric caseness. Further research should investigate its potential to increase demand for, and access to, mental health services.Item Open Access Adherence to adjuvant endocrine therapy for breast cancer: importance in women with low income.(Journal of women's health (2002), 2015-05) Ursem, Carling J; Bosworth, Hayden B; Shelby, Rebecca A; Hwang, Wenke; Anderson, Roger T; Kimmick, Gretchen GThere are wide disparities in breast cancer-specific survival by patient sociodemographic characteristics. Women of lower income, for instance, have higher relapse and death rates from breast cancer. One possible contributing factor for this disparity is low use of adjuvant endocrine therapy-an extremely efficacious therapy in women with early stage, hormone receptor positive breast cancer, the most common subtype of breast cancer. Alone, adjuvant endocrine therapy decreases breast cancer recurrence by 50% and death by 30%. Data suggest that low use of adjuvant endocrine therapy is a potentially important and modifiable risk factor for poor outcome in low-income breast cancer patients.Item Open Access Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018.(Nature medicine, 2021-10-12) Kinyoki, Damaris; Osgood-Zimmerman, Aaron E; Bhattacharjee, Natalia V; Local Burden of Disease Anaemia Collaborators; Kassebaum, Nicholas J; Hay, Simon IAnemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000-2018 geospatial estimates of anemia prevalence in women of reproductive age (15-49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization's Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations.Item Open Access Chasing Dreams or Avoiding Ruin: Neural Activation to Goal Priming in Low-Income vs. Control Adolescents(2021-04-09) Pandya, UrmiGoals are central to our identities. An important process related to goals is self-regulation: the process of pursuing goals despite internal and external forces that might disrupt it. Adolescents have been shown to struggle with self-regulation, particularly when environmental factors such as poverty interfere with successful goal pursuit. One theory of self-regulation is regulatory focus theory (RFT). RFT consists of promotion and prevention focus. An example of promotion focus is studying to do well on a test because it is an achievement (i.e., an ideal). An example of prevention focus is studying to do well on a test because it is one’s responsibility to do so (i.e., an ought). This exploratory study followed self-regulation as defined by RFT and centered on neural correlates of goal attainment in low-income adolescents. This study compared performance on a subliminal priming fMRI task between low-income and control adolescents. It was found that the low-income adolescents showed greater activation in the mPFC, linked to error-monitoring, for ideal goals that they were close to attaining and less activation in areas associated with self-focus for ideal goals that they were not close to attaining and ought goals that they were close to attaining. These results suggest a potential role of poverty-related stressors in shifting attention away from the self and instead towards vigilant management of external responsibilities. Even during ideal goal pursuit, low-income adolescents may be more focused on correcting errors rather than maximizing positive affect.Item Open Access Correlates and Consequences of Spanking and Verbal Punishment for Low-Income White, African American, and Mexican American Toddlers(Child Development, 2009) Berlin, LJ; Malone, PS; Ayoub, CA; Ispa, J; Fine, M; Brooks Gunn, J; Brady Smith, C; Bai, YThis study examined the prevalence, predictors, and outcomes of spanking and verbal punishment in 2,573 low-income White, African American, and Mexican American toddlers at ages 1, 2, and 3. Both spanking and verbal punishment varied by maternal race/ethnicity. Child fussiness at age 1 predicted spanking and verbal punishment at all 3 ages. Cross-lagged path analyses indicated that spanking (but not verbal punishment) at age 1 predicted child aggressive behavior problems at age 2 and lower Bayley mental development scores at age 3. Neither child aggressive behavior problems nor Bayley scores predicted later spanking or verbal punishment. In some instances, maternal race/ethnicity and/or emotional responsiveness moderated the effects of spanking and verbal punishment on child outcomes.Item Open Access Correlates of poor health among orphans and abandoned children in less wealthy countries: the importance of caregiver health.(PLoS One, 2012) Thielman, Nathan; Ostermann, Jan; Whetten, Kathryn; Whetten, Rachel; O'Donnell, Karen; Positive Outcomes for Orphans Research TeamBACKGROUND: More than 153 million children worldwide have been orphaned by the loss of one or both parents, and millions more have been abandoned. We investigated relationships between the health of orphaned and abandoned children (OAC) and child, caregiver, and household characteristics among randomly selected OAC in five countries. METHODOLOGY: Using a two-stage random sampling strategy in 6 study areas in Cambodia, Ethiopia, India, Kenya, and Tanzania, the Positive Outcomes for Orphans (POFO) study identified 1,480 community-living OAC ages 6 to 12. Detailed interviews were conducted with 1,305 primary caregivers at baseline and after 6 and 12 months. Multivariable logistic regression models describe associations between the characteristics of children, caregivers, and households and child health outcomes: fair or poor child health; fever, cough, or diarrhea within the past two weeks; illness in the past 6 months; and fair or poor health on at least two assessments. PRINCIPAL FINDINGS: Across the six study areas, 23% of OAC were reported to be in fair or poor health; 19%, 18%, and 2% had fever, cough, or diarrhea, respectively, within the past two weeks; 55% had illnesses within the past 6 months; and 23% were in fair or poor health on at least two assessments. Female gender, suspected HIV infection, experiences of potentially traumatic events, including the loss of both parents, urban residence, eating fewer than 3 meals per day, and low caregiver involvement were associated with poorer child health outcomes. Particularly strong associations were observed between child health measures and the health of their primary caregivers. CONCLUSIONS: Poor caregiver health is a strong signal for poor health of OAC. Strategies to support OAC should target the caregiver-child dyad. Steps to ensure food security, foster gender equality, and prevent and treat traumatic events are needed.Item Open Access Detection of depression in low resource settings: validation of the Patient Health Questionnaire (PHQ-9) and cultural concepts of distress in Nepal.(BMC Psychiatry, 2016-03-08) Kohrt, Brandon A; Luitel, Nagendra P; Acharya, Prakash; Jordans, Mark JDBACKGROUND: Despite recognition of the burden of disease due to mood disorders in low- and middle-income countries, there is a lack of consensus on best practices for detecting depression. Self-report screening tools, such as the Patient Health Questionnaire (PHQ-9), require modification for low literacy populations and to assure cultural and clinical validity. An alternative approach is to employ idioms of distress that are locally salient, but these are not synonymous with psychiatric categories. Therefore, our objectives were to evaluate the validity of the PHQ-9, assess the added value of using idioms of distress, and develop an algorithm for depression detection in primary care. METHODS: We conducted a transcultural translation of the PHQ-9 in Nepal using qualitative methods to achieve semantic, content, technical, and criterion equivalence. Researchers administered the Nepali PHQ-9 to randomly selected patients in a rural primary health care center. Trained psychosocial counselors administered a validated Nepali depression module of the Composite International Diagnostic Interview (CIDI) to validate the Nepali PHQ-9. Patients were also assessed for local idioms of distress including heart-mind problems (Nepali, manko samasya). RESULTS: Among 125 primary care patients, 17 (14 %) were positive for a major depressive episode in the prior 2 weeks based on CIDI administration. With a Nepali PHQ-9 cutoff ≥ 10: sensitivity = 0.94, specificity = 0.80, positive predictive value (PPV) =0.42, negative predictive value (NPV) =0.99, positive likelihood ratio = 4.62, and negative likelihood ratio = 0.07. For heart-mind problems: sensitivity = 0.94, specificity = 0.27, PPV = 0.17, NPV = 0.97. With an algorithm comprising two screening questions (1. presence of heart-mind problems and 2. function impairment due to heart-mind problems) to determine who should receive the full PHQ-9, the number of patients requiring administration of the PHQ-9 could be reduced by 50 %, PHQ-9 false positives would be reduced by 18 %, and 88 % of patients with depression would be correctly identified. CONCLUSION: Combining idioms of distress with a transculturally-translated depression screener increases efficiency and maintains accuracy for high levels of detection. The algorithm reduces the time needed for primary healthcare staff to verbally administer the tool for patients with limited literacy. The burden of false positives is comparable to rates in high-income countries and is a limitation for universal primary care screening.Item Open Access Development and Preliminary Feasibility of iByte4Health: A Mobile Health (mHealth) Pediatric Obesity Prevention Intervention to Engage Parents with Low-Income of Children 2-9 Years.(Nutrients, 2021-11-25) Tripicchio, Gina L; Kay, Melissa; Herring, Sharon; Cos, Travis; Bresnahan, Carolyn; Gartner, Danielle; Sosinsky, Laura Stout; Bass, Sarah BThis research describes the development and preliminary feasibility of iByte4Health, a mobile health (mHealth) obesity prevention intervention designed for parents with a low-income of children 2-9 years of age. Study 1 (n = 36) presents findings from formative work used to develop the program. Study 2 (n = 23) presents a 2-week proof-of-concept feasibility testing of iByte4Health, including participant acceptability, utilization, and engagement. Based on Study 1, iByte4Health was designed as a text-messaging program, targeting barriers and challenges identified by parents of young children for six key obesity prevention behaviors: (1) snacking; (2) physical activity; (3) sleep; (4) sugary drinks; (5) fruit and vegetable intake; and (6) healthy cooking at home. In Study 2, participants demonstrated high program retention (95.7% at follow-up) and acceptability (90.9% reported liking or loving the program). Users were engaged with the program; 87.0% responded to at least one self-monitoring text message; 90.9% found the videos and linked content to be helpful or extremely helpful; 86.4% found text messages helpful or extremely helpful. iByte4Health is a community-informed, evidenced-based program that holds promise for obesity prevention efforts, especially for those families at the increased risk of obesity and related disparities. Future work is warranted to test the efficacy of the program.Item Open Access Do specialty courts achieve better outcomes for children in foster care than general courts?(Eval Rev, 2013-02) Sloan, Frank A; Gifford, Elizabeth J; Eldred, Lindsey M; Acquah, Kofi F; Blevins, Claire EOBJECTIVE: This study assessed the effects of unified family and drug treatment courts (DTCs) on the resolution of cases involving foster care children and the resulting effects on school performance. METHOD: The first analytic step was to assess the impacts of presence of unified and DTCs in North Carolina counties on time children spent in foster care and the type of placement at exit from foster care. In the second step, the same data on foster care placements were merged with school records for youth in Grades 3-8 in public schools. The effect of children's time in foster care and placement outcomes on school performance as measured by math and reading tests, grade retention, and attendance was assessed using child fixed-effects regression. RESULTS: Children in counties with unified family courts experienced shorter foster care spells and higher rates of reunification with parents or primary caregivers. Shorter foster care spells translated into improved school performance measured by end-of-grade reading and math test scores. Adult DTCs were associated with lower probability of reunification with parents/primary caregivers. CONCLUSION: The shortened time in foster care implies an efficiency gain attributable to unified family courts, which translate into savings for the court system through the use of fewer resources. Children also benefit through shortened stays in temporary placements, which are related to some improved educational outcomes.Item Open Access Durham and Gentrification: Assessing the Impact of Displacement in the Bull City(2019-04) Ameri, ArminIn this paper, I look to Durham, North Carolina, to demonstrate potential harms from gentrification. Using an expansive proprietary dataset, I come to two main conclusions: first, there is a significant link between gentrification and displacement, as low-income renters are constrained by increased prices and are forced to leave their neighborhoods. Second, displaced renters are significantly more likely to move into communities with higher crime rates, worse schools, and increased rates of poverty. These results suggest that the Durham government should enact policies protecting low-income renters and other at-risk groups while also balancing the benefits of gentrification.Item Open Access Dynamic and Lasting Impacts: Socioeconomic Effects of Protracted Refugee Camps on Host Communities in Tanzania(2009-12) Han, Min CourtneyPoor sub-Saharan African countries are more likely to host long-term refugee situations in the 21st century than in previous decades. Many hosting governments have restricted refugees to camps because they consider long-term refugees to be economic burdens. Refugee-affiliated organizations have attempted to address this complaint by exploring development projects for locals living in refugee-affected areas. To investigate how refugees and NGOs actually impact host communities during and after camp protraction, three Tanzanian villages near a recently closed fourteen-year-old refugee camp were assessed using a mixed-methods research approach. Impacts from camp presence were analyzed based on those caused by refugees themselves, and those by refugee-affiliated humanitarian organizations. Focus groups discussions provide evidence of four different stages of camp presence effects: high instability during initial presence, positive interactions for eight years, increased crime and tensions ten years after initial contact, and lagging NGO development and compensation interventions during and after camp disbandment. NGO benefits for hosts also grew 5-6 years after camp construction. Household surveys indicated that refugee camp presence did not appear to noticeably affect village wealth, but could contribute to large economic impacts on specific households based on the household’s absorption capacity to take advantage of refugee-related opportunities. To reduce tension, increase absorption capacity and protect vulnerable host populations, NGOs should coordinate skill-exchange programs, community-level governance structures and community crime watch programs between refugees and hosts.Item Open Access Effect of Housing Type and Neighborhood Socioeconomic Indicators on Survival After Low Falls in Older Adults.(Journal of the American Medical Directors Association, 2019-05) Wei, Wycliffe E; Wong, Chek Hooi; Matchar, David B; Earnest, Arul; Wah, Win; Ong, Marcus Eng Hock; Wong, Ting HwayItem Open Access Evaluation of a Family Connects Dissemination to Four High-Poverty Rural Counties.(Maternal and child health journal, 2022-05) Goodman, W Benjamin; Dodge, Kenneth A; Bai, Yu; Murphy, Robert A; O'Donnell, KarenObjectives
Home visiting is a popular approach to improving the health and well-being of families with infants and young children in the United States; but, to date, no home visiting program has achieved population impact for families in rural communities. The current report includes evaluation results from the dissemination of a brief, universal postpartum home visiting program to four high-poverty rural counties.Methods
The study utilized a quasi-experimental design. From Sept. 1, 2014-Dec. 31, 2015, families of all 994 resident births in four rural eastern North Carolina counties were assigned to receive Family Connects (FC; intervention group). A representative subsample of families participated in impact evaluation when the infants were 6 months old: 392 intervention group families and 126 families with infants born between Feb. 1, 2014-July 31, 2014 (natural comparison group). Data were analyzed preliminarily for reporting to funders in 2016 and, more comprehensively, using propensity score matching in 2020.Results
Of FC-eligible families, 78% initiated participation; 83% of participating families completed the program (net completion = 65%). At age 6 months, intervention parents reported more community connections, more frequent use of community services, greater social support, and greater success with infants sleeping on their backs. Intervention infants had fewer total emergency department and urgent care visits. Intervention parents had more total emergency department and urgent care visits and (marginally) fewer overnights in the hospital.Conclusions for practice
FC can be implemented successfully in high-poverty rural communities with broad reach and positive benefits for infants and families.Item Open Access Football Wishes and Fashion Fair Dreams: Class and the Problem of Upward Mobility in Contemporary U.S. Literature and Culture(2012) Appel, Sara ElizabethThrough an analysis of contemporary films, novels, comics, and other popular texts, my dissertation argues that upward class mobility, as the progress narrative through which the American Dream has solidified itself in literary and cultural convention, is based on a false logic of "self-made" individualism. The texts I examine tell a new kind of mobility story: one that openly acknowledges the working-class community interdependence underpinning individuals' ability to rise to their accomplishments. My work spotlights distinctly un-rich communities invested in the welfare of their most vulnerable citizens. It also features goal-oriented individuals who recognize the personal impact of this investment as well as the dignity of poor and working-class people from "heartland" Texas to Lower East Side Manhattan. American-exceptionalist stories no longer ring true with popular audiences faced with diminishing access to economic resources and truly democratic political representation. The growing wealth gap between the corporate elite and everyone else has resulted in a healthy mass skepticism toward simplistic narratives of hard work guaranteeing the comforts of a middle-clas life. The archive I have identified displays a fundamental commitment to the social contract that is perhaps the greatest of U.S. working-class values, offering a hopeful vision of collective accountability to readers and viewers struggling to avoid immobilizing debt, foreclosure, and the unemployment line.
Item Open Access Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.(British journal of anaesthesia, 2016-10) International Surgical Outcomes Study groupBackground
As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care.Methods
We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries.Results
A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries.Conclusions
Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care.Study registration
ISRCTN51817007Item Open Access Growing Up in the Face of Economic Hardship: The Effects of Job Loss, Material Deprivation, and Subjective Financial Stress on Children and Parents(2018) Schenck-Fontaine, AnikaMost research on the effects of economic hardship on children and parents has only considered the effects of income poverty, while ignoring the roles of two other dimensions of economic hardship - subjective financial stress and material deprivation. In this dissertation, I fill that gap in the literature by examining the effects of these underexamined dimensions of economic hardship on children's social-emotional outcomes from an international perspective. I also expand on the extant literature by examining the effects of economic hardship on parenting at the community, rather than the family, level. Together, the three chapters of this dissertation add a more nuanced and global perspective to a growing body of literature on the multiple dimensions of economic hardship and their impacts on children and parents.
The first chapter examines the multiple possible manifestations of economic hardship at the family level and their associations with children's social-emotional outcomes. Using data from the Millennium Cohort Study, a nationally representative longitudinal study of children born between 2000 and 2001 in the United Kingdom, I find that half of the families who experienced economic hardship were not income poor, but nevertheless experienced material deprivation, subjective financial stress, or both. Moreover, all manifestations of economic hardship, including those without income poverty, were associated with higher levels of behavior problems for children. I interpret these findings to indicate that income poverty is a necessary but insufficient measure of economic hardship and that future research on the effects of economic hardship should consider all of the possible manifestations of economic hardship.
The second chapter more deeply investigates the association between material deprivation and children's social-emotional outcomes holding income constant. I use data from the Parenting Across Cultures Project to identify whether the association between material deprivation and children's behavior problems found in the first paper is also observable among families in nine diverse countries in Europe, North and South America, Africa, and Asia. I find that even when income remained stable, parents' perceived material deprivation was associated with children's externalizing behavior problems. I also find that parents' disciplinary practices explain a small but significant share of the association between parents' perceived material deprivation and children's behavior problems. There were no differences in these associations between mothers and fathers or between high- and low- and middle-income countries. These results provide further evidence that material deprivation influences children's social-emotional outcomes at any income level and suggest that this association is significant in diverse political, cultural, and economic contexts.
The third chapter examines the effect of economic hardship on parenting behavior at the community, rather than family, level. Using longitudinal state-level US administrative data on mass layoffs and child maltreatment investigations, this chapter tests whether economic shocks at the state level are associated with community-wide increases in child maltreatment. I show that job losses are associated with a significant increase in investigations for physical abuse, but not in the overall rate of investigations. Moreover, job losses also predict an increase in the share of reports that was substantiated. These findings underscore the need to consider economic hardship at the community level in addition to the family level when studying economic disparities in children's outcomes and experiences.
Item Open Access Habitats of Abandonment: Subjectivity and the Aesthetics of Dispossession from the Industrial Revolution to the Great Depression(2016) Callahan, ClareThis dissertation draws on American literature from the Industrial Revolution to the Great Depression to fashion a theory of abandonment, a term that designates both a material reality and a conceptual framework; abandonment names what remains unincorporated into the governing economic, political, gender and racial logic. This study examines, therefore, literary representations of poverty, homelessness, forms of working-class labor, and the work that race and gender do within these conditions of existence. It arises from the intersection of the Marxist, feminist, poststructuralist, and queer theory that has sought not only to account for the inequitable economic distribution of goods but also to confront the deeper problem of injurious power structures and hierarchies.
The literature of abandonment discounts the practice of seeking recognition within a dominant structure of power; rather, abandonment brings to light the spatial practice of the subject’s struggle for re-signification of such structures. Thus, one can begin to conceive of the abandoned subject by asking what one produces when one inhabits a space typically deemed uninhabitable—by discovering forms of being where one’s being is impossible or illicit—because it is in this act that subjectivity for the otherwise abject becomes possible. This study asks more specifically how literature as an aesthetic practice imagines the production of an abandoned subjectivity and, by extension, alternative social, economic and political structures.
The driving question of this dissertation is, how can a concept such as abandonment allow one to address without interpellating its subject? That is, can one value the abandoned as such, without incorporating it into an injurious system of evaluation or the prevailing neoliberal discourse of recognition? This entails asking how these processes are represented as being deeply aesthetic and what the relationship is between literary form and “habitat.” That the fact of abandonment is not quite available for representation, at least not without recovering it from itself, but is available for inhabitation, is illustrated in each of the texts this dissertation examines. In bridging socioeconomic material and thematic readings with a study of literary form, this dissertation argues that literature itself performs the very calling into being and inhabitation of this spectral space; which is to say, literary form lays bare the spatial underpinnings of narrative, allowing one to enter into the currents of dispossession rather than their fixed social positions.
Item Open Access Implications of “Energy Poverty “of the poor in India(2011-04-28) Kumar, RajeevThis master’s project examines the concept of energy poverty on micro level sample survey data collected from Indian households between November 2004 and October 2005. Energy poverty refers to the lack of access of poorer households’ to sufficient volumes of efficient means of energy for their daily use. Using statistical analysis, the study identifies variables that can explain energy poverty of households – i.e. are statistically significant in a model of energy poverty. It uses data collected by a Living Standards Measurement Study (LSMS) called Indian Human Development Survey (IHDS) 2005 contains information on levels of living, poverty and inequality in Indian households from direct interview questionnaires. This survey was designed and implemented by the University of Maryland in collaboration with the National Council of Applied Economic Research (NCAER), New Delhi. I model fuel type choice as a function of household consumption (as proxy for income), education level of adult female and male members, poverty, household size and place of residence. Consumption data is significant in defining choice of fuel type. Factors like education, place of living and household size are statistically significant in modifying the choices. The models conclude that use of polluting fuels is more prevalent in poorer households, household with lower education and in rural households. However, large family size is the biggest obstacle in adopting cleaner fuels. I also model the health impact of smoke produced by biomass traditional stove, by controlling for education of adult men and women, place of cooking, ventilation and consumption level of households. I examine mortality and morbidities associated with smoke exposure on men, women, children and younger children separately. Economic status of the household and education of females are statistically significant explanatory variables in controlling the impact of exposure to smoke on morbidity levels. I also find that children’s education is adversely affected by the health impacts of exposure to biomass based stove smoke.Item Open Access Inequality, the Welfare State, and Demographic Change(2016) Bostic, AmieThis dissertation is a three-part analysis examining how the welfare state in advanced Western democracies has responded to recent demographic changes. Specifically, this dissertation investigates two primary relationships, beginning with the influence of government spending on poverty. I analyze two at-risk populations in particular: immigrants and children of single mothers. Next, attention is turned to the influence of individual and environmental traits on preferences for social spending. I focus specifically on religiosity, religious beliefs and religious identity. I pool data from a number of international macro- and micro-data sources including the Luxembourg Income Study (LIS), International Social Survey Program (ISSP), the World Bank Databank, and the OECD Databank. Analyses highlight the power of the welfare state to reduce poverty, but also the effectiveness of specific areas of spending focused on addressing new social risks. While previous research has touted the strength of the welfare state, my analyses highlight the need to consider new social risks and encourage closer attention to how social position affects preferences for the welfare state.