National Status Research Articles

Does an Immigrant Health Advantage Exist Among US Whites? Evidence from a Nationally-Representative Examination of Mental and Physical Well-Being

This study examines whether an immigrant health advantage exists among US Whites, a group often used as a reference category in research on racial and ethnic health disparities. Using recent data from the National Health Interview Survey (2019–2022), I disaggregate non-Hispanic White adults (n = 41,752) by nativity status and use logistic regression models to assess differences in six measures of mental and physical health. The analysis includes self-reported conditions (depression, anxiety, fair/poor self-rated health) and diagnosed conditions that require interaction with the healthcare system (hypertension, diabetes, and chronic obstructive pulmonary disease, COPD). Foreign-born Whites have a significantly lower prevalence of each health outcome relative to US-born Whites. The immigrant health advantage remains significant for depression, anxiety, fair/poor health (i.e., self-reported conditions) and diagnosed hypertension, after adjusting for sociodemographic and healthcare characteristics. In contrast, the inclusion of these explanatory factors reduces the nativity gap in diagnosed diabetes and COPD to non-significance. Overall, the results indicate important variation in health among Whites that is missed in studies that focus on US-born Whites, alone. Scholars must continue to monitor the health of White immigrants, who are projected to grow to 20% of the US immigrant population in the years to come.

A study on the physical aging characteristics of the older people over 70 years old in China.

In China, with the increase of life expectancy and the decrease of fertility rate, the aging problem has become increasingly prominent, and the physical problems of the older people over 70 years are the key and difficult problems. Based on the interactive logic between the aging problem and the older people health, in the study, a questionnaire survey and a nationwide physical fitness test were carried out on the older people over 70, to divide into different age groups (70-74 years old, 75-79 years old, 80-84 years old, 85 years old and older) and different genders. There were 8,400 valid samples, and 1,050 persons in each group. One-way ANOVA was used to compare the differences among groups of different ages, and a broken line chart was drawn to discuss the aging characteristics of various physical indexes of the older people over 70 in China. (1) Body morphology: male waist circumference, male waist-to-height ratio and female BMI showed a gradual downward trend with the increase of age; (2) Physiological function: male and female vital capacity showed a decreasing trend with the increase of age, while female pulse pressure showed a gradual upward trend. (3) Physical quality: the indicators of male and female muscle strength, flexibility quality, aerobic endurance and balance showed a downward trend with the increase of age. Vital capacity, flexibility quality, muscle strength, aerobic endurance, balance ability and so on, decreased significantly with the growth of age. 80 years old is the inflection point of the rapid decline of various indicators. Blood pressure, silent pulse, BMI, waist-to-hip ratio, waist-to-height ratio and other indicators did not change regularly with age. Indicators such as blood pressure, BMI, waist-to-hip ratio and waist-to-height ratio were in the high-risk range of metabolic diseases and cardiovascular and cerebrovascular diseases. The study conducted physical fitness test on the older people over 70 years old in 7 geographical regions of China, which is the first nationwide physical fitness test for the older people, which is an extension and expansion of the national physical fitness monitoring system, and also shows that the test indicators involved in the "Health fitness scale" are simple and feasible. And the study added a series of test data over 70 years old, which is the basis for scientific and reasonable formulation of physical fitness evaluation standards for the older people, and is of great significance for improving the national physical fitness database and grasping the dynamic changes of national physical health status, and providing data support for scientific guidance of physical exercise for the older people.

Shoulder dystocia in babies born to Aboriginal mothers with diabetes: a population-based cohort study, 1998–2015

BackgroundAustralian Aboriginal and Torres Strait Islander women with diabetes in pregnancy (DIP) are more likely to have glycaemic levels above the target range, and their babies are thus at higher risk of excessive fetal growth. Shoulder dystocia, defined by failure of spontaneous birth of fetal shoulder after birth of the head requiring obstetric maneuvers, is an obstetric emergency that is strongly associated with DIP and fetal size. The aim of this study was to investigate the epidemiology of shoulder dystocia in Aboriginal babies born to mothers with DIP.MethodsStratifying by Aboriginal status, characteristics of births complicated by shoulder dystocia in women with and without DIP were compared and incidence and time-trends of shoulder dystocia were described. Compliance with guidelines aiming at preventing shoulder dystocia in women with DIP were compared. Post-logistic regression estimation was used to calculate the population attributable fractions (PAFs) for shoulder dystocia associated with DIP and to estimate probabilities of shoulder dystocia in babies born to mothers with DIP at birthweights > 3 kg.ResultsRates of shoulder dystocia from vaginal births in Aboriginal babies born to mothers with DIP were double that of their non-Aboriginal counterparts (6.3% vs 3.2%, p < 0.001), with no improvement over time. Aboriginal mothers with diabetes whose pregnancies were complicated by shoulder dystocia were more likely to have a history of shoulder dystocia (13.1% vs 6.3%, p = 0.032). Rates of guideline-recommended elective caesarean section in pregnancies with diabetes and birthweight > 4.5 kg were lower in the Aboriginal women (28.6% vs 43.1%, p = 0.004). PAFs indicated that 13.4% (95% CI: 9.7%-16.9%) of shoulder dystocia cases in Aboriginal (2.7% (95% CI: 2.1%-3.4%) in non-Aboriginal) women were attributable to DIP. Probability of shoulder dystocia among babies born to Aboriginal mothers with DIP was higher at birthweights > 3 kg.ConclusionsAboriginal mothers with DIP had a higher risk of shoulder dystocia and a stronger association between birthweight and shoulder dystocia. Many cases were recurrent. These factors should be considered in clinical practice and when counselling women.

루마니아 내 한국학 교육에서의 북한학

Interest in Korean studies in Romania is gradually increasing. This is largely due to the heightened national status associated with the rapid growth of the Korean economy and the Korean Wave, which has rich and high-quality cultural contents. With this trend, Korean studies in Romania have created a large demand for education within a short period of time and are accumulating various research achievements. At this point, a more strategic attitude and effort are required to find long-term and stable growth engines for Korean studies. In addition to the development of human resources, which have played a central role in Korean studies education, communication from various perspectives for Korean studies research must be achieved. For the desirable development of Korean studies in Romania, where language education is the center, it seems that much discussion will be needed on what kind of educational contents are required and how these should be prepared and delivered to learners. The way to continue to raise the awareness of Korean studies, which has been heightened by the Korean Wave, is to operate Korean studies with rich educational contents. From this perspective, providing education on North Korean studies, especially their history, is considered necessary to build more diverse educational contents. The need for history education has been emphasized for overseas Korean language learners, but in fact, education about the history of North Korea, which is part of the Korean studies, has been taboo. We need to approach history more freely from ideological views and prejudices and instill in students a correct understanding of history. This is believed to be one of many problems that must be resolved for the development of Korean studies education.

Evolution, resilience and causes of global petroleum gas trade networks: 1995–2020

Based on the HS 4-digit code trade data in UNCOMTRADE from 1995 to 2020, this paper analyzes the characteristics of the evolution of the global PG trade network using the complex network approach and analyzes the changes in its resilience at the overall and country levels, respectively. The results illustrated that: (1) The scale of the global PG trade network tends to expand, and the connection is gradually tightened, experiencing a change from a “supply-oriented” to a “supply-and-demand” pattern, in which the U.S., Russia, Qatar, and Australia have gradually replaced Canada, Japan, and Russia to become the core trade status, while OPEC countries such as Qatar, Algeria, and Kuwait mainly rely on PG exports to occupy the core of the global supply, and the trade status of other countries has been dynamically alternating and evolving. (2) The resilience of the global PG trade network is lower than that of the random network and decreases non-linearly with more disrupted countries. Moreover, the impact of the U.S. is more significant than the rest of countries. Simulations using the exponential random graph model (ERGM) model revealed that national GDP, institutional quality, common border and RTA network are the determinants of PG trade network formation, and the positive impact of the four factors not only varies significantly across regions and stages, but also increases with national network status.

Leading causes of death in Vietnamese Americans: An ecological study based on national death records from 2005-2020.

Disaggregated data is a cornerstone of precision health. Vietnamese Americans (VietAms) are the fourth-largest Asian subgroup in the United States (US), and demonstrate a unique burden of disease and mortality. However, most prior studies have aggregated VietAms under the broader Asian American category for analytic purposes. This study examined the leading causes of death among VietAms compared to aggregated Asian Americans and non-Hispanic Whites (NHWs) during the period 2005-2020. Decedent data, including underlying cause of death, were obtained from the National Center for Health Statistics national mortality file from 2005 to 2020. Population denominator estimates were obtained from the American Community Survey one-year population estimates. Outcome measures included proportional mortality, age-adjusted mortality rates per 100,000 (AMR), and annual percent change (APC) in mortality over time. Data were stratified by sex and nativity status. Due to large differences in age structure, we report native- and foreign-born VietAms separately. We identified 74,524 VietAm decedents over the study period (71,305 foreign-born, 3,219 native-born). Among foreign-born VietAms, the three leading causes of death were cancer (26.6%), heart disease (18.0%), and cerebrovascular disease (9.0%). Among native-born VietAms the three leading causes were accidents (19.0%), self-harm (12.0%), and cancer (10.4%). For every leading cause of death, VietAms exhibited lower mortality compared to both aggregated Asians and NHWs. Over the course of the study period, VietAms witnessed an increase in mortality in every leading cause. This effect was mostly driven by foreign-born, male VietAms. While VietAms have lower overall mortality from leading causes of death compared to aggregated Asians and NHWs, these advantages have eroded markedly between 2005 and 2020. These data emphasize the importance of racial disaggregation in the reporting of public health measures.

Expatriate voice: The effects of nationality and social status

AbstractThe expression of voice is valuable for organisations and individuals but most of what we know about voice is drawn from western contexts. This paper focuses on why, how and on what issues expatriates speak up. Examining voice in the multinational context of the United Arab Emirates allows us to develop a more in‐depth understanding of national, organisational, and individual factors that influence voice. Interviews with 71 expatriates and 29 host country nationals show that expatriates' social status influences their attitude and behaviour towards voice and that informal structures and social networks in organisations are important in understanding expatriates' voice behaviours. The overlapping categories of expatriates from non‐western countries and expatriates in low‐status jobs take a wider view of their situation and are as a result less likely to use voice in the workplace.

Exploring the Potential for Tuition-Free Higher Education in South Africa: A Scoping Review

The debate on tuition-free higher education has raged in South Africa since the #FeesMustFall protests at South African universities in 2015 and 2016. The government responded with a tuition-free education policy targeting students from households earning less than R350 000. However, the question remains can South Africa sustain a tuition-free education policy given its developing nation status and the levels of its GDP? This article sought to assess the feasibility of tuition-free higher education for all in South Africa. A scoping review was used, and fifteen articles about tuition-free higher education feasibility in South Africa were reviewed. The choice of the scoping review was due to the need for an understanding of the current state of play in research on the feasibility of tuition-free higher education in South Africa. The results suggest that tuition-free higher education for all is not feasible in South Africa. There seems to be a consensus that South Africa lacks the resources to finance tuition-free higher education for all. Tuition-free higher education is also viewed as a regressive tax on the poor given that the majority of students in higher education institutions come from middle and upper-income households. However, it is important to note that a distinction is drawn between tuition-free higher education for all and tuition-free higher education for the poor and academically deserving. The latter seems to receive support with some viewing it as a moral imperative in an unequal society such as South Africa’s. It is recommended that future studies approach the issue from an empirical standpoint whereby the GDP levels are assessed against higher education funding.

Nationalism, Status, and Conspiracy Theories: Evidence from Pakistan

Abstract Does nationalism increase beliefs in conspiracy theories that frame minorities as subversives? From China to Russia to India, analysts and public commentators increasingly assume that nationalism fuels belief in false or unverified information. Yet existing scholarly work has neither theoretically nor empirically examined this link. Using a survey experiment conducted among 2,373 individuals and 6 focus groups with 6–8 participants each, for a total of 50 individuals, we study the impact of nationalist sentiment on belief in conspiracy theories related to ethnic minority groups in Pakistan. We find that nationalist primes – even those intended to emphasize the integration of diverse groups into one superordinate national identity – increase belief in statements about domestic minorities collaborating with hostile foreign powers. Subgroup analysis and focus groups suggest that nationalism potentially increases the likelihood that one views rights-seeking minorities as undermining the pursuit of national status.

Indian Preference and the status of American Indians and Alaska Natives in the federal service: Employment, earnings, authority, and perceptions of fairness

AbstractPublic administration scholars have largely ignored American Indians and Alaska Natives in their studies of racial disparities in the federal service, despite strong reasons to believe they face discrimination. Using three large federal data sets (the American Community Survey, federal personnel records, and the Federal Employee Viewpoint Survey), we compare the status of American Indians and Alaska Natives in the federal service to both Whites and other minorities. We find that, largely due to Indian Preference, American Indians and Alaska Natives are much more likely than Blacks, Whites, Latinos, and Asians to hold federal jobs, but they are highly concentrated in the Bureau of Indian Affairs and the Indian Health Service, agencies with which they have a sordid and fraught history. This concentration allows them to work in positions that may advance the interests of their communities and increases their probabilities of being supervisors, but it does not prevent them from being among the poorest‐paid and least‐satisfied employees in the federal service.

Lifestyle and sociodemographic risk factors for stillbirth by region of residence in South Australia: a retrospective cohort study

BackgroundStillbirth rates remain a global priority and in Australia, progress has been slow. Risk factors of stillbirth are unique in Australia due to large areas of remoteness, and limited resource availability affecting the ability to identify areas of need and prevalence of factors associated with stillbirth. This retrospective cohort study describes lifestyle and sociodemographic factors associated with stillbirth in South Australia (SA), between 1998 and 2016.MethodsAll restigered births in SA between 1998 ad 2016 are included. The primary outcome was stillbirth (birth with no signs of life ≥ 20 weeks gestation or ≥ 400 g if gestational age was not reported). Associations between stillbirth and lifestyle and sociodemographic factors were evaluated using multivariable logistic regression and described using adjusted odds ratios (aORs).ResultsA total of 363,959 births (including 1767 stillbirths) were included. Inadequate antenatal care access (assessed against the Australian Pregnancy Care Guidelines) was associated with the highest odds of stillbirth (aOR 3.93, 95% confidence interval (CI) 3.41–4.52). Other factors with important associations with stillbirth were plant/machine operation (aOR, 1.99; 95% CI, 1.16–2.45), birthing person age ≥ 40 years (aOR, 1.92; 95% CI, 1.50–2.45), partner reported as a pensioner (aOR, 1.83; 95% CI, 1.12–2.99), Asian country of birth (aOR, 1.58; 95% CI, 1.19–2.10) and Aboriginal/Torres Strait Islander status (aOR, 1.50; 95% CI, 1.20–1.88). The odds of stillbirth were increased in regional/remote areas in association with inadequate antenatal care (aOR, 4.64; 95% CI, 2.98–7.23), birthing age 35–40 years (aOR, 1.92; 95% CI, 1.02–3.64), Aboriginal and/or Torres Strait Islander status (aOR, 1.90; 95% CI, 1.12–3.21), paternal occupations: tradesperson (aOR, 1.69; 95% CI, 1.17–6.16) and unemployment (aOR, 4.06; 95% CI, 1.41–11.73).ConclusionFactors identified as independently associated with stillbirth odds include factors that could be addressed through timely access to adequate antenatal care and are likely relevant throughout Australia. The identified factors should be the target of stillbirth prevention strategies/efforts. SThe stillbirth rate in Australia is a national concern. Reducing preventable stillbirths remains a global priority.

Inspiration and Innovation of Informal Economic Governance under Socialism with Chinese Characteristics: Reconstruction of Street Vendor Governance Model in Fuyang City

Vallholder economy is an important driving force for urban economic and social development in the new era. Under the background of socialism with Chinese characteristics, through comparative research, empirical research, investigation and analysis, this paper concluded that the street vendor economy is informal, long-term and complex. For the governance of Chinese street vendors, we should learn from the theory, absorb foreign experience based on the national conditions and urban status, and find the breakthrough of governance from the root. Formulate “flexible” flexible policies, optimize space politics, divide and rule, break through the constraints of regularization, reconstruct and innovate the economic governance model of Chinese street vendors, and realize the “Sinicization of governance concept, local governance policy and contemporary governance model”. The research has enlightenment and reference significance for enriching the development of political economy theory, innovating the informal economic governance model and developing the informal economy in the new era.

First record of Camponotus textor Forel, 1899 (Hymenoptera, Formicidae) from Ecuador

We present the &amp;#64257;rst records of Camponotus textor Forel, 1899 (Hymenoptera, Formicidae) from Ecuador, representing the &amp;#64257;rst records from west of the Andes. We explore the use of participatory science data from iNaturalist and scienti&amp;#64257;c collections to understand the distribution of C. textor. While iNaturalist data alone cannot con&amp;#64257;rm the presence of C. textor due to the need for precise morphometric data, it can be a valuable tool for assessing the species&amp;rsquo; potential distribution. This study increases Ecuador&amp;rsquo;s known ant species to 826 and Camponotus species to at least 61. Challenges in distinguishing C. textor and C. senex prevent us from determining C. textor&amp;rsquo;s native status and highlight the need for further research on Camponotus in Ecuador.

A Review of Research on Russia’s Strategic Adjustment to the West under the Background of Russia-Ukraine Conflict

This study aims to analyze Russia’s strategic adjustment to the West under the background of the Russia-Ukraine conflict, and to sort out and analyze the articles related to Russia’s strategic adjustment to the West in Chinese core journals and foreign journals from 2022 to 2024. This paper summarizes the views of domestic and foreign experts and scholars, and believes that since Russia took special military action against Ukraine, the United States and Europe have imposed unprecedented sanctions on Russia. In order to survive and develop the country and maintain its national status and interests, Russia has made a series of strategic adjustments in economy, science and technology, diplomacy and other fields, and made a strong response and counterattack to the Western sanctions policy. To some extent, it has effectively hedged the huge pressure brought by the sanctions, and showed the stability and resistance of Russia’s image as a major country to the international community.

Streamlining Protein Fractional Synthesis Rates Using SP3 Beads and Stable Isotope Mass Spectrometry: A Case Study on the Plant Ribosome.

Ribosomes are an archetypal ribonucleoprotein assembly. Due to ribosomal evolution and function, r-proteins share specific physicochemical similarities, making the riboproteome particularly suited for tailored proteome profiling methods. Moreover, the structural proteome of ribonucleoprotein assemblies reflects context-dependent functional features. Thus, characterizing the state of riboproteomes provides insights to uncover the context-dependent functionality of r-protein rearrangements, as they relate to what has been termed the ribosomal code, a concept that parallels that of the histone code, in which chromatin rearrangements influence gene expression. Compared to high-resolution ribosomal structures, omics methods lag when it comes to offering customized solutions to close the knowledge gap between structure and function that currently exists in riboproteomes. Purifying the riboproteome and subsequent shot-gun proteomics typically involves protein denaturation and digestion with proteases. The results are relative abundances of r-proteins at the ribosome population level. We have previously shown that, to gain insight into the stoichiometry of individual proteins, it is necessary to measure by proteomics bound r-proteins and normalize their intensities by the sum of r-protein abundances per ribosomal complex, i.e., 40S or 60S subunits. These calculations ensure that individual r-protein stoichiometries represent the fraction of each family/paralog relative to the complex, effectively revealing which r-proteins become substoichiometric in specific physiological scenarios. Here, we present an optimized method to profile the riboproteome of any organism as well as the synthesis rates of r-proteins determined by stable isotope-assisted mass spectrometry. Our method purifies the r-proteins in a reversibly denatured state, which offers the possibility for combined top-down and bottom-up proteomics. Our method offers a milder native denaturation of the r-proteome via a chaotropic GuHCl solution as compared with previous studies that use irreversible denaturation under highly acidic conditions to dissociate rRNA and r-proteins. As such, our method is better suited to conserve post-translational modifications (PTMs). Subsequently, our method carefully considers the amino acid composition of r-proteins to select an appropriate protease for digestion. We avoid non-specific protease cleavage by increasing the pH of our standardized r-proteome dilutions that enter the digestion pipeline and by using a digestion buffer that ensures an optimal pH for a reliable protease digestion process. Finally, we provide the R package ProtSynthesis to study the fractional synthesis rates of r-proteins. The package uses physiological parameters as input to determine peptide or protein fractional synthesis rates. Once the physiological parameters are measured, our equations allow a fair comparison between treatments that alter the biological equilibrium state of the system under study. Our equations correct peptide enrichment using enrichments in soluble amino acids, growth rates, and total protein accumulation. As a means of validation, our pipeline fails to find "false" enrichments in non-labeled samples while also filtering out proteins with multiple unique peptides that have different enrichment values, which are rare in our datasets. These two aspects reflect the accuracy of our tool. Our method offers the possibility of elucidating individual r-protein family/paralog abundances, PTM status, fractional synthesis rates, and dynamic assembly into ribosomal complexes if top-down and bottom-up proteomic approaches are used concomitantly, taking one step further into mapping the native and dynamic status of the r-proteome onto high-resolution ribosome structures. In addition, our method can be used to study the proteomes of all macromolecular assemblies that can be purified, although purification is the limiting step, and the efficacy and accuracy of the proteases may be limited depending on the digestion requirements. Key features • Efficient purification of the ribosomal proteome: streamlined procedure for the specific purification of the ribosomal proteome or complex Ome. • Accurate calculation of fractional synthesis rates: robust method for calculating fractional protein synthesis rates in macromolecular complexes under different physiological steady states. • Holistic ribosome methodology focused on plants: comprehensive approach that provides insights into the ribosomes and translational control of plants, demonstrated using cold acclimation [1]. • Tailored strategies for stable isotope labeling in plants: methodology focusing on materials and labeling considerations specific to free and proteinogenic amino acid analysis [2].

Spiritual Resilience in the Sands: Exploring Religion and Subjective Well-being in Abu Dhabi's Community

The practice of religion is often strongly linked to various factors influencing well-being. Utilizing data from the 4th cycle of the Abu Dhabi Quality-of-Life survey conducted in 2023, this research aims to uncover the intricate associations between religious practice and various determinants of well-being among the residents of Abu Dhabi. Path analysis was employed to explore the direct and indirect connections between the frequency of religious practice and different well-being factors. A total of 22 paths revealed the overwhelming interrelations between each pair considered in the model, indicating the nuanced ways in which religious beliefs and behaviors contribute to individuals' sense of fulfillment, satisfaction, and resilience, as well as the diverse facets of well-being within the context of religious practices. Notably, results recorded the highest total effects of practicing religion on social trust and social relationship was the only variable that affects religious practice. Additionally, the significance of age, gender, education, nationality, and marital status was observed in this context. The findings are discussed in the light of relevant literature and potential avenues for future research concerning the interplay between well-being indicators and religious practices are suggested.

Perception and utilization of family medicine services among Abu Dhabi Island's community.

Following the World Health Organization statement 'Health for all', family medicine is a specialty that provides continuing, comprehensive healthcare to individuals and their families. Despite that, it is still not yet utilized to its full potential by the developing Middle-Eastern community. The aim of our study is to assess the perception and utilization of family medicine services among Abu Dhabi Island's community. A cross-sectional study was conducted targeting Abu Dhabi Island's community. A representative sample with 95% confidence level and 5% margin of error was calculated taking into consideration the latest report by the Abu Dhabi Statistics Center. A total of 395 adult participants were included in the study, who were asked to fill in an electronic-based validated questionnaire. SPSS software was then used for data analysis. Majority of participants were UAE nationals (81%) and married (71.1%), with almost equal male (50.4%) to female ratio (49.6%). Participants had positive experiences in primary healthcare (PHC) overall, regardless of their gender, nationality and marital status. Positive experience percentages dropped with higher age and educational level (P-value <0.05). A better understanding was noticed among ≥50 years of age with the rightful destination for emergency symptoms (P-value <0.05). Participants overall agreed on PHC being the preferred allocation for treatment of fever, body aches and sore throat. Primary healthcare centres were chosen as preferred destinations for emergency and non-emergency cases, as the vast majority had positive experiences when attending them.

Social Determinants of Health Needs Among Immigrant and U.S.-Born Pregnant Persons in Central Brooklyn: A Cross-Sectional Survey [ID 2683549

INTRODUCTION: Social determinants of health (SDOH) have been linked to poor health outcomes in maternal and infant populations. An epicenter of the maternal health crisis in New York City, Central Brooklyn has a disproportionately high population of immigrants. This cross-sectional survey assesses demographic distributions and SDOH needs of immigrant and U.S.-born pregnant individuals in Central Brooklyn. METHODS: The American Academy of Family Practitioners (AAFP) SDOH screening tool was given to 700 pregnant persons with immigrant status defined by country of origin. Institutional review board-approved data were collected through REDCap, and associations were evaluated via χ2, Fisher's exact tests, and logistic regression in STATA. RESULTS: Compared to U.S.-born pregnant persons, immigrants tended to be older (P=.000), married (P&lt;.000), and more educated (P=.028). Social determinants of health needs differed significantly by nativity status for housing instability (P=.039), food worry (P=.000), and food inadequacy (P=.018), all of which were higher for immigrants. After adjusting for age and education level, immigrant pregnant persons were significantly more likely to report five or more SDOH needs. Rates of food insecurity (39.86% among immigrants and 27.02% among U.S.-born) were much higher than the national average of 10.2%. Rates of all other SDOH needs were higher for immigrants, except for transportation, but these differences were insignificant. CONCLUSION: Our study underscores the criticality of monitoring SDOH needs in marginalized populations to inform targeted interventions aimed at dismantling systemic barriers to health care access during pregnancy. By doing so, we can foster greater engagement in care and promote more equitable health outcomes for pregnant and postpartum individuals.

International Human Rights Law: Enforcement Mechanisms and Challenges in a Globalized World

The abstract provides an overview of international human rights law, examining its enforcement mechanisms and the challenges it faces in an increasingly interconnected and globalized world. the evolution of human rights law, the role of international organizations, and the complexities of ensuring compliance and accountability in diverse cultural, political, and legal contexts. International human rights law serves as a cornerstone of the global legal framework, promoting fundamental rights and freedoms for all individuals regardless of nationality, ethnicity, religion, or social status. The abstract delves into the origins of human rights law, tracing its development from the Universal Declaration of Human Rights to various international treaties, conventions, and customary norms.

Reorganization of Effective Geographical Factors on National Power

This research delves into the intricate interplay between geographical factors and national power, elucidating the diverse sources and bases of 'national power' while acknowledging the foundational role of political organizations in state formation. Through a comprehensive examination of literature and scholarly resources, this study identifies and analyzes the elements and sources of national power, particularly emphasizing the influence of geographical factors. Employing a methodology centered on library research, the findings underscore the pivotal role of geography alongside other determinants in shaping national power dynamics. By scrutinizing the impact of geographical features and facilities, the study reveals how countries leverage their natural surroundings to enhance their national and global power status. Ultimately, this research contributes to a deeper understanding of the complex relationship between geography and national power, offering insights pertinent to policymakers, scholars, and practitioners, and informing strategies for harnessing and optimizing national power resources in the context of geopolitical dynamics and international relations.