Advantaged Ethnic Groups Research Articles

Yes, we can (but for different reasons): Collective narcissism is linked to different values but similar pro-ingroup collective action tendencies among disadvantaged and advantaged ethnic groups.

Collective narcissism, a belief that one's group is exceptional and entitled to special treatment but underappreciated by others, is related to important social and political outcomes but has been predominantly studied in advantaged groups. The present research compares the motivational correlates (through values) of collective narcissism in ethnic groups of different status (advantaged and disadvantaged) and explores its associations with attitudes towards, and intention to engage in collective action. Three studies examined these processes in different national and intergroup contexts (total N = 16,275). Overall, ethnic collective narcissism was linked to self-protective values (power, and less consistently, conservation) in advantaged groups but to universalism in disadvantaged groups. Moreover, in both advantaged and disadvantaged groups, ethnic collective narcissism was related to more positive attitudes towards, and intentions of pro-ingroup actions but not to attitudes towards (other) disadvantaged groups (i.e., intergroup solidarity). These studies suggest that collective narcissism may be associated with different motivations, yet linked to similar intergroup attitudes among advantaged and disadvantaged groups.

Determinants of institutional delivery service utilization in Nepal.

Maternal mortality continues to be a pressing concern in global health, presenting an enduring and unmet challenge for healthcare systems worldwide. Utilization of institutional delivery services has been established as a proven intervention to mitigate life-threatening risks for both mothers and newborns. Exploring the determinants of institutional delivery is crucial to improve and enhance maternal and newborn safety. This study aimed to assess the contextual and individual factors associated with institutional delivery in Nepal. This study utilized that data form Nepal Multiple Indicator Survey 2019, which included a sample of 1,932 women who had given birth within the two years prior to the survey. A multilevel logistic regression analysis was performed to determine the significant external environment, contextual and individual predictors of institutional delivery. The women from Madhesh province [Adjusted Odds Ratio (aOR): 0.32, 95% Confidence Interval (CI): 0.17-0.61], as compared to Bagmati province, women from rural areas (aOR: 0.55, 95% CI: 0.39-0.78) as compared to urban areas, and women from a relatively less-advantaged ethnic groups (aOR: 0.52, 95% CI: 0.35-0.76) as compared to the relatively advantaged ethnic groups were less likely to deliver in health institutions. Similarly, women from the poorest (aOR: 0.09, 95% CI: 0.04-0.22) and second wealth groups (aOR: 0.29, 95% CI: 0.13-0.64) were less likely to attend institute for delivery compared to women from the richest household. Women with formal education (aOR: 1.65, 95% CI: 1.16-2.35) were more likely to deliver in an institution over uneducated women. Moreover, the uptake of institutional delivery increased by 59% (aOR: 1.59, 95% CI: 1.43-1.75) for each additional ANC visit. The findings highlight the importance of stepping up efforts to achieve universal health care from the standpoint of long-term government investment, focusing particularly on illiterate women in rural areas, poorer households, and socially disadvantaged groups. Expanding the benefits of maternal benefit schemes targeting the women from the poorest households in the communities is recommended.

Predictors of Depression and Anxiety among Medical Students.

Medical undergraduates are more prone to emotional distress in comparison to the general population and non-medical undergraduates. This study aimed to identify the prevalence and factors associated with depression and anxiety symptoms among undergraduate medical students. A cross-sectional study was conducted among 204 medical students in a medical institute in Kathmandu. Depression, Anxiety and Stress Scale-42 was used to identify the prevalence of depression and anxiety symptoms. The data were analyzed using multivariable logistic regression models. The prevalence of depression and anxiety symptoms was 30.9% and 38.7% respectively. Depression symptoms were more likely to be prevalent among fourth and fifth-year students, with an adjusted odds ratio (aOR 1.96, 95% CI: 1.03-3.75) compared to second and third-year students, and those who failed in the last academic examination (aOR 2.55, 95% CI: 1.28-5.09). Anxiety symptoms were more prevalent among male students (aOR 2.11, 95% CI: 1.04-4.27), those who were from the relatively less advantaged ethnic group (aOR 2.08, 95% CI: 1.04-4.16) and those who stayed outside the dormitory (aOR 2.90, 95% CI: 1.46-5.78). The prevalence of depression and anxiety symptoms among medical students was high. Psychological support is needed to ensure the mental well-being of medical students.

The contribution of physical inactivity and socioeconomic factors to type 2 diabetes in Nepal: A structural equation modelling analysis

Background and aimType 2 diabetes mellitus (T2DM) is emerging as a significant public health challenge in Nepal. Behavioural, social and economic changes are likely to play a part in the rise of this chronic disease, as they are in many developing countries. A better understanding of the relationship between physical activity (PA), socioeconomic factors and T2DM can inform the design of prevention programs. This study aimed to identify the path relationships between PA, socioeconomic position, anthropometric and metabolic variables and T2DM. Methods and resultsThis study analysed data from 1977 Nepalese adults aged 40–69 years from the cross-sectional WHO STEPS survey undertaken in 2013. The latent variable “PA” was created using the information on domains of PA while the latent variable “socioeconomic position” was created using the variables education, occupation and ethnicity. Participants’ fasting blood glucose was used to determine their diabetes status. Structural equation modelling was conducted, and correlations and adjusted regression coefficients are reported.Individuals with higher education, in paid employment and from advantaged ethnic groups were more likely to have T2DM. Waist circumference, triglycerides and hypertension were found to have a statistically significant positive direct effect on T2DM. PA had indirect effects on T2DM, mediated by waist circumference. The indirect effects of socioeconomic position on T2DM were mediated by body mass index, waist circumference, triglycerides and total cholesterol. ConclusionAmong Nepalese adults, higher socioeconomic position had a significant direct effect on T2DM, while both PA and higher socioeconomic position had significant indirect effects. Policies and programs to address T2DM in Nepal should address the factors contributing to unhealthy weight status, particularly among those of higher socioeconomic status.

Coverage, associated factors, and impact of companionship during labor: A large-scale observational study in six hospitals in Nepal.

Companionship at the time of birth is a nonclinical intervention that has been proven to improve the quality of intrapartum care. This study aims to evaluate the coverage, associated factors, and impact of companionship during labor at public hospitals in Nepal. We conducted a cross-sectional observational study in six public hospitals in Nepal. The study was conducted from July 2018 to August 2018. Data were collected on sociodemographic, maternal, obstetric, and neonatal characteristics from patient case notes and through predischarge interviews. Coverage of companionship during labor and its association with intrapartum care was analyzed. Bivariate and multivariate analyses were done to assess the association between companionship during labor and demographic, obstetric, and neonatal characteristics. A total of 63077 women participated in the study with 19% of them having a companion during labor. Women aged 19-24years had 65% higher odds of having a companion during labor compared with women aged 35years and older (aOR 1.65 [95% CI, 1.40-1.94]). Women who were from an advantaged ethnic group (Chhetri/Brahmin) had fourfold higher odds of having a companion than women from a disadvantaged group (aOR 3.84; [95% CI, 3.24-4.52]). Women who had companions during labor had fewer unnecessary cesarean births than those who had no companions (5.2% vs 6.8%, P<.001). In Nepal, sociodemographic factors affect women's likelihood of having a companion during labor. As companionship during labor is associated with improved quality of care, health facilities should encourage women's access to birth companions.

Correlates of continuum of maternal health services among Nepalese women: Evidence from Nepal Multiple Indicator Cluster Survey.

Continuum of Care (CoC) is an essential strategy to prevent maternal and child deaths where health services are arranged in a pathway throughout pregnancy, childbirth and after delivery. However, CoC is still a challenge in Nepal. This study aimed to investigate the correlates of CoC from pregnancy to the postnatal period in Nepalese women aged 15 to 49 years. Secondary analysis was performed on the data from Nepal Multiple Indicator Cluster Survey. This led to a sample size of 2086 women who had a live birth within two years preceding the survey. We constructed three outcome models and conducted multivariable logistic regression, to assess socio-economic and demographic correlates of CoC from pregnancy to childbirth to postnatal period. Overall, 41% of the women received Antenatal Care (ANC), delivery from Skilled Birth Attendant (SBA) as well as the Postnatal Care (PNC) during their most recent birth. Women from rural areas (aOR 0.25, 95%CI: 0.18, 0.36) had reduced odds of receiving CoC while women belonging to advantaged ethnic group (aOR 1.61, 95%CI: 1.18 2.19), from middle wealth status (aOR 2.56, 95%CI: 1.68, 3.91) and upper (aOR 4.50, 95%CI: 3.07, 6.59) wealth status, and women having access to media (aOR 1.76, 95%CI: 1.31, 2.37) had higher odds of receiving CoC from pregnancy to postnatal period. Having more than two births reduced the odds of CoC by 30% (aOR 0.70, 95%CI: 0.50, 0.98). These factors were also significantly associated with ANC services and the continuum from ANC to delivery SBA. The findings suggest that the majority of Nepalese women lack a continuity of care during their pregnancy and childbirth, and several socioeconomic factors affect the spectrum of CoC. Efforts to improve maternal health services utilization in a continuum require strategies that remove demand and supply barriers of health care utilization.

The impact of vitamin A supplementation in childhood on adult outcomes: An exploration of mechanisms, timing of exposure, and heterogeneous effects

There is now a critical threshold of evidence documenting the relationship between one's exposure to shocks in early life and outcomes in adulthood. Using Nepal's vitamin A supplementation program, this study provides additional insights on the mechanisms and differences in effects by the timing of the first exposure and across different groups. The program's sequential rollout between 1993 and 2001 and the age eligibility provide an exogenous variation in exposure to the program. I utilize that variation and data on more than 700,000 individuals from the 2011 census to estimate the program's causal effect on long-term health and educational outcomes. I find that the program reduced the probability of having a disability but had no effect on educational outcomes. The positive effects on disability seem to have improved marriage prospects. The program also had different effects on individuals based on their timing of the exposure to the program, with an early exposure strengthening the positive health effects. Effects also differed by the individual's gender and ethnicity. They were more pronounced for men and individuals from traditionally advantaged ethnic groups. The findings suggest that long-term effects can differ even when the take-up rate is similar for different segments of the population.

Barriers to Utilization of Antenatal Care Services in Eastern Nepal.

World Health Organization recommends at least four pregnancy check-ups for normal pregnancies. Ministry of Health and Population Nepal has introduced various strategies to promote prenatal care and institutional delivery to reduce maternal and child deaths. However, maternal health service utilization is low in some selected socio-economic and ethnic groups. Hence, this study aims to assess barriers to the recommended four antenatal care (4ANC) visits in eastern Nepal. A cross-sectional quantitative study was conducted in Sunsari district. A total of 372 randomly selected women who delivered in the last year preceding the survey were interviewed using a semi-structured questionnaire. Bivariate and multivariate logistic regression analysis was carried out to identify barriers associated with 4ANC visits. More than two-third women (69%) attended at least 4ANC visits. The study revealed that women exposed to media had higher chance of receiving four or more ANC visits with an adjusted odds ratio (aOR = 3.5, 95% CI: 1.2-10.1) in comparison to women who did not. Women from an advantaged ethnic group had more chance of having 4ANC visits than respondents from a disadvantaged ethnic group (aOR = 2.4, 95% CI: 2.1-6.9). Similarly, women having a higher level of autonomy were nearly three times more likely (aOR = 2.9, 95% CI: 1.5-5.6) and richer women were twice (aOR = 2.3, 95% CI: 1.1-5.3) as likely to have at least 4ANC visits compared to women who had a lower level of autonomy and were economically poor. Being from disadvantaged ethnicity, lower women's autonomy, poor knowledge of maternal health service and incentive upon completion of ANC, less media exposure related to maternal health service, and lower wealth rank were significantly associated with fewer than the recommended 4ANC visits. Thus, maternal health programs need to address such socio-cultural barriers for effective health care utilization.

Prevalence and factors associated with childhood overweight/obesity of private school children in Nepal

Childhood overweight/obesity is a global health problem because of adverse health and nutrition consequences worldwide. Currently, there is a paucity of information on childhood overweight/obesity in Nepal. Therefore, the objective of this study was to assess the prevalence of, and the factors associated with, childhood overweight/obesity among primary school children. A cross-sectional study was conducted in June-December, 2013. We collected data using the structured self-administered questionnaire with parents of children aged 6-13 years in grades 1-6 studying at private schools of the Lalitpur district of Nepal. Height and weight measurements of 986 children were taken, and the corresponding body mass index (BMI)-for-age was calculated. The prevalence of childhood overweight/obesity was reported in proportion. Factors associated with childhood overweight/obesity were examined using the Chi-square tests followed by multiple logistic regression analyses. Of 986 children, 144 (14.6%) were overweight and 111 (11.3%) were obese. Overall, 255 (25.9%) children were found to be overweight/obese. Children from families, having ≤2 siblings (adjusted odds ratio (aOR)=1.958, 95% confidence interval (CI): 1.163-3.296), upper class family (aOR=3.672; 95% CI: 1.154-11.690), and advantaged ethnic group (aOR=1.561; 95% CI: 1.00-2.437) and children who were of larger birth weight (>4.0kg) had a greater likelihood of being (aOR=2.557, 95% CI: 1.222-5.349) overweight/obese. A quarter of children were found to be overweight/obese in private primary schools. Preventive interventions should focus on the advantaged ethnic groups, families with fewer siblings, and upper class families. A greater emphasis ought to be placed on formulation and implementation of policies aimed at addressing the newly emerging problems of childhood overweight/obesity in Nepal. New school health programs are to be launched and strengthened including avoidance of high energy junk food, and promoting outdoor activities.

Marital earnings premiums in Trinidad &amp; Tobago: ethnicity and socioeconomic status

This article employs a unique data set from 1993 with 7,063 working men and women from Trinidad and Tobago to examine the impact of ethnicity and socioeconomic status upon marital earnings premiums. It finds a significant marriage premium for both males and females. Ethnicity is found to play a crucial role in marital premiums with more advantaged ethnic groups having generally higher premiums. This result is strengthened when controlling for socioeconomic status, which is found to increase the size of marital premiums for all workers, regardless of gender or ethnicity. Earnings regressions with endogenous marital status confirm these results and further highlight the importance of socioeconomic status.

Marital status in a developing economy: gender, ethnicity and family structure

This article employs population survey data for Trinidad and Tobago to investigate the likelihood of being married, both legal and common law in the present or the past, as compared to being never married, in a developing economy. The article finds support for the sex-specialized theory of marital formation, with men valued more and women valued less for their economic contributions to the family. Socioeconomic status and ethnicity play an important role in marital formation with sex specialization less likely to occur among Africans than the more advantaged ethnic groups. One of the consistent findings is that family structure matters crucially in predicting both legal and common law marriages. For example, living in a large, multigenerational household tends to impact the likelihood of marriage, as compared to remaining single, in opposite ways for men and women, with men in large households more likely to be married but women less likely to be married.

Demographic behaviour of adults of mixed ethnic ancestry: Jews in Israel

We examine demographic behaviour of Jewish adults of mixed ethnic ancestry, relative to those of the two major Jewish ethnic groups in Israel. Research has shown that for measures of socioeconomic status, such as educational attainment, outcomes for multi-ethnics are in between – and very close to the middle of – those associated with the two major ethnic groups. We find that, in contrast, the marriage and fertility behaviour of multi-ethnic adults is nearly identical to that of the more socially advantaged ethnic group and quite distinct from that of the less advantaged ethnic group. Through multivariate analyses, we explore factors associated with families of origin, including socioeconomic status and cultural indicators of family norms, which are associated with these patterns. We discuss interpretations of our findings.

Soviet Federalism and Ethnic Mobilization

Central among recent changes in the Soviet Union is an expanding and increasingly public politics of federalism. The Soviet developmental strategy assigned federalism and the cadres of national-territorial administration a central role in its response to the “nationalities question.” This strategy offers a key to three questions about the rise of assertive ethnofederalism over the past three decades: Why have federal institutions that provided interethnic peace during the transition to industrialization become vehicles of protest in recent years? Why have relatively advantaged ethnic groups been most assertive, whereas groups near the lower end of most comparative measures of socioeconomic and political success have been relatively quiescent? Why have major public demands—and the most important issues of contention between center and periphery—focused to such a large degree upon the details of the Soviet developmental strategy and upon federalism in particular

Social Status and Psychological Disorder: An Issue of Substance and an Issue of Method

The most consistent demographic finding reported in social psychiatric field studies is an inverse relation between social class and psychological disorder. This relationship has been interpreted on the one hand as evidence of social causation, with low status producing disorder, and on the other as evidence of social selection, with pre-existing disorder determining social status. This substantive issue could turn on a simple question of fact: whether Negroes and Puerto Ricans in New York City have higher or lower rates of disorder than their class counterparts in more advantaged ethnic groups. The facts, however, are not available from existing research. The results of field studies contain clues to group differences in modes of expressing distress, including some that involve problems of response bias, but the evidence is far from clear about the relation of the symptoms reported to the underlying psychiatric condition of individuals. It would seem that the substantive issue of social causation vs. social selection must yield precedence to resolution of the central unsolved problem of psychiatric epidemiology-the measurement of untreated psychological disorder. EPIDEMIOLOGICAL studies have been held to support a variety of hypotheses about the social causation of psychological disorder. Most often, the causal role of social factors is inferred from rate differentials according to geographical location or social category. These correlations have been viewed as pointing to the etiological significance of such factors as social disorganization, social isolation, migration, accul