Equal Status Research Articles

Teamwork among first year health sciences students in an interprofessional course: a contact theory perspective.

Background: Promoting teamwork outcomes remains an important mandate for interprofessional education (IPE). While IPE has grown exponentially in contemporary health sciences education, theoretical application within IPE has been identified as an enduring gap in the field over the past few decades. Purpose: This paper reports on the theoretical implications of a study which explored first year health sciences students’ perceptions and experiences of teamwork within an interprofessional course. Originating in the field of social psychology, contact theory has been cited as a useful framework for curriculum design for IPE. Thus, the purpose of this paper is to contribute to the theoretical evidence base for IPE from the perspective of social psychology. Method: Framed in an exploratory qualitative design, focus group discussion was the primary method of data production. Data were analyzed deductively with reference to contact theory; and inductively using thematic analysis. Discussion: The study findings highlighted two of contact theory’s conditions for positive intergroup contact: ‘equal status’ in relation to professional hierarchies; and ‘institutional support’ in relation to academic politics were both meaningful in the context of this study. Conclusion: This study’s findings indicate potential for further research of contact theory’s optimal conditions in IPE contexts, with the proviso that students’ emerging professional identification must be made salient.

Welfare paternalism and objections from equality

ABSTRACT Informed by behavioral science research, recent defenses of paternalism point to people’s need for help in making and carrying out good decisions. Authors in this literature typically focus on defending paternalist policies against objections that frame them as threats to autonomy. But they often neglect a second category of objections to paternalism. Paternalism expresses disrespect not only for the target’s autonomy but also for her equal status. I argue that this second kind of wrong is more independent of autonomy-based objections than has been recognized. Therefore, we need to evaluate paternalism in two dimensions, rather than treating egalitarian objections as a mere supplement to autonomy concerns. This allows us to see why welfare paternalism can be objectionable even when choices are not significantly constrained or when the choices at stake are relatively trivial. The barrier to justifiable welfare paternalist policies has less to do with the specific techniques of influence adopted than with their asymmetrical distribution and the inegalitarian structures through which they are delivered.

Democratic justice and status inequality in temporary labor migration

ABSTRACT This paper argues against the claim that liberal democratic societies’ commitment to political equality requires them to offer a path to citizenship to temporary migrant workers (i.e. the democratic justice argument). I advance two arguments against this claim: (i) that access to citizenship is neither sufficient nor necessary to reduce temporary migrant workers’ exploitation and (ii) the democratic justice argument hinges on an untenable conception of status inequality. The paper fleshes out these two reasons in detail to then present an adequate analysis of the status difference that temporary labor migration programs (TLMPs) give rise to. I conclude that TLMPs’ restriction of their participants’ rights and access to citizenship can be compatible with democratic principles and, particularly, with political equality.

Protection of Women's Rights Against Cases of Domestic Violence from an Islamic Perspective

Allah SWT created humans as the most perfect beings and in pairs, instilling affection within the bonds of marriage to achieve the ultimate goal of attaining His pleasure. However, marriage is not without challenges, and one significant issue is domestic violence, where women are often the primary victims. Such occurrences highlight a disregard for women's rights, which are an integral part of human rights. This study aims to explore the position and rights of women as human rights in Islam and examine the legal protections available in cases of domestic violence. Using a normative research method with a statutory approach, this study relies on secondary data collected through literature review and analyzed qualitatively for descriptive presentation. The findings reveal that Islam accords women a high and equal status with men, granting them rights that are fundamental to their humanity. Domestic violence against women is a clear violation of the principles outlined in the Qur'an, As-Sunnah, and Indonesia’s positive law.

The Sociology of Tomb and Temple Robbers of the Late 20th Dynasty: Part II, The Bands of Thieves and the Ramesside Society

This article is the second part of a study devoted to the sociology of tomb robberies at the end of the 20th Dynasty and focuses on the organization of the thieves into bands. These structures were relatively stable. Leadership was inconstant and associated with unequal loot sharing and conflict. Households, including enslaved people, played an important role in band organization particularly among tomb robbers, while hierarchy and patronage with corruption and blackmailing characterized temple thefts. Another social pattern relying on equality, solidarity, and merit existed among tomb robbers of an equal social status and probably corresponds to what ancient Egyptians called wnḏw. How these patterns of sociability are representative of the society of the time is discussed. [Formula: see text]

Empowering women, empowering nations: women’s entrepreneurship in Uzbekistan

This study aims to analyze the contemporary landscape of women’s entrepreneurship in Uzbekistan, a developing nation in Central Asia, against the backdrop of ongoing reforms across various sec tors. The research explores the initiatives undertaken to promote gender equality, empower women, and nurture entrepreneurial activities among them. By delving into the significance of women’s economic participation, assessing the current status of gender equality, and elucidating the opportunities and challenges for women entrepreneurs, this article provides insights into the evolving scenario of women’s entrepreneurship in Uzbekistan. Drawing upon secondary data, the study reveals a growing interest and involvement of women in small-scale business ventures and entrepreneurship. However, it also highlights a deficiency in requisite business acumen and expertise among women entrepreneurs, along with a lack of awareness regarding government support measures. The implications derived from this research underscore the need for policymaking interventions aimed at creating a conducive and supportive ecosystem tailored to facilitate the endeavours of aspiring women entrepreneurs in Uzbekistan.

Неравенство в состоянии здоровья: социально-экономический подход

The article examines the socio-economic approach to understanding inequality in health status, based on the idea of health factors, which are understood as living conditions that affect people’s health. Based on the analysis of Russian and foreign studies, the author identifies the key characteristics of inequality in health status observed in countries with different levels of development, from the point of view of socio-economic factors, and identifies the main trends in its manifestation in the social context. One of the most important criteria for public perception of inequality in health is the definition of justice, which from the point of view of economic science is inextricably linked with such concepts as efficiency and redistribution. The article emphasizes the importance of understanding the socio-economic causes of inequality in health, as this determines the possibilities of overcoming it with the help of public policy measures aimed at improving the well-being of citizens.

From relegation to elevation

Kenya’s Marriage Act of 2014 was passed with the effect of harmonizing all matrimonial laws in operation in the country into one statute. The Marriage Act provides that all marriages in Kenya have equal legal status, and requires that all marriages, including those concluded under customary law, must be registered. This article analyses how customary marriages have been treated under Kenya’s law in three distinct time periods- the colonial, post-independence and contemporary Kenya. It argues that while customary marriages were treated as inferior during the colonial and post-independence periods, in contemporary Kenya, the Marriage Act has had the effect of elevating customary law marriages so that they are equal to marriages under other systems. Further, the article assesses the status of women married under customary law and demonstrates that the Marriage Act has resulted in the greater protection of the rights of married women in Kenya.

Trends and inequalities in adequate antenatal care coverage among women in Sierra Leone, 2008–2019

BackgroundPrenatal care is a critical component of maternal and child health, providing essential preventive, diagnostic, and therapeutic services to pregnant women. Adequate antenatal care has been linked to reduced maternal and infant mortality and improved birth outcomes. Despite its importance, disparities in antenatal care coverage persist globally, including Sierra Leone, with significant implications for maternal and child health. This study examined the trends and inequalities in antenatal care utilisation in Sierra Leone.MethodsWe used data from the 2008, 2013, and 2019 Sierra Leone Demographic and Health Surveys. Simple inequality measures (Difference and Ratio) and complex measures (Population Attributable Risk and Population Attributable Fraction) were computed using the World Health Organization’s Health Equity Assessment Toolkit software. Inequality in antenatal care was calculated on six stratefiers: age groups for women, birth order, educational levels, economic status, residential areas, and sub-national province.ResultsThere was a significant increase in adequate antenatal care coverage from 2008 (15.2%) to 2013 (36.5%) but a decrease in 2019 (22.1%). The inequality in age increased over time from a Difference of 2.7 percentage points in 2008 to a Difference of 5.3 percentage points in 2019, indicating age-related inequalities. The Population Attributable Fraction decreased from 2.7% in 2008 to zero in 2013, indicating no further improvement in the national average of adequate antenatal care coverage can be achieved in the absence of age-related inequalities. However, it increased to 7.7% in 2019, indicating that the national average of adequate antenatal care coverage would have increased by 7.7% in the absence of age-related inequalities. The birth order inequality increased from a Difference of − 5.2 percentage points in 2008 to 2.6 percentage points in 2019. The Population Attributable Fraction was zero in 2008 and 3.4% in 2019, showing that the national average of adequate antenatal care coverage would have increased by 3.4% if there was no parity-based inequality. Inequality in economic status decreased from 32.1 percentage points in 2008 (Difference = 32.1) to 2.8 percentage points in 2019 (Difference = 2.8). The Population Attributable Fraction revealed that the national average could have been 164.4% higher in 2008 and 20.8% higher in 2013; however, it was zero in 2019, indicating that no further improvement can be achieved in the national average if there was no inequality related to economic status. Inequality for education decreased from 49.9 percentage points in 2008 (Difference = 49.9) to 11.0 percentage points in 2019 (Difference = 11.0). Inequality decreased from a Difference of 20.8 percentage points in 2008 to a Difference of 1.7 percentage points in 2019 for place of residence inequality, showing a reduction in inequality. Provincial inequality decreased from a Difference of 33.9 percentage points in 2008 to 8.5 percentage points in 2019.ConclusionWhile there have been notable improvements in antenatal care coverage in Sierra Leone, adequate antenatal care coverage is still below the WHO target of 78% in 2016, and significant inequalities persist. Addressing these inequalities requires a multifaceted approach considering demographic, economic, educational, and geographic indicators considered in this study. Sustained efforts and targeted interventions are critical by the Sierra Leone government to ensure that all women, regardless of their background, have access to essential antenatal care services up to at least eight visits.

Interacting as equals reduces partisan polarization in Mexico.

In many contemporary democracies, political polarization increasingly involves deep-seated intolerance of opposing partisans. The decades-old contact hypothesis suggests that cross-partisan interactions might reduce intolerance if individuals interact with equal social status. Here we test this idea by implementing collaborative contact between 1,227 pairs of citizens (2,454 individuals) with opposing partisan sympathies in Mexico, using the online medium to credibly randomize participants' relative social status within the interaction. Interacting under both equal and unequal status enhanced tolerant behaviour immediately after contact; however, 3 weeks later, only the salutary effects of equal contact endured. These results demonstrate that a simple, scalable intervention that puts people on equal footing can reduce partisan polarization and make online contact into a prosocial force.

The persistence and expansion of sharecropping in a Javanese village

AbstractIn the Javanese village of Kaliloro, share tenancy in rice cultivation, which was widely predicted to disappear with the Green Revolution, has not declined but expanded since the early 1970s. In this article, building on previous debates on share tenancy, we show how sharecropping has survived and expanded in Kaliloro's generally commoditized agrarian economy. Many share tenancy relationships in Kaliloro link wealthier landowners and landless or near‐landless tenants. But many also occur between households of relatively equal status and between parents and their own children. For both landowners and share tenants, their reasons for reliance on sharecropping over hired labour are complex, going beyond simple comparisons of relative labour costs (to landowners) or labour earnings (to share tenants). The landless and near‐landless are well aware of the exploitative nature of share tenancy, but it remains an important component of their pluriactive livelihoods, even in times of rising farm wage rates, mainly to ensure a supply of rice for domestic consumption. For landowners who are too busy, or unable, to manage cultivation themselves, share tenancy remains the most convenient, effective, and risk‐free labour regime, and mechanism of surplus transfer from direct producer to landowner.

The Widening Role of the Digital Economy on Regional Income Differences - Evidence from the National Pilot Zone for Innovative Development of the Digital Economy

A growing body of research suggests that the digital economy may create opportunities to combat income inequality. However, these studies have focused more on the difference between countryside and city areas, neglecting the intervene of the state, regional differences and labour market in digital economy. Therefore, this paper collects data on the average income of different cities and the average wage of their digital economy workforce, and uses the Theil Index, DID and mediated-effects methods to study the setup of the National Pilot Zone for the Innovative Development of the Digital Economy as well as the status of income equality within the pilot zone. The paper also analyses heterogeneity based on geographic location, and uses a mediation effect model to measure the role of the income of digital economy practitioners in the impact of the National Pilot Zone for the Innovative Development of the Digital Economy on inter-regional income disparities. Study finds that the pilot zone widens the inter-regional income gap. This result is caused by the uneven spatial distribution between regions and industries. Labour wages in the relevant industries are also an important factor mediating the effect between developing the digital economy and the elimination of income inequality.

An analysis of inequality in physical health status of women in India: 2015‒2021

ObjectiveWe examine how inequality in women health has changed in India and its major states between 2015 and 2021. We also attempt to identify the sources of any change in this inequality using a decomposition analysis. In order to suggest suitable policies for reducing this inequality, we attempt to identify the factors that are strongly associated with it. MethodsWe construct an index of women health from five indicators using the principal component analysis. Based on this index we measure inequality in women health using the coefficient of variation and the Theil index. To identify the sources of change in this inequality, we apply Theil decomposition technique. ResultsWe find that inequality in women health has increased significantly in India between 2015 and 2021. During this period, this inequality has increased significantly in six states, while it has decreased significantly in five states. The decomposition analysis suggests that the increase in this inequality between 2015 and 2021 has been driven by an increase in interstate inequality. We also find a strong positive association of inequality in women health with inequalities in public health amenities and social development. ConclusionWe suggest that for reducing inequality in women health in developing countries like India, policies should focus on eliminating inequalities in income, female education and provision of public health amenities.

Burden and causes of anemia in Vietnam: insights from the global burden of disease data

BackgroundAnemia is a significant global health issue, impacting 1.92 billion people and ranking as a leading cause of disability. It is marked by low hemoglobin levels, which hinder oxygen delivery to vital organs and result from causes such as nutritional deficiencies and chronic diseases. Despite some progress, anemia remains a major concern in Southeast Asia, including Vietnam. Although the country has reduced its anemia rates, the progress is insufficient to achieve the WHO’s 2030 targets for anemia reduction among women of reproductive age. This study explores anemia trends and socio-economic determinants in Vietnam, with a focus on age and gender differences, to inform targeted interventions and policy development.MethodsThis study used the Global Burden of Diseases, Injuries, and Risk Factors (GBD) dataset to explore the burden of anemia and its causes in Vietnam from 1990 to 2021. The GBD study provides data on anemia prevalence and years lived with disability (YLD) by age, sex, and 37 causes across 204 countries and territories. Further, this study employed a regression model to examine how the anemia burden (i.e., prevalence rate and YLD rate) relates to socio-economic factors such as the Human Development Index (HDI), gender disparities in human development achievement, and gender-based inequalities in reproductive health, empowerment, and economic status in Vietnam over this period.ResultsIn 1990, there were 16.30 million anemia cases in Vietnam, decreasing slightly to 16.05 million by 2021. Male prevalence dropped from 34.90 to 26.58%, while female prevalence increased from 65.10 to 73.42%. Iron deficiency was the main cause, affecting 68.35% of cases in 1990 and 68.84% in 2021, with 24.96% in males and 75.04% in females in 2021. While anemia has decreased among infants, young children, and adolescents due to improved healthcare, it has increased among middle-aged and older adults, especially females. Regression analysis shows that higher human development and gender equality reduce anemia prevalence and disability, whereas gender inequality worsens the issue.ConclusionsThe study underscores that anemia remains a major health concern in Vietnam, marked by significant gender and age disparities. Despite a decrease in overall anemia rates and the effectiveness of specific interventions like iron-folic acid supplementation, females, particularly those of reproductive age and older adults, continue to face higher rates. Socio-economic improvements, including higher income and better human development, are linked to lower anemia rates, though the impact differs by gender. The persistent gender disparity and the shift in burden to older adults highlight the need for more comprehensive, gender-sensitive interventions. Future efforts should integrate nutritional support with broader socio-economic enhancements to effectively address anemia and improve public health in Vietnam.

(Un)equal treatment in the 'tobacco-free generation'.

The idea of a 'tobacco-free generation' promises to make smoking a thing of the past by making cigarettes unavailable to birth cohorts in the future. If implemented, such a generational ban would lead to a society in which some individuals are allowed the freedom to smoke while others are not. This paper examines the ethical significance of this fact through the lens of 'relational egalitarianism', an approach to social justice that emphasises equal and respectful social relationships. It explores various dimensions in which a society can fail to live up to the idea of equal status, such as the denial of moral agency, discrimination, stigmatisation, the unequal recognition of interests and violations of political equality. While acknowledging the complexity of practical and ethical challenges, the paper maintains that the generational ban need not violate egalitarian commitments.

The Status and Role of Women in Sikh Religious Doctrine

This study explores the status and role of women within Sikh doctrine, aiming to contribute to and enrich academic discussions on the intersection of religious doctrine and gender studies. Using a qualitative approach that focuses on religion and gender, the research employs a library-based methodology, analyzing various sources and relevant prior studies. The findings demonstrate that women in Sikhism are granted equal status to men, rooted in the doctrine that emphasizes an intimate relationship between humans and the divine, where gender holds no significance in the connection to God. Moreover, the study delves into human relationships as shaped by behaviors, attitudes, and societal norms during the Sikh Gurus' era, illustrating the ideal dynamics between men and women. Despite Sikh teachings of equality, women in the Sikh community still face challenges in accessing leadership roles, as cultural and historical narratives often prioritize male dominance. The contributions of Sikh women have been historically marginalized, leaving subsequent generations with limited role models. This research offers both theoretical insights into Sikhism and gender and practical implications for encouraging the Sikh community, particularly men, to uphold Guru Nanak’s vision of gender equality.

Socioeconomic inequalities in cervical cancer screening in sub-Saharan Africa: Decomposition analysis

Abstract Background Cervical cancer remains prevalent in sub-Saharan Africa (SSA). Despite global efforts to eliminate this disease, its incidence continues to rise due to barriers in screening, vaccination, and treatment access. While studies address access barriers, little has explored inequality, often limited to single countries. Here, we examine socioeconomic inequalities in cervical cancer screening in SSA. Methods Data from the Demographic and Health Surveys of 10 SSA countries was used for the analysis. We stratified the study by wealth index and educational attainment as a measure of socioeconomic status. Socioeconomic status inequalities in cervical cancer screening were constructed using concentration curves. We then computed the concentration index to quantify socioeconomic inequality. To examine the factors associated with high socioeconomic inequality in cervical cancer screening, a decomposition analysis was conducted. Results Concentration curves showed screening uptake skewed towards the wealthy and educated across all countries, reflected by positive concentration indices (CIX=0.21; p-value<0.0001) except in Burkina Faso and Mauritius. Decomposition analysis revealed significant positive concentration indices for women with complete secondary (CIX=0.74) and higher education (CIX=0.91), those in the richest wealth index (CIX=0.35), separated women (CIX=0.08), currently working women (CIX=0.02), as well as those who were exposed to reading newspaper/magazine (CIX=0.19), listening to radio (CIX=0.10), and watching TV (CIX=0.44). Conclusions Cervical cancer screening in SSA exhibits pro-rich and pro-higher educational inequalities. Urgent interventions are needed to restructure existing screening programs to prioritize accessibility and inclusion, particularly for women from poorer households and with a lower level of education. These findings are vital for policymakers and public health practitioners to address cervical cancer screening disparities in SSA. Key messages • Addressing socioeconomic inequalities in cervical cancer screening is crucial for improving public health in sub-Saharan Africa. • Combatting socioeconomic disparities in cervical cancer screening is critical for achieving health equity in sub-Saharan Africa.

Commercialisation, exogenous shocks and nutrition: Evidence from smallholder farmers in Bangladesh

AbstractThis study empirically analyses the effect of agricultural commercialisation on food spending and nutrition outcomes in Bangladesh. We examine whether exposure to exogenous climate shocks moderates these relationships. We construct individual‐level nutrition measures and time‐varying climate extremes using nationally representative panel data. To address endogeneity concerns, we use an instrument variable approach. Results show that commercialisation leads to an improvement in the broad nutritional profile of individuals. However, the commercialisation–nutrition linkage is weaker for households exposed to frequent climate shocks than those in climate‐resilient areas. Importantly, climate shocks dampen the positive nutritional impacts of commercialisation and exacerbate existing inequalities in the nutritional status within the households. Women and girls appear disproportionately vulnerable to the nutrition‐weakening effects of weather stresses in commercialised agricultural households. This highlights twin policy challenges: strengthening smallholders' resilience to escalating climate risks alongside promoting gender‐equitable, nutrition‐sensitive agricultural commercialisation.

Finding the human in an era of machine intelligence: A flat ontological analysis of generative AI and language learning

Amid the optimism of generative Artificial Intelligence (gen-AI) in language education, there remains a weak connection to learning practices. The emergence of gen-AI has preceded considerations of how it should be applied in teaching and learning. However, while gen-AI has been justified in terms of the possibilities to enhance learner agency by expanding opportunities to engage with language, such as through the generation of content or the translation of texts, it can also take power away from learners. How can learners be self-determining in light of how choices become increasingly guided by Artificial Intelligence? In this paper, I conceive the arrangements of humans and software as an assemblage of complex and dynamic social, and technical processes. Drawing on a flat ontology, where all agents (human and non-human, material and subjective) have equal ontological status, I argue that learner agency has its origins in the messy and lively interactions between heterogenous actors. In particular, I consider active and passive affects as being part of the same process: active when we bring something into effect ourselves, passive when our self-determination is changed not by our own power, but through external forces acting on it (such as gen-AI). From this, I explore the constraining and enabling potential of artificial intelligence. Finally, I extend this discussion to the emergence of learner agency.

Nepal-India Relations: Exploring the Dichotomy between 'Big Brother' and 'Brotherhood'

The historical relationship between Nepal and India is deeply rooted in their geographic proximity and shared elements such as religion, culture, language, and socio-economic interests. While Nepal borders both China and India, its closeness with India is accentuated by these shared attributes and mutual opportunities. The two countries share an open border of around 1,780 kilometers along Nepal's eastern, western, and southern regions. Despite India's larger size, population, and more advanced economic development, Nepal maintains its sovereignty and equal status as an independent nation. However, India's role is often perceived as that of a "big brother" to Nepal, reflecting the disparity in size and influence. Nonetheless, all sovereign nations, regardless of their geographic or economic differences, are regarded as equals in status. In an era defined by globalization, scientific advancements, and technological progress, Nepal aspires to build a strong relationship with India based on mutual friendship and economic cooperation, particularly through foreign investment and the exchange of technology. While occasional tensions arise, usually from the Indian side, they have not escalated into major conflicts and are unlikely to do so. It is widely understood that while friendships may fluctuate, the bond between neighbors remains constant. This article examines the various aspects and dynamics of Nepal-India relations within this context.