Intersection Of Poverty Research Articles

Intersection of Poverty and Rurality for Early-Onset Colorectal Cancer Survival

This cross-sectional study examines poverty, rurality, and the intersection of persistent poverty and rurality on early-onset colorectal cancer survival among adults aged 18 to 49 years.

How do income inequality, poverty and industry 4.0 affect environmental pollution in South Asia: New insights from quantile regression

While many factors have been studied as potential causes of environmental degradation, the impact of poverty and inequality has been largely overlooked in the research. The Sustainable Development Goals are aligned with the intersection of poverty, inequality, and the environment. In addition, most previous research has used carbon dioxide (CO2) emissions as a surrogate for pollution. These gaps are filled by this study, which uses ecological footprint (a comprehensive measure of pollution) and CO2 emissions to examine the effects of income disparity and poverty on environmental pollution in 13 nations. Dynamic panel Quantile regression methods are used in this study because of their resilience to various econometric problems that can crop up during the estimate process. The empirical results reveal that the whole panel's carbon emissions and ecological footprint rise when income disparity and poverty exist. When the panel is subdivided, however, we see that income inequality reduces carbon emissions and environmental footprint for the wealthy but has the opposite effect on the middle class. While high-income households see no impact from poverty on their carbon emissions, middle-income households see an increase in both. Overall, the results of this study suggest that income disparity and poverty are major factors in ecological degradation. Therefore, initiatives to reduce environmental degradation should pay sufficient attention to poverty and inequality to achieve ecological sustainability.

Fines and Fees in Flux: Exploring Changes in Municipal Violation Sentencing after Court Reform

Monetary sanctions are a ubiquitous part of punishment in the criminal legal system. In recent years, highly publicized events have drawn attention to monetary sanctions at the intersection of poverty, race, and legal system contact. The current study uses Autoregressive Integrated Moving Average models to assess monetary sanction reform legislation in St. Louis, Missouri – where the U.S. Department of Justice’s 2015 Ferguson Report implicated monetary sanctions practices as a contributing to tension between the community and the criminal legal system. We find that white defendants experienced an increase in the average amount of fines received (the punishment portion of the sentence), further, the implementation of the reform (modeled as a step function) was associated with increased fee assessments for those receiving monetary sanctions. Further, racial gaps in total assessments across Black and white residents remained, even as fees for Black defendants declined. Our findings highlight how policies can improve some parts of the criminal legal system yet remain insufficient to fully address their stated goals.

Adolescent girls at the intersection of poverty, migration, and gender

Adolescent girls at the intersection of poverty, migration, and gender

Poverty in Older Adulthood: A Health and Social Crisis

In the transition to older adulthood, people often experience health, social, and economic challenges related to increased chronic health conditions, retirement, decreased social connections, a reduction in income and earning capacity, and increased health related costs. These factors can contribute to financial insecurity, social instability, and even poverty for older adults. In the United States, one in ten older adults is living in poverty. However, standard poverty measures do not account for inflation and many costs specific to older adulthood, and thus underestimate the number of older adults living in poverty. Older adults in poverty conditions experience early mortality and high rates of disability, depression, anxiety, and loneliness. It is estimated that more than a third of older adults experience loneliness. Loneliness within this population is associated with poor physical and mental health, cognitive decline, and early mortality. Poverty and loneliness are independently detrimental to older adults and when experienced together impact the health and wellbeing of older adults in ways that are unique compared to other age cohorts. Nurses are well positioned to address these intersecting issues. The purpose of this article is to discuss the challenges of poverty in older adults, with particular focus on the intersection of poverty and loneliness within this population. Nursing implications for education, practice, research, and policy implications are discussed.

When child trafficking and informal fostering intersect

Informal fostering is an important tradition for many communities in Sub-Saharan Africa. However, the intersections of poverty and social circumstances may increase the risk of exploitation for informally fostered children. We used mixed methods to estimate the prevalence of child trafficking within informal child fostering placements in Sierra Leone, to document vulnerability factors and explore perceptions of key stakeholders. Data were collected through 1) a household survey (N= 3,070), 2) interviews (N= 41) with young adults who experienced child trafficking in informal fostering, parents of children who experienced trafficking in foster placements, and key informants, and 3) focus groups with community members (N= 23). We found that informal fostering increases the likelihood for children to experience trafficking. Although there are significant associations between child trafficking and informal fostering, social (gender and cultural traditions) and economic factors (poverty and school access) appear to be drivers for both. Our results suggest that strengthening poverty reduction measures, expanding opportunities for schooling and vocational training for children and young adults, and improving safety for children in informal fostering arrangements through reporting and monitoring are essential to mitigate the high rates of child trafficking in Sierra Leone, and to ensure children’s well-being in informal fostering placements.

Intersecting Disability and Poverty in the Global South: Barriers to the Localization of the UNCRPD

The UN Convention on the Rights of Persons with Disabilities (UNCRPD) remains in place as the major disability rights instrument recognising that all persons with disabilities must enjoy human rights and freedoms as every other person. However, the CRPD does not automatically confer realization of these rights. In practice, its implementation is met by multiple hurdles, most pronounced at the local level in the Global South, where disability and poverty intersect. This article reports on findings from a study in five countries (Kenya, Philippines, Jamaica, Guatemala, and South Africa) looking at the extent to which the CRPD is being implemented locally in contexts of poverty, and the factors and processes impacting this localization. The findings highlight multiple barriers, becoming more pronounced in local rural areas. These include weak and fragmented organisations of persons with disabilities (OPDs), political and legal issues, and a siloed approach where disability is marginalised in mainstream areas, including development. These barriers are accentuated as intersectional dimensions are factored in, including indigeneity, age, gender, race, and ethnicity. Overall, each local context is left to its own devices, with urban stakeholders, unknowing of what life in poverty is like and how this reframes the CRPD in discourse and practice at the forefront. Our study concludes that there is a profound need for an informed, contextualized, intersectional, and geopolitical analysis where poverty is kept sharply in focus. This is essential to move beyond unrealistic assumptions about disability rights frameworks and to work towards truly localized and transformative efforts.

Conflicts Over Natural Resources and Gender-based Violence at Sialsui, India

This study explores how limited access to natural resources causes gender-based violence and what professional social work practice strategies can be employed to deal with it. Analysing 10 qualitative interviews with Gujjar women, it discusses how they have experienced violence while accessing firewood, water and grazing their cattle. It argues that along with gender, intersection of poverty, dependence on limited natural resources and socio-cultural norms and tribal identity further marginalise Gujjar women and their community in general. It proffers professional social work practice strategies to address gender-based violence. The analysis and suggested strategies are useful not only to Gujjar communities but also to other women and communities living in similar contexts.

Commentary: Vulnerable children-A global perspective.

In this commentary, we discuss the global similarities in the intersections of poverty, disability, and learning, and share lessons that are being learned internationally that can inform U.S. domestic research and implementation. These lessons cover multiple aspects of learning and development, instructional materials and approaches, integration of social emotional and school climate considerations, and engagement of families and communities.

Poverty, race, disability, and intersectionality and participation in the arts: needed policy changes for the future

According to the National Center for Educational Statistics, in 2016 about 1 in 5 children in the United Stated lives in poverty (19%) Students in our music classrooms and ensembles do not begin life from the same starting line. They come from homes and communities that are vastly different. The intersections of poverty, disability, racial inequity, disability, and trauma are inextricably linked in their daily lives. This article will examine these issues and offer suggestions for future policy and practice decisions in the arts.

Disability on Arab screens: cripping class, religion, and gender in Syria, Egypt, and Lebanon

Arab cinema has not featured many protagonists with disabilities, but over the past two decades differently abled characters have appeared on movie and television screens in the Middle East and North Africa. From feature films to Ramadan serials, characters with Hansen’s Disease, Down Syndrome, autism, visual impairments, dwarfism, and missing limbs have emerged in films and television shows from Egypt, Syria, and Lebanon. Characters with disabilities in Yomeddine (Egypt), Behind the Sun (Syria), and Tale of Amal (Lebanon) challenge disability stigma in Arab cultures and highlight the toll of caregiving. While these portrayals, which all incorporate religious interpretations of disability and feature poor characters living on the margins, attempt to correct the absence of disability representations and discourse in Arab societies, they fall into familiar tropes of disability objectification by employing the ‘prosthetic’ of a disability narrative to explore other marginalized social issues like abortion, gender, race, and religious differences. Points of interest There is hardly any research on how disability is portrayed in film and television in Syria, Egypt, and Lebanon The research sheds important light on how disability and poverty intersect in Arab popular culture This paper discusses how religion (Islam in particular) is used to understand, interpret, and manage disability in Arab societies This research shows how Arab filmmakers are using film and television to advocate for more awareness and compassion for people with disabilities in Arab societies. This paper covers taboo subjects related to disability such as abortion, religious minorities, sexuality, and gender marginalization

We Still Have to Eat: Communication Infrastructure and Local Food Organizing as Public Health Responses to COVID-19 in Greensboro, North Carolina

Food insecurity remains a pervasive and persistent social justice concern, both locally and globally–a concern that was heightened during the COVID-19 pandemic. This essay focuses on three short case studies around local food organizing, communication, and community in Greensboro, NC. Partners across three separate but related interventions leveraged their community and communication resources through listening sessions, surveys, and stories to ensure that individuals and families could continue to access food during the uncertainty of the COVID-19 pandemic. By offering these case studies as an example of organizing (and reorganizing) during COVID-19, the analysis also opens up a conversation about power, resistance, and change at the intersections of poverty and access. Scholarly discussions of food insecurity continue to reinforce the need to address both food access and poverty in attempts to build resilient food systems. We take a community-engaged approach that emphasizes the importance of communication infrastructure to illustrate both the simple and mundane resources as well as the creative and innovative interventions that communities and their partners implemented during the initial onset of COVID-19 in the United States.

Health of two-spirit, lesbian, gay, bisexual and transgender people experiencing poverty in Canada: a review.

Two-spirit, lesbian, gay, bisexual and transgender (2SLGBTQ+) people are disproportionately represented among those experiencing poverty. Both 2SLGBTQ+ people and people experiencing poverty face poorer health outcomes and greater difficulty accessing healthcare. Evidence of intersectional impacts of 2SLGBTQ+ status and poverty on health can help to inform economic and health policy. The objective of this review is to determine what is known about the health of 2SLGBTQ+ people in Canada experiencing poverty. Following the PRISMA framework, we searched and summarized Canadian literature on 2SLGBTQ+ poverty indexed in Medline, Sociological Abstracts, PsycInfo and EconList (N = 33). 2SLGBTQ+ poverty-related literature remains sparse but is expanding as illustrated by the fact that most (31/33) studies were published in the past decade. Half the studies analysed poverty as a focal variable and half as a covariate. Intersectionality theory assists in understanding the three health-related themes identified-healthcare access, physical health and mental health and substance use-as these outcomes are shaped by intersecting social structures that result in unique forms of discrimination. Those at the intersection of poverty and 2SLGBTQ+ status face poorer health outcomes than other 2SLGBTQ+ people in Canada. Discrimination was an overarching finding that explained persistent associations between 2SLGBTQ+ status, poverty and health. Research that directly interrogated the experiences of 2SLGBTQ+ populations experiencing poverty was sparse. In particular, there is a need to conduct research on underrepresented 2SLGBTQ+ sub-groups who are disproportionately impacted by poverty, including transgender, bisexual and two-spirit populations.

Black women at the intersection of race and poverty in urban communities: Partnerships for transformation

AbstractThis article examines the intersection of race and poverty on the lives of Black women living in urban communities. Historical systemic racism continues to leave many marginalized communities on the periphery and struggling to maneuver in a society that limits access to empowerment to move out of poverty. To transform the lives of those living in poor urban communities, dismantling systemic racism where race and poverty intersect must be included in policymakers’ priorities. This work begins with partnerships forged between public policy makers, adult educators, literacy education and training programs, welfare programs, and employment programs and employers.

Treating persons at the intersection of poverty and substance use: an interview with Dr. Dan Lustig, Ph.D., CEO of the Haymarket Center, Chicago, Illinois

Of the over 70,000 overdose deaths in the US in 2018, More than 46,000 involved heroin and other synthetic opioids (Wilson et al., 2020). The explosion in opioid use and opioid deaths has drawn the...

\u201cWe\u2019ve got through hard times before\u201d : acute mental distress and coping among disadvantaged groups during COVID-19 lockdown in North India - a qualitative study

BackgroundThe COVID-19 crisis in India negatively impacted mental health due to both the disease and the harsh lockdown, yet there are almost no qualitative studies describing mental health impacts or the strategies of resilience used, and in particular, no reports from the most vulnerable groups. This study aimed to examine the acute mental health impacts of the COVID-19 crisis as well as coping strategies employed by disadvantaged community members in North India.MethodsWe used an intersectional lens for this qualitative study set in rural Tehri Garwhal and urban Dehradun districts of Uttarakhand, India. In-depth interviews were conducted in May 2020 during lockdown, by phone and in person using purposive selection, with people with disabilities, people living in slums with psychosocial disabilities and widows (total n = 24). We used the framework method for analysis following steps of transcription and translation, familiarisation, coding, developing and then applying a framework, charting and then interpreting data.FindingsThe participants with compounded disadvantage had almost no access to mobile phones, health messaging or health care and experienced extreme mental distress and despair, alongside hunger and loss of income. Under the realms of intrapersonal, interpersonal and social, six themes related to mental distress emerged: feeling overwhelmed and bewildered, feeling distressed and despairing, feeling socially isolated, increased events of othering and discrimination, and experiencing intersectional disadvantage. The six themes summarising coping strategies in the COVID-19 crisis were: finding sense and meaning, connecting with others, looking for positive ways forward, innovating with new practices, supporting others individually and collectively, and engaging with the natural world.ConclusionsPeople intersectionally disadvantaged by their social identity experienced high levels of mental distress during the COVID-19 crisis, yet did not collapse, and instead described diverse and innovative strategies which enabled them to cope through the COVID-19 lockdown. This study illustrates that research using an intersectional lens is valuable to design equitable policy such as the need for access to digital resources, and that disaggregated data is needed to address social inequities at the intersection of poverty, disability, caste, religious discrimination and gender inherent in the COVID-19 pandemic in India.

Power, poverty and peacebuilding: the violence that sustains inequalities and undermines peace in Colombia

ABSTRACT Despite the promise of the 2016 Colombian peace agreement, this paper argues that the intersection of poverty, insecurity and exclusion threatens sustainable peace in Colombia. In asserting this argument, the paper advances two case studies: the false positives scandal, which demonstrates the vulnerability of the poor to various security threats, and the coca eradication programme, which has fuelled further violence and economic insecurity on impoverished rural people. This paper uses these cases to highlight how poverty is used to legitimise, and is intertwined with, structural and physical violence in Colombia. These cases further shed light on the political economy of violence in Colombia, which legitimises the unequal distribution of wealth, exposes the poor to violence, and disguises crimes of the powerful through the narrative of the deviant or underserving poor and the rhetoric of maintaining security or advancing development. Fundamentally, this article posits that although the post-conflict moment presents a profound opportunity for transformational change, continued socio-economic inequalities and violence against the poor in Colombia will affect the ability to create a sustainable and meaningful peace.

The impact of temporary assistance for needy families, minimum wage, and Earned Income Tax Credit on Women's well-being and intimate partner violence victimization.

Women experiencing poverty and women of color disproportionately experience intimate partner violence (IPV) victimization. Economic policies targeting women at this intersection of poverty and IPV, including Temporary Assistance for Needy Families (TANF), Minimum Wage (MW), and Earned Income Tax Credits (EITCs), may be powerful violence prevention tools. Using data from waves 1 (1998-2000) through 4 (2007-2010) of the U.S.-based Fragile Families and Child Well-being (FFCW) birth cohort study, we apply a difference-in-difference (DD) study design to estimate both the overall and race-specific effects of state-level economic policies on non-physical IPV and several intermediate outcomes. In DD models analyzing the difference in violence outcomes by intervention group (i.e., TANF exposure based on women's educational attainment, ≤high school vs>high school) and by race (African American (AA) vs White) few state-level TANF policies were associated with IPV victimization and the MW had no differential effect, but the refundable EITC was protective against IPV. Of the few TANF policies associated with IPV - sanctions and the ratio of families receiving TANF for every 100 families in poverty (the TANF-to-Poverty Ratio (TPR)) - those linked with fewer TANF restrictions seemed to increase coercive victimization, especially among AA women. With regard to intermediate variables, we found no overall impact of economic policies on depression or economic hardship, while monetary benefits and the TPR, were associated with a decrease in employment. The effect of TANF policies by race on intermediate outcomes was complex and analyses suggest that while White women are more likely to be employed when TANF time limits are in place, they also experience larger increases in economic hardship events compared to AA women. Research into the effects of cash transfer conditionality on mediators, including economic instability, perceived stress, bargaining power, and coercive IPV to interfere with TANF compliance, is needed.

The role of family factors in antiretroviral therapy (ART) adherence self-efficacy among HIV-infected adolescents in southern Uganda

BackgroundAdolescents living with HIV in sub-Saharan Africa are a vulnerable group at the intersection of poverty and health disparities. The family is a vital microsystem that provides financial and emotional support to achieve optimal antiretroviral therapy (ART) adherence. In this study, we explore the association between family factors and ART adherence self-efficacy, a significant psychological concept playing a critical role in ART adherence.MethodsData from an NIH-funded study called Suubi + Adherence, an economic empowerment intervention for HIV positive adolescents (average age = 12.4 years) in southern Uganda was analyzed. We conducted multilevel regression analyses to explore the protective family factors, measured by family cohesion, child-caregiver communication and perceived child-caregiver support, associated with ART adherence self-efficacy.ResultsThe average age was 12.4 years and 56.4% of participants were female. The average household size was 5.7 people, with 2.3 children> 18 years. Controlling for sociodemographic and household characteristics, family cohesion (β = 0.397, p = 0.000) and child-caregiver communication (β = 0.118, p = 0.026) were significantly associated with adherence self-efficacy to ART.ConclusionFindings point to the need to strengthen family cohesion and communication within families if we are to enhance adherence self-efficacy among adolescents living with HIV.Trial registrationThis trial was registered with ClinicalTrials.gov (registration number: NCT01790373) on 13 February 2013.

Congenital heart disease in low-and-middle-income countries: Focus on sub-Saharan Africa.

The etiology of congenital heart disease (CHD) is multifactorial. The birth prevalence of CHD is shaped by a wide variety of maternal, fetal, and neonatal risk factors, along with the rates of prenatal diagnosis and terminations of pregnancy, all of which have geographic variability Epidemiology data availability from low-and-middle-income countries (LMIC) on CHD prevalence, morbidity, and mortality are far more limited than from high income countries. Data on specific genetic, environmental, and prenatal risk associated with CHD are almost nonexistent. In this article, we will focus on defining what data are available, genetic risk factors, birth and overall prevalence, morbidity, and the impact of limited access to interventions, both surgery and cardiac catheterizations. We will highlight CHD in sub-Saharan Africa to detail epidemiology studies in the poorest regions of the world. Existing literature as well as estimates from the Global Burden of Disease Study (http://ghdx.healthdata.org) form the basis for this review. The intersection of poverty, high fertility rates, and limited access to care results in a unique profile of CHD in LMIC. CHD is not a preventable disease (by most standards), so early detection and access are our key interventions to improve the dire outcomes for children in low-resources settings of the world.