The impact of global economic policies on health equity and social development has been well-documented and, in the current phase of economic globalization, profound health inequities have been attributed to these policies. In response to these inequitable trade conditions, which are especially pronounced in the trade of boom-and-bust commodities like coffee, alternative trade models such as Fair Trade have proliferated. Although there is great potential for these alternative economic policies to achieve health and gender equity, these considerations have largely been left out of existing analyses, which focus on gender-blind economic, organizational, and environmental indicators. <p>To address these omissions, this study explores the experiences, perceptions, and aspirations of an organized group of coffee-producing women with regards to Fair Trade. The study was conducted in Northern Nicaragua in 2009 and focuses on the experiences of women supported by a local feminist organization, la Fundación Entre Mujeres, in an embedded, single case study design. It is informed by participant-observation, interviews, and dialogic focus groups. The study situates participants perceptions and aspirations in a globalization and health framework as well as an empowerment framework. Considered in this light, womens experiences provide valuable insights about the perceived and potential health and gender impacts of alternative models of trade and provide a vision for the future directions of these models. <p>The womens experiences reveal that although valuable benefits are being experienced as a result of participation in Fair Trade especially in terms of a higher income and a commitment to organic agriculture there are lingering doubts as to whether Fair Trade is actually "fair" or simply "better". The women supported by la Fundación Entre Mujeres aspire to more equitable trade characterized by solidarity, justice, a focus on womens rights, and a fairer valuation and recognition of womens efforts inside and outside of coffee. In order to move towards this "fair" system of trade, the current Fair Trade model must become more oriented towards equitable control for all of its stakeholders and must broaden its definition of empowerment so as to more actively and vocally participate in the broader contexts of international trade that are influencing health and gender equity for women around the world.

Aboriginal Head Start Urban and Northern Communities (AHSUNC) Initiative in Ontario provides an early childhood development program specifically for urban Aboriginal children between 3 and 5 years old. Twenty-nine families from Waabinong Head Start in Sault Ste Marie, Ontario, completed two questionnaires given four months apart covering a range of health and education topics. The completed surveys supported a trend toward healthier lifestyle choices, improved education of the children, upward mobility in employment, increases in self-perceived general and mental health of primary and second caregivers, and decreases in smoking, illegal drug use, and alcohol use. Families reported an increased sense of pride in being Aboriginal shown by their children, plus learning of culture and Ojibwe language, which has lead to improvement in all of the child’s skills and abilities.

Aboriginal Head Start Urban and Northern Communities (AHSUNC) Initiative in Ontario provides an early childhood development program specifically for urban Aboriginal children between 3 and 5 years old. Twenty-nine families from Waabinong Head Start in Sault Ste Marie, Ontario, completed two questionnaires given four months apart covering a range of health and education topics. The completed surveys supported a trend toward healthier lifestyle choices, improved education of the children, upward mobility in employment, increases in self-perceived general and mental health of primary and second caregivers, and decreases in smoking, illegal drug use, and alcohol use. Families reported an increased sense of pride in being Aboriginal shown by their children, plus learning of culture and Ojibwe language, which has lead to improvement in all of the child’s skills and abilities.

Although evidence of health inequities abound, why people in lower socio-economic classes have poorer health has not been sufficiently explored. The purpose of this study is to examine day labourers’ pathways to health inequities in a segregated, urban district in Japan. Critical ethnography was employed to investigate day labourers’ social environments and cultural behaviours in order to reveal the ways that social inequalities embedded in mainstream society and the day labourers’ sub-culture produce and sustain day labourers’ disadvantages, leading them into poorer health than the average population. Data were collected through observations of day labourer’s daily activities, events within the district and their interactions with social workers at a hospital. In addition, interviews were conducted with 16 day labourers and 11 professionals and advocates. The study found several components in the pathways to health inequities of day labourers. First, certain people in Japan are ostracized from the social, economic and political mainstream due to an inability to enact traditional Japanese labour practices. Commonly such exclusions make men become day labourers to survive. In a day labourer district, they are exposed to further social inequalities embedded in the work system and their living circumstance. Living and working as a member of the day labour community, they develop collective strategies in order to survive and preserve their social identities as day labourers. However, such strategies do not provide people with opportunities to lead healthy lives. The study also identified several social determinants of health for day labourers, including: 1) employment, 2) working conditions, 3) temporary living, 4) housing quality, 5) social networks and support, 6) marginalized neighbourhood, 7) access to health care, and 8) gender. The findings contribute to a better understanding of social construction of health inequities, which provides insight on the impact of precarious work in the Japanese society at large. Implications of these findings for public health policy and practice are also discussed.

Official-language minorities in Canada may face specific issues in accessing health care services that can lead to negative consequences on their health, utilization of health care services and satisfaction with the health care system. A secondary data analysis of the 2006 Survey on the Vitality of Official-Language Minorities revealed significant differences between the Anglophone minority (n=5,161) and the Francophone minority (n=12,029) with regards to general health, and access to and use of health care services. Important predictors of these outcomes included age, education level, household income, marital status and place of residence (urban/rural). Access to health care services in the minority language was associated with self-perceived health in the Anglophone minority only. Health policy recommendations elaborated in light of the findings include working on both the supply and the demand of health care services offered in the two official languages, while taking into consideration important contextual differences between regions.

The impact of global economic policies on health equity and social development has been well-documented and, in the current phase of economic globalization, profound health inequities have been attributed to these policies. In response to these inequitable trade conditions, which are especially pronounced in the trade of boom-and-bust commodities like coffee, alternative trade models such as Fair Trade have proliferated. Although there is great potential for these alternative economic policies to achieve health and gender equity, these considerations have largely been left out of existing analyses, which focus on gender-blind economic, organizational, and environmental indicators. <p>To address these omissions, this study explores the experiences, perceptions, and aspirations of an organized group of coffee-producing women with regards to Fair Trade. The study was conducted in Northern Nicaragua in 2009 and focuses on the experiences of women supported by a local feminist organization, la Fundación Entre Mujeres, in an embedded, single case study design. It is informed by participant-observation, interviews, and dialogic focus groups. The study situates participants perceptions and aspirations in a globalization and health framework as well as an empowerment framework. Considered in this light, womens experiences provide valuable insights about the perceived and potential health and gender impacts of alternative models of trade and provide a vision for the future directions of these models. <p>The womens experiences reveal that although valuable benefits are being experienced as a result of participation in Fair Trade especially in terms of a higher income and a commitment to organic agriculture there are lingering doubts as to whether Fair Trade is actually "fair" or simply "better". The women supported by la Fundación Entre Mujeres aspire to more equitable trade characterized by solidarity, justice, a focus on womens rights, and a fairer valuation and recognition of womens efforts inside and outside of coffee. In order to move towards this "fair" system of trade, the current Fair Trade model must become more oriented towards equitable control for all of its stakeholders and must broaden its definition of empowerment so as to more actively and vocally participate in the broader contexts of international trade that are influencing health and gender equity for women around the world.

Oral health is an important aspect of overall health, but many vulnerable populations such as migrant farmworkers are without access to oral healthcare. Although some non-government organizations such as faith-based organizations have attempted to fill gaps left by government and private sectors, a lack of a dental safety net creates limited access to oral health services for migrant farmworkers. Access to care is further constrained by structural factors including low wages, migration route, and high costs of care. Building off a critical medical anthropology approach in understanding oral healthcare access, I argue that limited oral health access for migrant workers in the Tampa Bay area is the result of economic constraints and not cultural beliefs or educational shortcomings. This research therefore demonstrates the social determinants of oral health, and how social disparities can become embodied in marginalized groups such as migrant farmworkers.

Preterm birth continues to be an important public health concern globally. Born only 3 to 6 weeks premature, findings increasingly demonstrate that the late preterm population (34-36 weeks gestational age) is not exempt from long-term risk, as the last few weeks of gestation are important for both physical and cognitive development. This study examined whether late preterm birth was associated with poorer health, development and educational outcomes in the early childhood period, after controlling for a range of medical and social factors. / February 2016

The purpose of this study was to investigate the relationship between residential segregation (the physical separation of Blacks and Whites in residential contexts) and adverse perinatal outcomes (low birth weight, preterm delivery and small for gestational age births) in Florida, Georgia and Louisiana. The study determined the independent effect of the level of residential segregation on the likelihood of adverse perinatal outcomes after controlling for contextual and individual factors. The study also assessed whether the relationship between residential segregation and adverse perinatal outcomes were moderated by ethnicity and median income.The studied employed an observational, cross-sectional study design that utilized secondary data. Live birth certificates between 1999 and 2001 provided information on individual covariates and perinatal outcomes. Structural indicators of residential segregation and contextual covariates were obtained from the U.S. Census Bureau. Th e nested data structure for each birth outcome model was composed of individual, contextual, and structural data. Three-level, hierarchical generalized linear models were used to test research hypotheses.The study population consisted of non-Hispanic White and Black primaparous women between 15 and 49 years of age experiencing singleton live births delivered at less than or equal to 45 weeks gestation. The final sample consisted of 255,548 women nested within 4,360 census tracts and 63 Metropolitan or Micropolitan Statistical Areas. Residential segregation did not have a direct relationship with low birth weight, preterm delivery or small for gestational age, after controlling for other variables in multilevel models. Models testing the moderating effects of ethnicity indicated that increased Isolation decreased the risk of LBW among Black women. Several contextual --level variables and the majority of individual-level variables were significantly associated with perinatal outcome risk .Findings indicate that effects of residential segregation may be birth outcome and ethnic group specific. Relationships between individual factors, contextual factors and adverse perinatal outcomes signal the importance of proximal factors to perinatal outcomes. There is a need for specification of a broader constellation of biological, social and spatial factors and a thorough assessment of residential preferences and experiences in order to better understand the associations between neighborhoods and perinatal outcomes.

Introduction: Adolescents in the United States use alcohol more than any other substance, including tobacco and marijuana. Continuing alcohol misuse has numerous adverse health effects and is linked to liver disease, cancer, cardiovascular disease and neurological damage. Furthermore, alcohol consumption is a significant risk factor for unsafe sexual behaviors, unintentional injuries, physical and sexual assaults, various types of illegal activities, and suicide (USDHHS, 2007). Aim: The purpose of this study is to compare the individual social indicators from 4 categories that have been identified within the literature as being particularly associated with alcohol consumption in general, and underage alcohol consumption in particular. The categories used were: drinking consequences, urbanicity, poverty, and alcohol outlet density. The social indicators in these categories will be compared in the 10 most-at-risk counties (MAR) and the 10 least-at-risk counties (LAR), and the 20 MAR counties and the 20 LAR counties, as they relate to underage alcohol consumption. Methods: The counties were identified in and data was obtained from Governor’s Cooperative Agreement State Incentive Planning and Development Grant: Social Indicator Study to Assess Substance Use Prevention Needs at the State and County Levels in Georgia. An independent 2-tailed t-test was conducted to compare the means of groups in both the 10 MAR/LAR counties and the 20 MAR/LAR counties. Results: Significant differences were observed in all of the individual indicators in the poverty and alcohol outlet density categories for both the 10 MAR/LAR counties and the 20 MAR/LAR counties. Discussion: There needs to be a more accurate, specific and efficient methods of data surveillance concerning underage drinking behavior. Further research should focus on urbanicity, poverty, and alcohol outlet density as they relate to underage alcohol consumption. There were differences observed between the MAR and LAR counties in all of the poverty alcohol outlet density indicators, and researchers and policy makers should pay special attention to these two areas when designing further research and prevention policies.