Following rapid economic growth in the 1980s and subsequent rising urbanization in the 1990s, urban centers of India have undergone a “nutrition and lifestyle transformation” regarding dietary choices, cooking methods, food accessibility, and average daily activity level. These changes have been pivotal in the increasing prevalence of obesity and lifestyle–related diseases for Indian adults. With an estimated 71.4 million people living with diabetes, India represents the largest diabetes population worldwide—and numbers are expected to continue growing. These health conditions are not affecting all populations of India; they are affecting the urban middle and upper classes. This thesis will examine the contributing causes behind shifts in food distribution, marketing and consumption in urban parts of India and how the diets and lifestyles of the middle and upper classes have changed, or reacted to such changes, as a result. It will analyze changing patterns of food consumption, as well as corresponding topics, such as lifestyle shifts and emerging health concerns that have developed as a result of rapid urbanization and globalization. My research will primarily focus on how these issues have impacted women. Women, in their roles as wives and mothers, largely control the domestic sphere, central to which is food; thus, they are the primary determiners of their respective “household nutritional status,” as they are responsible for providing food for, as well as shaping the dietary choices of, their husbands and children. I also argue that recent processes of globalization have transformed the food consumption culture of India’s urban middle and upper classes. Following the liberalization of India’s economy in 1991 that resulted in the global integration of international food trade, India’s urban female populations are not only reconsidering what they eat, but when, where, and how they eat. Now, they are facing the repercussions of the food choices and corresponding lifestyle changes that they have made irrespective of the increasing health problems and associated risks. Consequently, India’s urban youth has also begun to reevaluate their consumption habits as a result of globalization processes catalyzed by India’s economic liberalization. These changes in consumption habits have resulted in the emergence of a distinct “youth culture,” in which India’s younger generations are challenging traditional practices and attitudes that older generations have made regarding food and lifestyle choices, with the influence of media at the forefront. India has undergone a nutrition transition, but at what cost to consumer health and well–being, specifically affluent? This thesis will examine how globalization has led to an emerging consumer, specifically affluent urban females significantly impacted by both the introduction of new technologies and the process of globalization that is affecting cultures around the world.

This study presents an account of experiences of recent immigrant women professionals in negotiating labour market opportunities after arriving in Canada. The purpose of this research is to bring in immigrant women’s perspectives on immigration and employment study. Six immigrant women professionals from different cultural backgrounds were interviewed within the framework of qualitative research. Informed by feminist theories, this study intended to make women’s experience in post-arrival integration and settlement more visible and prominent. Research findings indicate both labour market and household factors contributed to shape the labour market experience of immigrant women professionals of recent years. Their experiences reveal the complicated social relations of their doubly burdened and triply oppressed location.

This study presents an account of experiences of recent immigrant women professionals in negotiating labour market opportunities after arriving in Canada. The purpose of this research is to bring in immigrant women’s perspectives on immigration and employment study. Six immigrant women professionals from different cultural backgrounds were interviewed within the framework of qualitative research. Informed by feminist theories, this study intended to make women’s experience in post-arrival integration and settlement more visible and prominent. Research findings indicate both labour market and household factors contributed to shape the labour market experience of immigrant women professionals of recent years. Their experiences reveal the complicated social relations of their doubly burdened and triply oppressed location.

Doctor of Philosophy / Human Nutrition / Richard R. Rosenkranz / Child stunting refers to a condition where the child is relatively shorter in height, in comparison to their age group. Child stunting is a public health nutrition problem that hinders the development of future generations, not only physiologically but also potentially deprives their cognitive function and productivity. The demographic transition, conjoined with the epidemiological and nutrition transitions, has resulted in the coexistence of an over- and under-nutrition problem known as double burden of malnutrition, and child stunting has been a persistent part of the problem. In 2014, the World Health Organization (WHO) reported that one-fourth of the children in the developing countries have been suffering from child stunting. The objective of this research was to apply the behavioral epidemiology approach to tackle child stunting in households with double burden of malnutrition. It was hypothesized that unlike any other households with problem of child stunting, households with double burden of malnutrition possess some degree of capacity that, with proper support and direction, might enable them to help themselves reduce or prevent this nutrition-related debacle. Results from a secondary data analysis revealed that child stunting was associated with lower dietary diversity as an indication of poor food choice in the household, related to children’s nutrient requirements. Another cross-sectional study in this dissertation was conducted in an urban setting in Indonesia, and found that households with child stunting alone was associated with extreme food insecurity, while households with double burden of malnutrition ─ in the form of stunted child and overweight/obese mother (SCOWT) ─ was associated with even a mild degree of food insecurity. These results support our hypothesis that households with double burden of malnutrition lack the capacity to direct their resources properly to prevent child stunting. Most notably, we expected that the role of the mothers to manage healthy food choices through indirect measure of dietary diversity, availability and distribution within the household was lacking. In order to equip mothers with necessary components to be able to overcome these problems, we conducted a behaviorally based intervention that targeted mothers in the households experiencing the problem of double burden of malnutrition. The intervention provided the potential to achieve participant self-administered goal setting to improve diet, as well as child feeding behavior, by means of improved self-efficacy, nutrition literacy and dietary diversity. Maternal self-efficacy may be potentially enhanced by vicarious experience and active mastery experience gained during 6 sessions of behavioral intervention and verbal motivation by community health workers during 6 additional home visits. These studies, collectively comprising the present dissertation, present a message for policy makers in developing countries: nutrition literacy and behaviors for choosing healthy foods are lacking in mothers that affect both maternal and child food intake, but efforts such as improving vicarious and mastery experience on child feeding practices and healthy food choices can boost mother’s self-efficacy to engage in appropriate behaviors and improve their child’s nutrition.

The graduation theses is focused on problems of reduction of emissions of carbon dioxide and other greenhouse gases, which are contributing to acceleration of climate change. From 2005 the EU ETS cames into force, but many economics subjects, which yield to this system of regulation, have to pay environmental taxes as well, because individual member states have adopted own approaches to the problem of abatement emission. Economic subject then face to double burden and that is why they complains. Double steering and double burden should be avoided by reducing and removing the existing CO2 taxation schemes, because it brings inefficiency - like very high cots of abatement emission.

<p>Sustainably meeting the food demands of a growing population based on finite resources while protecting the environment is one of the great challenges of humanity in the coming decades. This dissertation combines three essays that examine how future patterns of global food consumption will affect human health, and how the food system changes driven by the ongoing global nutrition transition will affect the environment. The production of food needed to meet a growing population combined with changes in food consumption patterns are placing unprecedented levels of stress on the planet’s scarce natural resources. In this context, while the existing literature has mainly focused on increasing production, the magnitude of loss and waste is too large to be ignored. The first essay contributes to the literature by examining the linkages between consumers’ food waste at the national level on the one hand, and global food security and environmental health on the other hand. Absent significant behavioral changes or successful policy interventions, food waste will nearly double by 2050. Emerging economies are likely to play a key role in driving this growth in global food waste. Further findings indicate that the global benefits of food waste mitigation are greatly enhanced in the context of a more open international trade regime. Yet even as food loss and waste has been undernutrition and overweight/obesity levels have also been increasing. Together, these trends form a triple challenge for food security, global sustainability and human health. In the second essay I examine the role of the excessive calorie availability as an historical driver of adult BMI. I find that, in part driven by excess in calorie availability, individuals in more recent cohorts are overweight or obese earlier and for larger proportions of their lifespan than those in earlier cohorts. This highlights the potential for unintended health consequences of agricultural and trade policies directed at increasing calorie supplies. In the third essay I introduce a novel framework that extends the UN-FAO’s methodology for assessing undernutrition to also assess the extent of overconsumption and obesity. This framework allows for examination of the dynamics of the double burden of malnutrition between 2015 and 2050. Specifically, this framework shows how shifting towards healthier and more sustainable food consumption levels and reducing food waste could synergistically address multiple health and environmental burdens. </p>

Denna uppsats ämnar att undersöka sambandet mellan arbetstillfredsställelse och arbetsflexibilitet samt hur arbetstillfredsställelsen skiljer sig mellan könen när de har barn under 18 år i Sverige. Genom att använda ett befintligt dataset, insamlat av International Social Survey Programme (ISSP), har vi kunnat utföra multipel regressionsanalyser. Vi har med hjälp av tidigare forskning samt teorier kring krav- och kontroll, rollteori och dubbelarbete format fyra hypoteser för att möjliggöra analysering av resultatet. Resultaten visade på att det inte finns ett samband mellan arbetstillfredsställelse och kön kontrollerat för andra variabler, dock finns ett negativt samband mellan kön och arbetstillfredsställelse, utan kontrollvariabler. Resultatet visade även på att det finns ett positivt samband mellan arbetstillfredsställelse och arbetsflexibilitet. Sambandet pekar således mot att högre arbetsflexibilitet samvarierar med högre arbetstillfredsställelse. Vidare rapporterade kvinnor med barn under 7 år lägre arbetstillfredsställelse jämfört med män. Medan män med barn mellan 7 och 17 år rapporterade lägre arbetstillfredsställelse än kvinnor när antalet barn ökar. / This bachelor's thesis aims to examine the relationship between job satisfaction and work flexibility, in addition to how job satisfaction differs between the genders when they have children under the age of 18 in Sweden. By utilizing an existing dataset, collected by the International Social Survey Programme (ISSP), we conducted multiple regression analyses. Drawing on prior research and theories regarding demand and control, roles, and the double burden, we formulated four hypotheses. Furthermore, we analyzed our results using the theoretical framework to gain an understanding of their implications. The results implicate no significant correlation between job satisfaction and gender, when controlled for other variables. However, a negative correlation was found between gender and job satisfaction, without control variables. A positive correlation was also found between job satisfaction and work flexibility. Therefore, the evidence suggests that higher levels of work flexibility co-varies with increased job satisfaction. Furthermore, women with children under the age of 7 reported lower job satisfaction compared to men. In contrast, men with children between ages 7 and 17 reported lower job satisfaction than women as the number of children increased.

Background Middle-income countries are currently undergoing nutrition transition more rapidly than did high income countries. These populations are therefore at high risk of over-nutrition (obesity) and nutrition-related, non-communicable diseases before the elimination of under-nutrition and infectious diseases. Such nutritional double burden is most common in low SES groups of middle-income countries, such as the Maya of Mexico. Long-term poor environmental conditions during early life results in a population with high levels of chronic under-nutrition (stunting), and a consequent predisposition toward overweight/ obesity, and associated health risks later in life. It is important to be able to identify individuals at an increased risk of diseases related to double burden and to determine whether stunting impacts the ability to identify at risk individuals. Aims The overall purpose of this doctoral research was to examine double burden in the urban Maya, a low SES section of the Mexican population which is a current example of a population undergoing significant transition. The specific aims of this thesis were fourfold: 1) To describe the living conditions and population characteristics of the urban Maya of southern Merida in the spring and summer of 2010; 2) to determine whether body mass index (BMI) predicts adiposity indicators in a sample of women and children with a high prevalence of stunting, 3) to determine whether measures of linear growth in women can be predicted by their recalled childhood environment and 4) To determine whether the relationship between objectively estimated free-living energy expenditure and body composition is altered by stunting. Methods Data from interviews, anthropometric measurements and bioelectrical impedance analysis were collected on 58 Maya schoolchildren aged 7-9 years-old and their mothers living in the south of Merida, Mexico. Objective, free-living physical activity monitoring using combined accelerometry and heart rate monitoring of the children was also performed for one week. The interview data was used to describe the living conditions of the south of Merida. Whether stunting status or body proportions influenced the power of BMI to predict adiposity indicators was assessed for the mothers and the children. The mothers recalled early life SES was compared to their current measures of linear growth. The children s objectively estimated energy expenditure was compared to their body composition and measurements of body size. Results The Maya of southern Merida overall had access to clean drinking water and basic health care and have apparently eliminated acute under-nutrition. Yet they remained double burdened with simultaneous stunting and overweight/ obesity. Individual double burden levels were high, with 70% of the mothers were simultaneously stunted and overweight. Family level double burden was also high, with 28% of the families having an overweight mother and a stunted child. The rates of childhood malnutrition varied widely when using different cut-offs. Child stunting rates were between 15.5% and 37.9% when using -2 z-scores of Frisancho s Comprehensive (created using NHANES data) reference versus the 5th percentile of the WHO reference, respectively. Child overweight/ obesity rates were less than 10% when using weight-for-age on both the Comprehensive and WHO reference charts. Child overweight/ obesity as classified using BMI z-scores was between 27.5 to 34.5% using the Comprehensive and WHO reference, respectively, while child overfat was over 80% when using body fat percentage for age reference curves. BMI predicted adiposity indicators in these Maya children, explaining between 33 and 84% of the variance in arm fat index and waist circumference z-score, respectively. BMI was less strongly related to the mothers adiposity indicators, explaining between 19 and 70% of the variance in arm fat area and waist circumference. The relationship between BMI and adiposity indicators was unchanged by stunting or body proportions in either mothers or children. Mothers recalled early life SES was significantly related to but explained little of the variance in her measures of linear growth. Birth decade explained 5% of the variance in stature and the Modernisation index (urban/ rural birth, sugar sweetened beverage consumption, packaged food consumption) explained 5% of the variance in mothers leg length. Birth order, sibling number and consumer durable ownership were also significantly related to linear growth of the mothers. These Maya children had high levels of physical activity, as all exceeded the recommended 60 minutes of moderate-to-vigorous physical activity per day. After controlling for fat free mass, short stature did not predict lower resting energy expenditures in the children. However shorter stature did predict lower levels of activity energy expenditure, particularly in girls. Stunted girls had the lowest activity energy expenditures. Conclusions These urban Maya tend to have access to basic sanitation and services and are at a very high risk for NR-NCDs with the co-existence of chronic under-nutrition (stunting) and overweight/ obesity. The high rates of stunting do not impact the usefulness of BMI to estimate adiposity nor does stunting appear to impact children s energy expenditure. While BMI is useful to predict adiposity in these urban Maya children, it is not recommended for use in the mothers. Interventions to reduce childhood adiposity need to begin very early in life to most effectively reduce adiposity. Research into the low SES groups of middle-income countries, offers insight to what may occur in low-income countries as they advance in the nutrition transition.

No description available.

Introduction Nutrition transition concerns the broad changes in the human diet that have occurred over time and space. In low- to middle-income countries such as Indonesia, nutrient transition describes shifts from traditional diets high in cereal and fibre towards Western pattern diets high in sugars, fat, and animal-source foods. This causes a swift increase in the prevalence of overweight and obesity while undernutrition remains a great public health concern. Thus a double burden of malnutrition occurs in the population. The main aim of this investigation was to explore social and contextual determinants of malnutrition in Indonesia. The specific objectives were: (i) to examine body mass index (BMI) changes at the population level, and between and within socioeconomic groups; (ii) to estimate which context (i.e., household or district) has a greater effect on the variation of BMI; (iii) to assess the prevalence of double burden households (defined as the coexistence of underweight and overweight individuals residing in the same household) and its variation among communities as well as its determining factors; and (iv) to explore and understand what contributes to a double burden of malnutrition within a household by focusing on gender relations. Methods A mixed method approach was adopted in this study. For the quantitative analyses, nationally representative repeated cross-sectional survey data from four Indonesian Family Life Surveys (IFLS; 1993, 1997, 2000, 2007) were used. The IFLS contains information about individual-level, household-level and area-level characteristics. The analyses covered single and multilevel regressions. Data for the qualitative component were collected from sixteen focus group discussions conducted in Central Java and in the capital city Jakarta among 123 rural and urban men and women. Connell’s relational theory of gender and Charmaz’s constructive grounded theory were used to analyse the qualitative data. Results Greater increases in BMI were observed at higher percentiles compared to the segment of the population at lower percentiles. While inequalities in mean BMI decreased between socioeconomic groups, within group dispersion increased over time. Households were identified as an important social context in which the variation of BMI increased over time. Ignoring the household level did not change the relative variance contribution of districts on BMI in the contextual analysis. Approximately one-fifth of all households exhibited a double burden of malnutrition. Living in households with a higher socioeconomic status resulted in higher odds of double burden of malnutrition with the exception of women-headed households and communities with high social capital. The qualitative analysis resulted in the construction of three categories: capturing the significance of gendered power relations, the emerging obesogenic environment, and generational relations for child malnutrition. Conclusion At the population level, greater increases in within-group inequalities imply that growing inequalities in BMI were not merely driven by socioeconomic factors. This suggests that other under-recognised social and contextual factors may have a greater effect on the variation in BMI. At the contextual level, recognition of increased variation among households is important for creating strategies that respond to the differential needs of individuals within the same household. At the household level, women’s empowerment and community social capital should be promoted to reduce inequalities in the double burden of malnutrition across different socioeconomic groups. Ultimately community health and nutrition programmes will need to address gender empowerment and engage men in the fight against the emerging obesogenic environment and increased malnutrition that is evident within households, especially overweight and obesity among children.