Background and Aims Many low- and middle-income countries are undergoing epidemiological and health transitions. South Africa has one of the highest prevalences of overweight and obesity in Sub-Saharan Africa. This research examined neighbourhood and household socio-economic influences on the risk of overweight and obesity in terms of anthropometric status and dietary intake among urban South African adolescents. A further aim was to conduct a qualitative study on the potential for religious groups such as Churches to be used as community-based organisations for obesity intervention. Methods A secondary analysis of neighbourhood and household socio-economic status (SES), anthropometric and dietary data was carried out on adolescents aged 17-19 years from the Birth to Twenty Plus cohort study in Johannesburg-Soweto. Qualitative data were collected through focus groups discussions and a community readiness survey with church leaders. Results No significant associations were observed between SES (household and neighbourhood) and energy, protein, fat, or carbohydrate intakes in males. Some significant associations were found between SES and dietary intake in females. Females had a higher prevalence of overweight and obesity than males (26.2% vs. 8.2%, p<0.0001). In males, poor household SES was associated with lower odds of overweight, fatness and high waist-to-height ratio (WHTR). For females, household SES was not significantly associated with overweight, fatness and high WHTR. The qualitative research showed that there was a very low level of community readiness among church leaders for obesity prevention programmes. Conclusions The dietary results suggest that the diet of these adolescents is transitioning to that seen in high income countries. It also highlights that even within the same relatively small urban area, nutrition transition does not affect different groups in uniform ways. The qualitative results indicate that programmes should focus around raising awareness of the problem of overweight/obesity in this community.

Thesis advisor: Philip G. Altbach / The literature on Latin American higher education indicates the existence of a relationship between socio-economic status and college enrollment. One of the hypotheses of this study was that in Haiti, socio-economic status is related not only to college access but also to students' ability to enter their preferred field of study. As a result, students from higher socio-economic status were expected to report higher levels of satisfaction with their academic situation. In this quantitative survey study, an instrument was developed and administered to 742 college students in 5 different Haitian institutions in order to determine whether there exists this hypothesized relationship between students' socio-economic status and their satisfaction with their academic situation. Data analysis revealed a weak, negative relationship between students' socio-economic status and their satisfaction with their academic situation. No significant relationship could be established between socio-economic status and access to a preferred field of study, across all students. Instead the study found what seems to be a paradox: although a majority of students were not able to access their desired field of study, they showed a high level of satisfaction with their academic situation. This paradox is explained by the importance of intrinsic factors as well as job prospect in predicting students' satisfaction. Other findings include (a) a low level of participation for women in Haitian higher education, (b) a lower level of satisfaction for Haitian female science, engineering, and technology students, and (c) little differentiation in academic preparation between science, engineering, and technology students and the rest of the sample. Based on the research findings, the study concludes with policy recommendations to help Haitian higher education achieve its economic development mission. / Thesis (PhD) — Boston College, 2009. / Submitted to: Boston College. Lynch School of Education. / Discipline: Educational Administration and Higher Education.

Thesis (M.Dev.) --University of Limpopo, 2001. / The aim of this study was to examine the impact of socio-economic factors on scholastic performance (achievement) ofleamers in the secondary school. The study was conducted in the Southern Region of the Northern Province, in the Nebo District. The Southern Regio which is made up of basically Nebo and Sekhukhune, forms part of the former Lebowa and is basically rural. A literature study was-conducted, which unravelled and brought into surface factors of social and economic nature, which are contrary to effective learning and contributes towards poor performance, especially in public secondary schools. Literature study revealed that learners from disadvantaged backgrounds especially in the rural communities have their learning process heavily affected and disturbed by social and economic factors. An empirical survey was also conducted to establish the views and opinions of parents, educators and the learners themselves. A qualitative research method was used. Letebele Marishane Secondary School in Ngwaritsi circuit was used as a case study. Educators completed questionnaire whilst learners and parents were engaged in focus group interviews (discussion groups). Information gathered through observations was also taken into account. Both the literature review and the empirical survey agreed that the learner's background that is his/her family, home environment; his/her neighbourhood and other factors of economic and social nature can impact positively or negatively on performance in the classroom. That is, according to information gathered, learners from advantaged backgrounds stand a better chance in the classroom than learners from disadvantaged backgrounds. It is evident therefore that poverty that prevails amongst the rural communities impacts on learning and performance in the examination and other classroom activities.

This study examined whether cultural factors could predict parents' attitudes toward the use of harsh physical punishment on their children in Akwa Ibom state in Nigeria. Presuming that most people disapprove of child abuse, different cultural groups may define the parental behaviors that constitute abuse differently, and such variances may result in a disparity of identification of parents from some cultures as more abusive than others. Four different independent cultural variables were measured: (a) conflict tactics, (b) nurturance, (c) drinking, and (d) valuing children. Form P, Part E of Dimension of Disciplinary Inventory (DDI) was used to measure parents' perception of physical punishment. Part C of Form P of DDI was used to measure Conflict tactics. Nurturance scale was used to measure the warmth patents display toward their children. Valuing Scale was used to measure the amount of value parents place on their children, while Heavy Drinking Scale measured parents' frequency of drinking. Random sampling approach was used to select 269 parents' who were administered the questionnaires. A multiple linear regression analysis was applied to examine the contributions of the independent variables with the dependent variable of parents' attitudes toward physical punishment of children The results of the multiple regression analysis showed that all 4 cultural variables predicted parental attitudes toward physical punishment. Results will provide greater understanding of the Nigerian attitudes toward physical punishment of children, and thus offer a foundation for future public education with the goal of reducing the use of physical punishment at the individual and community levels.

Thesis (M.Cur.) --University of Limpopo, 2013 / Previous research about people living with HIV and AIDS has highlighted social support as an important determinant of health outcomes; i.e. perceived support to be associated with adjustment and coping in relation to HIV diagnosis, as well as its potentially chronic and disability course . The purpose of the study is to determine the effects of HIV and AIDS on the socio-economic status of people infected with HIV and AIDS at the village of Ga-Mathabatha in the Capricorn District of the Limpopo Province, South Africa. In this study, a qualitative, descriptive, exploratory and contextual design is used. A non-probability purposive sampling technique was used to carefully select the sample based on the knowledge that the participants had about the phenomena studied. Semi-structured, one-on-one, in-depth interview with a schedule guide were conducted until saturation of data was reached. To initiate each interview, a central question was was asked: “Describe the effects that HIV and AIDS have on your socio-economic status”. Participants were given an opportunity to describe their experiences with regard to the effects of HIV and AIDS on their socio-economic status. Field notes of semi-structured, one-to-one, in-depth interview session were recorded. A voice recorder was used to capture all the semi-structured, one-to-one, in-depth interviews. The recorded interviews were transcribed verbatim, using Tesch’s qualitative data analysis method. Trustworthiness was ensured by using Guba’s model criteria; i.e. credibility, transferability, confirmability, and dependability. The results indicate that HIV and AIDS have an effect on the socio-economic status of HIV-positive people. Ethical standards for nurse researchers were adhered to, namely permission to conduct the study was obtained from the Medunsa Research and Ethics Committee. Permission to conduct the research project was granted by the Limpopo Turfloop Campus, Limpopo Provincial Department of Health and Social Development, and the ART clinic management at the Ga-mathabatha Relebogile Wellness and ART Clinic. To ensure confidentiality and anonymity, written informed consent was obtained from each participant before he/she could participate in the study. The quality of the research was also insured. Five themes and their sub-themes, and the literature control are presented in the discussion of the research findings. The findings of this study have a central story line which reveals that participants are sharing similar experiences in terms of socio-economic factors after they have tested HIV-positive which are related to several factors; including the involvement of family and friends in their care, changes encountered which affect their social life, household income, and their living conditions. The following five themes and their sub-themes have emerged during data analysis: Theme 1: Different sources of income of HIV-positive people; Theme 2: Living conditions of HIV-positive people; Theme 3: Consequences related to HIV and AIDS disease progression; Theme 4: Support and care to HIV-positive people; and Theme 5: Disclosure versus non-disclosure of HIV-positive status. The results of this study are limited to the Relebogile Wellness and ART Clinic in the Ga-Mathabatha area of the Capricorn District in the Limpopo Province, South Africa. The study findings cannot be generalised to all clinics that are issuing ARVs in the Capricorn District. Study conclusions emphasise the fact that there is a need for HIV and AIDS positive patients to receive continuous support from family, friends, and the community with the purpose of enabling them to cope emotionally, socially, and economically. It also reveals the importance of participants to take their treatment as prescribed with the aim of improving their immune systems. The recommendations emphasise the fact that there is a need for HIV and AIDS patients to receive continuous support from family, friends, and the community with the purpose of enabling them to cope emotionally, socially, and economically. TERMINOLOGY Human Immunodeficiency Virus (HIV) HIV is a virus which has a known and distinct capacity to cause Acquired Immune Deficiency Syndrome once it has entered the body. It attacks a person’s immune system (Kaushik, Pandey & Pande, 2006:43) Acquired Immunodeficiency Syndrome (AIDS) It is the fourth stage of HIV infection and it is usually characterised by a CD4 count of less than 200. It is not a specific illness but rather a collection of illnesses that affect the body to such an extent that the weakened immune system struggles to respond effectively (Kaushik et al., 2006:43) Effects Effects are consequences that are brought about by a cause (Kaushik, Pandey & Pande, 2006:56). Examples of effects are changes in the health status, and standard of living of a population as a result of a programme, project or activity. In this study, effects refer to changes in the socio-economic status of a population that have occurred as a result of the breadwinner in a family who has become unable to go to work due to a weakened immune system that results from HIV and AIDS. Epidemic It is the occurrence of cases of an illness (or an outbreak) in a specific population with a frequency clearly in excess of the normal probability (Giesecke, 2007:19). In this study, an epidemic refers to the effect HIV and AIDS has on the population. Socio-economic status Socio-economic status refers to the standardised way of grouping a population in terms of parental occupation, income, power, prestige, and education (Kirsh, 2006:287). In this study, socio-economic status defines a person’s monthly income, education, and occupation. Family A group of people living together in a permanent arrangement, separated from the rest of the world by the walls of the family dwelling and by societal guarantees of family privacy (Bachmann & Booyens, 2006:4). In this study, a family denotes those people who are living under the same roof with a breadwinner who is HIV-positive.

The current study explored the relationship between parents perceptions of their childs middle school and parents perceptions of their own school experiences. Additionally, it was important to research how these relationships differed among variables. The variables explored were (1) race, (2) parents own educational backgrounds (level of education), and (3) socio-economic status. Based on scales commonly used in the study of parent involvement, a survey (i.e., Parent Perceptions of Schooling) was developed. The survey consisted of two parts (i.e., Part I, How I Feel About My Childs School and Part II: Parents Own School Experiences Questionnaire) and a demographic section (i.e., Part III: Demographic Information). The first two parts were divided into factors or subscales (i.e., Part I: Information, Participation, and Welcome; Part II: Teachers, Parents, Self, and School), all of which were found to have high internal consistency and reliability. The survey was administered to parents of middle school children at a middle school in Pasco County, Florida. Results of multiple regression analyses indicated that none of the predictor variables significantly predicted the dependant variables. However, significant correlations emerged between (1) Information and Race-Other; (2) Information and Level of Education; (3) Participation and Level of Education; (4) Teachers and Race-Hispanic; (5) Teachers and SES; (6) Self and Level of Education; (7) School and Level of Education; and (8) School and SES. Additionally seven significant correlations were found when taking into consideration interaction affects of predictor, dependant, and moderator variables. Limitations to this study and survey research in general are discussed, as well as future directions.

Thesis (Ph.D. (Human Movement Science))--North-West University, Potchefstroom Campus, 2008.

<p>Health security is increasingly being seen as integral to any poverty reduction strategy. Health is viewed not only as an end in itself but also as an indispensable input into the development process because there is a positive link between health and development. Of all the risks facing poor households, health risks probably pose the greatest threat to their lives and livelihoods. Against this background, this research examines the vital subject of participation in mutual health insurance as a poverty reduction strategy at the rural community level. It has been accepted that community-based initiatives play important roles in improving poor people s risk-sharing arrangements. The extent to which these community-based initiatives are able to address the problem of social exclusion in local communities is far from being clear.</p>

Enhancing primary care is key to the Canadian health care reform. Considered as an indicator of primary care access and quality, hospitalisations for ambulatory care sensitive (ACS) conditions are commonly reported by Canadian organisations as sentinel events signaling problems with the delivery of primary care. However, the literature calls for further research to identify what lies behind ACS hospitalisation rates in regions with a predominantly urban population benefiting from universal access to health care. A theoretical model was built and, using an ecological design, multiple regressions were implemented to identify which neighbourhood characteristics explained the socio-economic gradient in ACS hospitalisation rates observed in Ottawa. Among these neighbourhoods, healthy behaviour and - to a certain extent - health status were significantly associated with ACS hospitalisation rates. Evidence of an association with primary care accessibility was also signaled for the more rural neighbourhoods. Smoking prevention and cessation campaigns may be the most relevant health care strategies to push forward by policy makers hoping to prevent ACS hospitalisations in Ottawa. From a health care equity perspective, targeting these campaigns to neighbourhoods of low socio-economic status may contribute to closing the gap in ACS hospitalisations described in this current study. Reducing the socio-economic inequalities of neighbourhoods would also contribute to health equity.

The activities attended by elementary students are surely not just the classroom lessons only. It includes the participations in classroom and school wide student organizations, in academic and sport competitions sponsored by schools, regions, and states, in self-study and school plays and other performance organized by schools, as well as the participations in after school activities , such as cram schools, dance schools, music and instrument lessons, sport trainings, homework, housework, and leisure activities. It is believed that student participation is somewhat related to their family socio-economic status and to some extent shaping their personality in respect to their self-esteem, autonomy, attitudes towards school, and educational aspiration. This study was designed to examine the interrelationships between student participation, the socioeconomic status of their family , and their personality development . Our data were collected from the survey administered to the fifth graders and the sixth graders in class randomly and systematically selected from two metropolitan elementary schools with a salient descent background in farming and labor in Kaohsiung City and Fonsan City. It was found that both participations in school activities and after school activities favor students more for students from upper socioeconomic status family than for those from lower socioeconomic status family, except sport competitions, homework, and housework. On the other hand, the participation in school activities appears to bear more impact upon self-esteem, autonomy, attitude, and aspiration than does the participation in after school activities. Nevertheless, neither the participation in school activities nor the participation in after school activities can completely explain away the relationship between socioeconomic status and the personality variables. The personality variables of self-esteem, autonomy, attitudes, and aspiration are a reflection in social opportunity structure, particularly, for those at the elementary schools, and also attuned to the earlier findings in the study in social inequality. This study provides information worthwhile for those in academic and education who are concerned with the welfare and the equal opportunity for the poor.