O estudo teve por objetivo avaliar as relações entre o uso de drogas, atos infracionais e papéis ocupacionais entre adolescentes. Trata-se de um estudo transversal realizado com 150 adolescentes que estavam cumprindo medida socioeducativa (MSE) em Liberdade Assistida (LA). O Drug Abuse Screening Test (DAST-20), o Teen Addiction Severity Index (T-ASI) e a Lista de Identificação de Papéis Ocupacionais (LIPO) foram utilizados. Os adolescentes eram de ambos os sexos, raça negra, evangélicos, baixo nível de escolaridade, família monoparental com cinco ou mais pessoas na família, envolvimento no tráfico de drogas e desconhecimento da renda familiar. As drogas mais usadas foram a maconha e o álcool (últimos 30 dias). O uso recente de tabaco, inalantes e paiero predominou com nível de problema moderado de drogas. Diferenciaram-se por consumirem álcool (últimos 30 dias) e concomitante com drogas, gasto com o uso de bebidas alcoólicas. Observou-se ainda o uso recente de maconha (63%), paiero (30%) e inalantes (42%) na vida. O papel ocupacional mais desempenhado no passado foi amigo (90,7%), no presente (89,3%); e para o futuro (98%), a família. O mais prejudicado foi o de estudante, já que os índices de abandono escolar são elevados (86,4% no Ensino Médio), com uso de inalantes (69,4%) e problema médio/moderado de drogas (68,3%). Os papéis ocupacionais de continuidade foram serviços domésticos, relações com amigos, membros da família, religiosos (evangélicos 47,1%) e atividades de passatempo (mulheres 81,4%). Todavia, pretendiam mudanças em atividades voluntárias, religiosas, tráfico de drogas e participação em organizações. Os resultados podem contribuir para a elaboração de propostas de trabalhos preventivos perante o uso de drogas entre os adolescentes em MSE na LA. Principalmente, em relação ao papel ocupacional de estudante, uma vez que limita que o adolescente exerça de forma produtiva os papéis ocupacionais socialmente esperados nessa etapa do ciclo de vida / This study was aimed to evaluate the relationships among drug use, infractions and occupational roles among adolescents. This is a cross-sectional study performed with 150 adolescents serving social-educational measures (SEM) in Assisted Freedom (AF). We used the Drug Abuse Screening Test (DAST-20), the Teen Addiction Severity Index (T-ASI) and the Lista de Identificação de Papéis Ocupacionais (LIPO). Adolescents were males and females, black race, evangelicals, with low schooling level, single-parent family with five or more people in the household, engagement in drug trafficking and unknown family income. The most commonly used drugs were marijuana and alcohol (last 30 days). The recent use of tobacco, inhalants and straw cigarette has predominated with moderate level of drug problem. They were differentiated by consuming alcohol (last 30 days) concomitantly with illegal drugs, spent with the use of alcoholic beverages. Moreover, we have observed the recent use of marijuana (63%), straw cigarette (30%) and inhalants (42%) in their lives. The most performed occupational role in the past was friend (90.7%), in the present (89.3%); and for the future (98%), the family. The most undermined was student, since school dropout rates are high (86.4% in High School), with the use of inhalants (69.4%) and medium/moderate drug problem (68.3%). The occupational roles of continuity were domestic services, relationships with friends, family members, religious (evangelicals 47.1%) and hobby activities (women 81.4%). However, they longed to achieve changes in voluntary and religious activities, drug trafficking and participation in organizations. The results may contribute to the elaboration of proposals for preventive works concerning the use of drugs among adolescents undergoing SEM in AF. Especially, in relation to the occupational role of student, since it hinders the adolescent from exercising productively the socially expected occupational roles in this stage of the life cycle

Submitted by Geandra Rodrigues (geandrar@gmail.com) on 2018-04-18T10:56:17Z No. of bitstreams: 1 rodrigodemartinalmeida.pdf: 1545092 bytes, checksum: 867683f208ae95160982b0697b1b73c3 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2018-04-20T12:47:44Z (GMT) No. of bitstreams: 1 rodrigodemartinalmeida.pdf: 1545092 bytes, checksum: 867683f208ae95160982b0697b1b73c3 (MD5) / Made available in DSpace on 2018-04-20T12:47:44Z (GMT). No. of bitstreams: 1 rodrigodemartinalmeida.pdf: 1545092 bytes, checksum: 867683f208ae95160982b0697b1b73c3 (MD5) Previous issue date: 2015-02-26 / A tuberculose (TB) é uma doença existente há milhares de anos e estima-se que um terço da humanidade esteja infectada pelo bacilo da doença, com mais de oito milhões de casos novos ao ano. O aumento do número de casos de TB se deve a fatores diversos, como as condições de moradia e outros Determinantes Sociais da Saúde, mas nada modificou tanto sua evolução como a pandemia do vírus da imunodeficiência humana (HIV). A associação desta co-infecção é sinérgica, interativa e recíproca, impactando no curso das duas patologias. A taxa média global de co-infeccção está entre 9 e 18%, embora encontrem-se taxas de até 80% na África. Percebe-se, todavia, baixa cobertura do exame anti-HIV no Brasil, entre outros fatores, porque o exame só é realizado mediante autorização do paciente. Este estudo transversal objetivou descrever a população de pacientes (n=231) com TB, no período de março de 2008 a fevereiro de 2010, atendidos em centros de referência em Juiz de Fora, município com a segunda maior prevalência de TB do estado de Minas Gerais, além de estimar a prevalência de HIV nesses pacientes, estratificando-os de acordo com 3 blocos de variáveis: uso de drogas, de comportamento sexual e socioeconômicas, avaliando os possíveis fatores associados à co-infecção e maior vulnerabilidade, através de dados de um questionário estruturado. Mais de dois terços dos pacientes do estudo eram do sexo masculino, a maior parte da amostra era negra ou parda e mais de 90% da amostra estava na faixa etária economicamente produtiva. A sorologia para HIV detectou 13,0% de co-infecção para o total do estudo e 18,1% quando se descartam os dados ignorados (28,1% dos pacientes sem resultado de HIV por diferentes motivos). As variáveis que mostraram associação com HIV positivo (p≤0,10) na análise bivariada foram o tipo de moradia, condição de ocupação, estado civil, número de parceiros sexuais ao longo da vida, orientação sexual, tabagismo, alcoolismo, uso de drogas ilícitas e uso de drogas injetáveis. Essas variáveis foram incluídas no modelo de regressão logística binária hierarquizado por blocos- uso de drogas, comportamento sexual e socioeconômicas, nessa ordem. No modelo final, mostraram-se significativas o uso de drogas injetáveis, o número de parceiros sexuais ao longo da vida e a condição de ocupação (p≤0,05). Pacientes que nunca trabalharam ou não estavam trabalhando apresentaram risco aumentado para HIV, (OR= 7,49 IC 95% 1,17- 47,9) em relação aos que trabalhavam. Pacientes que tiveram entre 4 e 9 parceiros apresentaram maiores riscos quando comparados aos que tiveram entre nenhum e 3 parceiros (OR= 26,7 IC95% 1,95 - 365,4), e, quanto ao uso de drogas injetáveis, os usuários apresentaram maiores riscos que os não usuários (OR= 26,0 IC95% 1,43- 472,4). O modelo final apresentou uma variável de cada bloco, reforçando a interconexão entre os fatores que geram a associação HIV/TB. Portanto, o processo de co-infecção deve e precisa ser visto de forma multifatorial e abranger ações sociais e políticas, especialmente quanto à realização da sorologia para HIV, tanto para evitar o crescimento das taxas de incidência e prevalência, quanto para o cuidado dos pacientes já co-infectados, trazendo melhorias à Saúde Coletiva. / Tuberculosis (TB) is a disease existing for thousands of years and it is estimated that one third of humanity is infected with the bacillus of the disease, with more than eight million new cases a year. The increase in the number of TB cases is due to several factors, such as quality of housing and other social determinants of health, but nothing changed its evolution as the pandemic of human immunodeficiency virus (HIV). The co-infection is synergic, interactive and has a reciprocal impact on the course of both diseases. The overall average rate of co-infection is between 9 and 18%, rates of up to 80% are found in Africa. It is well-known, however, the reality of low coverage of HIV testing in Brazil, among other factors, because the examination is carried out only after the authorization of the patient. This cross-sectional study aimed to describe the patient population (n = 231) with TB, from March 2008 to February 2010, seen at referral centers in Juiz de Fora, a city with the second highest prevalence of TB in the state of Minas Gerais, and estimate the prevalence of HIV in these patients, stratifying them according to three blocks of variables: drug use, sexual behavior and socioeconomic status, evaluating the possible factors associated with co-infection and increased vulnerability through data obtained from a structured questionnaire. More than two thirds of the study patients were male, the majority of the sample was black or brown and more than 90% of the sample was in the economically productive age group. The HIV test detected 13.0% of co-infection for the total study (28.1% of patients without the HIV test result, were considered) and 18.1% when missing data were discarded. The variables associated with HIV (p≤0,10) in the bivariate analysis were the type of housing, employment status, marital status, number of sexual partners over a lifetime, sexual orientation, smoking, alcoholism, illicit drug use and injection drug use. These variables were included in the regression model, a multiple covariates dichotomous logistic model with hierarchical blocks - by drug use, sexual behavior and socioeconomic status, in that order. In the final model, the following variables were significant: use of injectable drugs, the number of sexual partners over a lifetime and the occupation (p ≤ 0.05). Patients who have never worked or were not working presented an increased risk for HIV (OR = 7.49 95% CI 1.17- 47.9) than those who worked. Patients who had between 4 to 9 partners had higher risk compared to those who had none and between 3 partners (OR = 26.7 95% CI 1.95 to 365.4) and on the use of injectiable drug users had higher risk than nonusers (OR = 26.0 95% CI 1.43- 472.4). The final model showed a variable of each block, reinforcing the interconnection between the factors that generate the HIV / TB association. Therefore, the co-infection should and must be seen in a multidisciplinary way and address social and political actions, especially the performance of HIV serology, both to prevent the growth of the incidence and prevalence rates, as for patient care already co-infected, bringing improvements to Public Health.

Orientador: José Marcos Pinto da Cunha / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Filosofia e Ciências Humanas / Made available in DSpace on 2018-08-26T04:40:53Z (GMT). No. of bitstreams: 1 Cunha_TiagoAugustoda_D.pdf: 3764349 bytes, checksum: 93480d6102025a11c38c786fdb13bab1 (MD5) Previous issue date: 2014 / Resumo: Não é de hoje que diversos estudos se propõem a analisar o processo migratório a partir da perspectiva das redes sociais. Para tanto, tais estudos basicamente investigam tanto os efeitos que elas possuem no direcionamento do fluxo populacional, quanto as possíveis mitigações dos riscos e custos inerentes ao processo e, consequentemente, a provável maior facilidade de integração do recém-aportado migrante às regiões de destino. Contudo, não é este necessariamente o objetivo final e geral do presente estudo, senão o contrário. Interessa-nos observar o caminho inverso, ou seja, quais os impactos nas redes sociais derivados do próprio ato de migrar? Considerando que a resposta a essa pergunta seria algo relativamente simples de se verificar, sugerimos uma nova indagação: que efeitos (benefícios ou não) são ocasionados por prováveis modificações à estrutura das redes sociais dos envolvidos pós-migração? A partir daí, duas novas dimensões são aqui abarcadas: além das alterações experienciadas pelo componente formal das redes sociais (sua estrutura), há ainda transformações no seu componente substantivo, ou seja, no capital social derivado desta mesma estrutura de relações sociais, bem como das possibilidades de transformações sociais mais gerais (suas vantagens ou limitações). Como ilustração desse último domínio toma-se como conceito operativo o de vulnerabilidade social. Em suma, interessa observar de que maneira as alterações tanto de forma (mais ou menos contatos e quem eles são), assim como de conteúdo (qualidade dos recursos por eles disponibilizados) das redes sociais de migrantes podem ter sido responsáveis, pós-migração, por uma determinada condição/situação de vulnerabilidade social ou pela superação por parte daqueles nela envolvidos. Para tanto, é realizado um estudo acerca da Região Metropolitana de Campinas (RMC) com base nos dados de uma pesquisa domiciliar realizada em 2007, realizamos um estudo da Região Metropolitana de Campinas (RMC), promovendo um levantamento quantitativo e qualitativo. No primeiro, oferecemos um grande detalhamento sobre a mobilidade da população na região, bem como informações interessantes para a análise de vários elementos relativos à atuação das redes sociais no processo migratório e algumas formas de capital social de que dispõem as pessoas e famílias. No segundo, aspectos qualitativos foram verificados através da aplicação do software EGONET, de autoria da Universidad Autónoma de Barcelona (UAB) / Abstract: It has not been recent that several studies propose analyzing the migratory process from the social network perspective. To do so, such studies basically investigate the effects those networks have on the drive of population flow, as well as the possible mitigation of risks and costs inherent to the process; hence, the likely easier integration of the immigrant newly-coming to the destination areas. However, that is not necessarily the final and general object of the present study, but otherwise. We are interested in observing the reverse path, i.e. what are the impacts arising from the migration act itself? Considering that the answer to that question would be somehow a simple one to be verified, we suggest a new enquiry: which effects ¿ whether positive or not ¿ are generated by modifications suffered by the social networks structure of those involved after-migration? From that point, two new dimensions are encompassed: besides changes lived by the formal components of social networks (its structure), there are still modifications in its tangible components, i.e. in the social capital derived from the same social relations structure, as well as the possibilities of more general modifications (their advantages or constraints). In order to illustrate that last domain, the operative concept of social vulnerability is applied. In short, it is our interest to observe how changes - either in the form, more or less contacts and who they are, or in the content, the quality of resources they set available, of migrant social networks - may respond for a given condition/situation of social vulnerability or by its overcoming from those involved, post-migration. Based on data from a domicile research performed in 2007, we carried out a study in the Campinas Metropolitan Area - Região Metropolitana de Campinas (RMC) ¿ promoting quantitative and qualitative findings. The first offers large detailing on population mobility in the area, in addition to interesting information for the analysis of several elements regarding the activity of social networks in the migratory process, besides some forms of social capital held by people and families. The second offers qualitative aspects raised by applying the EGONET software, created by the Autonomous University of Barcelona (UAB) / Doutorado / Demografia / Doutor em Demografia

Cette thèse porte sur un dispositif de traitement clinique de la précarité : le Carrefour Santé Mentale Précarité du Centre Psychothérapique de l’Ain. Ce dispositif, créé dans le cadre des politiques publiques d’accès à la prévention et aux soins (article 71 de la loi du 29 juillet 1998 d’orientation relative à la lutte contre les exclusions), met en réseau des professionnels de la santé mentale (travailleurs sociaux, infirmiers, psychiatres, psychologues, cadres infirmiers) qui partagent le même souci de se tenir au chevet d’individus présentant un mal-être psychique en lien avec une impossibilité, récente ou plus ancienne, de s’affirmer sujet de leur propre vie. A partir de l’analyse des pratiques - d’accueil, de prise en charge, d’accompagnement, d’orientation - de ces cliniciens de la précarité ainsi que de l’analyse des modalités de cadrage de ces pratiques - organisation des activités, corpus doctrinaux de référence, modalités d’évaluation des pratiques professionnelles -, il s’agit de comprendre, d’une part, comment se reconfigurent les dispositifs de protection issus des nouvelles politiques de l’Etat social actif concernant la lutte contre l’exclusion sociale et, d’autre part, comment se transforment les processus d’individuation qui sous-tendent ces pratiques et dispositifs.La thèse met en évidence l’émergence de collectifs d’intervention qui, par un travail de reconnaissance du parcours de vulnérabilité des personnes en situation de précarité, engagent une pratique spécifique de soin qui relève du care. A partir de la clinique psychosociale de la perte des attachements de la personne, l’enjeu consiste à maintenir et/ou réparer la sociabilité des personnes en situation de précarité. Les cliniciens de la précarité développent une pratique que nous pourrions qualifier d’écologique dans le sens où ce qui constitue l’adresse du lien à étayer n’est déterminé que par l’individu lui-même en lien avec tout ce qui le relie au monde. Son corps, sa subjectivité et l’ensemble des êtres et objets présents dans son environnement (famille, culture, travail, droits, santé, argent, etc.) forment les principaux supports de l’intervention. Pour connaître ce par quoi la personne en souffrance tient et se tient dans la société, les cliniciens se mobilisent en réseau, partagent la connaissance qu’ils ont de la personne et, ce faisant, se font collectivement ethnographes de ses attachements, quitte à mobiliser dans cette ethnographie personnalisée tous les corpus doctrinaux ressources et toutes les épistémologies (sociologie, anthropologie, psychologie, médecine, santé publique, économie, philosophie, etc.) leur permettant de mieux situer/comprendre ces attachements. A travers cette clinique en réseau, les cliniciens tentent de maintenir une forme collective de solidarité thérapeutique où les bénéficiaires de l’intervention ne sont plus tant considérés comme autonomes et abstraits qu’interdépendants et concrets. La description analytique détaillée de cette nouvelle forme de traitement clinique nous permet de montrer comment les politiques de santé mentale au front de l’exclusion ne peuvent plus être interprétées seulement en termes de prestations sociales et d’offres de soin qu’il s’agirait de redistribuer en contrepartie de l’activation des individus, mais plutôt comment elles correspondent aussi, du fait de l’engagement de certains cliniciens, à de nouvelles manières de penser et d’assurer le maintien de ces individus en reconnaissant à la fois leurs droits et les multiples formes d’attachements qui les relient au monde. / This thesis concerns an instrument for the clinical treatment of social vulnerability known as the “Mental Health and Social Vulnerability Crossover Tool”. Based at the Ain Psychiatric Hospital, this instrument, set up under the framework of government policy on access to prevention and health care services (article 71 of the French law dated 29 July 1998 on guidelines for social exclusion management), is composed of a network of mental health professionals (social workers, nurses, psychiatrists, psychologists, health managers) who share the same desire to support individuals with psychological suffering resulting from a recent, or more distant, inability to assert themselves as subjects of their own life. An analysis of the practices (reception, assistance, support, counseling, referral) adopted by these clinicians as well as an analysis of how their practices are formalized (organization of activities, reference bodies of doctrine, methods for assessing professional practices) will be used to examine two issues: how both protection systems resulting from the enabling State’s new policies to fight social exclusion, and the underlying individuation processes are transformed.This thesis highlights the emergence of collectives of action who work to recognize the paths of people in social vulnerable situations, employing a very specific clinical practice which falls into the realm of care. The aim was to maintain and/or recover the sociability of persons in socially vulnerable situations based on the psychosocial approach of the loss of attachments. Clinicians have developed what can be qualified as ecological practice, in that the benefit of the link to be reinforced is determined by the individual themselves, in relation to all the supports which connect them to the world. Their body, its subjectivity and all the beings and objects present in their environment (family, culture, work, rights, health, money, etc.) form the basis for this intervention. In order to find out what binds the person in difficulty to and gives them a place in society, the clinicians work as a network, sharing their knowledge of the person and, in doing so, act as ethnographers of the person's attachments, using all the reference bodies of doctrine and epistemologies (sociology, anthropology, psychology, medicine, public health, economy, philosophy etc.) to better situate/understand these attachments. This clinical practice in a network helps clinicians to preserve a form of collective therapeutic solidarity in which the beneficiaries of the intervention are no longer considered as independent and abstract but rather interdependent and concrete.A detailed analytical description of this new form of clinical treatment will allow us to show how mental health policies at the forefront of the fight against exclusion cannot be interpreted purely in terms of social services and care provision, redistributed in exchange for the activation of individuals. They must also be considered in terms of how they also correspond - thanks to the work of convinced clinicians - to new ways of thinking and to ensuring the preservation of these individuals, both by recognizing their rights and the multiple attachments that connect them to the world.

Se basant sur un engagement bénévole prolongé dans une halte-accueil à Ottawa, l’étude examine les perceptions et les besoins en santé dentaire chez les clientes du centre, femmes francophones en situation minoritaire qui vivent dans un contexte particulier de vulnérabilité sociale. Deux méthodes de recherche ont été utilisées dans une approche participative: des entrevues semi-dirigées (n=7) et des ateliers de discussion en groupe (n=5) utilisant des moyens d’expression littéraires et artistiques. Les participantes font face à différentes barrières à l’accès aux soins dentaires: financières, structurales, émotionnelles, communicationnelles et relationnelles. Ces difficultés majeures interagissent de manière complexe et dynamique et affectent la santé dentaire, mentale et physique. Les résultats avancent la nécessité d’une offre active de communication, des services en français centrés sur le patient, prenant en considération les conséquences de l’abus, ainsi qu’une prise en charge universelle et interdisciplinaire de la santé dentaire dans un cadre communautaire. Relying on a five month volunteering commitment at an Ottawa drop-in, this study explores dental perceptions and needs among clients of the centre, francophone minority women living in a context of social vulnerability. In a participatory inquiry approach, two research methods were used: semi-structured interviews (n=7) and group discussion workshops using literary and artistic means of expression (n=5). The results show that participants face major access barriers to dental care: financial, structural, emotional, communicational and relational. Those major difficulties interact as a complex and dynamic web affecting dental, mental and physical health. The study argues for an active offer of communication, as well as a supply of patient centered services, offered in French, and accounting for the consequences of sexual and verbal abuse, all within the context of a community-based, universal and interdisciplinary provision of dental care.

O presente trabalho aborda a questão da educação e políticas públicas. O objetivo é avaliar os impactos e contribuições do Programa de Assistência Estudantil no desenvolvimento dos discentes do IFTO Campus Araguatins/TO sob a perspectiva dos contemplados pelo programa. A educação é compreendida como um instrumento para promover o crescimento e reduzir a pobreza. Recentemente o investimento no educando tem sido cogitado e desenvolvido a fim de contribuir para o crescimento não só intelectual, mas também físico, psicológico e social. Neste panorama, surge o Programa de Assistência Estudantil com objetivo de garantir a inclusão e permanência dos alunos que apresentam vulnerabilidade socioeconômica. Neste sentido, é relevante entender o processo de educação, das políticas públicas e por fim conhecer os resultados da implantação do programa no IFTO Campus Araguatins/TO. Para atingir os objetivos, foi realizada uma pesquisa por meio de aplicação de questionários com perguntas abertas e fechadas aos 280 alunos, o que corresponde a 100%, ou seja, todos os alunos contemplados pelo programa PNAES no ano de 2012. A pesquisa caracterizou-se como exploratória, sendo utilizados métodos de abordagem quantitativa e qualitativa. Quanto ao delineamento a pesquisa foi documental seguida de pesquisa de campo e de levantamento. Os resultados obtidos mostram a grande importância do programa na mudança positiva na vida dos estudantes. Os mesmos afirmam a amplitude de desenvolvimento no aspecto financeiro, bem como educacional, pois depois da inclusão sentiram-se motivados a darem continuidade aos estudos. / This paper addresses the issue of education and public policy. The objective is to evaluate the impacts and contributions Student Assistance Program in the development of students of Campus IFTO Araguatins / TO from the perspective of the contemplated program. Education is understood as an instrument to promote growth and reduce poverty. Recently the investment in schooling has been considered and developed in order to contribute to the growth not only intellectual, but also physical, psychological and social. In this scenario, there is the Student Assistance Program in order to ensure the inclusion and retention of students who have socioeconomic vulnerability. In this sense, it is relevant to understand the process of education, public policy and finally know the results of the implementation of the program in IFTO Campus Araguatins / TO. To achieve the objectives, a survey was conducted through questionnaires with open and closed questions to 280 students, which corresponds to 100%, ie all students covered by the program PNAES in 2012. The study was characterized as exploratory, being used methods of quantitative and qualitative approach. Regarding the research design was followed by documentary research and field survey. The results show the importance of the program in positive change in the lives of students. They claim the breadth of development in the financial aspect, as well as educational, because after inclusion felt motivated to build on the studies.

Disaster risk reduction policies and practitioners alike emphasise the importance of vulnerability reduction. However, the concept of vulnerability is highly dynamic, and research still strives to understand and capture its complexity. The purpose of this study was to improve the understanding of flood vulnerability in rural disaster-prone communities in Mozambique. To explore previous experiences of floods, I conducted semi-structured interviews with local risk committee members and community members in the lower Limpopo river basin. The findings were analysed with an analytical framework consisting of the Disaster Pressure and Release (PAR) model, drawing on political ecology and the Access model. Disaster was studied as a process revealing important factors, capabilities and strains affecting peoples’ vulnerability. This paper illustrated that rural communities in the lower Limpopo river basin are vulnerable to floods in a variety of ways. The findings presented unsafe conditions such as the fragile local economy, unsafe natural resources, strained physical resources and limited access to human and social capital. Several factors deriving from political, social and economic structures were found to influence specific forms of vulnerability expressed in relation to floods. Therefore, this paper contributes to new insights of how flood vulnerability can be described and explained in Mozambique.

Social factors moderate the impacts of natural hazards, which means that households are affected differently when exposed to the same hazard. This differential impact of hazards can be explained by the concept of social vulnerability, which is commonly assessed to inform disaster preparedness and response action. Most of these assessments, however, focus their analyses on large administrative units and, consequently, neglect the heterogeneity of households within these units. This thesis leverages data from Malawi’s social registry (the UBR) to construct a Household Social Vulnerability Index for Nsanje – one of the most disaster-prone districts in Malawi. In Nsanje, geocoded socio-economic data was collected using a census-sweep approach with the goal of registering 100% of the district’s residents. From this dataset, indicators are deductively selected and analyzed using Principal Component Analysis to produce a social vulnerability score for each household. These index scores are mapped at a spatial resolution of 0,01°. By repurposing a social registry to inform a new set of actors, including humanitarian and disaster risk management practitioners, the thesis highlights the considerable scope for collaboration within the realm of data and information by actors and policy fields that traditionally largely have operated in isolation from one another.

The 21st century experienced several health crises, especially in the form of infectious disease outbreaks such as the SARS outbreak in 2003, the H1N1 in 2009, and Ebola outbreaks in 2013. However, none has produced a worldwide socio-economic and health impact compared to the recent pandemic, known as COVID-19. As of October 4, 2022, more than 614 million cases with 6 million deaths have been reported worldwide. The United States is currently in the leading position with more than 98 million cases and 1 million deaths. The pandemic, however, did not impact the entire region similarly, and the infections and intensity varied with geographical and socio-economic characteristics. In this project, I used a multi-method approach to analyze the relationship between health disparities and COVID-19-related health outcomes in the USA and examine the influence of health disparities reporting on newspaper coverage of COVID-19. This assessment was performed in three ways. First, I have explored the relationship between Mississippi’s county-level COVID-19-related cases and deaths with the Center for Disease Control and Preventions’s Social Vulnerability Index (CDC SVI). Second, I have investigated the spatial pattern of COVID-19 in the USA and its associations with Social Determinants of Health (SDoH) by utilizing the County Health Rankings & Roadmaps (CHRR) dataset.Finally, I analyzed how news media reporting of key health determinants (i.e., age, race, income and gender) is framed, including the role of different stakeholders in the context of COVID-19. Findings revealed a statistical relationship between CDC’s Social Vulnerability Index (SVI) and Mississippi’s county-level COVID-19 cases and deaths. I also found that COVID-19 infections showed considerable spatial heterogeneity as the distribution of COVID-19 cases and deaths varies across the US counties and among the three largest waves. The multiple regression results also exhibited a temporal association between social determinants of health (SDH) indicators and COVID-19-related health outcomes across the USA. Finally, I found that the NYT coverage of COVID-19 dealt more with human interest, responsibility, and conflict than economic and morality frames. The findings revealed the vital role social determinants of health play during a health crisis, such as the COVID-19 pandemic.

In 2006, the United States Congress passed the Pandemic All-Hazards Preparedness Act (PAHPA) which mandated that all emergency preparedness planning shall address at-risk populations. Further, in 2013, the reauthorization of this act, known as PAHPRA, defined at-risk individuals as "children, older adults, pregnant women, and individuals who may need additional response assistance." This vague definition leaves emergency managers, planners, and public health officials with the difficult task of understanding what it means to be at-risk. Further, once identified, the geographic location of at-risk individuals must be obtained. This research first uses the concept of social vulnerability to enhance the understanding of what it means to be "at-risk." Then, by comparing two data disaggregation techniques, areal weighted interpolation and dasymetric mapping, I demonstrate how error of estimation is affected by different scenarios of population distribution and service area overlap. The results extend an existing framework of vulnerability by stratifying factors into quantifiable and subjective types. Also, dasymetric mapping was shown to be a superior technique of data disaggregation compared to areal weighted interpolation. However, the difference in error estimates is low, 5 percent or less in 72 percent of the test cases. Only through local collaboration with community entities can emergency planners access the appropriate data to both: 1) understand the nature of at-risk individuals in their service areas and 2) spatially target resources needed to ensure all individuals are planned for in case of a bio-emergency.