ABSTRACT

PMID: 19806490 [PubMed - indexed for MEDLINE]

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chers—

the discussion that follows concerns the social factors (determinants) driving poor health — poverty, malnutrition, gender and more. it’s a bit of a wrestling match with english, but all the more interesting because of that. think of it as a bit of a tone poem.

and rajja’s english is way better than my bangladeshi.

namaste

—rk

There are more than a few social determinants of the health of populations in the [bangladesh] region. These encompass eight major ones discuss[ed] below. Other connected factors include stress, the nature of work, service status, as well as social support.

Poor countries and poor people suffer from multiple deprivations that translate into high levels of ill health and disability.

Poverty is an absolute barrier to good health. It impacts health by influencing each and every solitary other factor adversely. The poor are more vulnerable to disease owing to; in their lack of access to primitive, preventive and curative fitness care, nutritious food and financial resources. In addition, poor people are also more vulnerable to environmental threats to health, such as polluted air and water, which undermine the quality of their lives.

Preventable and treatable diseases therefore take a massive toll on the poorest people. Over 2.3 million people, primarily in developing countries, die annually from eight vaccine-preventable diseases. An estimated 1.7 million people in growing countries die annually from disease linked to unsafe water and hygiene and poor hygiene. In many countries, [tobacco use among the poor is significant.] In some countries, burn rates are [usage is] twice as high in the lowest income group when compared with the highest. The vicious sequence of ill health has a greater impact where deprived community is generally not enclosed by adequate health indemnity that protects their right of entry to health services.

The impact of gender discrimination on health begins from the foetal stage with malnutrition in young pregnant women. The effects of malnutrition in babyhood and adolescence are chiefly devastating for girls. Girls who are malnourished during childhood are more likely to be malnourished as adolescents, to enter their first pregnancy malnourished, and to give birth to underweight babies whose learning capacities are stunted from nutritional deficiencies, thus perpetuating the sequence of hunger and poor healthiness.

This effect is aggravated if the first pregnancy occurs for the duration of teenage years. Household food security, gender equity in access to food within households, gender-sensitive knowledge of nutrition and nutrition-related health practices and the child care that household members, both male and female, could provide, are crucial for overcoming childhood malnutrition, and ensuring that girls and women continue in the direction of be fairly and adequately nourished. Women are increasingly more prone to HIV infection than men.

In earlier stages of the epidemic, the infection occurred predominantly among men. The numbers of HIV-positive women and men are now about equal. Smoking rates are lower among women than men. However, the tobacco industry is increasingly targeting women in mounting countries of the region where female roles include begun to change.

Increased smoking among women is indicative of the triumph of such targeting, which fosters an association between smoking and imagery of setting free, slimness and sexual attraction. Generally, there are no sex differences in the prevalence of mental along with behavioral disorders.

There is, however, a superior prevalence of depression and anxiety disorders among women. Women are inclined to experience considerable mental suffering because of reproductive health conditions in addition to problems. Here is also a strong association between mental disorders like gloominess, anxiety and stress-related syndromes with violence in the life of women.

Teaching, especially girls’ education, is key to addressing health disparities throughout the region. Education levels are low in South Asia, with the adult literacy rate at 57.6 per cent and the feminine literacy rate is only 40.8 per cent. Education is crucial if people are to obtain safer in addition to better employment; achieve greater levels of health literacy; understand the importance of sustainable food security in order to reduce malnutrition; take preventive health measures; and avoid high-risk behaviors. Adequate and appropriate teaching provides the tool for breaking out of the cycle of hunger and poverty. A girl having improved access to education is connected with better health for both women with their children.

due to declining fertility and increasing longevity, the Asian and Pacific region is experiencing a rapid increase in the proportion of the population aged 60 years and over. Much of the disease burden among older persons results from chronic NCDs that are difficult in addition to expensive to treat. Alzheimer’s and senile dementia and such mental illnesses as gloominess occur predominantly in the ageing population.

Cataract sightlessness is also more prevalent among older persons. On the other hand, the ageing inhabitants face increasing problems in accessing fitness services. Older persons are probable to exist most affected through the privatization of health services and the erosion of universal care from side to side publicly funded health systems, with an increased global emphasis on cost recovery. Most care for dependent older people is provided by relatives’ members with scarce community-based resources and lacks quality assurance mechanisms and regulatory supplies in formal long-term care. The breakdown of family and community hold up systems associated with speedy urbanization and decreases in the ratio sandwiched between workers and elder dependants render the provision of aged care a challenge in much of the region where change is often abrupt and compensatory social services are weak.

The advance of effective strategies has also been hampered by a lack of international policy focus on the well-being of older persons and the predominance of an unenthusiastic global instance of old age.

Labor migration has grown rapidly and is increasingly important. Migration is occurring within country, across borders within the region interregional. Asylum seeker workers tend to be concentrated inside sectors of economic activity with little or no health, safety or legal protection. They are particularly vulnerable to human rights abuses.

Migrant workers often carry out jobs that entail higher risk, and are inadequately paid. Their status is impermanent and they encompass least recourse when illness, injury or other problems occur that necessitate medical attention. Most national health care devices do not cover up migrants, in particular unregistered ones.

Inner migration from rural to urban areas and the urban transformation of rural settlements are important determinants of the high urban population development in less developed regions. The town population of the region is projected to increase dramatically. The urban poor suffer overfilling poor ventilation, lack of potable water, poor sanitation and inadequate nutrition.

The infant mortality rate in a Manila slum was 2.8 times higher than that in non-squatter areas. In the slums of Dhaka, diarrhea was twice as prevalent as in rural Bangladesh. Anywhere to live is an important determinant of health that is linked through other determinants, such as poverty, urbanization and education. The housing atmosphere can impact health through its structure, provision for waste disposal, ventilation, covered air pollution, and the use of the home as a workplace and for the luggage compartment of dangerous chemicals. Throughout the region, construction activity and the volume of traffic have burgeoned, causing significantly higher noise levels, often without protection. Technological advancements in sound intensification systems are broadly used, with community announcement, broadcasts and melody organism part of the ever-present city noise.

A lot of social groups are subjected to systematic stigmatization, favoritism and marginalization, which have a significant impact on their health status. Their access to health carrying weapons armed forces as well as the quality and suitability of services provided, and the amount that their views are respected in treatment options are affected by the attitudes and behavior of health service providers. For lots of access could also be clear-thinking from end to end care-givers.

Stigmatization exerts a physically powerful influence on personal awareness of self-worth and the will to fight for one’s right to be healthy. People living by resources of HIV/AIDS are often unable in the direction of obtain adequate health and other basic services. Similarly, many mentally ill people are rejected by their families, leading to their fetching homeless or outstanding abandoned in institutions. Women living with AIDS with women who are emotionally ill are likely to face greater obstacles; often their relations with their kids are forcibly severed.

Populace with diverse disabilities has the same need for regular access to health services as non-disabled persons. However, they stand more challenges in securing that access due to bodily and in order barriers that occur from shame and bias.

In situation of conflict and ecological disasters, morbidity and mortality related to injury, violence, accidents and destruction are common. The shock of displacement, sudden loss and physical trauma triggers mental health problems in the middle of many. Refugees typically experience high mortality following their displacement. Furthermore, health services may be disrupted, restrict access exactly when the need for it escalates and conditions for disease e.g., diarrhea, cholera plus malaria outbreak have been created. Food and water provide appearances are often under attack in disagreement situations.

chers—

there are several useful lilnks at the end of this post.

namaste

—rk

In a 9-3 vote, the Los Angeles City Council today gave its final approval to an ordinance that will shut down hundreds of medical marijuana dispensaries and impose strict rules on the location and operation of the dispensaries that are allowed.

The measure passed quickly, without debate.

The ordinance, which the council first began discussing more than 4 1/2 years ago, will cap the number of dispensaries at 70 but make an exception to allow all those that registered with the city in 2007 and have remained open. City officials believe that number is around 150.

Hundreds of dispensaries have opened in Los Angeles as the City Council debated its proposed ordinance and failed to enforce a moratorium on new dispensaries. City officials believe there are more than 500 that will be required to close under the ordinance, but some are already preparing to sue the city and collect signatures to force a referendum on the ordinance.

The ordinance also requires dispensaries to be at least 1,000 feet from other dispensaries and so-called sensitive uses, such as schools, parks and libraries. Among other restrictions, dispensaries will be required to close at 8 p.m. and will not be permitted to allow marijuana use at the stores.

The ordinance will not take effect until after Mayor Antonio Villaraigosa signs it and the City Council approves the fees that dispensaries will have to pay to cover the city’s cost of monitoring. City officials are studying those costs and expect to propose the fees soon.

Once the ordinance is in place, the city attorney’s office will send letters to affected landlords and dispensary operators telling them that they must close immediately. If the dispensaries remain open, the city attorney’s office likely will take them to court.

LA City Council members talk about their marijuana use
by Frank Stoltze
Jan. 26, 2010

The Los Angeles City Council Tuesday [approved] a new ordinance that would shut down most medical marijuana dispensaries in the city. It would place a cap of 70, with up to about 140 pot shops grandfathered in. KPCC surveyed councilmembers about whether they’d ever smoked pot – medical or otherwise.

It was 1968, and Councilman Tom LaBonge was a high school kid sweet on a girl. She offered him some pot.

By Jenny Pizer,
Marriage Project Director,
Lambda Legal(on
(left, pictured here
with her wife Doreena Wong)
January 14, 2010

Following the emergency appeal filed by the Prop 8 team, the U.S. Supreme Court on Wednesday ruled 5-4 that the federal marriage trial may not be videocast for public viewing at other federal courthouses.  The earlier plan to upload trial video to the court’s website already had been nixed by the Ninth Circuit Court of Appeals’ Chief Judge Kozinksi, who decided there are technical problems to be worked out before webcasting will be possible.

The high court’s majority decision is troubling in its accommodation of Prop 8’s proponents’ supposed fears of harm.  As the dissent points out, the standard for Supreme Court interference with trial court management of such things is high and the evidence of threat submitted was paltry at best.  In other words, despite the many excited claims, when the details are parsed out, there’s just not much there, there.

The antigay defamers’ apparent success (still) at casting themselves as victims who need defending (like their marriages?), while running campaign after powerful campaign to eliminate gay people’s rights, is an Orwellian problem calling for a reality check.  But the absurd victimhood claims of right-wing political operatives and religious leaders are not the heart of the Supreme Court ruling.  Instead, the court simply concluded that proper procedures were not followed for changing the court rules about broadcasting.

Most importantly, this isn’t a ruling on the merits of the Olson-Boies marriage case.  The issues are entirely unrelated.

Through the Looking Glass:  who’s really targeted, defamed, and stripped of basic rights?

This and every well-done marriage discrimination case spotlights for the court and public the harms suffered by lesbian and gay couples by denial of the equal liberty to marry.  Many people of good will, including judges and other officials, simply do not see and understand the stigma and resulting pain and problems that flow from the heterosexist convention of excluding same-sex couples and their families from this core social institution.  Thus, at the heart of every discrimination case is the story of injustice and its unacceptable human costs.  Judge Walker heard four such stories from the plaintiffs at the outset of the trial.

In contrast to the daily demeaning wrought by antigay stigma, there is a “Through the Looking Glass” quality to the assertions by Prop 8’s lead champions, their campaign staff and their lawyers that they fear violence and intimidation at the hands of gay equality advocates.  These folks who sought the public spotlight for months to spread their Prop 8 campaign messages as broadly as possible suddenly are scared to be seen and heard?

Perhaps I’m jaded because I’ve had to learn that vicious email sometimes is the price of public advocacy in the internet age.  Yes, it’s upsetting but . . .  just delete it.

That five of our nine Supreme Court justices apparently credited, at least to some extent, the claims that gay people have been meting out violence and intimidation, is worrisome.  It would help if they become familiar with the federal hate crime statistics that have been discouragingly consistent for years in confirming the disproportionate prevalence and cruelty of antigay hate crimes.  All bias crime is destructive and wrong.

True, San Diego’s Manchester Hyatt has become “hotela non grata” for many because its owner, Doug Manchester, was one of the largest individual donors to the Prop 8 campaign.  But there is no rule that individuals must continue to give business to those who have helped eliminate their legal rights; each person is free to patronize only the businesses they prefer.  Likewise, after the Prop 8 vote, there was a spontaneous boycott of a Hollywood-area restaurant, El Coyote, better known for the tourist-appeal of its old-style decor than its food.  The fact that a close relative of the owner had supported the Prop 8 campaign made it briefly the focus of some people’s hurt and anger about the campaign’s tactics and success.  But whether objectively warranted or not based on the size of the campaign donation (only $100), taking one’s enchilada order elsewhere is hardly a hate crime.

Why did the Prop 8 team really fear video cameras?

Many of us suspect that they worry their witnesses won’t be able to explain their support for Prop 8 without revealing antigay prejudice and a determination to keep lesbians and gay men unequal and heterosexuality officially designated as preferred.  Equally important may be a concern that their experts will not be as sensible, clear, knowledgeable and compelling as plaintiffs’ experts.  We believe accurate information catalyzes positive change and every chance for rigorous examination moves us forward.  Perhaps that is exactly what they fear.

The lack of televised access does make it harder for the general public to sort professional talking points from actual testimony in the immediate term.  It means the public impact of the case will depend more on Judge Walker’s evidentiary findings and the other material that comprises the record that goes to the Court of Appeal.  As we saw in our Iowa litigation, however, experienced judges readily can and do sort solid data and reasoning from unsubstantiated opinions, whether or not the courtroom also is an open classroom.

[december 15, 2009] good morning president garcetti, distinguished council members. i have given the clerk copies of my prepared remarks. my name is richard kearns. i am a 58-year-old gay man living with AIDS in los angeles for more than 20 years, an angelino poet advocate. i am delighted to announce to you this morning that on friday, february 12th, 2010, upstairs in the tom bradley conference center, on the 27th floor, we will hold, the LA city grassroots elder HIV/AIDS advocacy summit & new media training “new tricks for old dogs & their allies” sponsored by councilmember rosendahl & the city AIDS coordinators office HIVers over 50 — elder Persons Living with HIV/AIDS (PLWHAs) — are predicted to double in community prevalance over the next five years to constitute nearly 60 per cent of the national HIV-infected population” . “Everyone treats us as liabilities when in fact, we are resources — both to ourselves and to our community. However, as a group, I’d also characterize many elder HIVers as ‘internet challenged.” i know i am. but the question becomes this: why should we let ourselves be intimidated by something a nine-year-old can master in a single sitting? at this one-day valentine’s weekend conference, we intend to build a website from scratch on which we plan to practice posting videos & text, with younger tutors on hand if needed we hope to meet briefly with all of you & your staffs to begin to get to know one another We aim to empower 15-30 new getting-older HIV/AIDS activists & their allies, to get them up to speed with new media skills & to get them networking & to set them loose. as watchdogs elder HIVers already know the ropes. we already know what to do. we are already capable. double the 1983 denver principlesapply here: we are already experts both in HIV/AIDS & in life. the internet is easy. we’re needed out there. namasté richard kearns 310-488-1328 rk@aids-write.org http://aids-write.org http://havvacc.wordpress.wom

chers—

terry has just migrated to LA TalkRadio (channel 1), and his premiere show tonight features medical cannabis adevocates don duncan, scott imler and richard eastman. i’m not quite sure what next week’s topic will be. but i’ll be there on January 31st, talking about HIV/AIDS & aging and the upcoming summit/training february 12.

Listen live @ http://www.latalkradio.com/Terry.php.

namasté

—rk

Jan 10- This week’s topic is Medical Marijuana in Los Angeles. Guests include Don Duncan, from ASA (Americans for Safe Access), Rev. Scott Imler, the first person to open a collective in the LA area, and activist Richard Eastman……..Tune in live and call in your remarks and questions. Call-In telephone number 323-203-0815

Jan 17- “Cut Off Funding to UGANDA Until They Stop Imprisioning Gays” with Lisa Talmadge

Jan 24- International Daddy Bear 2009 Joe Mannetti
Sunday, January 24 we are pleased to announce our guest will be International Daddy Bear, Joe Mannetti. Joe is continually fund raising for the gay community and is continually working to improve the lives of those around him. Tune in and hear him live on LATALK Radio at 6 pm - 7 pm. anuary 24th. Joe Mannetti, Mr. International Bear…we will be discussing his many, many fundraising activities this past year

Jan 31- Richard Kearns- Elder gays and HIV
anuary 31st. Richard Kerns. will tell us about the new LA Grassroots Elder HIV/AIDS Advocacy Summit coming up in February.

Feb 7- Sunday February 7 we have author Joe Dallin author of his new book “Perfect” For most of his childhood, Joseph lived the quintessential Mormon life in Utah. But at the age of thirteen, he began to be faced with an ominous fact: that he was gay. The inner battle between his religious and sexual identities raged for ten years, nearly driving him to suicide. However, one night he realized that the monumental effort he had put into becoming a straight, mainstream Mormon man was not only an exercise in futility, but simply the wrong path for him. Around the next corner, he found the peace and happiness that had always been so elusive

Feb 14- Queen Victoria Elizabeth Ortega- the Imperial Court within the LGBT community

Feb 21- Venus Perez- Women living with HIV

Feb 28- Shirley Phelps, Pastor Sue Devol, and Rev. Larry Keane

text of flyer after jump

SAVE THE DATE!
LA City
Grassroots
Elder
HIV/AIDS
Advocacy
SUMMIT
& new media
TRAINING
February 12, 2010
Tom Bradley Center
(26th & 27th floors)
LA City Hall
200 N. Spring Street
Los Angeles, CA 90012
hosted by
- LA 11th district
City Councilmember
Bill Rosendahl
- the City of LA
AIDS Coordinator’s Office
- richard kearns
publisher of
http://AIDS-write.org
& http://havvacc.wordpress.com
[seal of city of los angeles )
FOR MORE INFORMATION:
contact rk@aids-write.org
or call
310-488-1328

“new tricks
for old dogs
& their allies”

Step into the GLM Time Machine

The Global Language Monitor (GLM) is an Austin, Texas-based entity that documents, analyzes and tracks trends in language and publishes a list of the year’s most used English words, names, and phrases.

According to GLM’s algorithm, 2009’s most used word, both online and in print, is Twitter.

GLM’s top ten for 2009:

Twitter
Obama
H1N1
stimulus
vampire
2.0 (as a suffix attached to the next generation of everything. Ex. Web2.0)
deficit
Hadron
healthcare
transparency

A look at the Words of the Year for 2000-2008 recalls the prominent events and personalities of those years:

2000 chad
2001 GroundZero
2002 misunderestimate
2003 embedded
2004 incivility
2005 refugee
2006 sustainable
2007 hybrid
2008 change

Taking the decade as a whole, here are the top ten words with GLC comments:

1. Global Warming (2000) Rated highly from Day One of the decade
2. 9/11 (2001) Another inauspicious start to the decade
3. Obama- (2008 )The US President’s name as a ‘root’ word or ‘word stem’
4. Bailout (2008) The Bank Bailout was but Act One of the crisis
5. Evacuee/refugee (2005) After Katrina, refugees became evacuees
6. Derivative (2007) Financial instrument or analytical tool that engendered the Meltdown
7. Google (2007) Founders misspelled actual word ‘googol’
Surge (2007) The strategy that effectively ended the Iraq War
9. Chinglish (2005) The Chinese-English Hybrid language growing larger as Chinese influence expands [There are an estimated 300 to 500 million users and/or learners of English in the People's Republic of China.]
10. Tsunami (2004) Southeast Asian Tsunami took 250,000 lives