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1.
Nature ; 580(7801): 39-51, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32238939

RESUMEN

Sustainable Development Goal 14 of the United Nations aims to "conserve and sustainably use the oceans, seas and marine resources for sustainable development". Achieving this goal will require rebuilding the marine life-support systems that deliver the many benefits that society receives from a healthy ocean. Here we document the recovery of marine populations, habitats and ecosystems following past conservation interventions. Recovery rates across studies suggest that substantial recovery of the abundance, structure and function of marine life could be achieved by 2050, if major pressures-including climate change-are mitigated. Rebuilding marine life represents a doable Grand Challenge for humanity, an ethical obligation and a smart economic objective to achieve a sustainable future.


Asunto(s)
Ecosistema , Especies en Peligro de Extinción/estadística & datos numéricos , Restauración y Remediación Ambiental/tendencias , Biología Marina/tendencias , Animales , Extinción Biológica , Peces , Calentamiento Global/prevención & control , Actividades Humanas , Humanos
2.
PLoS Biol ; 19(3): e3001100, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33690708

RESUMEN

The issues facing academic mothers have been discussed for decades. Coronavirus Disease 2019 (COVID-19) is further exposing these inequalities as womxn scientists who are parenting while also engaging in a combination of academic related duties are falling behind. These inequities can be solved by investing strategically in solutions. Here we describe strategies that would ensure a more equitable academy for working mothers now and in the future. While the data are clear that mothers are being disproportionately impacted by COVID-19, many groups could benefit from these strategies. Rather than rebuilding what we once knew, let us be the architects of a new world.


Asunto(s)
COVID-19/epidemiología , Madres/estadística & datos numéricos , Investigadores/estadística & datos numéricos , Sexismo/estadística & datos numéricos , Enseñanza/estadística & datos numéricos , COVID-19/economía , COVID-19/psicología , Femenino , Humanos , Madres/psicología , Responsabilidad Parental/psicología , Responsabilidad Parental/tendencias , SARS-CoV-2/aislamiento & purificación , Sexismo/psicología , Sexismo/tendencias
3.
PLoS Biol ; 19(6): e3001282, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-34129646

RESUMEN

Success and impact metrics in science are based on a system that perpetuates sexist and racist "rewards" by prioritizing citations and impact factors. These metrics are flawed and biased against already marginalized groups and fail to accurately capture the breadth of individuals' meaningful scientific impacts. We advocate shifting this outdated value system to advance science through principles of justice, equity, diversity, and inclusion. We outline pathways for a paradigm shift in scientific values based on multidimensional mentorship and promoting mentee well-being. These actions will require collective efforts supported by academic leaders and administrators to drive essential systemic change.


Asunto(s)
Recompensa , Ciencia , Sesgo , Diversidad Cultural , Humanos , Tutoría
4.
Dev Psychobiol ; 65(7): e22430, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37860906

RESUMEN

Studies looking at individual variability in cognition have increased in recent years. We followed 43 marmosets (21 males, 22 females) from infancy to young adulthood. At 3-months old, marmosets were trained to touch a rewarded stimulus. At 9-, 15-, and 21-months old, they were given visual discrimination and cognitive bias tests, and urine samples were collected to examine hormone levels. Marmosets were significantly more successful learners at 15 months than 9 months. Individuals who were more successful learners at 9 months were also more successful at 15 months, with more male learners than expected at 15 months. At 9 months, learning success was associated with higher cortisol levels. At 15 months, males with higher estradiol levels were more successful learners, whereas at 21 months, females with higher estradiol and cortisol levels tended to be less successful learners and more pessimistic. Nine months, therefore, appears to be an important developmental timepoint for acquiring cognitive control, which has developed by 15 months. Steroids may have differential effects on each sex, with complex interactions between gonadal and adrenal hormones having an influence on cognitive function over the lifespan. This longitudinal study offers new insight into cognition, including its development and biological underpinnings.


Asunto(s)
Callithrix , Hidrocortisona , Animales , Femenino , Masculino , Lactante , Humanos , Adulto Joven , Adulto , Callithrix/psicología , Estudios Longitudinales , Cognición , Estradiol
5.
Prev Sci ; 24(4): 715-727, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36595131

RESUMEN

The effect of the Adapted-Coping with Stress (A-CWS) intervention on social support coping was examined, using a randomized controlled trial design. The participants were 410 ninth-grade students (ages 14 to 16 years and mostly African American) living in low-resourced neighborhoods. Participants were randomly assigned 1:1 to either the A-CWS intervention or a standard care control condition. All participants were assessed at their schools before implementation of the intervention, at intervention completion, and again at 6- and 12-month post-intervention. Engagement in social support coping was examined in both intention-to-treat and treatment-as-received samples (i.e., intervention participants who attended at least 12 A-CWS treatment sessions and participants in the standard care control condition), using latent growth models. In intention-to-treat analyses, no significant treatment effects were identified. In treatment-as-received analyses, results revealed a significant association between social support coping and treatment condition; levels of social support coping decreased over time in the control condition, but they remained relatively stable in the treatment condition. The results indicate adequate intervention adherence and efficacy of the A-CWS to sustain social support coping within a sample of youth at high risk for stress exposure and associated disorders.Clinical Trial Registration: clinicaltrials.gov identifier: NCT0395445.


Asunto(s)
Negro o Afroamericano , Apoyo Social , Humanos , Adolescente , Adaptación Psicológica , Estudiantes
6.
Am J Community Psychol ; 71(3-4): 453-464, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-37042796

RESUMEN

Suicide rates among African American adolescents have increased dramatically. Suicidal ideation is associated with both suicide attempts and completions, thus understanding ideation patterns and predictors in African American adolescents is critical to informing prevention efforts. This study recruited 160 African American ninth grade students. Participants were those students randomized to the control condition of a randomized controlled preventive intervention. Of the 160 participants, 99 completed all assessment points and were included in latent transition analyses. We assessed participants four times: baseline then again at 6-, 12-, and 18-month postbaseline. Constructs of interest for this study included suicidal ideation, depression, hopelessness, and community violence exposure. A 2-class model (i.e., low ideation [LI] and high ideation [HI]) characterized ideation at each time point. A total of 86%-90% of participants were in the LI class in any given time point and 27.3% of participants were in the HI class at least once. Participants in the LI class tended to stay in that class, whereas those in the HI class often transitioned to the LI group. Depression and hopelessness, but not exposure to community violence, predicted HI class membership. Findings suggest that (a) most African American adolescents may experience suicide ideation at some point in time, (b) a concerning proportion of African American adolescents may experience high ideation, (c) high ideation is often time-limited, and (d) depression and hopelessness predict high ideation.


Asunto(s)
Negro o Afroamericano , Ideación Suicida , Humanos , Adolescente , Intento de Suicidio , Violencia , Estudiantes
7.
J Am Chem Soc ; 144(5): 2387-2396, 2022 02 09.
Artículo en Inglés | MEDLINE | ID: mdl-35080872

RESUMEN

Metal-organic framework-808 has been functionalized with 11 amino acids (AA) to produce a series of MOF-808-AA structures. The adsorption of CO2 under flue gas conditions revealed that glycine- and dl-lysine-functionalized MOF-808 (MOF-808-Gly and -dl-Lys) have the highest uptake capacities. Enhanced CO2 capture performance in the presence of water was observed and studied by using single-component sorption isotherms, CO2/H2O binary isotherm, and dynamic breakthrough measurements. The key to the favorable performance was uncovered by deciphering the mechanism of CO2 capture in the pores and attributed to the formation of bicarbonate as evidenced by 13C and 15N solid-state nuclear magnetic resonance spectroscopy studies. On the basis of these results, we examined the performance of MOF-808-Gly in simulated coal flue gas conditions and found that it is possible to capture and release CO2 by vacuum swing adsorption. MOF-808-Gly was cycled at least 80 times with full retention of performance. This study significantly advances our understanding of CO2 chemistry in MOFs by revealing how strongly bound amine moieties to the MOF backbone create the chemistry and environment within the pores, leading to the binding and release of CO2 under mild conditions without application of heat.


Asunto(s)
Aminoácidos/química , Dióxido de Carbono/química , Gases/química , Compuestos Organometálicos/química , Humedad , Incineración , Modelos Moleculares , Estructura Molecular
8.
Appl Environ Microbiol ; 88(11): e0046822, 2022 06 14.
Artículo en Inglés | MEDLINE | ID: mdl-35607968

RESUMEN

Marine cold seeps are natural sites of methane emission and harbor distinct microbial communities capable of oxidizing methane. The majority of known cold seeps are on tectonically active continental margins, but recent discoveries have revealed abundant seeps on passive margins as well, including on the U.S. Atlantic Margin (USAM). We sampled in and around four USAM seeps and combined pore water geochemistry measurements with amplicon sequencing of 16S rRNA and mcrA (DNA and RNA) to investigate the microbial communities present, their assembly processes, and how they compare to communities at previously studied sites. We found that the USAM seeps contained communities consistent with the canonical seep microbiome at the class and order levels but differed markedly at the sequence variant level, especially within the anaerobic methanotrophic (ANME) archaea. The ANME populations were highly uneven, with just a few dominant mcrA sequence variants at each seep. Interestingly, the USAM seeps did not form a distinct phylogenetic cluster when compared with other previously described seeps around the world. Consistent with this, we found only a very weak (though statistically significant) distance-decay trend in seep community similarity across a global data set. Ecological assembly indices suggest that the USAM seep communities were assembled primarily deterministically, in contrast to the surrounding nonseep sediments, where stochastic processes dominated. Together, our results suggest that the primary driver of seep microbial community composition is local geochemistry-specifically methane, sulfide, nitrate, acetate, and ammonium concentrations-rather than the geologic context, the composition of nearby seeps, or random events of dispersal. IMPORTANCE Cold seeps are now known to be widespread features of passive continental margins, including the northern U.S. Atlantic Margin (USAM). Methane seepage is expected to intensify at these relatively shallow seeps as bottom waters warm and underlying methane hydrates dissociate. While methanotrophic microbial communities might reduce or prevent methane release, microbial communities on passive margins have rarely been characterized. In this study, we investigated the Bacteria and Archaea at four cold seeps on the northern USAM and found that despite being colocated on the same continental slope, the communities significantly differ by site at the sequence variant level, particularly methane-cycling community members. Differentiation by site was not observed in similarly spaced background sediments, raising interesting questions about the dispersal pathways of cold seep microorganisms. Understanding the genetic makeup of these discrete seafloor ecosystems and how their microbial communities develop will be increasingly important as the climate changes.


Asunto(s)
Archaea , Microbiota , Archaea/metabolismo , Sedimentos Geológicos/microbiología , Metano/metabolismo , Methanosarcinales/genética , Oxidación-Reducción , Filogenia , ARN Ribosómico 16S/genética , ARN Ribosómico 16S/metabolismo , Agua de Mar/microbiología
9.
Mol Ecol ; 31(17): 4465-4477, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35808851

RESUMEN

Forest conversion and habitat loss are major threats to biological diversity. Forest regeneration can mitigate the negative effects of old-growth forest loss on species diversity, but less is known about the extent to which forest loss reduces genetic diversity in remnant populations and whether secondary forests play a role in the maintenance of genetic diversity. We quantified genetic diversity in a tropical hummingbird-pollinated understorey herb, Heliconia tortuosa, across a landscape mosaic of primary and secondary forest regrowth. Using microsatellite genotypes from >850 adult and juvenile plants within 33 forest patches and extensive bird surveys, we examined the effect of contemporary and historical landscape features including forest age (primary vs. secondary forest), stand isolation and pollinator assemblages on genetic diversity and levels of inbreeding in H. tortuosa. We found that inbreeding was up to three times higher in secondary forest, and this effect was amplified with reductions in primary forest in the surrounding landscape through reduced observed heterozygosity in isolated fragments. Inbreeding in forest patches was negatively correlated with the local frequency of specialist long-distance foraging traplining hummingbirds. Traplining hummingbirds therefore appear to facilitate mating among unrelated plants-an inference we tested using empirically parameterized simulations. Higher levels of inbreeding in H. tortuosa are therefore associated with reduced functional diversity of hummingbirds in secondary forests and forest patches isolated from primary forests. Our findings suggest a cryptic consequence of primary forest loss and secondary forest regeneration through the disruption of mutualistic interactions resulting in the erosion of genetic diversity in a common understorey plant.


Asunto(s)
Heliconiaceae , Animales , Aves/genética , Ecosistema , Bosques , Heliconiaceae/genética , Endogamia , Plantas , Árboles/genética
10.
Horm Behav ; 142: 105162, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35366411

RESUMEN

Common marmoset fathers are highly involved in care of their infants. However, variability exists in their response to infant behavior even in paternally experienced fathers. Using infant distress cries as a motivation test, we investigated: 1. the differences in paternally experienced fathers' motivation to search for the infant vocalization stimuli; 2. the relationship between a father's motivation to search for the source of the infant cries and testosterone levels; and 3. if there is a rapid steroidogenesis pathway leading to increased testosterone and estradiol in the peripheral circulation. Only 44% of the paternally experienced fathers showed a high frequency of searching for the source of the infant distress cries. Through the use of multisteroid analysis, we found high responsive fathers had significantly higher levels of progesterone and testosterone in response to infant distress cries compared to a control stimulus with progesterone and androstenedione correlating with testosterone, while no differences were seen in low responders. The frequency to search for the infant stimuli was positively correlated with higher testosterone compared to control vocal levels. These results suggest that searching for the source of infant cries represents a motivation behavior for fathers that is activated by testosterone and reflects rapid circulating testosterone.


Asunto(s)
Callithrix , Conducta Paterna , Andrógenos/metabolismo , Animales , Callithrix/fisiología , Padre , Humanos , Lactante , Masculino , Motivación , Conducta Paterna/fisiología , Progesterona/metabolismo , Testosterona/metabolismo
12.
Annu Rev Clin Psychol ; 18: 359-385, 2022 05 09.
Artículo en Inglés | MEDLINE | ID: mdl-34762495

RESUMEN

Historically, suicide rates for African American adolescents have been low, relative to rates for youth of other racial-ethnic backgrounds. Since 2001, however, suicide rates among African American adolescents have escalated: Suicide is now the third leading cause of death for African American adolescents. This disturbing trend warrants focused research on suicide etiology and manifestation in African American adolescents, along with culturally sensitive and effective prevention efforts. First, we revisit leading suicide theories and their relevance for African American adolescents. Next, we discuss health promotive and protective factors within the context of African American youth development. We also critique the current status of suicide risk assessment and prevention for African American adolescents. Then, we present a heuristic model of suicide risk and resilience for African American adolescents that considers their development within a hegemonic society. Finally, we recommend future directions for African American adolescent suicidology.


Asunto(s)
Negro o Afroamericano , Prevención del Suicidio , Adolescente , Etnicidad , Humanos , Violencia
13.
South Med J ; 115(4): 270-275, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35365844

RESUMEN

OBJECTIVES: Treating chronic migraine (CM) effectively is one of the greatest challenges a primary care provider (PCP) may encounter. Many patients with CM report dissatisfaction and minimal gains from treatment, despite using the best medical interventions available. For this study, patients with CM and their partners provided insight into how PCPs could improve CM treatment. METHODS: Using the immersion/crystallization phenomenological method, we collected data from 11 patients with CM and 8 of their partners (N = 19). We analyzed open-ended survey responses about migraine treatment from patients with CM, as well as transcripts from interviews with patients with CM and their partners (14 interviews total) about their medical experiences. RESULTS: Participants used a variety of pharmacological and alternative treatments in search of a cure; wanted to be treated more collaboratively; and repeatedly gave up on medical care, but then sought treatment again. CONCLUSIONS: PCPs could be trained to encourage patients with CM to shift toward accepting and managing migraines rather than endlessly hoping for a cure. Patients could be taught to manage CM using a holistic, biopsychosocial approach.


Asunto(s)
Trastornos Migrañosos , Atención al Paciente , Humanos , Trastornos Migrañosos/psicología , Trastornos Migrañosos/terapia , Encuestas y Cuestionarios
14.
Disasters ; 46(2): 301-328, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34309056

RESUMEN

Active conflict settings constitute challenging operating environments for humanitarian health organisations and workers. An emerging feature of some conflicts is direct violence against health workers, facilities, and patients. Since the start of the war in 2011, Syria has endured extreme and deliberate violent attacks on health facilities and workers. This paper reports on the findings from a qualitative study that examined the lived experiences of Syrian humanitarian health workers facing extreme ethical challenges and coping with moral distress. In-depth interviews were carried out with 58 front-line health workers in north-western and southern Syria. Participants described a number of ethical and operational challenges experienced while providing services in extreme conditions, as well as strategies used to deal with them. The complex intersection of personal and organisational challenges is considered and findings are linked to key ethical and humanitarian principles. Both practical recommendations and action steps are provided to guide humanitarian health organisations.


Asunto(s)
Personal de Salud , Violencia , Humanos , Principios Morales , Investigación Cualitativa , Siria
15.
Conserv Biol ; 35(4): 1256-1267, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-33274484

RESUMEN

Globally, anthropogenic land-cover change has been dramatic over the last few centuries and is frequently invoked as a major cause of wildlife population declines. Baseline data currently used to assess population trends, however, began well after major changes to the landscape. In the United States and Canada, breeding bird population trends are assessed by the North American Breeding Bird Survey, which began in the 1960s. Estimates of distribution and abundance prior to major habitat alteration would add historical perspective to contemporary trends and allow for historically based conservation targets. We used a hindcasting framework to estimate change in distribution and abundance of 7 bird species in the Willamette Valley, Oregon (United States). After reconciling classification schemes of current and 1850s reconstructed land cover, we used multiscale species distribution models and hierarchical distance sampling models to predict spatially explicit densities in the modern and historical landscapes. We estimated that since the 1850s, White-breasted Nuthatch (Sitta carolinensis) and Western Meadowlark (Sturnella neglecta) populations, 2 species sensitive to fragmentation of oak woodlands and grasslands, declined by 93% and 97%, respectively. Five other species we estimated nearly stable or increasing populations, despite steep regional declines since the 1960s. Based on these estimates, we developed historically based conservation targets for amount of habitat, population, and density for each species. Hindcasted reconstructions provide historical perspective for assessing contemporary trends and allow for historically based conservation targets that can inform current management.


Construcción de una Mejor Línea Base para Estimar 160 Años de Cambio en la Población de Aves y Crear Objetivos de Conservación Orientados Históricamente Resumen A nivel mundial, el cambio antropogénico en la cobertura del suelo ha sido dramático durante los últimos siglos y frecuentemente se le considera una de las principales causas de las declinaciones en la población de fauna. A pesar de esto, se comenzó a registrar los datos de línea base que se usan actualmente para evaluar las tendencias poblacionales mucho después de cambios importantes en el paisaje. En los Estados Unidos de América y en Canadá, las tendencias poblacionales de las aves reproductoras se evalúan por medio del Censo de Aves Reproductoras, el cual comenzó en la década de 1960. Los estimados de la distribución y abundancia previas a las alteraciones importantes en el hábitat le proporcionarían a este censo una perspectiva histórica de las tendencias contemporáneas y permitirían el establecimiento de objetivos de conservación con fundamentos históricos. Usamos un marco de trabajo de análisis retrospectivo para estimar el cambio en la distribución y abundancia de siete especies de aves en el Valle Willamette en Oregon (E.U.A). Después de reconciliar los esquemas de clasificación de la cobertura de suelo actual y la reconstruida para la década de 1850, usamos modelos multiescala de distribución de especies y modelos de muestreo de distancia jerárquica para predecir las densidades espacialmente explícitas en los paisajes históricos y modernos. Estimamos que las poblaciones de Sitta carolinensis y Sturnella neglecta, dos poblaciones sensibles a la fragmentación de los bosques de roble y de los pastizales, han declinado en un 93% y 97% desde la década de 1850, respectivamente. Otras cinco especies han tenido poblaciones casi estables o en crecimiento, a pesar de las declinaciones abruptas desde la década de 1960. Las reconstrucciones por medio de análisis retrospectivos proporcionan una perspectiva histórica para la evaluación de las tendencias contemporáneas y permiten el establecimiento de objetivos con bases históricas que pueden orientar al manejo que ocurre hoy en día.


Asunto(s)
Conservación de los Recursos Naturales , Passeriformes , Animales , Ecosistema , Bosques , Dinámica Poblacional , Estados Unidos
16.
Environ Sci Technol ; 55(20): 14225-14233, 2021 10 19.
Artículo en Inglés | MEDLINE | ID: mdl-34614357

RESUMEN

After centuries of decline, oyster populations are now on the rise in coastal systems globally following aquaculture development and restoration efforts. Oysters regulate the biogeochemistry of coastal systems in part by promoting sediment nutrient recycling and removing excess nitrogen via denitrification. Less clear is how oysters alter sediment greenhouse gas (GHG) fluxes-an important consideration as oyster populations grow. Here, we show that sediments in oyster habitats produce carbon dioxide (CO2), with highest rates in spring (2396.91 ± 381.98 µmol CO2 m-2 h-1) following deposition of seasonal diatom blooms and in summer (2795.20 ± 307.55 µmol CO2 m-2 h-1) when temperatures are high. Sediments in oyster habitats also consistently released methane to the water column (725.94 ± 150.34 nmol CH4 m-2 h-1) with no seasonal pattern. Generally, oyster habitat sediments were a sink for nitrous oxide (N2O; -36.11 ± 7.24 nmol N2O m-2 h-1), only occasionally releasing N2O in spring. N2O release corresponded to high organic matter and dissolved nitrogen availability, suggesting denitrification as the production pathway. Despite potential CO2 production increases under aquaculture in some locations, we conclude that in temperate regions oysters have an overall negligible impact on sediment GHG cycling.


Asunto(s)
Gases de Efecto Invernadero , Ostreidae , Animales , Dióxido de Carbono/análisis , Ecosistema , Monitoreo del Ambiente , Gases de Efecto Invernadero/análisis , Metano/análisis , Óxido Nitroso/análisis
17.
Environ Sci Technol ; 55(21): 14457-14465, 2021 11 02.
Artículo en Inglés | MEDLINE | ID: mdl-34672569

RESUMEN

Recently, interest has grown in using oyster-mediated denitrification resulting from aquaculture and restoration as mechanisms for reactive nitrogen (N) removal. To date, short-term N removal through bioextraction has received the most management interest, but there is a growing body of research that has shown oysters can also mediate the long-term removal of N through denitrification (the microbial conversion of reactive N to relatively inert dinitrogen (N2) gas). Oyster suspension feeding and ammonium release via waste and deposition of organic matter to the sediments can stimulate nitrification-denitrification near oyster reefs and aquaculture sites. Oysters also harbor a diverse microbial community in their tissue and shell promoting denitrification and thus enhanced N removal. Additionally, surface areas on oyster reefs provide a habitat for other filter-feeding macrofaunal communities that can further enhance denitrification. Denitrification is a complex biogeochemical process that can be difficult to convey to stakeholders. These complexities have limited consideration and inclusion of oyster-mediated denitrification within nutrient management. Although oyster-mediated denitrification will not be a standalone solution to excess N loading, it may provide an additional management tool that can leverage oyster aquaculture and habitat restoration as a N mitigation strategy. Here, we provide an overview of the biogeochemical processes involved in oyster-mediated denitrification and summarize how it could be incorporated into nutrient management efforts by various stakeholders.


Asunto(s)
Desnitrificación , Ostreidae , Animales , Ecosistema , Nitrificación , Nitrógeno , Nutrientes
18.
BMC Public Health ; 21(1): 1051, 2021 06 02.
Artículo en Inglés | MEDLINE | ID: mdl-34078326

RESUMEN

BACKGROUND: Despite child marriage receiving increased attention over the past two decades, research on child marriage in humanitarian settings remains scarce. This study sought to quantify child marriage among Somali adolescent girls residing in Kobe refugee camp in Ethiopia and to identify its correlates and consequences. METHODS: A cross-sectional survey was conducted using multi-stage cluster-based sampling with probability proportional to size. We randomly sampled households that have at least one female aged 15-49 and at least one adolescent female aged 10-19. In addition to calculating the proportion of girls married under age 18, we used survival methods - namely Kaplan Meier graphs and Cox proportional hazard models - to identify risk factors associated with child marriage in this context. We also used descriptive statistics to describe marital age preferences among female adults and presented measures of important sexual and reproductive health indicators among married adolescent girls. RESULTS: A total of 603 adult women were surveyed and a household roster was created with information on 3319 household members, of whom 522 were adolescent girls aged 15-19. Of those, 14% were currently married (95% Confidence Interval [CI] 0.11-0.18), and 11% were ever married under age 18 (95% CI 8-15%). Several variables were found to be significantly associated with hazard of child marriage including schooling, sex and employment status of head of household, as well as number of girls under age 18 in the childhood home.. Adult women tended to incorrectly identify minimum legal age at marriage and preferred low marital age for boys and girls - particularly in households of child brides. Among married adolescent girls, contraceptive use was very low (11%; 95% CI 4.94-22.40), and early childbearing was common (60%; 95% CI 45.56-72.89). CONCLUSIONS: This research contributes to the evidence base on child marriage in humanitarian settings. Insights generated from this study have the potential to inform programs and interventions aiming to prevent and mitigate the impacts of this harmful practice.


Asunto(s)
Matrimonio , Refugiados , Adolescente , Adulto , Niño , Estudios Transversales , Etiopía/epidemiología , Femenino , Humanos , Masculino , Somalia
19.
BMC Public Health ; 21(1): 674, 2021 04 07.
Artículo en Inglés | MEDLINE | ID: mdl-33827503

RESUMEN

BACKGROUND: Child marriage is a human rights violation disproportionately impacting girls in low- and middle-income countries. In the Middle East region, conflict and displacement have prompted concerns that families are increasingly resorting to child marriage to cope with economic insecurity and fears from sexual violence. This study set out to examine child marriage among Syrian refugees residing in Egypt with the aim of understanding drivers of child marriage in this context of displacement as well as how child marriage affects refugee girls' wellbeing. METHODS: This analysis draws from 15 focus group discussions (FGD) conducted with married and unmarried girls, as well as parents of adolescent girls in three governorates in Egypt. FGDs included a participatory ranking exercise and photo-elicitation. Additionally, we conducted 29 in-depth interviews with girls and mothers, as well as 28 key informant interviews with health providers, community leaders, and humanitarian actors. The data was thematically analyzed using a combination of inductive and deductive coding. RESULTS: A prevalent phenomenon in pre-war Syria, child marriage has been sustained after the influx of Syrian refugees into Egypt by pre-existing cultural traditions and gender norms that prioritize the role of girls as wives and mothers. However, displacement into Egypt engendered different responses. For some families, displacement-specific challenges such as disruptions to girls' education, protection concerns, and livelihood insecurity were found to exacerbate girls' vulnerability to child marriage. For others, however, displacement into urban areas in Egypt may have contributed to the erosion of social norms that favored child marriage, leading to marriage postponement. Among girls who were married early, we identified a range of negative health and social consequences, including lack of family planning use, disruption to schooling and curtailment of girls' mobility as well as challenges with marriage and birth registration which accentuated their vulnerability. CONCLUSION: Efforts to address child marriage among Syrian refugees must acknowledge the different ways in which displacement can influence child marriage attitudes and practices and should capitalize on positive changes that have the potential to catalyze social norm change. Moreover, targeted, focused and contextualized interventions should not only focus on preventing child marriage but also on mitigating its impacts.


Asunto(s)
Matrimonio , Refugiados , Adolescente , Niño , Egipto , Femenino , Humanos , Medio Oriente , Siria
20.
Death Stud ; 45(2): 152-162, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-31232225

RESUMEN

Stillbirth constitutes a unique form of grief related to the death of an unborn child. This study explores the experiences of eight couples who lost a child to stillbirth, from the time they suspected something was wrong to their release from the hospital and beyond. Couples were interviewed conjointly and data were analyzed qualitatively using a phenomenological approach. Analysis revealed themes of positive and negative encounters with hospital staff, grief and loss, relationships with spouse and family, and long-term impacts. Implications for clinicians are discussed, including gender differences in the grief process for fathers and mothers.


Asunto(s)
Pesar , Mortinato , Niño , Padre , Femenino , Hospitales , Humanos , Masculino , Madres , Dolor , Embarazo , Recompensa
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