Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.

BACKGROUND: Young people's health has emerged as a neglected yet pressing issue in global development. Changing patterns of young people's health have the potential to undermine future population health as well as global economic development unless timely and effective strategies are put into place. We report the past, present, and anticipated burden of disease in young people aged 10-24 years from 1990 to 2013 using data on mortality, disability, injuries, and health risk factors. METHODS: The Global Burden of Disease Study 2013 (GBD 2013) includes annual assessments for 188 countries from 1990 to 2013, covering 306 diseases and injuries, 1233 sequelae, and 79 risk factors. We used the comparative risk assessment approach to assess how much of the burden of disease reported in a given year can be attributed to past exposure to a risk. We estimated attributable burden by comparing observed health outcomes with those that would have been observed if an alternative or counterfactual level of exposure had occurred in the past. We applied the same method to previous years to allow comparisons from 1990 to 2013. We cross-tabulated the quantiles of disability-adjusted life-years (DALYs) by quintiles of DALYs annual increase from 1990 to 2013 to show rates of DALYs increase by burden. We used the GBD 2013 hierarchy of causes that organises 306 diseases and injuries into four levels of classification. Level one distinguishes three broad categories: first, communicable, maternal, neonatal, and nutritional disorders; second, non-communicable diseases; and third, injuries. Level two has 21 mutually exclusive and collectively exhaustive categories, level three has 163 categories, and level four has 254 categories. FINDINGS: The leading causes of death in 2013 for young people aged 10-14 years were HIV/AIDS, road injuries, and drowning (25·2%), whereas transport injuries were the leading cause of death for ages 15-19 years (14·2%) and 20-24 years (15·6%). Maternal disorders were the highest cause of death for young women aged 20-24 years (17·1%) and the fourth highest for girls aged 15-19 years (11·5%) in 2013. Unsafe sex as a risk factor for DALYs increased from the 13th rank to the second for both sexes aged 15-19 years from 1990 to 2013. Alcohol misuse was the highest risk factor for DALYs (7·0% overall, 10·5% for males, and 2·7% for females) for young people aged 20-24 years, whereas drug use accounted for 2·7% (3·3% for males and 2·0% for females). The contribution of risk factors varied between and within countries. For example, for ages 20-24 years, drug use was highest in Qatar and accounted for 4·9% of DALYs, followed by 4·8% in the United Arab Emirates, whereas alcohol use was highest in Russia and accounted for 21·4%, followed by 21·0% in Belarus. Alcohol accounted for 9·0% (ranging from 4·2% in Hong Kong to 11·3% in Shandong) in China and 11·6% (ranging from 10·1% in Aguascalientes to 14·9% in Chihuahua) of DALYs in Mexico for young people aged 20-24 years. Alcohol and drug use in those aged 10-24 years had an annual rate of change of >1·0% from 1990 to 2013 and accounted for more than 3·1% of DALYs. INTERPRETATION: Our findings call for increased efforts to improve health and reduce the burden of disease and risks for diseases in later life in young people. Moreover, because of the large variations between countries in risks and burden, a global approach to improve health during this important period of life will fail unless the particularities of each country are taken into account. Finally, our results call for a strategy to overcome the financial and technical barriers to adequately capture young people's health risk factors and their determinants in health information systems. FUNDING: Bill & Melinda Gates Foundation.

Demographic determinants of happiness in Andalusia: insights from the 2022 social survey data.

The Social Survey of Andalusia is an instrument for monitoring the Andalusian reality developed by the regional government of Andalusia, whose dataset is open access to the citizens. The 2022 edition included questions related to happiness, social relations as well as socio-demographic factors. Based on this dataset, the present study aimed to analyse the relationship between socio-demographic factors and people's experiences of happiness. It also set out to explore which factors might be indispensable for experiencing moments of happiness as measured in the survey. A sample of 4,968 cases was gotten, conducting a descriptive analysis, a logit regression in complex samples, and a Necessary Conditions Analysis. The results found two very different social profiles in terms of the experience of happiness, determined by age, sex, educational level and economic status. However, neither factor proved to be a necessary condition for happiness. Both conclusions should be taken into consideration in any socio-community intervention.

The role of the Internet in later life autonomy: Silver surfers in Spain.

The new digital panorama has enhanced the importance of the Internet, as well as Information and Communications Technology (ICT), in developing a society in which seniors play a proactive role. The main purpose of this article is to define a taxonomy of silver surfers according to the ways they use the Internet and ICT, with a special focus on e-commerce and e-government. A quantitative methodology was used, based on the study of 405 Spanish internet users between 60 and 79 years of age, which was conducted by telephone in February of 2019. Seven groups were identified through a combination of dimensionality reduction techniques and cluster analysis. The results indicate neither a consistent pattern in the specific ways older adults use the Internet nor a homogeneous level of digital knowledge among this demographic group. To some extent, this is a result of disparities in both the perception of digital security that seniors associate with e-commerce and/or e-government and the level of trust engendered by such operations. The Able and Daring are the most numerous clusters, which coincide with the categories of the most active and prepared users. The Sceptical take third place in terms of number of users, as they display limited use of the Internet and claim to have a low digital skills level. However, carrying out both online shopping and administrative procedures without the need for assistance is becoming increasingly frequent among all of those surveyed.

Budget transparency on maternal health spending: a case study in five Latin American countries.

Progress in reducing maternal mortality has been slow and uneven, including in Latin America, where 23,000 women die each year from preventable causes. This article is about the challenges civil society organizations in Latin America faced in assessing budget transparency on government spending on specific aspects of maternity care, in order to hold them accountable for reducing maternal deaths. The study was carried out by the International Planned Parenthood, Western Hemisphere Region and the International Budget Partnership in five Latin American countries--Costa Rica, El Salvador, Guatemala, Panama and Peru. It found that only in Peru was most of the information they sought available publicly (from a government website). In the other four countries, none of the information was available publicly, and although it was possible to obtain at least some data from ministry and health system sources, the search process often took a complex course. The data collected in each country were very different, depending not only on the level of budget transparency, but also on the existence and form of government data collection systems. The obstacles that these civil society organizations faced in monitoring national and local budget allocations for maternal health must be addressed through better budgeting modalities on the part of governments. Concrete guidelines are also needed for how governments can better capture data and track local and national progress.

The Enabling Role of ICT to Mitigate the Negative Effects of Emotional and Social Loneliness of the Elderly during COVID-19 Pandemic.

(1) Background: The COVID-19 pandemic has been especially hard on the elderly owing to their particular vulnerability to the virus. Their confinement to prevent the spread of the virus resulted in social isolation, often linked to the unwanted loneliness that hinders their emotional well-being. The enabling capacity of ICT (Information and Communication Technology) to overcome the negative effects of this isolation requires special attention. The purpose of this research is to understand the impact of the use of ICT on the emotional well-being of elderly people during their confinement. (2) Methods: A qualitative exploration method based on four focus groups with elderly people aged 60 years or older and three in-depth personal interviews with experts in education of the elderly were carried out. (3) Results: Research results evidence a negative emotional impact of the confinement (lack of physical contact with their loved ones, fear and uncertainty, feeling of loneliness, sadness at the loss of family members) on the emotional well-being of study participants. Furthermore, the operational capacity of ICT to prevent infection, as well as their positive emotional and humanizing role in providing access to entertainment and hobbies, and in improving self-esteem was also acknowledged. (4) Conclusions: ICT have become a valuable ally for elderly people aged 60 years and older to mitigate the negative effects of social isolation and loneliness imposed by the confinement.

The Corporate Purpose of Spanish Listed Companies: Neurocommunication Research Applied to Organizational Intangibles.

Purpose driven companies have developed their corporate culture with a commitment to stakeholders, Sustainable Development Goals, and social responsibility, prioritizing the management of organizational intangibles over capital. The overall objective of this research is to gain knowledge regarding the attention and emotional intensity registered by young Spanish university students when visualizing corporate purpose versus corporate visual identity, as well as the image of the Chairman of the main Spanish companies quoted on the IBEX 35. The techniques of eye tracking and galvanic skin response have been used with 31 Spanish university students. The results suggest that brands with the highest brand equity in the Interbrand (2019) ranking are also the ones that receive the highest levels of attention and emotional arousal, and that a well-formulated corporate purpose is not enough to satisfy the public if company credibility is low due to previous perceptions of an organization.

Chromosome studies in Alouatta belzebul.

The chromosome constitution of Alouatta belzebul was studied with G-, C-, and silver staining. In ten specimens identified as Alouatta belzebul, the chromosome constitution of males (2n = 49) differed from that of females (2n = 50) owing to a Y-autosome translocation. In another single female specimen, probably Alouatta belzebul nigerrima, the diploid chromosome number was also 50, though its karyotype was drastically different from that of Alouatta belzebul belzebul. Chromosome studies, taken together with phenotypic and field observations, suggest that Alouatta belzebul belzebul is phenotypically variable in respect to pelage coloration. This attribute is therefore unreliable for the precise identification of Alouatta belzebul subspecies. Conversely, relatively minor phenotypic differences, allowing for the characterization of subspecies within a same species, coexist with unparalleled, drastic karyotypic divergence. These findings clearly question gross morphological attributes as discriminative characteristics of Alouatta belzebul subspecies.

Beyond Cairo: sexual and reproductive rights of young people in the new development agenda.

At the 1994 United Nations International Conference on Population and Development (ICPD), women's rights advocates fundamentally shifted the way the global development community views poverty, gender equality and reproductive rights. While the ICPD's call to action led to a marked improvement in reproductive health, more remains to be done to secure the sexual and reproductive rights and health of all, particularly for young people. As we approach the 20-year anniversary of Cairo, several global processes are happening concurrently that have implications for the future of the sexual and reproductive health and rights agenda, including the 20-year review of progress towards achieving the Cairo Programme of Action, the review of the Millennium Development Goals, and the open group discussions about the sustainable development goals and the new development agenda post-2015. There are five key areas of action where significant investment is needed moving forward to ensure young people's access and safeguard their rights: repeal outdated laws and create new policies that safeguard young people's health and rights; provide youth-friendly sexual and reproductive health services; guarantee young people's access to information and education; end gender discrimination and ensure government accountability.

Sexual and reproductive health and rights: integration as a holistic and rights-based response to HIV/AIDS.

For decades, donors, governments, and civil society have recognized the importance of sexual and reproductive health and rights (SRHR) in efforts to alleviate poverty and advance gender equality and women's rights. More recently, in the battle against HIV/AIDS--and given the unique challenges the pandemic presents for health and development--the global community has acknowledged the benefits of synergizing sexual and reproductive health and HIV/AIDS interventions. However, the United States has been slow to incorporate lessons learned from the international experience when it comes to integrating HIV/AIDS, SRHR, and gender equality in the fight against HIV/AIDS. This article highlights the importance of SRHR and lessons learned from SRHR-HIV integration to inform U.S. domestic and global AIDS strategies and interventions.

Esterilizaçäo feminina: liberdade e opressäo / Female sterilization: free choice and oppression

E mostrado que a esterilizacäo feminina tem aumentado extraordinariamente nos últimos anos no Brasil. Em alguns Estados do Nordeste, este é o meio anticoncepcional mais usado, sendo os hospitais estaduais e municipais e o Instituto Nacional de Assistência Médica e Previdência Social (INAMPS) os principais fornecedores. Entretanto, em que pese haver numerosos abusos praticados, de esterilizaçöes realizadas sem o consentimento consciente da mulher, é provável que grande parte das esterilizaçöes tenha sido solicitada pelas clientes, mas dentro de um conjunto de alternativas que elas individualmente säo impotentes para alterar. Estas alternativas decorrem de determinantes sociais: posicäo desvantajosa da mulher na família e no mercado de trabalho, a cultura patriarcal, a política de mercantilizacäo da saúde e a política demográfica

Fecundidade e políticas públicas / The fecundity and public policies

A recente queda acelerada da fecundidade provoca uma série de indagações a respeito do papel das políticas públicas, seja sobre a atuação passada, seja sobre as várias possibilidades de atuação no futuro. Essas indagações, e suas possíveis respostas, se inserem na continuidade de um debate que se desenrola no país desde a década de 60, no bojo do qual algumas idéias se consolidaram e outras foram gradatividamente descartadas, por não mais se adequarem à realidade social e política em contínua transformação

A chefia feminina na administração brasileira / Female managership in Brazilian administration

Apresenta resultados de estudo de caso, realizado em 1978, que entrevistou 63 funcionárias de quatro empresas estatais, ocupantes de posições privilegiadas: a maior parte das mulheres vale-se de métodos próprios para superar barreiras; existem obstáculos ao progresso feminino na carreira profissional; a maioria das mulheres exerce funções de apoio administrativo; as mulheres raramente são preparadas para posições de mando

A mulher, o planejamento familiar e a administraçao municipal / Women, family planning and municipal administration

Analisa a incorporaçäo do planejamento familiar pelos Governos Municipais. Discute o deslocamento da preocupaçäo com o planejamento familiar da esfera privada para a pública e a transformaçäo desta problemática numa questâo política prioritária a ser agenciada pelo Estado. Chama atençäo para o reconhecimento dos limites do planejamento familiar e suas interligaçôes com outros problemas sociais. Relacionando os principais agentes sociais envolvidos na discussâo acerca do planejamento familiar e o jogo de forças qu a constitui, analisa as diferentes formas como a questâo tem sido tratada pelo Poder Público, pela Igreja e por entidades internacionais e as implicaçôes sociais e as rupturas estabelecidas pelos agentes que mobilizaram-se em torno desta problemática. Por último, aborda a perspectiva de apoio político para a introduçäo do planejamento familiar nos serviços públicos