The jobs of Latino manual laborers place their mental and physical health at risk. This study evaluates the associations among musculoskeletal pain, mental health, and work organization in Latino manual laborers. Farmworkers and non-farmworkers (n=189) in North Carolina were interviewed for self-reported musculoskeletal pain, depressive symptoms, stress, work safety climate, and precarious job status. More non-farmworkers than farmworkers had neck and shoulder pain, but they did not differ in other areas of musculoskeletal pain. Depressive symptoms had a significant association with neck and shoulder pain (p<0.05). Precariousness had a significant association with back pain (p<0.05). Farmworker participants had H-2A visas and were afforded some protection compared to non-farmworker manual workers. Research is needed to improve policy that relieves pain and improves mental health for all Latino manual workers.
ObjectivesPandemics have profoundly impacted human societies, but until relatively recently were a minor research focus within biological anthropology, especially within biocultural analyses. Here, we explore research in these fields, including molecular anthropology, that employs biocultural approaches, sometimes integrated with intersectionality and ecosocial and syndemic theory, to unpack relationships between social inequality and pandemics. A case study assesses the 1918 influenza pandemic's impacts on the patient population of the Mississippi State Asylum (MSA).Materials and MethodsWe survey bioarchaeological and paleopathological literature on pandemics and analyze respiratory disease mortality relative to sex, age, and social race amongst patient deaths (N = 2258) between 1912 and 1925. Logistic regression models were used to assess relationships between cause of death and odds of death during the pandemic (1918–1919).ResultsFindings include substantial respiratory mortality during the pandemic, including from influenza and influenza syndemic with pneumonia. Older patients (40–59 years, 60+ years) had lower odds (p < 0.01) of dying from respiratory disease than younger patients, as did female patients compared to males (p < 0.05). Age patterns are broadly consistent with national and state trends, while elevated mortality amongst Black and/or African American patients may reflect intersections between gender roles and race‐based structural violence in the Jim Crow South.DiscussionFuture work in biological anthropology on past pandemics may benefit from explicit incorporation of biocultural frameworks, intersectionality, and ecosocial and syndemic theory. Doing so enables holistic analyses of interactions between social context, social inequality and pandemic outcomes, generating data informative for public health responses and pandemic preparedness.
The current COVID-19 pandemic represents an acute threat to the health of adults and children across the globe. In addition, it has the potential to worsen the health of future generations through intergenerational health effects. Examples from history, including the Dutch famine ( Hongerwinter ), suggest that in utero and early life environments may have significant implications for health outcomes throughout the lifespan and are important in determining risk of chronic disease in adulthood. Parental health status, stress, and nutrition appear to affect offspring health and are all affected by the COVID-19 pandemic. Thus, it is critical that we consider the potential impacts of the current pandemic on pregnant women, infants and children and take public health and medical actions to mitigate risk and promote health in future generations.
Research tends to focus on the health implications of breastfeeding, but understanding associations that might drive maternal choice in infant feeding practice is also very important. To understand the relationship between women’s feeding strategies for their children and the context in which they live in Iraq, mixed methods are deployed through analysis of surveys and interviews. Using data from the 2000 and 2011 Multiple Indicator Cluster Survey, trends are quantitatively examined in breastfeeding and infant formula use for Iraq using linear probability models. Interviews are qualitatively analyzed that were collected from women in Sulaimani governorate in the Kurdish region of Iraq to begin understanding the reasons why Iraqi women initiate breastfeeding and formula use. Being urban, wealthier, and more educated increases the probability of a mother using infant formula, while only increasing wealth and increasing education are associated with increasing the probability of breastfeeding. In 2000, governorates significantly differ in the probability of mothers using infant formula (e.g. Karbala = 24.32 percentage points lower probability of using infant formula relative to Sulaimani, (p<0.0001), but differences in breastfeeding seem to be between the southern and northern governorates (e.g. Karbala = 6.78 percentage points higher probability of breastfeeding relative to Sulaimani, (p<0.01). Over the ensuing decade, the probability of breastfeeding decreases, and the probability of infant formula use increases across most governorates. Interviews provide narratives that help explain these trends such as mothers continuing to breastfeed during stressful times but using infant formula when working outside of the home. Between governorate differences could be driven by differences in conflict over the decade. This study contributes to a more nuanced perspective on infant feeding practices in Iraq at the governorate level, suggesting that future maternal-child nutrition studies need to account for the effects of where a mother lives within Iraq.
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