Strategic Growth Area: Equity and Social Disparity in the Human Condition (ESDHC)

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https://hdl.handle.net/10919/79471
ESDHC explores and analyzes crucial issues related to diversity, especially those highlighted through the application of the analytical lens of intersectionality, emphasizes the simultaneous possession of multiple identities for all human beings, producing unique interactions among the identities and factors such as place and social institutions that have implications for experience and life chances. Scholarship about social disparities and difference in the human condition build on VT strengths in the areas of Health and the Environment, Identities and Culture, and Institutions, Organizations, and Policy (e.g., education, political and policy systems, businesses, and markets). Thematic areas include food security and systems, the built environment, the natural environment, sustainable global prosperity, public health, or innovative technologies.

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Browsing Strategic Growth Area: Equity and Social Disparity in the Human Condition (ESDHC) by Department "Agricultural and Applied Economics"

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    Characterization of Non-Nutritive Sweetener Intake in Rural Southwest Virginian Adults Living in a Health-Disparate Region
    Hedrick, Valisa E.; Passaro, Erin M.; Davy, Brenda M.; You, Wen; Zoellner, Jamie M. (MDPI, 2017-07-01)
    Few data assessing non-nutritive sweetener (NNS) intake are available, especially within rural, health-disparate populations, where obesity and related co-morbidities are prevalent. The objective of this study is to characterize NNS intake for this population and examine the variance in demographics, cardio-metabolic outcomes, and dietary intake between NNS consumers and non-consumers. A cross-sectional sample (n = 301) of Virginian adults from a randomized controlled trial (data collected from 2012 to 2014) targeting sugar-sweetened beverage (SSB) intake completed three 24-h dietary recalls, and demographics and cardio-metabolic measures were assessed. The frequency, types, and sources of NNS consumption were identified. Thirty-three percent of participants reported consuming NNS (n = 100). Sucralose was the largest contributor of mean daily NNS intake by weight (mg), followed by aspartame, acesulfame potassium, and saccharin. NNS in tabletop sweeteners, diet tea, and diet soda were the top contributors to absolute NNS intake. The most frequently consumed NNS sources were diet sodas, juice drinks, and tabletop sweeteners. Although mean body mass index (BMI) was greater for NNS consumers, they demonstrated significantly lower food, beverage, and SSB caloric intake and energy density, and higher overall dietary quality. It remains unclear whether NNS use plays a role in exacerbating weight gain. NNS consumers in this sample may have switched from drinking predominantly SSB to drinking some NNS beverages in an effort to cope with weight gain. Future studies should explore motivations for NNS use across a variety of weight and health categories.
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    Disparities in obesity among rural and urban residents in a health disparate region
    Hill, Jennie L.; You, Wen; Zoellner, Jamie M. (2014-10-08)
    Background The burden of obesity and obesity-related conditions is not borne equally and disparities in prevalence are well documented for low-income, minority and rural adults in the United States. The current literature on rural versus urban disparities is largely derived from national surveillance data which may not reflect regional nuances. There is little practical research that supports the reality of local service providers such as county health departments that may serve both urban and rural residents in a given area. Conducted through a community-academic partnership, the primary aim of this study is to quantify the current levels of obesity (BMI), fruit and vegetable (FV) intake and physical activity (PA) in a predominately rural health disparate region. Secondary aims are to determine if a gradient exists within the region in which rural residents have poorer outcomes on these indicators compared to urban residents. Methods Conducted as part of a larger ongoing community-based participatory research (CBPR) initiative, data were gathered through a random digit dial telephone survey using previously validated measures (n = 784). Linear, logistic and quantile regression models are used to determine if residency (i.e. rural, urban) predicts outcomes of FV intake, PA and BMI. Results The majority (72%) of respondents were overweight (BMI = 29 ± 6-kg/m2), with 29% being obese. Only 9% of residents met recommendations for FV intake and 38% met recommendations for PA. Statistically significant gradients between urban and rural and race exist at the upper end of the BMI distribution. In other words, the severity of obesity is worse among black compared to white and for urban residents compared to rural residents. Conclusions These results will be used by the community-academic partnership to guide the development of culturally relevant and sustainable interventions to increase PA, increase FV intake and reduce obesity within this health disparate region. In particular, local stakeholders may wish to address disparities in BMI by allocating resources to the vulnerable groups identified.
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    Farm Decision Making and Gender: Results from a Randomized Experiment in Ecuador
    Alwang, Jeffrey R.; Larochelle, Catherine; Barrera, Victor H. (Elsevier, 2017)
    Substantial resources have been devoted to mitigating the asset gender gap in developing country agriculture. Efforts have been taken to understand the role of women in decision making and in farm operations. Recommendations for best practices in eliciting information on women’s roles have emphasized the importance of sex-disaggregated data collection and analysis. Collection of sex-disaggregated data is not straightforward and careful attention to context is needed. In Ecuador’s highlands, chemical use in agriculture is widespread, and outreach and training programs to reduce this use are essential. These programs should target the appropriate decision makers. This paper presents results from a field experiment conducted in the Ecuador highlands where responding farm households are randomly assigned to one of three treatment groups: (i) a male respondent, (ii) a female respondent, and (iii) both adult male and female respondents (interviewed separately, but with knowledge that the other would also be interviewed). We assess whether treatment assignment affects responses to questions about decision making and responsibility for agricultural activities. Perceptions about household decision making and who is responsible for agricultural activities vary substantially by type of respondent. Men are more likely to claim sole responsibility; women are more likely to claim responsibility or that decisions are jointly made. In households where both man and woman were interviewed (separately) we found stark differences in responses about responsibilities, with men claiming sole responsibility at higher rates. Interviewing both members led to less divergence in responses, but large differences in perceptions about responsibilities remain when both are interviewed. Best interviewing practices depend on the type of information needed: for precise quantification of gender roles, complex methods may be necessary, but where qualitative information is sufficient, single-member interviews may be sufficient.