Vijayan Kumara Pillai

Using data from India’s National Family Health Survey-5 (NFHS-5, 2019–21), this study identifies subgroups of children who share combinations of social position and estimates how much of the national stunting burden each subgroup carries. A two-step latent class analysis (LCA) of four binary indicators of social position (household poverty, urban residence, Muslim religion, maternal education) was applied to 230,011 children, and stunting (HW70) was cross-tabulated within each class for 203,379 children with valid measurements. Three classes emerged: High-Risk Poor, Rural Advantaged, and Muslim-Concentrated Mixed-Residence. The High-Risk Poor class (31.8% of children; 76.1% in the poorest wealth quintile, 58.2% with mothers lacking secondary education) carried the highest burden (45.3% stunted, 21.2% severely stunted), with relative risks of 1.50 (95% CI 1.47–1.53) for total and 1.80 (95% CI 1.75–1.87) for severe stunting versus the Rural Advantaged reference. Only this class’s posterior membership discriminated stunting better than chance, and weakly (AUC = 0.580), supporting population targeting rather than individual screening. Within this class, Scheduled Caste and Scheduled Tribe children (15.4% of children) were stunted at 46.4% (RR = 1.54). Targeted, multi-sectoral interventions for socioeconomically disadvantaged households, rather than population-wide or religiously targeted programs, are needed to reduce stunting equitably.

This study examines how societal heteronormative norms influence interactions involving transgender individuals, offering insights into identity formation and mental health. Understanding how societal heteronormative norms shape interactions involving transgender individuals is crucial to the attainment of public health goals related to addressing societal barriers, such as stigma, and promoting mental health. Interviews were conducted at a university in the Southwest United States with 11 self-identified transgender individuals, focusing on three main questions: How do you feel when you interact with someone who does not conform to heteronormative gender roles? When you meet somebody who doesn’t conform to heteronormative gender roles does that cause you to question your own gender identity. Does your body have to match your gender identity? Directed content analysis revealed a divided phenomenon. While some participants experienced discomfort due to societal scrutiny, safety issues concerns, and heightened visibility, others found empowerment and validation in these interactions, affirming their identities and fostering a sense of belonging. Yet another finding pointed to the role of embodiment and lived experiences, highlighting contrasting views on body harmony congruence: some participants prioritized physical alignment for societal acceptance, while others valued internal authenticity over external validation. This underscores the tension between personal agency and societal expectations in shaping gender identity. The study contributes to transidentity-theoretical literature by addressing the diverse outcomes resulting from the copresence of discomfort versus empowerment, internalized stigma, and the interplay of self-perception with societal norms. Clinical implications point to the need for inclusive spaces, supportive interventions, and mental health resources to assist trans individuals in navigating these challenges.

Marijuana legalization has been at the center of debate in the social and political realm of the United States. So far, thirty nine states and the District of Columbia have legalized marijuana either for recreational or medical purposes. States are taking a cautious approach to legalization in a policy context consisting of multi-layered sociopolitical systems. Strong arguments from advocacy groups supporting and opposing legalization highlight the significance of assessing the impact of marijuana use and its legalization on the well-being of the community and its members. Utilizing the social determinants of health and system perspectives, this study measures the cumulative effect of six socio-ecological and economic predictors, such as the state’s marijuana use prevalence and median household income, on the dependent variable of marijuana legality scores using discriminant analysis and One-way ANOVA. As hypothesized, the result shows a significant influence of the predictors on the state policy score of marijuana legality. Predicted associations between independent and dependent variables were also found. Findings suggest that without a supportive policy context comprising social, economic, and political factors, marijuana legalization might not have the desired impact on the community. Implications and recommendations for future research are provided.

Global warming and ozone layer depletion signal the onset of climate change, a “slow-onset” disaster exacerbating poverty and social inequality. Addressing this requires global cooperation, as exemplified by the United Nations’ Sustainable Development Goals (SDGs), particularly SDG 13, which focuses on climate action. Mitigation measures include reducing greenhouse gas emissions, transitioning to clean energy, and enhancing community resilience. Social workers play a crucial role in climate change adaptation, engaging in community resilience, advocacy, and policy influence. Their work spans individual counseling, social protection, and addressing environmental refugee crises. As climate change impacts intensify, social workers must expand their roles internationally, advocating for human rights, social justice, and disaster risk reduction. Human rights frameworks guide social workers in addressing climate-related health and social inequalities, emphasizing empowerment and equity. International social workers contribute significantly to disaster response, pandemic recovery, and community resilience, advocating for vulnerable populations and promoting sustainable development. Their evolving role underscores the need for a comprehensive, transnational approach to social protection, ensuring equitable access to resources and fostering a more just and resilient global community.

The present questionnaire study explores the relationship between intimate partner violence (IPV), coping strategies, and psychological maladjustment for both female and male college students, as well as considering the effects of perpetrated IPV. College students are at risk for experiencing and perpetrating IPV, and coping skills may act as important risk and protective factors. In total, 333 (247 women, 86 men) undergraduate college students completed an online survey for research participation credit. Perpetrated intimate partner verbal aggression and experienced and perpetrated relationship violence were significantly correlated with somatization and depression, while for women, perpetrated verbal aggression was significantly correlated with somatization, depression, anxiety, and eating disorder symptoms. Experienced verbal aggression was significantly correlated with depression for women, while perpetrated verbal aggression was significantly correlated with anxiety for men. Path analyses with bootstrapped mediation tests found that, for men, the relationships between experienced violence and somatization and depression were significantly mediated by avoidant coping, while for women, the relationships between perpetrated verbal aggression and somatization, depression, anxiety, and eating disorder symptoms were significantly mediated by avoidant coping. Findings suggest that, particularly for women, the use of avoidant coping behaviors may exacerbate cycles of victimization by and perpetration of IPV that, in turn, lead to greater psychological distress. The present findings suggest that interventions to reduce IPV should put greater emphasis on the teaching of adaptive coping skills in couple relationships to help reduce the impulse to perpetrate violence, on top of coping skills to deal with experienced violence.

Frameworks and improving gaps in our understanding of the factors that affect women's ability to access and use family planning services.

Women’s access to abortion has been facing challenges by the conservative sociopolitical agencies across the states for decades affecting women’s right to health, particularly of reproductive health. Anti-abortion groups across the states in the United States supported by conservative legislators of the state assemblies have been proposing, passing, and enacting laws designed to restrict access to abortion care threatening women’s empowerment, gender equality, health, and women’s rights. Objectives of this study are to identify major indicators of social development and evaluate their effects on variations in abortion policies across the states in United States. Utilizing the social development perspective, this study measures the cumulative effect of sociopolitical and economic variables on abortion policy scores of the states using discriminant analysis and One-way ANOVA. Independent variables of this study are the state’s 2020 presidential election outcome, teen (15–19) birth rate, prevalence of women (15–44) without health insurance, prevalence of female poverty, availability of abortion in the state, and enrollment of women in higher education. As hypothesized, the state’s endorsement in the presidential election was identified as a predictor of the state’s abortion policy attribute and the extent of abortion law being neutral, supportive, or restrictive. The study found all six independent variables statistically significant and influencing the dependent variable, abortion policy score of states placing them either in the restrictive, neutral, or supportive group. It is evident from the findings that without the support of liberal voters, change in the abortion policies through state legislatives would be difficult. Our result suggests continuing advocacy for reproductive rights particularly during the electoral campaigns to make abortion laws supportive across the states.

Introduction: This study investigates the effects of utilization of health care and the level of reproductive rights knowledge on contraceptive use. Current family planning programs in developing countries utilize a two-pronged strategy involving improvement of level of reproductive rights and, right to access health care systems. The effectiveness of this strategy in developing countries such as Pakistan remains poorly investigated. This study aimed at examining the effect of reproductive rights knowledge on contraceptive use. Methods: The target population is educated, 18- to 45-year-old married Pakistani women. The sample is composed of 160 nonrandomly selected purposive group of women. We gathered data using a structured questionnaire and analyzed the data using several multivariate methods such as latent class analysis and multiple classification analysis. Results: Our results suggest that reproductive rights knowledge has no direct effect on contraceptive use. Furthermore, the level of utilization of the health care system plays a significant intervening role between reproductive rights knowledge and contraceptive use. Discussion: Our results call for improving access and availability of health care while strengthening the awareness and knowledge of reproductive rights among women to improve their capacity to utilize family planning methods. Public awareness and educational programs are indeed necessary to promote knowledge of reproductive rights among women in developing countries. As public health campaigns propagandize the crucial role reproductive rights play in improving women’s reproductive health, it is important to maintain a structurally harmonious relationship between health care systems and family planning programs promoting contraceptive use. This approach is more likely to result in significant returns for public awareness campaigns promoting reproductive rights in developing countries.

Aim: In spite of India's healthy economic growth during the last two decades, about 40 percent of all children in India today are stunted. Though the problem has received widespread attention in the public health literature on stunting in India, very few studies have attempted to explicitly account for the progressive stages of stunting among children. The purpose of this study was to examine the effects women’s education on various levels of stunting among Indian children. The study attempted to assess the effects of women’s characteristics such as age at motherhood on four levels of stunting, no stunting, and mild, moderate and severe. Methods: Data from the National Family Health Survey (2005-2006) was used to test three separate models of stunting with selected determinants of women’s capabilities and variables controlling for several environmental factors related to stunting. Generalized ordinal regression method was employed to analyze the data. Results: Factors such as availability of diverse sources of water, increases in mother’s level of education, age at first birth, wealth status and urban residence significantly reduced the odds of being stunted.