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Cultural and western influences on the nutrition transition in Thailand.

The impact of economic development and urbanisation on nutrition and dietary changes in transitional countries has been well researched. It generally has been found that there is a positive correlation between economic development, urbanization, and negative nutrition transitions with the result of growing levels of obesity and diet related non-communicable diseases. However, the impact of Western influences and culture on specific eating styles associated with the nutrition transition has been less studied. There is limited information about cultural and Western influences on eating styles in Thailand. Recent findings suggest that Thailand may have progressed further along the nutrition transition model, in terms of unhealthy eating styles, than would be expected based on economic development. This study was designed to determine the prevalence of current eating styles and eating motivations among Thai university students. University students were chosen for evaluation as they are thought to represent the forefront of dietary trends and nutrition changes in a population. Convenience samples from four different universities in south-central and northern Thailand were selected. The following scales were used to assess eating and dieting styles and attitudes among 662 Thai undergraduate and graduate students: Motivation For Eating Scale (MFES), Eating Attitudes Test-26 (EAT-26), and Cognitive Dieting Behavior Scale (CBDS). All scales have been shown to be reliable and valid in previous research. For this study, scales were translated into Thai, reverse translated, and pilot tested to ensure cultural relevancy and the conveyance of intended meanings. Basic demographic information was also obtained, including age, gender, year in school, marital status, height and weight, and income. Results indicated that Thai students exhibit significant levels of dieting behaviour and extrinsic eating based on CBDS and MFES scores (with the exception of environmental eating). For most negative eating styles, females scored higher than males. It was also found that high levels of dieting and extrinsic eating were positively correlated with body mass index, suggesting the possible risk of future weight gain and obesity. While the occurrence of eating disordered attitudes based on EAT-26 scores was low (13%), analysis of EAT-26 scores indicated that the occurrence of eating disordered attitudes was strongly correlated with dieting behaviour among this population. The results support the need for a programme to educate Thai students, especially females, regarding healthy patterns of dieting and eating attitudes in order to prevent future weight gains and eating disorders predicted by the nutrition transition model.

Adolescent↗

The floating population: an informal process of urbanisation in China.

"This paper attempts to employ substantial source materials to shed light on the characteristics of population migration in a centrally planned society that is in the process of transforming to a market economy. In order to compare rural-urban migration in China with that in other developing countries, the data on 1985-1990 interprovincial population migration have been analysed. Some demographic research techniques on population migration, such as the impact on the place of origin and the place of destination, have been employed to assess the influence of rural-urban migration on China's long-term economic development. Economic betterment appears to be the sole motivation of rural population migration in China."

Asia↗

An approach to the fluctuation mechanism of ecotone.

In this paper, the relationship among land productivity, population pressure and the fluctuation mechanism of ecotone is analyzed, taking counties and banners of southeast Inner Mongolia plateau as an example, which is the most fragile part in the farming and husbandry interleaving belt of north China due to its severe desertification degree and low level of economic development. The Cv for the total output value of agriculture decreases from southeast to northwest, with the same rule as which the overloading population cumulated distributes, and both indicators have close relation with the high linear coefficient of 0.83. These reveal the fluctuation mechanism for ecotone: fluctuation of the level of economic development is a scientific and practical measure both to weakness degree and to instability of ecotone, because it is a synthesized response to the variation of climate as well as irrational land uses, which reinforce and magnify the fluctuation. In detail, the heavier the population overloading, the severer the grassland reclamation, the stronger the dependence of regional productivity on rainfall, the lower the level of economic development, the rougher the fluctuation of ecotone, but the weaker the PRED system.

Agriculture↗

The impact of structural factors on the injury rate in different European countries.

BACKGROUND: A previous study pointed to there being two kinds of injuries--those with a mainly social genesis and those with a mainly environmental genesis. The aim of this study was to analyse how socioeconomic factors--such as level of economic development, alcohol consumption and unemployment and more cultural factors--such as education and religion--relate to kinds of injury. METHODS: Motor vehicle traffic accidents were chosen to represent injuries with a predominantly environmental genesis and suicides those with a mainly social genesis. Qualitative comparative analysis (QCA) complemented by Pearson correlation was employed. The data come from 12 European countries. RESULTS: Four groups of countries emerged from the analysis. Group 1 was high on both kinds of injuries and was also high on all the independent variables considered. Group 2 was low on social injuries and high on environmental injuries; it had a low level of economic development, high alcohol consumption and a high proportion of Roman Catholics. Group 3 was high on social injuries and low on environmental injuries; it had a high level of economic development, low alcohol consumption and few Roman Catholics. Group 4 was low on both kinds of injuries; the independent variables formed a similar pattern to those of group 3. CONCLUSION: The pattern for traffic fatalities differs from that of suicides. There is also patterning with regard to structural factors; economic level, education and religion seem to be more important with regard to injury rate differentials than alcohol consumption or unemployment.

Accidents, Traffic↗

Industrial workers' health and environmental pollution under the new international division of labor: the Taiwan experience.

Using Taiwan as an example, this paper conducts a historical analysis of the relationship between economic development in the new international division of labor and environmental pollution and industrial workers' health. Three industries-asbestos, plastic, and dye-were chosen for case studies. We trace the emergence of each industry in Taiwan and study each industry's protection of workers' health and environmental quality. Under the new international division of labor, the state's prioritization of economic development leads to lenient regulation. Under such state policies, employers have few incentives to invest in the protection of their workers' health and in the control of environmental pollution. Workers and the public are constrained in their efforts to protect their own health and prevent environmental pollution. This situation is exemplified by the deplorable working conditions and inadequate environmental pollution controls in the asbestos, plastic, and dye industries. Workers' health and the public's health are greatly compromised by economic development in the new international division of labor.

Asbestos↗

Intuitive eating and the nutrition transition in Asia.

Current models of the nutrition transition focus on demographic changes and economic development. A further influence may be the adoption of western-based perceptions of beauty that lead to potentially harmful eating behaviours which contribute to overweight, obesity, and eating disorders. This paper proposes a comprehensive model of the nutrition transition that includes western influences on perceived attractiveness and subsequent eating styles. An exploratory test of this model for Asian countries explores differences in intuitive eating as a function of economic development and the adoption of western standards of beauty. The intuitive eating scale (IES), a measure of food consumption that is primarily characterized by the satisfaction of physical hunger, was used to evaluate agreement with intuitive eating principles in the US and four Asian countries (Japan, Thailand, the Philippines, and China). Although intuitive eating scores in the US and Thailand failed to follow predicted patterns on two of the four IES subscales, scores for the other two IES subscales and the total IES score followed predicted patterns for Asian countries. Intuitive eating appears to be a valid, measurable concept that is correlated with economic development and levels of western influence in Asian countries. The tentative findings of this exploratory study support further evaluation of cultural influences as an important component of the nutrition transition.

Adult↗

The change of family size and structure in China.

With the socioeconomic development and change of people's values, there is some significant change in family size and structure in China. According to the 10% sample data from the 4th Census, 1 family has 3.97 persons on an average, less than the 3rd Census by 0.44 persons; among all types of families, 1-generation families account for 13.5%, 3 generation families for 18.5%, and 2-generation families account for 68%. Instead of large families consisting of several generations and many members, small families has now become a principal family type in China. According to the analysis of the sample data from the 4th Census, the family size is mainly decided by the fertility level in particular regions, and it also depends on the economic development. So family size is usually smaller in more developed regions, such as in Beijing, Tianjin, Zhejiang, Liaoning as well as in Shanghai of which family size is only 3.08 persons; and family size is generally larger in less developed regions such as in Qinghai, Guangxi, Gansu, Xinjiang, and in Tibet of which family size is as large as 5.13 persons. Specialists regard the increase of the number of families as 1 of the major consequences of the economic development, change of living style, and improvement of living standard, Young people now are more inclined to live separately from their parents. However, the increase of the number of families will undoubtedly place more pressure on housing and require more furniture and other durable consumer goods from the market. Therefore, the government and other social sectors related should make corresponding plans and policies to cope with the increase of families and minifying of family size so as to promote family planning and socioeconomic development, and to create better social circumstances for small families.

Asia↗

Population and family planning in China.

As the most populous country of the world, China pursues an integrated programme for socio-economic development with family planning as a vital part of it. The aim is to ensure that population growth does not outpace the economic development, the availability of natural resources and environmental protection efforts. Current policy on family planning includes: the promotion of late marriage and deferred child bearing, advocating the practice of "one couple, one child", to encourage birth spacing for those who want a second child. Technical guidelines are: contraception as the priority; comprehensive use of various contraceptive methods in men and women; induced abortion allowed on request if no contraindications; state provided contraceptives, barrier devices and technical services. The birth rate of 33.34/1000, death rate of 7.6/1000 and natural increase rate of 25.83/1000 in 1970 was brought down to 21.04/1000, 6.7/1000 and 14.26/1000 respectively in 1985. A total fertility for 1950 of 5.87 was gradually brought down to 2.31 in 1990. 260 million births were averted between 1970-1991; the world's "5-billion population day" was postponed for 2 years and Asian "3-billion population day" was postponed for 3 years. The State Family Planning Commission under the State Council was set up in 1981. The China Family Planning Association, the China Population Association and non-governmental organisations promote family planning work in a coordinated way. The current family planning policy is now well accepted in the urban area, and gaining increasing momentum in the rural area. Persistant education is still important to break the millennia old tradition of having more children and more boys.

Aging↗

Motorcycle ownership and injury in China.

BACKGROUND: China has made tremendous progress in its economic development in the past two decades. Accompanying this economic development has been an evident shift in the modes of transport, from walking and cycling to the use of motorcycles and, increasingly, four-wheel vehicles. Such changes are likely to have also produced changes in the patterns and numbers of road traffic injuries, including increases in motorcycle injuries. However, such changes have not been well documented. The work described in this paper sought, therefore, to document the changes in motorcycle ownership, motorcyclist mortality and injury rates in China since 1987. METHODS: National traffic ownership and injury data from 1987 to 2001 were obtained from the National Bureau for Traffic Administration. Additionally, traffic ownership and injury records from 1997 to 2001 were collected from local police offices from 20 counties in Guangxi Region. Population data were obtained from the national and county statistics bureaus. Motorcycle ownership, fatality and injury trends over time were calculated. RESULTS: Nationally, motorcycles accounted for 23.4% of all registered motor vehicles in 1987, increasing to 63.2% in 2001. Motorcyclist fatalities and injuries increased 5.5-fold and 9.3-fold, respectively, between 1987 and 2001. In 1987, 7.5% of all traffic fatalities and 8.8% of all traffic injuries were sustained by motorcyclists, with the corresponding proportions increasing to 18.9% and 22.8%, respectively, in 2001. The changing proportions of both traffic fatalities and injuries sustained by motorcyclists were positively correlated with the change in the proportion of motorcycles among all motor vehicles. In the 20 counties in Guangxi, motorcyclist fatality and injury rates also increased between 1997 and 2001. Moreover, these rates were considerably higher than the national rates. CONCLUSIONS: Motorcyclist injury in China is a serious public health problem. Motorcyclist fatalities and injuries are likely to continue to increase unless appropriate intervention programmes are implemented.

Accidents, Traffic↗

Workshop 2 (synthesis): driving forces and incentives for change towards sustainable water development.

Water is a key resource in attaining sustainability--in social and economic development as well as in the long-term carrying capacity of the planet's life support systems, but consensus on the meaning and priority of these terms is still needed. Amongst the key points identified for water professionals: it is necessary to challenge compartmentalisation in water policy and management; water management strategies must focus clearly on the interdependence of the environment and socio-economic development; water professionals have a key role but must package the information and insight they can provide in a way that is attractive to intended recipients such as policy makers.

Commerce↗

The ambiguous role of alcohol in economic and social development.

An increased and industrialized alcohol supply in a developing society is usually assumed to have positive effects on economic development, although it may be recognized that the effects on public health and order will be negative. There has been little attention to the potential for negative effects on the economic side. This paper directs attention to such factors as unemployment for cottage producers (often female heads of household) and reduced industrial employment as highly-automated "turnkey" brewers are installed. On the other hand, changes in the mode of production of alcoholic beverages may have little impact on the much larger work-force involved in serving or selling alcohol in retail trade. The net contribution of an increased and industrialized alcohol supply in terms of economic development is unclear, but industrialization and development bring with them increased demands for attention and sobriety, e.g. in motorized traffic and on the production line, which increased drinking may undercut. Decisions by international development agencies on investment in alcohol production and distribution should take account of both the positive and negative impacts on economic development as well as on public health. In line with this, the World Bank has recently decided to invest in alcohol industry projects only when there is a strong positive development impact and the project is "consistent with public health issues and social policy concerns".

Alcoholic Beverages↗

Aquaculture of three phyla of marine invertebrates to yield bioactive metabolites: process developments and economics.

Large-scale, renewable supplies of chemical constituents derived from marine invertebrates have limited development of potential new natural product drugs. This paper describes the development of two in-sea aquaculture systems designed and engineered for production of large quantities of biomass for two species of marine invertebrates desired for their natural product chemical constituents. The two invertebrates and their products were: (1) the cosmopolitan, arborescent bryozoan Bugula neritina (Phylum Bryozoa) for its anticancer chemical constituent bryostatin 1; and (2) Ecteinascidia turbinate (Phylum Tunicata) the source of anticancer ecteinascidin 743. For the third invertebrate Phylum Porifera, and its representative sponge Acanthella cavernosa (desired for its anti-parasitic and anti-infective kalihinols) in-sea systems were not developed in favor of controlled environment tank aquaculture systems. For the bryozoan and tunicate, projected economics for commercial-scale in-sea production proved cost effective. This was in contrast to the controlled environment sponge culture tank system, which did not prove to be economical due to inherent slow growth and low natural product yields of the sponge in culture. A non-destructive method for "milking" natural product chemicals from sponges was tested and is described.

Animals↗

Critical care medicine in the Western Pacific region.

The Western Pacific region has seen rapid recent economic development but variation in the provision and organisation of intensive care units (ICUs) between different countries remains. While Japan, Australia, New Zealand, Singapore, Taiwan, Korea and Hong Kong have well developed intensive care facilities, in other countries the more limited funding for healthcare can be reflected by differential availability of modern medical technology between the public and private sectors. Other factors important to intensive care include physician training, availability of other staff and whether intensive care is delivered in "open" or "closed" units. At present only Japan, Hong Kong, the Philippines, Australia and New Zealand have a postgraduate examination in intensive care leading to recognition as an intensive care physician. In Japan, Australia, New Zealand and Indonesia each hospital usually has a single multidisciplinary (medical-surgical) ICU, whereas most other Western Pacific countries have divided medical and surgical units. In Japan, Australia, New Zealand, Hong Kong, Taiwan and Thailand, the larger ICUs are usually staffed by full-time intensivists. Future development of intensive care in the region will parallel economic development. In most countries increasing patient expectations, ageing populations and "Western" diseases will increase demand for intensive care services. Only a few countries currently have recognised programmes of training and certification in intensive care but as more adopt this process it should lead to a clearer recognition and acceptance of the role of the intensivist.

Australia↗

Human resource development in the Asia-Pacific region: implications for Australia.

"Educational development has played a role in rapid economic development in East and Southeast Asia.... Australia faces problems in common with countries of the region, including the need to provide greater equality of educational opportunity to students from disadvantaged backgrounds, and to find the appropriate disciplinary mix in tertiary education. The massive growth of the numbers with secondary and higher education in the region will provide opportunities to market our education, pose issues for Australian immigration policy, and provide both risks and opportunities in building a favourable image of Australia."

Attitude↗

Total waste-load control and allocation based on input-output analysis for Shenzhen, south China.

The general objective for this paper is to reveal the dynamic relationships between the rapid economic development, water pollution and the subsequent waste-load allocation in different economic sectors through a case-study in Shenzhen City, South China. Two-objective analysis model was employed based on the input-output table for Shenzhen with the full consideration of various constraints in local area. The improved Tchebycheff procedure was used for obtaining the solutions. The predictions were made on economic development and pollutants from wastewater in different sectors and different planning years. The present study allows for the consideration of the economic structural adjustment. It is found that the current situation of economic structure is generally good and is subject to further adjustment in Shenzhen, although it has undergone the rapid development in the past 18 years. When the maximum Gross Domestic Production and the minimum Chemical Oxygen Demand are chosen as the two objectives subject to other constraints, the harmonized results indicated a scheme that claims substantial reduction of polluting effluences in Shenzhen while closely keeping the economic growth rate as planned.

China↗

Process indicators for monitoring and evaluating vitamin A programs.

Vitamin A deficiency disorders (VADD) are a major public health problem in many parts of the world and one of the leading underlying causes of childhood mortality. Therefore, VADD control programs can contribute to reaching the international development goal of reducing childhood mortality by two thirds by the year 2015. Although economic development leads to greater food consumption of animal products (the most bioavailable source of vitamin A), other strategies, such as high dose vitamin A capsule supplementation, fortification and food production programs have been developed to tackle the VADD problem independent of economic development efforts. In this article, we discuss the essential role of process indicators in monitoring and fine-tuning VADD control and prevention programs toward ensuring that such programs will be more effective and cost-effective.

Diet↗

Migration of highly educated Asians and global dynamics.

The migration of highly educated Asians to developed countries and the implications of those movements are examined. "The far-reaching effects of the movement of Asian high level manpower (HLM) are discussed in light of: 1) the global articulation of higher education; 2) the link to unequal development on a global scale; and 3) the contribution to economic development of the reverse flow of HLM to less developed countries." The focus is on migration to Australia, Canada, and the United States from the 1960s to the present.

Americas↗