1.
A short history of time use research; implications for public health.
Bauman, A, Bittman, M, Gershuny, J
BMC public health. 2019;(Suppl 2):607
Abstract
BACKGROUND This section defined time use (TU) research, illustrating its relevance for public health. TUR in the health context is the study of health-enhancing and health-compromising behaviours that are assessed across a 24 h day. The central measurement is the use of Time Use Diaries, which capture 24-48 h, typically asking about behaviour in each 15-min period. TUR is used for understanding correlates of health behaviours, and as a form of population surveillance, assessing behavioural trends over time. MAIN BODY This paper is a narrative review examining the history of time use research, and the potential uses of TU data for public health research. The history of TUR started in studies of the labour force and patterns of work in the late 19th and early twentieth century, but has more recently been applied to examining health issues. Initial studies had a more economic purpose but over recent decades, TU data have been used to describe the distribution and correlates of health-enhancing patterns of human time use. These studies require large multi-country population data sets, such as the harmonised Multinational Time Use Study hosted at the University of Oxford. TU data are used in physical activity research, as they provide information across the 24-h day, that can be examined as time spent sleeping, sitting/standing/light activity, and time spent in moderate-vigorous activities. TU data are also used for sleep research, examining eating and dietary patterns, exploring geographic distributions in time use behaviours, examining mental health and subjective wellbeing, and examining these data over time. The key methodological challenge has been the development of harmonised methods, so population TU data sets can be compared within and between-countries and over time. CONCLUSIONS TUR provides new methods for examining public health research questions where a temporal dimension is important. These time use surveys have provided unique data over decades and in many countries that can be compared. They can be used for examining the effects of some large public health interventions or policies within and between countries.
2.
ICMR's tryst with HIV epidemic in India: 1986-1991.
Ramachandran, P
The Indian journal of medical research. 2012;(1):13-21
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Abstract
The Indian Council of Medical Research (ICMR) undertook screening of asymptomatic persons from high risk group with the ELISA test for HIV infection in 1986 and found that HIV infection has reached India. ICMR in collaboration with the central and State health services initiated the national sero-surveillance programme for HIV infection in 43 surveillance and five reference centres to determine the major modes of transmission and magnitude of infection. Data from the sero-surveillance showed that HIV infection was present in all the known high risk groups and in the general population in all the States both in urban and rural areas. HIV was getting transmitted through all the known modes of transmission. In most States heterosexual transmission was predominant but in Manipur intravenous (iv) drug use was the most common mode of transmission. Prevalence of HIV infection in high risk groups was not high and that in low risk groups was quite low. ICMR initiated hospital based sentinel surveillance in high risk groups and general population to obtain time trends in seroprevalence. Between 1986 and 1991, National AIDS Programme was carried out as a collaborative effort of ICMR, and central and State health services. As the dimensions of the epidemic unfolded, rational evidence based interventions which could be implemented within the existing health system, were initiated. National AIDS Control Programme (NACP) continued and upscaled all these interventions. Effective implementation of a multi-pronged, rational strategy for HIV infection containment and control right from the initial stages, and dedicated work done by committed professionals belonging to government and voluntary sectors, cultural ethos of the country, responsible behaviour of the population and relatively low iv drug use have resulted in rapid decline in new infection and in prevalence of infection within a quarter of a century after the initial detection of HIV.
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The emergence of vitamins as bio-political objects during World War I.
Smith, R
Studies in history and philosophy of biological and biomedical sciences. 2009;(3):179-89
Abstract
Biochemists investigating the problem of the vitamins in the early years of the twentieth century were working without an object, as such. Although they had developed a fairly elaborate idea of the character of the 'vitamine' and its role in metabolism, vitamins were not yet biochemical objects, but rather 'functional ascriptions' and 'explanatory devices'. I suggest that an early instance of the changing status of the object of the 'vitamins' can be found in their stabilization, through the course of World War I, as bio-political objects for the British and Allied war effort. Vitamins emerged as players, active agents, in Britain's wartime bio-political problems of food distribution and population health and because of this they became increasingly real as bio-political objects, even prior to their isolation as bio-chemical molecules. I suggest that the materiality of our biology has agency in the development of political regimes and schemes.