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Populist parties have been increasingly successful in European politics over the last decade. Although research suggests that nostalgic deprivation – a perceived loss of economic, political or social status — is linked to support for populist parties, the generalizability of this argument across voters and national contexts remains unclear. In this research note, we leverage original representative surveys across 19 European countries to demonstrate that perceptions of declining status are a consistent predictor of populist support. Decomposing nostalgic deprivation into different dimensions, we find that while social, economic and power deprivation have different antecedents, each predicts populist attitudes and voting behaviour. Moreover, we find that nostalgic deprivation predicts support for populist platforms among both left‐wing and right‐wing respondents, as well as across Eastern and Western Europe. While the antecedents differ across contexts, these findings confirm that perceptions of downward mobility are associated with the rise of populism in Europe.
In general, research demonstrates that deprivation, education, health, and well-being are determinants of volunteering, and that volunteering can play an important role in building stronger communities and provides many benefits for individual health and well-being. This study concentrates on the effects of physical and mental health and well-being as predictors when the aspect of socio-economic impact has been minimised. It utilises a unique data set from a UK Housing Association community with generally high levels of deprivation. Data were analysed using bivariate probit regression. In contrast to previous findings, physical health and mental health were not significantly related to volunteering. The key finding was that mental well-being was significantly related to informal volunteering.
This paper explores the relationship between neighbourhood level density of civil society organisations (CSOs), diversity, and deprivation. We compare the UK and Sweden, two countries with different civil society traditions and welfare state regimes. We use data on formal civil society organisations to examine whether diverse neighbourhoods have lower levels of civil society infrastructure. In the UK, contrary to what could be expected from Putnam's assertion that diversity has a negative effect on trust, thus limiting civil society activities at the neighbourhood level, we observe a positive relationship between the density of CSOs and diversity. In Sweden, we find different patterns. First, we observe a negative correlation between CSO density and diversity. Second, we find lower density of formal CSOs in areas with high diversity and high economic disadvantage and higher density in areas characterised by low diversity and high disadvantage.
How do economic grievances affect citizens’ inclination to protest? Given rising levels of inequality and widespread economic hardship in the aftermath of the Great Recession, this question is crucial for political science: if adverse economic conditions depress citizens’ engagement, as many contributions have argued, then the economic crisis may well feed into a crisis of democracy. However, the existing research on the link between economic grievances and political participation remains empirically inconclusive. It is argued in this article that this is due to two distinct shortcomings, which are effectively addressed by combining the strengths of political economy and social movement theories. Based on ESS and EU‐SILC data from 2006–2012, as well as newly collected data on political protest in 28 European countries, a novel, more fine‐grained conceptualisation of objective economic grievances considerably improves our understanding of the direct link between economic grievances and protest behaviour. While structural economic disadvantage (i.e., the level of grievances) unambiguously de‐mobilises individuals, the deterioration of economic prospects (i.e., a change in grievances) instead increases political activity. Revealing these two countervailing effects provides an important clarification that helps reconcile many seemingly conflicting findings in the existing literature. Second, the article shows that the level of political mobilisation substantially moderates this direct link between individual hardship and political activity. In a strongly mobilised environment, even structural economic disadvantage is no longer an impediment to political participation. There is a strong political message in this interacting factor: if the presence of organised and visible political action is a decisive signal for citizens that conditions the micro‐level link between economic grievances and protest, then democracy itself – that is, organised collective action – can help sustain political equality and prevent the vicious circle of democratic erosion.
Childhood adversity is associated with increased engagement in health risk behaviors (HRBs), such as substance use, violence, and risky sexual behaviors during adolescence, which contribute to leading causes of death and disability throughout the lifespan. Threat and deprivation are two dimensions of adversity that impact health and wellbeing through partially distinct developmental pathways, but no studies have examined if and how HRBs differ by adversity dimension. This pre-registered network analysis examined the independent associations between threat, deprivation, and adolescent HRBs using data from the 2023 Youth Risk Behavior Survey. We hypothesized that both adversity dimensions would be associated with HRBs, with stronger associations for threat compared to deprivation. Participants were U.S. high school students (N = 7,691; 52% male, 48% female). Forty-six percent were white, 26% multiple races, 12% Black, 7% American Indian/Alaska Native, 4% Asian, < 1% Native Hawaiian/Other Pacific Islander, and 20% Hispanic. Consistent with our hypotheses, network structures revealed that both threat and deprivation were associated with HRBs, the patterns of such associations varied by dimension, and the overall strength and number of HRB associations was greater for threat. Findings support the utility of dimensional models in linking childhood adversity to adolescent HRBs, with implications for research and clinical practice.
Social deprivation is associated with worse functional recovery and social participation after stroke. Home-based, individualized rehabilitation provided by Community Stroke Rehabilitation Teams (CSRTs) improves these outcomes. This study aimed to show that CSRTs offered an effective specific rehabilitation for socially deprived patients.
Methods:
This was a retrospective study conducted in real-care conditions. Social deprivation was assessed by the Evaluation de la Précarité et des Inégalités de santé dans les Centres d’Examens de Santé score. The outcome questionnaires included the Frenchay Activity Index (FAI) and the EuroQol-5Dimension. We compared these outcomes between deprived and non-deprived (ND) populations. Rehabilitation of the deprived population was assessed by comparing interventions across both groups.
Results:
We included 198 deprived patients and 140 ND patients. Deprived patients were more often women (p = 0.027), more likely to live alone at home (p = 0.01), and were referred later to a CSRT, despite having greater activity limitations at baseline (p < 0.001). They also had a lower FAI at baseline (13.2 vs. 16.6; p = 0.007). Although their FAI improved over time (+2.4 ± 5.5; p < 0.001), the improvement was modest and insufficient to close the gap with the ND group (15.7 vs. 20.7; p < 0.001). Regarding program characteristics, the deprived population received input from a greater number of healthcare professionals (2.7 ± 1.2 vs 2.4 ± 1.3; p = 0.017) and more often from the intervention “Health professional relationship” (34.2% vs 15.6%; p = 0.005).
Conclusion:
These findings highlight the intersectionality of stroke-related challenges and the critical need to design post-stroke rehabilitation strategies that are more equitable and responsive to gender and social determinants of health.
A hidden consequence of the cumulative impact of poverty, ‘hygiene poverty’ compels people to make stark choices when allocating household budgets. To increase understanding of this understudied phenomenon, we explored the prevalence of factors leading to, and impacts of, hygiene poverty in Ireland. An online survey was completed by 258 respondents during September 2023 covering a broad range of topics relating to the affordability of hygiene products. The results were analysed to identify key themes of statistical relevance in the data. Our study found 65.1 per cent of respondents had personally experienced difficulty affording essential hygiene items. Whilst lower incomes and the presence of children in the household featured, inability to afford hygiene items was also felt by those in insecure housing, people with disabilities and those from ethnic minorities. Lack of access to basic essentials prevented people from engaging fully in social, work and educational activities with negative impacts on physical and mental health across all income brackets. Drawing on existing literature alongside reporting original research, the substantive argument in this article suggests that ‘hygiene poverty’ is most usefully thought of as an aspect of deprivation, and that hygiene-related needs often sit at the bottom of a range of deprivation types.
In 2018 the ANU theatre company, which had gained a reputation for immersive performance and installation work since forming in 2009, staged a site-specific piece in Dublin called The Lost O’Casey. This play took inspiration from, and reimagined, key elements of Sean O’Casey’s 1924 play Nannie’s Night Out. This chapter, co-authored by the director of the ANU production and by a leading theatre historian, examines the social and political imperatives behind the 2018 production, and connects the concerns that O’Casey articulated in the 1920s with the endemic poverty, inequality, and losses of the modern Irish capital.
Assessing dimensions of neighborhoods could aid identification of contextual features that influence psychopathology in children and contribute to uncovering mechanisms underlying these associations.
Method:
The ABCD sample included 8,339 participants aged 9–10 from 21 U.S. sites. Mixed effect and structural equation models estimated associations of self-reported neighborhood threat/safety and county-level neighborhood threat (i.e., crime) and tract-level deprivation with psychopathology symptoms and indirect effects. Hypothesized mechanisms included emotion processing (adaptation to emotional conflict, task-active ROIs for emotional n-back) and cognition (EF and task-active ROIs for the stop-signal task); exploratory analyses included neural function (of amygdala to network and within-network resting state connectivity).
Results:
Associations of neighborhood deprivation and all symptoms were mediated by EF; links with psychotic-like experiences (PLEs) were mediated by retrosplenial temporal and dorsal attention within-network connectivity. In contrast, neighborhood threat was associated with attention difficulties, internalizing problems, and PLEs uniquely via default mode within-network connectivity; with attention difficulties, externalizing symptoms, and PLEs through amygdala-dorsal attention within-network connectivity, with PLEs and externalizing symptoms through visual within-network connectivity; with PLEs and attention difficulties through amygdala-sensorimotor connectivity, and with PLEs through amygdala-salience network connectivity.
Conclusion:
Neighborhood deprivation and threat predicted symptoms through distinct neural and cognitive pathways, with implications for prevention and intervention efforts at contextual levels.
Economic variables such as socioeconomic status and debt are linked with an increased risk of a range of mental health problems and appear to increase the risk of developing of post-traumatic stress disorder (PTSD). Previous research has shown that people living in more deprived areas have more severe symptoms of depression and anxiety after treatment in England’s NHS Talking Therapies services. However, no research has examined if there is a relationship between neighbourhood deprivation and outcomes for PTSD specifically. This study was an audit of existing data from a single NHS Talking Therapies service. The postcodes of 138 service users who had received psychological therapy for PTSD were used to link data from the English Indices of Deprivation. This was analysed with the PCL-5 measure of PTSD symptoms pre- and post-treatment. There was no significant association between neighbourhood deprivation measures on risk of drop-out from therapy for PTSD, number of sessions received or PTSD symptom severity at the start of treatment. However, post-treatment PCL-5 scores were significantly more severe for those living in highly deprived neighbourhoods, with lower estimated income and greater health and disability. There was also a non-significant trend for the same pattern based on employment and crime rates. There was no impact of access to housing and services or living environment. Those living in more deprived neighbourhoods experienced less of a reduction in PTSD symptoms after treatment from NHS Talking Therapies services. Given the small sample size in a single city, this finding needs to be replicated with a larger sample.
Key learning aims
(1) Previous literature has shown that socioeconomic deprivation increases the risk of a range of mental health problems.
(2) Existing research suggests that economic variables such as income and employment are associated with greater incidence of PTSD.
(3) In the current study, those living in more deprived areas experienced less of a reduction in PTSD symptoms following psychological therapy through NHS Talking Therapies.
(4) The relatively poorer treatment outcomes in the current study are not explained by differences in baseline PTSD severity or drop-out rates, which were not significantly different comparing patients from different socioeconomic strata.
Decades of evidence have elucidated associations between early adversity and risk for negative outcomes. However, traditional conceptualizations of the biologic embedding of adversity ignore neuroscientific principles which emphasize developmental plasticity. Dimensional models suggest that separate dimensions of experiences shape behavioral development differentially. We hypothesized that deprivation would be associated with higher psychopathology and lower academic achievement through executive function and effortful control, while threat would do so through observed, and parent reported emotional reactivity.
Methods:
In this longitudinal study of 206 mother–child dyads, we test these theories across the first 7 years of life. Threat was measured by the presence of domestic violence, and deprivation by the lack of cognitive stimulation within the parent–child interaction. We used path analyses to test associations between deprivation and threat with psychopathology and school outcomes through cognition and emotional reactivity.
Results:
We show that children who experienced more deprivation showed poor academic achievement through difficulties with executive function, while children who experienced more threat had higher levels of psychopathology through increased emotional reactivity.
Conclusion:
These observations are consistent with work in adolescence and reflect how unique adverse experiences have differential effects on children’s behavior and subsequently long-term outcomes.
Dimensional models of early life adversity highlight the distinct roles of deprivation and threat in shaping neurocognitive development and mental health. However, relatively little is known about the role of unpredictability within each dimension. We estimated both the average levels of, and the temporal unpredictability of deprivation and threat exposure during adolescence in a high-risk, longitudinal sample of 1354 youth (Pathways to Desistance study). We then related these estimates to later life psychological distress, and Antisocial and Borderline personality traits, and tested whether any effects are mediated by future orientation. High average levels of both deprivation and threat exposure were found to be associated with worse mental health on all three outcomes, but only the effects on Antisocial and Borderline personality traits were mediated by decreased future orientation, a pattern consistent with evolutionary models of psychopathology. Unpredictability in deprivation exposure proved to be associated with increased psychological distress and a higher number of Borderline traits, but with increased future orientation. There was some evidence of unpredictability in threat exposure buffering against the detrimental developmental effects of average threat levels. Our results suggest that the effects of unpredictability are distinct within different dimensions of early life adversity.
“As food increasingly disappeared from shops, market stalls, and restaurants, wartime shortages badly affected city life. By 1917, most Prague residents struggled to obtain basic food items; the city and its inhabitants were cold, due to coal shortages, and dirty, through lack of soap. The state’s rationing system proved insufficient to cover the needs of the population, leading to the blossoming of a black market. Discrepancies in access to food shaped new divisions. Prague was ‘ruralized’ as people grew vegetables in allotments and on balconies. Hungry city-dwellers went on trips to the countryside to purchase food. This new reliance on farmers subverted social hierarchies. An antagonism grew between Prague and the countryside, undermining the unity of the Czech nation. The association ‘The Czech Heart’ attempted to heal the rift by sending hungry Prague children to better-fed villages. Food provision shifted legitimacy away from the Austrian state to national organizations.”
Edited by
David Kingdon, University of Southampton,Paul Rowlands, Derbyshire Healthcare NHS foundation Trust,George Stein, Emeritus of the Princess Royal University Hospital
Depression is a leading cause of disability in high- and middle-income countries and is of increasing relative burden in low-income countries. The Global Burden of Disease study illustrates how depression is increasing as a proportion of all the disabilities resulting from illness. This is because we know how to prevent other major causes of disability such as cardiovascular disease and infection and so their incidence is on the decline. Meanwhile, there is evidence that rates of depression are rising slightly. In order to have an impact on this major public health burden, we will need to devise preventative strategies to reduce the incidence. As depression is a continuum, much of the disability is experienced by the larger numbers of those with mild and moderate levels of depression who might not seek treatment for themselves. Therefore, effective preventative strategies applied to the whole population will have more widespread benefits than interventions simply targeted towards those at high risk. In order to develop preventative interventions, we need to know what causes depression.
Epidemiology tends to be primarily concerned with causes outside the individual or with genetic causes.
Almost everyone believes that freedom from deprivation should have significant weight in specifying what justice between generations requires. Some theorists hold that it should always trump other distributive concerns. Other theorists hold that it should have some but not lexical priority. I argue instead that freedom from deprivation should have lexical priority in some cases, yet weighted priority in others. More specifically, I defend semi-strong sufficientarianism. This view posits a deprivation threshold at which people are free from deprivation, and an affluence threshold at which people can live an affluent life, even though their lives may be even further improved beyond that point. I argue that freedom from deprivation in one generation lexically outweighs providing affluence in another generation; in all other cases, freedom from deprivation does not have lexical priority.
Growing evidence supports the unique pathways by which threat and deprivation, two core dimensions of adversity, confer risk for youth psychopathology. However, the extent to which these dimensions differ in their direct associations with youth psychopathology remains unclear. The primary aim of this preregistered meta-analysis was to synthesize the associations between threat, deprivation, internalizing, externalizing, and trauma-specific psychopathology. Because threat is proposed to be directly linked with socioemotional development, we hypothesized that the magnitude of associations between threat and psychopathology would be larger than those with deprivation. We conducted a search for peer-reviewed articles in English using PubMed and PsycINFO databases through August 2022. Studies that assessed both threat and deprivation and used previously validated measures of youth psychopathology were included. One hundred and twenty-seven articles were included in the synthesis (N = 163,767). Results of our three-level meta-analyses indicated that adversity dimension significantly moderated the associations between adversity and psychopathology, such that the magnitude of effects for threat (r’s = .21–26) were consistently larger than those for deprivation (r’s = .16–.19). These differences were more pronounced when accounting for the threat-deprivation correlation. Additional significant moderators included emotional abuse and youth self-report of adversity. Findings are consistent with the Dimensional Model of Adversity and Psychopathology, with clinical, research, and policy implications.
Several decades ago, Sig Prais concluded that the root cause of the UK’s poor industrial performance was the poor quality of education and training. In this lecture, I will make a related argument, focussing on the lack of opportunity in the United Kingdom for workers who have not succeeded in the formal education system and the long-lasting impacts this has on their economic, health and social wellbeing. I will highlight the importance of providing opportunities for continued training over a worker’s lifetime for appropriate skills that are valued in the workplace in order to achieve inclusive growth.
This chapter presents a cutting-edge study of multidimensional poverty since it fully exploits highly granular data on expenditure (government programmes) matched with social development indicators. First, we explore how economic well-being and various socioeconomic rights, in Mexico, have benefited from domestic income and remittances of households located in the deciles 1 to 5 of the income distribution. Second, we analyse the degree of substitutability of remittances (or personal income in general) vis-à-vis spending on social programmes.
That differences in health outcomes exist between groups is unsurprising and, in some cases, seems subject to ‘natural law’. Such ‘common sense’, arguably unavoidable differences are termed ‘health disparities’ – a term usually understood to be value-neutral. By contrast, more complex differences in health outcomes which seem to derive from differences in opportunities or systemic bias are deemed ‘unfair’ and are referred to as ‘health inequalities’ or ‘health inequities’.
This chapter delves further into how we describe health inequalities and different measures and data that illustrate these differences. Causes and mechanisms of inequality are explored, followed by examples of inequality across groups with certain population characteristics, including ethnicity; gender, sexual orientation and gender identity; disability; and socially excluded groups. Finally, approaches and strategies for reducing health inequalities are presented, with potential actions described at the micro-, meso- and macro-levels.