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Health group alarmed as cigs and alcoholic drinks remain accessible

According to NEDA’s illustration of the family budget allocation, P93 may be spent on tobacco products while P65 may be spent on alcoholic beverages.

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HealthJustice Philippines, a public health think tank with legal expertise in tobacco control and health promotion, expressed alarm over the inclusion of tobacco consumption in the hypothetical monthly budget of the typical Filipino family used by the National Economic Development Authority (NEDA) in assessing the effects of an inflation rate of 4.6 per cent on Filipino families.

A press briefing on the NEDA report was held last June 5. In an interview on Dobol B sa News TV, a program of GMA Network, NEDA Undersecretary Rosemarie Edillon clarified that the P10,000 monthly budget was only a “hypothetical figure” that shows how a family with five members may allocate the money. 

NEDA has been getting flak for allegedly claiming that P10,000 is enough to sustain the needs of a family of five.

“Ang sinasabi namin kung P10,000 ang budget mo paano kaya ito ina-apportion to certain commodity items […]  Wala kaming sinasabi na ‘yun ‘yung disente na kailangan,” Edillon said.

“Although it has been clarified by NEDA that it is not recommending the consumption of  alcohol and tobacco products, what is at once apparent in the fact that such hypothetical figure has been arrived at is that some families may still be inclined to devote a considerable amount of money for cigarettes and alcoholic drinks, instead of allocating it for food, education, shelter, and other basic necessities,” said Mary Ann Fernandez Mendoza, President of HealthJustice.

According to NEDA’s illustration of the family budget allocation, P93 may be spent on tobacco products while P65 may be spent on alcoholic beverages.

“The figures used by NEDA, namely P93 for cigarettes and P65 for alcoholic drinks, pinpoint to an observation by the country’s economic development authority that even the poorest of families can still afford to spend on vices,” Fernandez Mendoza pointed out.

HealthJustice has been vocal about its support for the increase of taxes on tobacco and alcohol for the protection of public health.

“We reiterate our call for the increase of excise taxes on tobacco products and alcoholic drinks. These taxes are primarily health measures aimed at discouraging consumption of unhealthy products by making such products more expensive and thereby less accessible. We call on our legislators to increase excise taxes on tobacco products and alcoholic beverages to protect the health of Filipino families,” Fernandez Mendoza asserted.

240 Filipinos die every day due to smoking-related diseases.

According to a July 2014 report by Euromonitor, Filipinos are the third heaviest drinkers in the world. 

HealthJustice Philippines is Bloomberg Awardee for Global Tobacco Control. It is a member of the NCD Alliance, an international network of experts, advocates and organizations working to decrease the burden of non-communicable diseases worldwide.

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Happiness really does come for free

Majority of people reported remarkably high levels of happiness. This was especially true in the communities with the lowest levels of monetization, where citizens reported a degree of happiness comparable to that found in Scandinavian countries which typically rate highest in the world.

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Photo by Lidya Nada from Unsplash.com

Economic growth is often prescribed as a sure way of increasing the well-being of people in low-income countries, but a study led by McGill and the Institute of Environmental Sciences and Technologies at the Universitat Autònoma de Barcelona (ICTA-UAB) suggests that there may be good reason to question this assumption.

The researchers set out to find out how people rate their subjective well-being in societies where money plays a minimal role, and which are not usually included in global happiness surveys. They found that the majority of people reported remarkably high levels of happiness. This was especially true in the communities with the lowest levels of monetization, where citizens reported a degree of happiness comparable to that found in Scandinavian countries which typically rate highest in the world.

The results suggest that high levels of subjective well-being can be achieved with minimal monetization, challenging the perception that economic growth will automatically raise life satisfaction among low-income populations.

Measuring happiness

To explore how monetization affects people’s sense of well-being, the researchers spent time in several small fishing communities, with varying degrees of monetization, in the Solomon Islands and Bangladesh, two very low-income countries. Over a period of a few months, with the help of local translators, they interviewed citizens in both rural and urban areas a number of times. The interviews, which took place both in person and through phone calls at unexpected moments, were designed to elicit information about what constituted happiness for the study subjects, as well as to get a sense of their passing moods, their lifestyle, fishing activities, household income, and level of market integration.

In all, the researchers interviewed 678 people, ranging in age between their mid-twenties and early fifties, with an average age of about 37. Almost 85 % of the study participants were male. The disproportionate number of men in the study was due to the fact that cultural norms in Bangladesh made it difficult to interview women. In the Solomon Islands, responses to the study questions from men and women were not significantly different. However, this is not necessarily applicable to the situation in Bangladesh, as men and women’s social realities and lifestyles differ so much. Further research will need to address whether gender-related societal norms impact the association found in this study.

Early stages of monetization may be detrimental to happiness

The researchers found that in the communities where money was in greater use, such as in urban Bangladesh, residents reported lower levels of happiness.

“Our study hints at possible ways of achieving happiness that are unrelated to high incomes and material wealth,” says Eric Galbraith, a professor in McGill’s Department of Earth and Planetary Sciences and the senior author on the study, which was recently published in PLOS One. “This is important, because if we replicate these results elsewhere and can pinpoint the factors that contribute to subjective well-being, it may help us circumvent some of the environmental costs associated with achieving social well-being in the least developed nations.”

“In less monetized sites, we found that people reported a greater proportion of time spent with family and contact with nature as being responsible for making them happy,” explains Sara Miñarro, the lead author on the study who is a Postdoctoral Research Fellow at (ICTA-UAB). “But with increasing monetization, we found that the social and economic factors commonly recognized in industrialized countries played a bigger role. Overall, our findings suggest that monetization, especially in its early stages, may actually be detrimental to happiness.”

Interestingly, while other research has found that technology and access to information from faraway cultures with different lifestyles may affect people’s sense of their own well-being by offering standards to which people compare their own lives, this did not appear to be the case in these communities.

“Happy without money: Minimally monetized societies can exhibit high subjective well-being” by Sara Miñarro, et al was published in PLOS One.

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NewsMakers

Picture books can boost physical activity for youth with autism

There are numerous health benefits of exercise, such as pumping blood in your body, better sleep and reduced risk of obesity. Also, if we can get kids with autism more physically engaged, they are more likely to run around and play with their peers, so there are other aspects of their life we can improve as well.

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Photo by Lina Kivaka from Pexels.com

While physical activity is important for everyone, research has shown people with developmental disabilities do not exercise as often as their typically developed peers. In an effort to close this disparity, a researcher at the University of Missouri recently created fitness picture books that help youth with autism exercise more frequently while offering low-income families a simple resource for workout motivation when outdoor fitness equipment might not be accessible.

“There is so much research geared toward helping individuals with autism improve their academic performance, social skills and communication skills, but we also need to remember how important physical activity is for living a healthy lifestyle,” said Lorraine Becerra, an assistant teaching professor at the MU College of Education. “There are numerous health benefits of exercise, such as pumping blood in your body, better sleep and reduced risk of obesity. Also, if we can get kids with autism more physically engaged, they are more likely to run around and play with their peers, so there are other aspects of their life we can improve as well.”

Becerra is also a behavior analyst at the Thompson Center for Autism and Neurodevelopmental Disorders. Since some of her former clients with autism had body mass indexes that had risen to unhealthy levels due to excessive sedentary behavior, their caregivers asked Becerra to develop creative ways to encourage their children to exercise more.

So, in a recent research study, Becerra created fitness picture books that contained step-by-step images of various exercises, such as jumping jacks, bear crawls and lunges. The picture books were successfully utilized to increase the amount of time the individuals with autism engaged in physical activity.

Having previously worked in low-income school districts with limited financial resources, Becerra understands the need to find cost-efficient methods to help kids with autism exercise more frequently.

“It’s important to remember that some schools might not have a jungle gym or many age-appropriate resources for kids to play with,” Becerra said. “The great thing about the picture books is they provide simple, engaging exercises that can be done in a wide variety of settings, like a school playground, backyard or even an empty field at a park. It is also a quick and easy way for caregivers or teachers to provide organized structure during flexible free time, such as during recess.”

With recent advancements in technology and entertainment, youth are increasingly spending more of their time sitting in front of televisions, tablets and personal electronic devices. Becerra is passionate about reminding youth — particularly individuals on the autism spectrum — about the importance of scheduling time for physical activity.

“These lifelong habits start when you are young,” Becerra said. “Making time to run around and establish those exercise routines early in life will help youth maintain those habits in their adolescent and adult years.”

“The effect of photographic activity schedules on moderate-to-vigorous physical activity in children with autism spectrum disorder” was recently published in the Journal of Applied Behavior Analysis.

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Taking the fear out of driver education

Educational programs often use fear-based messaging and films of crash scenes to reduce risky driving behavior among young people. But does this “scary” approach work?

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Photo by Laura Gariglio from Unsplash.com

New drivers between the ages of 15 and 25 account for nearly half of the more than one million road deaths that occur worldwide each year, according to the World Health Organization. Educational programs often use fear-based messaging and films of crash scenes to reduce risky driving behavior among young people. But does this “scary” approach work?

A new study published in the journal Risk Analysis suggests that fear-based messaging fails to reduce risky driving behavior, while fear-based Virtual Reality (VR) films depicting a violent collision may actually lead young drivers to take more chances behind the wheel.

A team of psychologists led by University of Antwerp researcher Clara Alida Cutello, PhD, conducted a study of 146 students who had been legally driving for less than five years. The researchers examined the impact of both content (fear vs. positive) and delivery mode (2D vs. VR) of driver safety intervention programs.

Fear-based driver ed films often show terrible crash scenes in graphic detail. The assumption behind this approach is that arousing a sense of fear by depicting a serious consequence such as death will persuade young people to drive more carefully. Positively framed films take the opposite approach, using humor and empathy and modeling safe driving behaviors that result in positive consequences.

Three tests were used to gauge the risk-taking behavior of the young drivers before and after participating in the intervention program. One was a Driver Behavior Questionnaire. The other was the Vienna Risk-Taking Test on traffic, which asks participants to watch video clips of driving situations from the point of view of the driver and choose whether they view a situation as too risky. For example, choosing whether to pass another car in icy conditions. A third test was a 21-item Emotional Arousal Scale that measured the level of emotional arousal (such as feeling afraid) after watching a film.

The results showed that participants who viewed the fear-based VR film reported riskier driving behaviors afterward, while those who viewed a positively framed VR film exhibited the greatest reduction in risky driving behavior. This finding supports other research that has shown that exposing participants to an extreme and graphic collision tends to activate defensive mechanisms, such as paying attention for a shorter time, disengaging, rejecting a message, and an increase in risky behaviors.

“Fear appeals have been used in many health and environmental campaigns, such as smoking, anti-drug, safe sex, and HIV prevention campaigns,” says Dr. Cutello. “Further experimental research is needed to determine whether the use of fear is effective.”

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