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The rapid increase in waste generation in developing countries presents significant challenges, necessitating effective waste management strategies. This study examines the influence of individual, household and institutional factors on waste sorting behaviours in Ecuador, employing an ordered logistic regression model. Data were sourced from the 2019 National Multipurpose Household Survey (NMHS) and the Census of Economic Environmental Information in Decentralised Autonomous Governments (CEEIGAD). The NMHS uses a two-stage probabilistic sampling methodology, with census sectors as the primary sampling units and households as the secondary units. After excluding outliers and selecting individuals aged 15-65 years, the final sample consisted of 8601 households, including 26,175 individuals. The findings reveal that personal attributes such as gender, ethnicity, age, marital status and environmental concern significantly influence waste sorting behaviours. Household characteristics, including urban or rural location, are also critical. Institutional factors, such as municipal regulations, waste collection fees and waste separation at source, play essential roles in promoting waste separation. The study highlights the necessity for targeted governmental policies. Recommendations include improving environmental education, increasing sorting infrastructure in urban areas and ensuring waste collection systems maintain the separation of waste streams.

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Despite the efforts made to promote consumption, some countries are not increasing their fruit and vegetable intake, while household structures are undergoing relevant changes. Fruit and vegetable consumption is necessary but not sufficient for a healthy diet. Previous research has linked adequate fruit and vegetable consumption to a lower risk of cardiovascular diseases, type 2 diabetes, and some mental health conditions. Furthermore, millions of deaths are reported annually worldwide due to diets low in fruit and vegetables, highlighting their critical public health importance. This study aims to separately analyze the purchases of fruit and vegetables in single-person households. We used three waves of the Family Budget Survey, Encuesta de Presupuestos Familiares, in Chile, which is nationally representative of urban areas and includes over 10,000 households in each wave. We employed descriptive statistics to examine the characteristics of the head of household and the food shopper as well as the structure, composition, and overall characteristics of households. Additionally, we performed separate analyses for fruit and vegetable purchases, using these variables to determine the marginal effect on the probability of purchasing fruit or vegetables through probit models. Results show that, from 2011-2012 to 2021-2022, the share of households not purchasing fruit and vegetables increased from 5.0% to 8.4% and that, in single-person households, it rose from 11.2% to 19.1%. Male-headed, single-person households with low education and income were more likely not to purchase fruit, and these households also have decreasing vegetable purchases. Additionally, household income significantly impacts fruit purchases but does not significantly affect vegetable purchases. Our findings highlight the importance of considering single-person households as a target population segment for future public policies to promote fruit and vegetable consumption.

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OBJECTIVE: This study aimed to analyze the changes in the health expenditure of households in Mexico during the COVID-19 pandemic to approximate changes in healthcare that can lead to difficulties in detecting noncommunicable diseases, among others. METHODS: We compare health spending before and after the pandemic through various estimators using multivariate linear regression models at the household level. We also explore heterogeneous effects by zone, sex, and household composition by age. We explore potential mechanisms of change estimating probit models of healthcare. We use microdata from the National Health and Nutrition Survey 2018 and COVID-19. RESULTS: The results suggest a significant reduction in health spending, mainly referring to oral health, clinical analysis, and medical studies. Moreover, differences arise by type of area and household age profile. Changes are more significant among families with children younger than 12 years and households situated in urban areas. Regarding the mechanisms, the results suggest that the lower spending is not due to fewer health needs but rather due to less healthcare attention. CONCLUSION: The COVID-19 pandemic had a significant and heterogeneous impact on household health spending. This lower spending could lead to less detection of noncommunicable diseases, translating into more pressure on the health system in the medium and long term.

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Resumen El objetivo de este artículo es reconstruir el contexto socioeconómico y las políticas públicas en torno a los hogares costarricenses durante los siglos XX y XXI, por medio de fuentes primarias y secundarias: leyes, planes nacionales de desarrollo y documentos bibliográficos. Para ello, se hizo la lectura detenida de los distintos documentos, identificando el uso de las palabras clave hogar, hogares, familia, familias y jefaturas de hogar, en su contexto y relación con el texto. Los cambios en el modelo económico, en la forma y en los objetivos del Estado acarrearon un proceso de empobrecimiento. Durante la década de 1990 dicho empobrecimiento trató de contrarrestarse con reformas a los componentes macroesenciales del país, por ejemplo, la reforma del sector salud; mientras tanto, los hogares desarrollaron estrategias para sobrevivir, entre ellas, la deserción del sistema educativo, sobre todo, de la secundaria. Las políticas públicas, desde un enfoque demográfico, evidencian el interés por estudiar los cambios en la fecundidad y los distintos aspectos relacionados. Las leyes analizadas muestran la búsqueda por ayudar a los hogares más pobres; no obstante, supusieron una visión parcializada sobre su resguardo, al ser a los miembros considerados más vulnerables: personas infantes, adolescentes y mujeres, a quienes se intentaba proteger. En los planes nacionales de desarrollo, la preocupación giraba en torno a los hogares en pobreza, con jefaturas femeninas y de zonas rurales del país.

Abstract This article aims to reconstruct the socioeconomic context and public policies around Costa Rican households during the 20th and 21st centuries through primary and secondary sources: laws, national development plans, and bibliographic documents. For this, the different documents were carefully read, identifying the use of the keywords home, homes, family, families, and household heads, in their context and relationship with the text. The change in the economic model, in the form and objectives of the State, implied a process of impoverishment. During the 1990s, this impoverishment tried to be counteracted through reforms to the essential macro components of the country, for example, the health sector reform, while households developed strategies to survive, one of them being the desertion of the educational system, especially from high school. Public policies, from actions with a demographic approach, show interest in studying changes in fertility and the various related aspects. The laws analyzed show the search to help the poorest households; However, they implied a biased view of their protection, as the members were considered the most vulnerable: infants, adolescents, and women, who sought to be protected. In the national development plans, the concern revolved around households in poverty, headed by women and in rural areas of the country.

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The 2020 coronavirus pandemic has involved a series of political and social measures that have been adapted to the spread of the disease. Apart from the severe effects on health sector, the most effects of the pandemic have been felt in households and day-to-day life. Consequently, COVID-19 has had a significant impact on the generation of not only medical and health care waste but also of municipal solid waste production and composition. In this context, this work studied the implications of COVID-19 for municipal solid waste generation in Granada, Spain. Granada is a city where the economy is based mainly on the services sector, tourism and the University. Therefore, the impact of COVID-19 pandemic has greatly affected the city and it can be analyzed through the municipal solid waste generation. For the study of the incidence of COVID-19 in the generation of waste a period that goes from March 2019 to February 2021 has been chosen. The results show that, in the global calculation, a decrease in the generation of waste in the city is observed in this last year, reaching - 13.8%. Regarding the organic-rest fraction, the decrease in the COVID year represents - 11.7%. However, bulky waste has shown an increase in the COVID year which may be related to higher home furnishings renovation rates than in other years. Finally, glass is the waste flow that best indicates the effect of COVID in the service sector. In leisure areas, a significant reduction in the collection of glass is observed (- 45%). Supplementary Information: The online version contains supplementary material available at 10.1007/s10163-023-01671-2.

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Background: The retail food environment in Mexico is characterized by the co-existence of both, formal and informal food outlets. Yet, the contribution of these outlets to food purchases over time has not been documented. Understanding the longitudinal trends where Mexican households purchase their foods is critical for the development of future food retail policies. Methods: We used data from Mexico's National Income and Expenditure Survey from 1994 to 2020. We categorized food outlets as formal (supermarkets, chain convenience stores, restaurants), informal (street markets, street vendors, acquaintances), and mixed (fiscally regulated or not. i.e., small neighborhood stores, specialty stores, public markets). We calculated the proportion of food and beverage purchases by food outlet for each survey for the overall sample and stratified by education level and urbanicity. Results: In 1994, the highest proportion of food purchases was from mixed outlets, represented by specialty and small neighborhood stores (53.7%), and public markets (15.9%), followed by informal outlets (street vendors and street markets) with 12.3%, and formal outlets from which supermarkets accounted for 9.6%. Over time, specialty and small neighborhood stores increased 4.7 percentage points (p.p.), while public markets decreased 7.5 p.p. Street vendors and street markets decreased 1.6 p.p., and increased 0.5 p.p. for supermarkets. Convenience stores contributed 0.5% at baseline and increased to 1.3% by 2020. Purchases at specialty stores mostly increased in higher socioeconomic levels (13.2 p.p.) and metropolitan cities (8.7 p.p.) while public markets decreased the most in rural households and lower socioeconomic levels (6.0 p.p. & 5.3 p.p.). Supermarkets and chain convenience stores increased the most in rural localities and small cities. Conclusion: In conclusion, we observed an increase in food purchases from the formal sector, nonetheless, the mixed sector remains the predominant food source in Mexico, especially small-neighborhood stores. This is concerning, since these outlets are mostly supplied by food industries. Further, the decrease in purchases from public markets could imply a reduction in the consumption of fresh produce. In order to develop retail food environment policies in Mexico, the historical and predominant role of the mixed sector in food purchases needs to be acknowledged.

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BACKGROUND: Previous representative health surveys conducted in Chile evidenced a high obesity prevalence rate among adults, especially in female and urban areas. Nevertheless, these have limited utility for targeted interventions and local source allocation for prevention. This study analyzes the increments in obesity prevalence rates in populations ≥15 years of age and the geographic variation at the regional level. We also assessed whether the obesity rates have different patterns on a smaller geographic level than national and regional ones. METHODS: This ecological study analyzed data from two representative national samples of adolescents and adults ≥15 years old, who participated in the last Chilean health surveys, 2009 (n = 5412) and 2016 (n = 6233). Obesity (body mass index≥30 kg/m2) rates were calculated on the national, regional, and Health service (HS) levels, being HS the smallest unit of analysis available. Obesity rates and relative increase to early identify target populations and geographic areas, with 95% confidence intervals (95% CI), were calculated using the sampling design of the national surveys, at the national and regional level, and by gender, age groups, and socioeconomic status. The Fay-Herriot (FH) models, using auxiliary data, were fitted for obesity rate estimates at the HS level. RESULTS: The relative increase in obesity rate was 37.1% (95%CI 23.3-52.9) at the national level, with a heterogeneous geographic distribution at the regional one. Southern regions had the highest obesity rates in both surveys (Aysén: 35.2, 95%CI 26.9-43.5 in 2009, 44.3 95%CI 37-51.7 in 2016), but higher increases were predominantly in the northern and central areas of the country (relative increase 91.1 95%CI 39.6-110.1 in Valparaiso and 81.6 95%CI 14.4-196.2 in Tarapacá). Obesity rates were higher in females, older age, and lower socioeconomic groups; nevertheless, relative increases were higher in the opposite ones. The FH estimates showed an obesity rates variation at the HS level, where higher rates tend to converge to specific HS areas of each region. CONCLUSION: Obesity rates and relative increase are diverse across subnational levels and substantially differ from the national estimates, highlighting a pattern that converges to areas with low-middle income households. Our results emphasize geographical disparities in obesity prevalence among adults and adolescents.

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Climate change's direct and indirect effects on marine ecosystems and coastal areas mainly impact small-scale fishers, especially in developing countries, which present extreme poverty and high dependency on marine ecosystems as a source of food and sustenance for households. Understanding the vulnerability of fishing households and considering the associated socio-economic-political complexities is essential for preserving their livelihoods and maintaining their well-being. This study proposes a measure of economic vulnerability based on the capacity of fishing households in Tumaco, located on the southern Pacific coast of Colombia, to diversify their livelihoods. Different statistical procedures have been conducted to identify the most relevant strategies in reducing the economic vulnerability of households. The results indicate that reducing the vulnerability of fishing households depends on adaptation strategies such as occupational mobility, some elements of social capital, and reduced dependence on the fisheries resource. This study could constitute an input for creating public policy that guides efforts to achieve strategies for the generation of other livelihoods and the sustainability of fishing households that continue to choose fishing as their main economic activity.

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This paper proposes a strategy to measure economic insecurity in countries in the Global South. It builds a 'Multidimensional Economic Insecurity Index' (MEII) that combines four indicators of economic vulnerability that cause stress and anxiety: unexpected economic shocks, unprotected employment or non-workers in the household, over-indebtedness and asset poverty. The index offers a measure that directly relates economic uncertainty to stress and anxiety due to the lack of protection and buffers to face an unexpected economic shock. The MEII is applied to Chile using Survey of Household Finances (SHF) cross-sectional data (2007, 2011, 2014 and 2017). The results show that (i) about half of the Chilean households experienced, on average, two or more economic vulnerabilities during the last decade with an intensity of 2.3 vulnerabilities, and (ii) economic insecurity affects households on the entire income distribution, even in the highest income deciles groups. By identifying the groups of households most affected by economic insecurity and its trend in recent years, applying the MEII in countries such as Chile provides relevant information to monitor, evaluate and improve social safety nets besides labour market regulations.

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The COVID-19 quarantine in Mexico has meant that household members spend more time inside the home, increasing the demand for direct and indirect care by minors, the elderly, chronically ill and disabled. This forced a reconfiguration of the provision of these services by household members. The aim of the document is twofold: first, to describe socioeconomic and demographic aspects of Mexican households around care activities during the quarantine and second, to estimate the determinants of the provision of care in the quarantine. The information was obtained from the Survey of Care and COVID-19 in Mexican Homes during Quarantine (SCCMHQ). The propensity score-matching technique is used as a quasi-experimental procedure to estimate the causal effects of a treatment variable (presence of minors, elderly, chronically ill, disability, or domestic service in the home) in Mexican households. The Probit model shows that age and economic dependency are determinants of caregiving for treatment groups with minors, disability and chronic disease. In addition, sex, home income, and current employment situation are significant for treatment groups with a disability, paid domestic work, and minors, respectively. A positive "net" effect of the treatment variables in the probability of care provision was also observed. Particularly, the existence of minors at home was highly effective to promote direct and indirect care. The confinement solution is characterized by a balance between genders, except in the case of households with disabilities. This shows that a cultural and functional change is possible in the distribution of care responsibilities, which can be consolidated through public policies.

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BACKGROUND: Breastfeeding offers the best nutrition during the first months of life. Scholars have identified a dose-response association between breastfeeding duration and reduced risk for child morbidity and mortality. In upper-middle-income countries, including Mexico, maternal employment has been negatively associated with breastfeeding duration. Despite increasing numbers of women entering the workforce and disproportionately participating in the informal sector, where they are un-entitled to paid maternity leave, little is known about how these factors may affect breastfeeding practices. RESEARCH AIM: To determine whether household income moderated the association between maternal employment status (defined as unemployed, formal, and informal full- and part-time employed) and any breastfeeding for ≥ 6 months. METHODS: We conducted a cross-sectional study using retrospective secondary data from the 2018-2019 Mexican Health and Nutrition Survey. The analytic sample included data about 2,156 children aged 6-36 months. We computed logistic regression models stratified by household income. RESULTS: The association between maternal employment and breastfeeding duration varied by household income. Compared to unemployed women, among lower-income households, children were less likely to be breastfed for ≥ 6 months when the participants was part-time informally employed (AOR = 0.30, 95% CI [0.13, 0.69]). Among higher-income households, children were less likely to be breastfed for ≥ 6 months when the participants was full-time formally employed (AOR = 0.52, 95% CI [0.30, 0.88]). CONCLUSIONS: To increase breastfeeding duration, stakeholders need to continue strengthening and enforcing policies among formally employed women, and strategies are urgently needed to support women in the informal sector, particularly those in lower-income households.

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OBJECTIVE: To estimate the effects of the social inclusion programme PROSPERA on food insecurity (FI) in Mexican households during 2012 and 2016. DESIGN: Quasi-experimental study using cross-sectional data from 2012 to 2016 National Household Income and Expenditure Survey - Socioeconomic Conditions Module (in Spanish, ENIGH-MCS). SETTING: Data were used from a 2012 sample of 56 888 Mexican households (representative of 31 206 819 households) and a 2016 sample of 70 263 Mexican households (representative of 33 445 353 households). Severity of FI was estimated with the Mexican Food Security Scale (in Spanish, EMSA). The statistical analysis estimated a differences in differences (DD) model weighted by propensity score to compare program beneficiary and non-beneficiary households in 2012 than in 2016. We estimated the effect on households with and without children (< 18 years of age). We also compared this model to a DD model without propensity score weighting. PARTICIPANTS: Mexican households. RESULTS: FI among all beneficiary households decreased 8·0pp as compared to non-beneficiary households over the study period. In beneficiary households with children, this decrease was 6·0pp and for beneficiary households without children, this decrease was 12·9pp (for all, P-value < 0·001). CONCLUSIONS: The PROSPERA program had a positive effect on FI reduction at the household level through increasing food access, which usually improves nutritional outcomes in vulnerable Mexican populations.

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Chile was severely hit by the COVID-19 pandemic. The implementation of social distancing measures strongly affected the Chilean economy: the unemployment rate grew rapidly as well as the proportion of population temporarily excluded from the labour force. This article analyses the strategies deployed by Chilean households to cope with the impact of the pandemic at the intersection with household structure and its socio-economics characteristics. Secondary data analysis from the Encuesta Social COVID-19 (COVID-19 Social Survey), carried out by the Chilean Ministry for Social Development and Families, were used to analyse the income-generating and expenditure-minimising strategies adopted by households during the early months (March to July of 2020) of the pandemic. The results show that 60.3% of households experienced a drop in family income, 70.3% indicated that they had to use at least one income-generating strategy, and 76.6% at least one expenditure-minimising strategy during the early months of the pandemic. Indebtedness and decapitalisation characterised most of the coping strategies adopted by households. While living in multigenerational households does not protect family members from declining economic well-being, older people living in one- and two-generation households were found to be least affected economically during the crisis. They were also less likely to resort to these coping strategies, insofar as their income was mainly secured from pensions. Although female-headed households did not show a greater reduction in income than male-headed households, they were more likely to adopt income-generating strategies. This article draws attention to the possible effects of decapitalisation and indebtedness on the long-term economic well-being of households with different structures, and the resulting inequalities in their capacity to recover from the effects of the pandemic. The findings suggest that having a source of family income that is not dependent on labour market flows is crucial in times of crises.

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Studies of inequalities in child health have given limited attention to household structure and headship. The few existing reports on child outcomes in male and female-headed households have produced inconsistent results. The aim of our analyses was to provide a global view of the influence of sex of the household head on child health in cross-sectional surveys from up to 95 LMICs. Studied outcomes were full immunization coverage in children aged 12-23 months and stunting prevalence in under-five children. We analyzed the most recent nationally-representative surveys for each country (since 2010) with available data. After initial exploratory analyses, we focused on three types of households: a) male-headed household (MHH) comprised 73.1% of all households in the pooled analyses; b) female Headed Household (FHH) with at least one adult male represented 9.8% of households; and c) FHH without an adult male accounted for 15.0% of households. Our analyses also included the following covariates: wealth index, education of the child's mother and urban/rural residence. Meta-analytic approaches were used to calculate pooled effects across the countries with MHH as the reference category. Regarding full immunization, the pooled prevalence ratio for FHH (any male) was 0.99 (0.97; 1.01) and that for FHH (no male) was 0.99 (0.97; 1.02). For stunting prevalence, the pooled prevalence ratio for FHH (any male) was 1.00 (0.98; 1.02) and for FHH (no male) was 1.00 (0.98; 1.02). Adjustment for covariates did not lead to any noteworthy change in the results. No particular patterns were found among different world regions. A few countries presented significant inequalities with different directions of association, indicating the diversity of FHH and how complex the meaning and measurement of household headship may be. Further research is warranted to understand context, examine mediating factors, and exploring alternative definitions of household headship in countries with some association.

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Following the 2020 confinement due to the COVID-19 pandemic, housing has become the only safe place and this has exposed inequity in habitability. This research on the reality of confined households and the perception of their homes in the Mexican republic is based on a mixed participatory study, combining quantitative and qualitative approaches. The online questionnaire consisted of 58 questions in the quantitative approximation. The qualitative part required the provision of an image of the workspace, with testimonies and personal reflections. During the lockdown, all participants saw an increase in overall energy consumption; more than half reported not being in thermal comfort; and a third declared deficiencies in noise insulation. Regarding the perception of the telework/tele-study space, we found the following categories: bedrooms, living/dining rooms, studies and others. In addition, respondents had often adapted the workspace for both individual and shared use. In general, the households were satisfied with the size of their houses but would like landscaped spaces or better views outside. Confinement made housing the protective element against the pandemic. The consequences will have an effect globally, so new architectural design paradigms need to be rethought.

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This article examines the short-term effects of the COVID-19 lockdown on food security and nutrition in rural Guatemala. We rely on a comprehensive panel dataset of 1,824 small agricultural households collected over two survey rounds, on November-December 2019 and May-June 2020. We place special emphasis on changes in agricultural and nonagricultural income sources, including remittances, and changes in dietary diversity, including consumption of animal source foods (ASF) and fruits and vegetables (F&V). We find that COVID-19 affected the incomes, food security, and dietary patterns of households, with a decrease in ASF diversity and an increase in F&V diversity, and an overall net decrease in dietary diversity across all food groups. Dietary diversity among women in reproductive age, however, remained unchanged, and increased among children under 2 years old. Interestingly, households with relatively higher incomes appear to have reduced their dietary diversity to a larger extent than lower income ones, as well as households located in communities with more severe access restrictions. The focus of the study in a region with a high prevalence of poverty and chronic malnutrition provides an important perspective into the consequences of the lockdown in complex rural contexts with vulnerable populations and contributes to inform eventual recovery measures.

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We provide an analytical contrast of the dynamics of secondary forest regeneration in Nepal and Peru framed by a set of common themes: land access, boundaries, territories, and rights, seemingly more secure in Nepal than Peru; processes of agrarian change and their consequences for forest-agriculture interactions and the role of secondary forest in the landscape, more marked in Peru, where San Martín is experiencing apparent agricultural intensification, than in Nepal; and finally processes of social differentiation that have consequences for different social groups, livelihood construction and their engagement with trees, common to both countries. These themes address the broader issue of the necessary conditions for secondary forest regeneration and the extent to which the rights and livelihood benefits of those actively managing it are secured.

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En 2008 México enfrentó una crisis alimentaria que impactó la adquisición de comestibles, ocho años después se acentuó la tendencia de los alimentos, que son más energéticos y menos nutritivos, ocasionando problemas en la salud de la población. Objetivo: Identificar la adquisición de alimentos y su equivalente en calorías en el 2008 y 2016 en hogares rurales y urbanos del sureste de México. Material y métodos: se realizó un estudio de tipo transversal, retrospectivo y comparativo de dos muestras independientes a partir de bases de datos de las Encuestas Nacionales de Ingreso Gasto en Hogares en México de 2008 y 2016. Se trabajó con un total de 5.840 hogares de los cuales, 3.522 fueron urbanos y 2.318 rurales. Las variables consideradas fueron: encuestas, tipos de hogares y adquisición de alimentos equivalentes en calorías. Para el análisis estadístico se utilizó la prueba paramétrica t de Student para muestras independientes, medias, desviación estándar y homogeneidad de varianzas, se tomó como significativo una p < ,05 Resultados: los alimentos de mayor adquisición calórica en ambos años y hogares fueron, cereales y productos de origen animal y los menos, verduras y frutas (p < ,001). Los hogares rurales, incrementaron significativamente (p < ,001) los cereales para el 2016, así como en los urbanos, disminuyó en aceites y carnes procesadas (p < ,001). Conclusión: después de la crisis alimentaria del 2008 se observaron cambios alimentarios en hogares rurales, atribuyéndosele más a la transición alimentaria que a la crisis, las familias adquirieron nuevos hábitos alimentarios(AU)

In 2008 México faced a food crisis that impacted the acquisition of groceries, eight years later the trend of foods, which are more energetic and less nutritious, was accentuated, causing problems in the health of the population. Objective: Identify food acquisition and its calorie equivalent in 2008 and 2016 in rural and urban households in southeastern México. Material and methods: A cross-sectional, retrospective and comparative study of two independent samples was conducted from databases of the National Household Spending and Income Surveys in Mexico in 2008 and 2016. A total of 5,840 households were worked on, of which 3,522 were urban and 2,318 rural. The variables considered were: surveys, types of households and acquisition of calorie-equivalent foods. For statistical analysis, Student's t parametric test was used for independent samples, mean, standard deviation and variance homogeneity, a p < ,05 was taken as significant. Results: The foods with the highest caloric acquisition in both years and households were cereals and products of animal origin and the least vegetables and fruits (p < ,001). Rural households significantly increased cereals for 2016 (p < ,001), as well as in urban households, decreased in oils and processed meats (p< ,001). Conclusion: After the 2008 food crisis, dietary changes were observed in rural households, with more attributed to the food transition than to the crisis, families acquired new eating habits(AU)

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The outbreak of COVI-19 and the restrictive measures on the mobility of people in Brazil have raised serious concerns about the survival and recovery of passenger transport companies, especially those that generate public agglomerations. There are some policy proposals that aim to recover this set of sectors in the face of the adverse effects of the COVID-19 outbreak. This study contributes to this debate in course and analyzes the economic effects of two scenarios of recovery for this type of transport services in the Brazilian economy up to the end of 2022: (i) one with a 50% recovery until the end of 2021 and (ii) another with a 50% sectorial recovery until June 2022. This distinction allows us to assess the impact of the speed of recovery. In both scenarios, we also consider likely changes in the labor market, family preferences, and government spending. To accomplish this task, we developed a dynamic computable general equilibrium model that recognizes a Social Accounting Matrix (SAM) and has details of the transport sectors. The main findings suggest that the drop in these transport services is the main contributing factor to the decline in the Brazilian GDP growth (-2.2%) in the period of social distance measures. However, faster recovery of these sectors can generate a marginal effect of 0.5 percentage points on GDP at the end of 2021. In the recovery period, due to the redistributive effects of income, the family demand for public transport is expected to grow post- COVID-19 outbreak, while the demand for private transport is reduced, especially in the basket of goods of the poorest households. Vehicle, bus, and aircraft manufacture seems sensitive to the recovery time of the demand for transport services with public agglomerations.

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Objective: Parents play an integral role in young adults' sexual health including human papillomavirus (HPV) vaccine decision-making. The objective of this study was to explore conversations regarding sexual activity in Haitian households and the influence of such conversations on young Haitian women's HPV vaccine discussion with their parents.Methods: From a large university in the southeastern United States, 30 Haitian-American college women (ages 17-26) were recruited for semi-structured in-depth interviews. The interviews were recorded and transcribed verbatim. Interview transcripts were analyzed using thematic analysis.Results: Most participants stated that they either did not have conversations regarding sexual activity or the conversations that they had were described as 'uncomfortable' or 'awkward'. Many participants stated that once parents knew that HPV is sexually transmitted, their discussions about the vaccine would be considered an announcement of their sexual debut or sexual activity. Hence, many decided to not discuss the HPV vaccine with their parents.Conclusion: Findings have important implications for HPV vaccine uptake. Results showed that a lack of conversations about sexual activity within Haitian households led to limited discussions about the HPV vaccine among young Haitian-American college women and their parents. Future HPV vaccine uptake efforts should integrate familial and cultural beliefs about female sexuality, while focusing on cervical cancer prevention.

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