But the point shouldn't be to rank countries on a linear scale of "poverty". The point should be to identify the markers of poverty (like we have done: infant mortality, child malnourishment, illiteracy, shortened life expectancy) and explore 1) to what extent these problems affect the whole society and not only who sufferes from them; 2) what the society at large can or should do about it. guaranteed to evoke a violent reaction from police is to challenge their right to "define the situation." --- David Graeber citing Marc Cooper
I am serious. Is drug use a cause, or a consequence, of poverty, or is it neither? Drug abuse does not need to be a societal problem, but it becomes one when a whole community is touched by it, and with the violent crime associated with illegal drug trafficking. But again, what are the causal relationships?
And now, going back to dark humour, isn't it the case that the CIA financed itself in the 1970's by getting involved in drug dealing in America's inner cities? guaranteed to evoke a violent reaction from police is to challenge their right to "define the situation." --- David Graeber citing Marc Cooper
And I don't know about the 1970s situation, but the CIA and our own government were complicit in allowing drugs into the country during Iran-contra during the 80s. Award winning investigative journalist Gary Webb documented some of this again in 1996 for the San Jose Mercury News which debuted it with an interactive website which was soon taken down.
Narco News has put the site back online. It has the original series and also the supporting documentation. The website is here:
Dark Alliance
I also wrote about it when it came online again. Maybe we can eventually make language a complete impediment to understanding. -Hobbes
So maybe there are two factors that conspire to increase the infant mortality rate among low-income Americans: higher prevalence of LWB and inadequate access to post-natal health care. Either one of the two factors by itself might not cause a substantial increase in infant mortality. guaranteed to evoke a violent reaction from police is to challenge their right to "define the situation." --- David Graeber citing Marc Cooper
Definition of Mortality, infant Mortality, infant: The death of an infant before his or her first birthday. The infant mortality rate is, by definition, the number of children dying under a year of age divided by the number of live births that year. The infant mortality rate is also called the infant death rate. The infant mortality rate is an important measure of the well-being of infants, children, and pregnant women because it is associated with a variety of factors, such as maternal health, quality and access to medical care, socioeconomic conditions, and public health practices. In the United States, about two-thirds of infant deaths occur in the first month after birth and are due mostly to health problems of the infant or the pregnancy, such as preterm delivery or birth defects. About one-third of infant deaths occur after the first month and are influenced greatly by social or environmental factors, such as exposure to cigarette smoke or problems with access to health care. The infant mortality rate in the US, which was 12.5 per 1,000 live births in 1980, fell to 9.2 per 1,000 live births in 1990. However, in 1999 it was reported that "Over the past 8 years, the death rate among black infants has remained nearly 2.5 times that among white infants." (Pediatrics 104: 1229-1246, 1999.) The US Government ChildStats Health Indicators include the following additional information about the infant mortality rate: The 1997 infant mortality rate for the United States, according to preliminary data, was 7.1 deaths per 1,000 births, substantially below the 1983 rate of 10.9. Infant mortality data are available by mother's race and ethnicity through 1996. Black, non-Hispanics have consistently had a higher infant mortality rate than white, non-Hispanics. In 1996, the black, non-Hispanic infant mortality rate was 14.2, compared to 6.0 for white, non-Hispanics. Infant mortality has dropped for all race and ethnic groups over time, but there are still substantial racial and ethnic disparities in infant mortality. In 1996, black, non-Hispanic and American Indian/Alaska Native infants had significantly higher infant mortality rates than white, non-Hispanic, Hispanic, and Asian/Pacific Islander infants. In 1996, infant mortality rates varied from 5.2 among Asian/Pacific Islander infants and 6.1 for Hispanics, to 10.0 among American Indians/Alaska Natives. Infant mortality rates also vary within race and ethnic populations. For example, among Hispanics in the United States, the infant mortality rate ranged from a low of 5.0 for infants of Central and South American origin to a high of 8.6 for Puerto Ricans. Among Asians/Pacific Islanders, infant mortality rates ranged from 3.2 for infants of Chinese origin to 5.8 for Filipinos.
Mortality, infant: The death of an infant before his or her first birthday.
The infant mortality rate is, by definition, the number of children dying under a year of age divided by the number of live births that year. The infant mortality rate is also called the infant death rate.
The infant mortality rate is an important measure of the well-being of infants, children, and pregnant women because it is associated with a variety of factors, such as maternal health, quality and access to medical care, socioeconomic conditions, and public health practices.
In the United States, about two-thirds of infant deaths occur in the first month after birth and are due mostly to health problems of the infant or the pregnancy, such as preterm delivery or birth defects. About one-third of infant deaths occur after the first month and are influenced greatly by social or environmental factors, such as exposure to cigarette smoke or problems with access to health care.
The infant mortality rate in the US, which was 12.5 per 1,000 live births in 1980, fell to 9.2 per 1,000 live births in 1990. However, in 1999 it was reported that "Over the past 8 years, the death rate among black infants has remained nearly 2.5 times that among white infants." (Pediatrics 104: 1229-1246, 1999.)
The US Government ChildStats Health Indicators include the following additional information about the infant mortality rate:
The 1997 infant mortality rate for the United States, according to preliminary data, was 7.1 deaths per 1,000 births, substantially below the 1983 rate of 10.9. Infant mortality data are available by mother's race and ethnicity through 1996. Black, non-Hispanics have consistently had a higher infant mortality rate than white, non-Hispanics. In 1996, the black, non-Hispanic infant mortality rate was 14.2, compared to 6.0 for white, non-Hispanics. Infant mortality has dropped for all race and ethnic groups over time, but there are still substantial racial and ethnic disparities in infant mortality. In 1996, black, non-Hispanic and American Indian/Alaska Native infants had significantly higher infant mortality rates than white, non-Hispanic, Hispanic, and Asian/Pacific Islander infants. In 1996, infant mortality rates varied from 5.2 among Asian/Pacific Islander infants and 6.1 for Hispanics, to 10.0 among American Indians/Alaska Natives. Infant mortality rates also vary within race and ethnic populations. For example, among Hispanics in the United States, the infant mortality rate ranged from a low of 5.0 for infants of Central and South American origin to a high of 8.6 for Puerto Ricans. Among Asians/Pacific Islanders, infant mortality rates ranged from 3.2 for infants of Chinese origin to 5.8 for Filipinos.
What seems to make more difference to birth weight in the developed countries is maternal stress in pregnancy. A study of 2,378 women in Missouri found that mothers of LBW babies are more likely to give histories of stressful pregnancies (Sable and Wilkinson 2000).There is also evidence that if you stress animals in pregnancy, they have smaller offspring (Drago, Di Leo, and Giardina 1999). Some of the mechanisms ... are now understood. For instance, anxious mothers seem to have reduced uterine blood flow (Texeira, Fisk, and Gloves 1998). [snip] Mothers stressed in pregnancy have higher cortisol levels and there is a strong correlation between maternal and fetal cortisol, which shows that babies are affected by maternal stress before birth (Gitau et al 1998). From Richard Wilkinson, The Impact of Inequality, 2005.
Drug abuse (alcohol and tobacco included) may be causal factors in low birth weight, but they themselves are symptoms:
Many women who use drugs have faced serious challenges to their well-being during their lives. For example, research indicates that up to 70 percent of drug abusing women report histories of physical and sexual abuse. Data also indicate that women are far more likely than men to report a parental history of alcohol and drug abuse. Often, women who use drugs have low self-esteem and little self-confidence and may feel powerless. In addition, minority women may face additional cultural and language barriers that can affect or hinder their treatment and recovery. From a National Institute on Drug Abuse Factsheet
It would seem fairer to look at the overall situation of young women in multi-generational poverty, at the psychological price of poverty, than to pinpoint drug abuse as the core of the problem. (Though a problem of course it is.)