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Three Worlds of Welfare Capitalism? Welfare State Development in 18 Latin American Countries, 1995-2010

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Much research has been devoted to identifying trends in either convergence upon a neoliberal model or divergence among welfare states in connection to globalization, but most research has focused on advanced industrialized countries. This has limited our understanding of the

Much research has been devoted to identifying trends in either convergence upon a neoliberal model or divergence among welfare states in connection to globalization, but most research has focused on advanced industrialized countries. This has limited our understanding of the current state of convergence or divergence, especially among welfare states in developing regions. To address this research gap and contribute to the broader convergence vs. divergence debate, this research explores welfare state variation found within Latin America, in terms of the health policy domain, through the use of cross-national data from 18 countries collected between the period of 1995 to 2010 and the application of a series of descriptive and regression analysis techniques. Analyses revealed divergence within Latin America in the form of three distinct welfare states, and that among these welfare states income inequality, trust in traditional public institutions, and democratization, are significantly related to welfare state type and health performance.

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2014-05

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Residence in a deprived urban food environment: food access, affordability, and quality in a Paraguayan food desert

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Food deserts are the collection of deprived food environments and limit local residents from accessing healthy and affordable food. This dissertation research in San Lorenzo, Paraguay tests if the assumptions about food deserts in the Global North are also relevant

Food deserts are the collection of deprived food environments and limit local residents from accessing healthy and affordable food. This dissertation research in San Lorenzo, Paraguay tests if the assumptions about food deserts in the Global North are also relevant to the Global South. In the Global South, the recent growth of supermarkets is transforming local food environments and may worsen residential food access, such as through emerging more food deserts globally. This dissertation research blends the tools, theories, and frameworks from clinical nutrition, public health, and anthropology to identify the form and impact of food deserts in the market city of San Lorenzo, Paraguay. The downtown food retail district and the neighborhood food environment in San Lorenzo were mapped to assess what stores and markets are used by residents. The food stores include a variety of formal (supermarkets) and informal (local corner stores and market vendors) market sources. Food stores were characterized using an adapted version of the Nutrition Environment Measures Survey for Stores (NEMS-S) to measure store food availability, affordability, and quality. A major goal in this dissertation was to identify how and why residents select a type of food store source over another using various ethnographic interviewing techniques. Residential store selection was linked to the NEMS-S measures to establish a connection between the objective quality of the local food environment, residential behaviors in the local food environment, and nutritional health status. Using a sample of 68 households in one neighborhood, modeling suggested the quality of local food environment does effect weight (measure as body mass index), especially for those who have lived longer in poorer food environments. More generally, I find that San Lorenzo is a city-wide food desert, suggesting that research needs to establish more nuanced categories of poor food environments to address how food environments emerge health concerns in the Global South.

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2012