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Concept: Nation


 To quantify the cost effectiveness of a government policy combining targeted industry agreements and public education to reduce sodium intake in 183 countries worldwide.

Concepts: Policy, Government, Nation, Sovereign state


Following childbirth, women need to stay sufficiently long in health facilities to receive adequate care. Little is known about length of stay following childbirth in low- and middle-income countries or its determinants.

Concepts: Health care, Cross-sectional study, Cross-sectional analysis, Nation, Country


Dietary choices drive both health and environmental outcomes. Information on diets come from many sources, with nationally recommended diets (NRDs) by governmental or similar advisory bodies the most authoritative. Little or no attention is placed on the environmental impacts within NRDs. Here we quantify the impact of nation-specific NRDs, compared with an average diet in 37 nations, representing 64% of global population. We focus on greenhouse gases (GHGs), eutrophication, and land use because these have impacts reaching or exceeding planetary boundaries. We show that compared with average diets, NRDs in high-income nations are associated with reductions in GHG, eutrophication, and land use from 13.0 to 24.8%, 9.8 to 21.3%, and 5.7 to 17.6%, respectively. In upper-middle-income nations, NRDs are associated with slight decrease in impacts of 0.8-12.2%, 7.7-19.4%, and 7.2-18.6%. In poorer middle-income nations, impacts increase by 12.4-17.0%, 24.5-31.9%, and 8.8-14.8%. The reduced environmental impact in high-income countries is driven by reductions in calories (∼54% of effect) and a change in composition (∼46%). The increased environmental impacts of NRDs in low- and middle-income nations are associated with increased intake in animal products. Uniform adoption of NRDs across these nations would result in reductions of 0.19-0.53 Gt CO2 eq⋅a-1, 4.32-10.6 Gt [Formula: see text] eq⋅a-1, and 1.5-2.8 million km2, while providing the health cobenefits of adopting an NRD. As a small number of dietary guidelines are beginning to incorporate more general environmental concerns, we anticipate that this work will provide a standardized baseline for future work to optimize recommended diets further.

Concepts: Carbon dioxide, Agriculture, Nutrition, Natural gas, Greenhouse gas, Nation, Environmental impact assessment, Sovereign state


Low calcium intake may adversely affect bone health in adults. Recognizing the presence of low calcium intake is necessary to develop national strategies to optimize intake. To highlight regions where calcium intake should be improved, we systematically searched for the most representative national dietary calcium intake data in adults from the general population in all countries. We searched 13 electronic databases and requested data from domain experts. Studies were double-screened for eligibility. Data were extracted into a standard form. We developed an interactive global map, categorizing countries based on average calcium intake and summarized differences in intake based on sex, age, and socioeconomic status. Searches yielded 9780 abstracts. Across the 74 countries with data, average national dietary calcium intake ranges from 175 to 1233 mg/day. Many countries in Asia have average dietary calcium intake less than 500 mg/day. Countries in Africa and South America mostly have low calcium intake between about 400 and 700 mg/day. Only Northern European countries have national calcium intake greater than 1000 mg/day. Survey data for three quarters of available countries were not nationally representative. Average calcium intake is generally lower in women than men, but there are no clear patterns across countries regarding relative calcium intake by age, sex, or socioeconomic status. The global calcium map reveals that many countries have low average calcium intake. But recent, nationally representative data are mostly lacking. This review draws attention to regions where measures to increase calcium intake are likely to have skeletal benefits.

Concepts: Bone, Socioeconomic status, Calcium, Social status, Nation, Northern Europe, Nationality


A large body of social science research is devoted to understanding the causes and correlates of discrimination. Comparatively less effort has been aimed at providing a general prevalence estimate of discrimination using a nationally representative sample. The current study is intended to offer such an estimate using a large sample of American respondents (N = 14,793) while also exploring perceptions regarding why respondents felt they were discriminated against. The results provide a broad estimate of self-reported discrimination experiences-an event that was only reported by about one-quarter of all sample members-across racial and ethnic categories.

Concepts: United States, Anthropology, Race, Ethnic group, Racism, Racial segregation, Nation, Nationalism


To date, the research community has failed to reach a consensus on the nature and significance of the relationship between climate variability and armed conflict. We argue that progress has been hampered by insufficient attention paid to the context in which droughts and other climatic extremes may increase the risk of violent mobilization. Addressing this shortcoming, this study presents an actor-oriented analysis of the drought-conflict relationship, focusing specifically on politically relevant ethnic groups and their sensitivity to growing-season drought under various political and socioeconomic contexts. To this end, we draw on new conflict event data that cover Asia and Africa, 1989-2014, updated spatial ethnic settlement data, and remote sensing data on agricultural land use. Our procedure allows quantifying, for each ethnic group, drought conditions during the growing season of the locally dominant crop. A comprehensive set of multilevel mixed effects models that account for the groups' livelihood, economic, and political vulnerabilities reveals that a drought under most conditions has little effect on the short-term risk that a group challenges the state by military means. However, for agriculturally dependent groups as well as politically excluded groups in very poor countries, a local drought is found to increase the likelihood of sustained violence. We interpret this as evidence of the reciprocal relationship between drought and conflict, whereby each phenomenon makes a group more vulnerable to the other.

Concepts: Climate, China, Climate change, Violence, Ethnic group, Remote sensing, Nation, War


One of the challenges of international alcohol research and policy is the variability in and lack of knowledge of how governments in different nations define a standard drink and low-risk drinking. This study gathered such information from governmental agencies in 37 countries.

Concepts: Government, Alcoholic beverage, Drinking culture, Aristotle, Public policy, Nation, Sovereign state, Kefir


Few countries record the data needed to estimate life expectancy by ethnic group. Such information is helpful in assessing the extent of health inequality.

Concepts: Demography, Population, United Kingdom, Life expectancy, Japan, Race, Ethnic group, Nation


End-of-life decisions remain controversial. Switzerland, with three main languages shared with surrounding countries and legal suicide assistance, allows exploration of the effects of cultural differences on end-of-life practices within the same legal framework.

Concepts: Death, Anthropology, Switzerland, Cultural studies, German language, Nation, Rhine


Countries are well advised to prepare for future pandemic risks (e.g., pandemic influenza, novel emerging agents or synthetic bioweapons). These preparations do not typically include planning for complete border closure. Even though border closure may not be instituted in time, and can fail, there might still plausible chances of success for well organized island nations.

Concepts: Nation