Markets and Health: A Study of Indigenous Populations of Lowland Bolivia

摘要0078801本项目将调查市场一体化如何影响三个土著美洲印第安人群体--玻利维亚低地的Moje-o、Chiquitano和Tsimane'的一般健康和营养。目前，学者们对市场一体化（及其对被一体化者的假定“积极”影响）是否实际上导致了福祉的提高（在这种情况下是以健康衡量的）没有什么一致意见。本项目将有助于这一理论辩论。研究人员假设，市场将允许人们获得更广泛的保险（例如，消费量差异的降低预计将与健康/营养状况的客观衡量标准得到加强有关，但与自我报告的发病率增加有关。这项比较（跨文化）研究将探讨一系列相互作用的因素，包括市场相关的过程，财富差异，医疗获取问题和客观和自我感知的健康措施。它将有助于我们了解健康/营养状况的物质、文化和生物驱动因素，并有助于为正在融入区域市场经济的部分发展中国家开展卫生政策和规划辩论。

Abstract 0078801This project will investigate how market integration affects general health and nutrition among three indigenous, Amerindian groups - the Moje-o, Chiquitano, and Tsimane' of the Bolivian lowlands. There is presently little agreement among scholars concerning whether or not market integration (and its presumed "positive" effects on those integrated) actually leads to enhanced well being (in this case measured in terms of health). This project will contribute to that theoretical debate. The researchers hypothesize that markets will allow people to gain access to a broader range of insurance (e.g., credit) and reduce variance in consumption; it is anticipated that lower variance in consumption will be associated with enhanced objective measures of health/ nutritional status, but increased self-reported morbidity. This comparative (cross-cultural) study will examine a range of interacting factors including market-related processes, wealth differences, medical access issues and objective and self-perceived measures of health. It will contribute to our understanding of the material, cultural, and biological drivers of health/nutritional status, as well as to health policy and planning debates for parts of the developing world becoming integrated into regional market economies.