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BackgroundThe combined effect of diabetes and stroke on disability and mortality remains largely unexplored in Brazil and Latin America. Previous studies have been based primarily on data from developed countries. This study addresses the empirical gap by evaluating the combined impact of diabetes and stroke on disability and mortality in Brazil.MethodsThe sample was drawn from two waves of the Survey on Health and Well-being of the Elderly, which followed 2,143 older adults in São Paulo, Brazil, from 2000 to 2006. Disability was assessed via measures of activities of daily living (ADL) limitations, severe ADL limitations, and receiving assistance to perform these activities. Logistic and multinomial regression models controlling for sociodemographic and health conditions were used to address the influence of diabetes and stroke on disability and mortality.ResultsBy itself, the presence of diabetes did not increase the risk of disability or the need for assistance; however, diabetes was related to increased risks when assessed in combination with stroke. After controlling for demographic, social and health conditions, individuals who had experienced stroke but not diabetes were 3.4 times more likely to have ADL limitations than those with neither condition (95% CI 2.26-5.04). This elevated risk more than doubled for those suffering from a combination of diabetes and stroke (OR 7.34, 95% CI 3.73-14.46). Similar effects from the combination of diabetes and stroke were observed for severe ADL limitations (OR 19.75, 95% CI 9.81- 39.76) and receiving ADL assistance (OR 16.57, 95% CI 8.39-32.73). Over time, older adults who had experienced a stroke were at higher risk of remaining disabled (RRR 4.28, 95% CI 1.53,11.95) and of mortality (RRR 3.42, 95% CI 1.65,7.09). However, risks were even higher for those who had experienced both diabetes and stroke. Diabetes was associated with higher mortality.ConclusionsFindings indicate that a combined history of stroke and diabetes has a great impact on disability prevalence and mortality among older adults in São Paulo, Brazil.

Egüez Guevara, Pilar. 2018. Manuales de urbanidad y discursos sobre el ornato en Cuba en el siglo XIX: Hacia un gobierno de los sentidos, el cuerpo y la ciudad. Latin American Research Review 53(4). pp. 785-798. DOI: https://doi.org/10.25222/larr.408 ANTHROPOLOGYManuales de urbanidad y discursos sobre el ornato en Cuba en el siglo XIX: Hacia un gobierno de los sentidos, el cuerpo y la ciudad

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Dance balls, masquerades, and street carnivals functioned as frontier spaces of otherwise reprehensible encounters between people of different gender, race, and class. I examine dance as a dense point of contact in nineteenth-century Cuba by showing how dance served ruling elites as a disciplining instrument to enforce social and legal boundaries, and was simultaneously used by colonial subjects as a tactic of survival to navigate these barriers. Because dancing lent itself to situations of intimacy and misrecognition, it challenged Cuban ruling elites' efforts to police dancing bodies. Dance is offered as a useful methodological venue to illuminate the predicament of the colonial state in governing colonial subjects and bodies. I offer the case of colonial Cuba as a contribution to the study of contact zones and colonial intimacies in Latin America and the Caribbean, in a much-needed examination of the relationships between imperialism, sexuality, and the governance of dance.

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