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THEME 4 | Health And Social Support

24 AUGUST 2021 (Tuesday) - Singapore Time
16:00 - 17:30 THEME 4 | HEALTH AND SOCIAL SUPPORT
Moderator: Feng Qiushi Linguistic Markers of Dementia
Bao Zhiming | Department of English Language and Literature, NUS
Finding vs. Being Found: Unequal Network Pathways to Jobs among Young Adults

Vincent Chua | Department of Sociology and the Centre for Family and Population Research, NUS

Irene Y.H. Ng | Department of Social Work and the Social Service Research Center, NUS

Family Roles in Caring for Older Persons with Long-term Care Needs in China and Thailand

Bussarawan Teerawichitchainan | Department of Sociology and the Centre for Family and Population Research, NUS

Geospatial Analysis of Liver Fluke Infection Risks in Thailand

Wang Yi-Chen | Department of Geography, NUS

Abstracts

Linguistic Markers of Dementia
Professor Bao Zhiming

Cognition and language are intimately connected. How dementia is manifested in language is a matter of intense research around the world by neuropsychologists, linguists and more recently, by specialists in artificial intelligence who comb through language data for telltale signs of cognitive impairment. Formulaic expressions, word recall, propositional density are among the linguistic features that have been investigated in relation to dementia, with conflicting results.

We assume that changes in language are early signs of cognitive decline, and take a structural approach to study the language of early cognitive impairment, as manifested in language use. We know that in the normal population structurally complex sentences require more cognitive resources to process. The onset of cognitive decline may cause a parallel decline in the use of sentences with complex structures, resulting in language deficits that solidify as the disease progresses. Using natural speech data collected from volunteers who participate in the Community Health Intergenerational (CHI) study, we search for linguistic markers of dementia. Early results from a small-scale pilot study are promising. We analyzed the speech data from 36 subjects, 28 healthy and 8 showing signs of mild cognitive impairment (MCI). Some broad grammatical features, such as type-token ratio, do not show a difference between the two groups of subjects. Other features, such as the use of complex noun phrases, exhibit a significant decline in usage rate among people with MCI.

This talk presents a usage profile of select grammatical features in the language of MCI sufferers.

Finding vs. Being Found: Unequal Network Pathways to Jobs among Young Adults
Associate Professor Vincent Chua and Associate Professor Irene Y.H. Ng

Our study of 1,600 working adults in Singapore between ages 21 and 38 uncovers two distinctive network pathways by which low and high SES respondents find work respectively. In the first group, respondents have actively to "find" job opportunities through hardcopy advertisements, online platforms, and strong ties to family and friends, who lead them to mediocre jobs. In the second group, respondents are "found" by their weak ties to colleagues and acquaintances, who tell them about job openings without them having to ask, and which channels them into better paying jobs. The stark contrast in network pathways signifies the utility of situating inequality as a study of relational processes, with unequal consequences impacting young adults of different socioeconomic statuses.

Family Roles in Caring for Older Persons with
Long-term Care Needs in China and Thailand

Associate Professor Bussarawan Teerawichitchainan

This study compares the situation of long-term care (LTC) needs and receipt among older Chinese and Thais based on the China Health and Retirement Longitudinal Study and the Survey of Older Persons in Thailand. The two countries provide compelling case studies in the context of changing family structures, diminished kin availability, rising economic inequalities, and shifting norms regarding old-age support. Results show that while only a small proportion of older Chinese and Thais requires LTC, such demands rise sharply with age and peak among the oldest old. Older persons with heightened LTC needs are likely to be female, widowed, and uneducated. Close to two thirds of older Chinese and Thais with LTC needs received care assistance. Intergenerational coresidence is one of the most important determinants of LTC receipt in both countries. There are stark disparities in LTC receipt between older Thais in the top two wealth quintiles and those in the bottommost quintile; however, no significant wealth inequality in care receipt is evident in China. For both settings, the number and gender composition of children do not matter for the likelihood of care receipt; yet, the number of daughters significantly determines types of primary caregiver. Evidence suggests shifting importance of son, daughters, and daughters-in-law in LTC support in China and possible convergence in certain LTC practices between societies traditionally dominated by patrilineal and bilateral kinship systems.

Geospatial Analysis of Liver Fluke Infection Risks in Thailand
Associate Professor Wang Yi-Chen

Liver fluke infection, caused by ingesting raw freshwater fish, is an important public health issue in the Lower Mekong Region. Chronic infection with the liver fluke can lead to the development of cholangiocarcinoma, a bile duct cancer, associated with very poor prognosis upon diagnosis. Decades of efforts have been devoted to the control of liver fluke infection – while valuable in many regards and responsible for many achievements – there remains a marked spatial variation in liver fluke infection across the region. This necessitates the incorporation of geospatial approaches to scrutinize the intricate human–environment system that favors liver fluke transmission. In this presentation, I will share our work in Thailand on examining the spatial patterns and risk factors of liver fluke infection. Broad-scale landscape influences on human liver fluke prevalence are investigated through geospatial analyses of village locations and their surrounding land use patterns. Local-scale landscape connectivity between the human host and the first intermediate snail host habitats are assessed using graph measures to underscored the potential effect of landscape connectivity on disease transmission. The roles of a reservoir dam environment, inter-provincial healthcare focus variation, and socio-economic and behavioral factors are scrutinized to highlight the varying roles of such factors contributing to the disease landscape.

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