Showing posts with label Poverty. Show all posts
Showing posts with label Poverty. Show all posts

Dec 4, 2023

'Bone biographies' reveal lives of medieval England's common people -- and illuminate early benefits system

A series of 'bone biographies' created by a major research project tell the stories of medieval Cambridge residents as recorded on their skeletons, illuminating everyday lives during the era of Black Death and its aftermath.

The work is published alongside a new study investigating medieval poverty by examining remains from the cemetery of a former hospital that housed the poor and infirm.

University of Cambridge archaeologists analysed close to 500 skeletal remains excavated from burial grounds across the city, dating between the 11th and 15th centuries. Samples came from a range of digs dating back to the 1970s.

The latest techniques were used to investigate diets, DNA, activities, and bodily traumas of townsfolk, scholars, friars and merchants. Researchers focused on sixteen of the most revealing remains that are representative of various "social types."

The full "osteobiographies" are available on a new website launched by the After the Plague project at Cambridge University.

"An osteobiography uses all available evidence to reconstruct an ancient person's life," said lead researcher Prof John Robb from Cambridge's Department of Archaeology. "Our team used techniques familiar from studies such as Richard III's skeleton, but this time to reveal details of unknown lives -- people we would never learn about in any other way."

"The importance of using osteobiography on ordinary folk rather than elites, who are documented in historical sources, is that they represent the majority of the population but are those that we know least about," said After the Plague researcher Dr Sarah Inskip (now at University of Leicester).

The project used a statistical analysis of likely names drawn from written records of the period to give pseudonyms to the people studied.

"Journalists report anonymous sources using fictitious names. Death and time ensure anonymity for our sources, but we wanted to them to feel relatable," said Robb.

Meet 92 ('Wat'), who survived the plague, eventually dying as an older man with cancer in the city's charitable hospital, and 335 ('Anne'), whose life was beset by repeated injuries, leaving her to hobble on a shortened right leg.

Meet 730 ('Edmund'), who suffered from leprosy but -- contrary to stereotypes -- lived among ordinary people, and was buried in a rare wooden coffin. And 522 ('Eudes'), the poor boy who grew into a square-jawed friar with a hearty diet, living long despite painful gout.

Inside the medieval benefits system

The website coincides with a study from the team published in the journal Antiquity, which investigates the inhabitants of the hospital of St. John the Evangelist.

Founded around 1195, this institution helped the "poor and infirm," housing a dozen or so inmates at any one time. It lasted for some 300 years before being replaced by St. John's College in 1511. The site was excavated in 2010.

"Like all medieval towns, Cambridge was a sea of need," said Robb. "A few of the luckier poor people got bed and board in the hospital for life. Selection criteria would have been a mix of material want, local politics, and spiritual merit."

The study gives an inside look at how a "medieval benefits system" operated. "We know that lepers, pregnant women and the insane were prohibited, while piety was a must," said Robb. Inmates were required to pray for the souls of hospital benefactors, to speed them through purgatory. "A hospital was a prayer factory."

Molecular, bone and DNA data from over 400 remains in the hospital's main cemetery shows inmates to be an inch shorter on average than townsfolk. They were more likely to die younger, and show signs of tuberculosis.

Inmates were more likely to bear traces on their bones of childhoods blighted by hunger and disease. However, they also had lower rates of bodily trauma, suggesting life in the hospital reduced physical hardship or risk.

Children buried in the hospital were small for their age by up to five years' worth of growth. "Hospital children were probably orphans," said Robb. Signs of anaemia and injury were common, and about a third had rib lesions denoting respiratory diseases such as TB.

As well as the long-term poor, up to eight hospital residents had isotope levels indicating a lower-quality diet in older age, and may be examples of the "shame-faced poor": those fallen from comfort into destitution, perhaps after they became unable to work.

"Theological doctrines encouraged aid for the shame-faced poor, who threatened the moral order by showing that you could live virtuously and prosperously but still fall victim to twists of fortune," said Robb.

The researchers suggest that the variety of people within the hospital -- from orphans and pious scholars to the formerly prosperous -- may have helped appeal to a range of donors.

Finding the university scholars

The researchers were also able to identify some skeletons as probably those of early university scholars. The clue was in the arm bones.

Almost all townsmen had asymmetric arm bones, with their right humerus (upper arm bone) built more strongly than their left one, reflecting tough working regimes, particularly in early adulthood.

However, about ten men from the hospital had symmetrical humeri, yet they had no signs of a poor upbringing, limited growth, or chronic illness. Most dated from the later 14th and 15th century.

"These men did not habitually do manual labour or craft, and they lived in good health with decent nutrition, normally to an older age. It seems likely they were early scholars of the University of Cambridge," said Robb.

"University clerics did not have the novice-to-grave support of clergy in religious orders. Most scholars were supported by family money, earnings from teaching, or charitable patronage.

"Less well-off scholars risked poverty once illness or infirmity took hold. As the university grew, more scholars would have ended up in hospital cemeteries."

Isotope work suggests the first Cambridge students came mainly from eastern England, with some from the dioceses of Lincoln and York.

Cambridge and the Black Death

Most remains for this study came from three sites. In addition to the Hospital, an overhaul of the University's New Museums Site in 2015 yielded remains from a former Augustinian Friary, and the project also used skeletons excavated in the 1970s from the grounds of a medieval parish church: 'All Saints by the Castle'.

The team laid out each skeleton to do an inventory, then took samples for radiocarbon dating and DNA analysis. "We had to keep track of hundreds of bone samples zooming all over the place," said Robb

In 1348-9 the bubonic plague -- Black Death -- hit Cambridge, killing between 40-60% of the population. Most of the dead were buried in town cemeteries or plague pits such as one on Bene't Street next to the former friary.

However, the team have used the World Health Organization's methods of calculating "Disease Adjusted Life Years" -- the years of human life and life quality a disease costs a population -- to show that bubonic plague may have only come in tenth or twelfth on the risk rundown of serious health problems facing medieval Europeans.

"Everyday diseases, such as measles, whooping cough and gastrointestinal infections, ultimately took a far greater toll on medieval populations," said Robb.

Read more at Science Daily

Aug 14, 2021

17-year study of children associates poverty with smaller, slower-growing subcortical regions

Children in poverty are more likely to have cognitive and behavioral difficulties than their better-off peers. Plenty of past research has looked into the physical effects of childhood poverty, or documented mental health disparities between socioeconomic classes. But Deanna Barch, chair and professor in the Department of Psychological & Brain Sciences in Arts & Sciences at Washington University in St. Louis, and her colleague Joan Luby, MD, the Samuel and Mae S. Ludwig Professor of Child Psychiatry in the School of Medicine, wanted to look at a suite of outcomes to determine whether poverty continues to affect people as they enter adulthood.

And if so, how?

To answer these questions, Luby and Barch, who is also a professor of radiology? and the Gregory B. Couch Professor of Psychiatry in the School of Medicine, and colleagues collected data for 17 years from families who agreed to participate, including 216 preschoolers who were followed through early adulthood. During the course of the study, the young participants underwent brain imaging to help tease out the relationships among their socioeconomic status in preschool, and provided information on a host of outcomes -- including cognitive, social and psychiatric -- in early adulthood.

The results were published July 14 in the journal Biological Psychiatry: Cognitive Neuroscience and Neuroimaging.

"First and foremost: yes," Barch said, "Early poverty sadly continues to predict worse outcomes in all of these domains." That holds true even if a child's socioeconomic status changes before adulthood.

The risks for these outcomes, the research showed, are mediated through brain development.

"We think poverty and all of the things associated with it" -- such as stress, inadequate nutrition, less access to health care -- "impact brain development." she said. "If we can prevent poverty, we can help circumvent some of these negative outcomes."

For the study, the researchers recruited primary caregivers and their 3- to 5-year-old children. They used a specific recruiting questionnaire that would ensure there were more children with elevated symptoms of depression. This would later allow researchers to separate the effects of poverty from existing psychological disorders.

The children were interviewed annually, and once they were at least 16, researchers tested them for cognitive function, psychiatric disorders, high-risk behaviors, educational function and social function. During the 17 years, the participants also received five brain scans that measured the volumes of local and global brain matter, giving the researchers a unique insight into whether brain development was a mediating factor -- are changes to the brain the way that poverty "gets into" someone?

After controlling for variables including preschool psychopathology and any significant life events throughout the years, the researchers were able to show socioeconomic status in preschool was associated with cognitive function, high-risk behaviors, social function and educational function 13+ years after the then-children joined the study.

Brain-scan results showed the physical marks of poverty.

The children who were living below the poverty level as preschoolers had smaller volumes of certain subcortical brain regions, including the hippocampus, caudate, putamen, and thalamus. "But also they had less growth in these regions over time," Barch said. "So they're starting out smaller and not growing as much."

Subcortical regions aren't a prime research target because they are not necessarily responsible for a specific cognitive or emotional function. Instead, information must travel through them in order to reach regions of the brain associated with higher-order functioning.

"The thalamus, for example, doesn't always get a lot of love in the literature," Barch said, "but it's a very important relay structure that helps coordinate the transfer of information from the brainstem to higher-order cortical areas.

"These brain regions are like important waypoints on the highway of the brain," Barch said. And they are particularly sensitive to environmental factors such as pollutants or poor nutrition, factors more likely to affect those living in poverty.

To be clear, this data does not paint a deterministic picture. "Plenty of kids have wonderful outcomes despite growing up in poverty," Barch said. That is often because they have had additional support and additional resources. She's putting this theory to the test in upcoming research where she and her colleagues will be tracking the effects of the child tax credit on children's development.

"Growing up in poverty makes things harder for people, but it is preventable," Barch said. "That's the good news: We can do something about this."

Read more at Science Daily