Carlos Crespo - Academia.edu (original) (raw)
Papers by Carlos Crespo
Geoforum, 2007
For nearly a decade the La Paz-El Alto concession in Bolivia was heralded by donor organizations,... more For nearly a decade the La Paz-El Alto concession in Bolivia was heralded by donor organizations, the state and the commercial water industry alike as an emblematic 'pro-poor' water concession under the private sector model. Managed by one of the largest water multinationals in the world (the French company Suez), the network was extended beyond the new connections required by the original 'pro-poor' contract, acclaimed as a pioneer of new pro-poor technologies and frequently disseminated internationally as an example of best practice. This paper analyses the La Paz-El Alto concession's pro-poor image focusing on issues of social exclusion and network extension, contract negotiation, participation and transparency. It documents the rise of social protest about the concession and critiques the failure of neoliberal regulatory systems to promote accountability to the poor. In the context of the continued transnationalisation of the water industry the paper highlights the need for new mechanisms and delivery models to ensure greater national control over private companies and the development of a framework for international water governance.
BMC proceedings, 2017
As part of the NIH BUILD initiative to diversify the scientific workforce, the EXITO project is a... more As part of the NIH BUILD initiative to diversify the scientific workforce, the EXITO project is a large multi-institutional effort to provide comprehensive support and training for undergraduates from traditionally underrepresented student populations who aspire to health-related research careers. Portland State University, a major public urban university that prioritizes student access and opportunity, and Oregon Health & Science University, a research-intensive academic health center, lead the EXITO network comprised of eleven 2-year and 4-year institutions of higher education spanning Oregon, Washington, Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands. The EXITO project aims for impact in biomedical research by training diverse scholars from indigenous and underserved communities affected by adverse health disparities. Guided by socio-ecological theory, the EXITO project is a multi-level intervention offering a three-year research training pathway for schol...
Menopause, 2004
Objective: To examine the prevalence of hormone therapy (HT) use and compare demographic characte... more Objective: To examine the prevalence of hormone therapy (HT) use and compare demographic characteristics, health behaviors, and health indicators between current HT users and never-users in a nationally representative sample of postmenopausal women. Design: The Third National Health and Nutrition Examination Survey was a cross-sectional survey conducted between 1988 and 1994, including 3,673 postmenopausal women aged 40 years and older. Results: Overall, 419 (11.4%) of the women reported current HT use, 857 (23.3%) reported past use, and 2,397 (65.3%) were never-users. Non-Hispanic black women and women aged 70 years or older were less likely to be current users. Higher socioeconomic status (education and income) and surgical menopause were associated with increased odds of current hormone use. After adjusting for the above variables, women who reported being inactive during leisure time and obese women (body mass index Ն 30) were less likely to be current users. Women who had 5 to 29 alcoholic drinks per month, perceived their health status as "good," took a multiple vitamin, were aware of having high blood cholesterol, and had a clinic for regular medical care were more likely to be current users. Smoking habits were not significantly different between the groups. Conclusions: Current HT users have different demographic profiles and may lead healthier lives than never-users. This is important to take into account when studying the effects of HT, and it may partly explain differences in findings regarding the health effects of HT use in observational studies compared with randomized clinical trials.
American Journal of Epidemiology, 2004
The prevalence of osteoporosis and factors associated with treatment initiation after detection o... more The prevalence of osteoporosis and factors associated with treatment initiation after detection of osteoporosis were determined for previously unscreened, postmenopausal women. Dual-energy x-ray absorptiometry screening was conducted in 1997-2000 as part of an ancillary study of the Buffalo, New York, center of the Women's Health Initiative Observational Study. A total of 945 women were previously unaware of their bone density, although, for 344 (36.4%), osteoporosis was newly detected through screening (T-score ≤-2.5).
Geoforum, 2007
For nearly a decade the La Paz-El Alto concession in Bolivia was heralded by donor organizations,... more For nearly a decade the La Paz-El Alto concession in Bolivia was heralded by donor organizations, the state and the commercial water industry alike as an emblematic 'pro-poor' water concession under the private sector model. Managed by one of the largest water multinationals in the world (the French company Suez), the network was extended beyond the new connections required by the original 'pro-poor' contract, acclaimed as a pioneer of new pro-poor technologies and frequently disseminated internationally as an example of best practice. This paper analyses the La Paz-El Alto concession's pro-poor image focusing on issues of social exclusion and network extension, contract negotiation, participation and transparency. It documents the rise of social protest about the concession and critiques the failure of neoliberal regulatory systems to promote accountability to the poor. In the context of the continued transnationalisation of the water industry the paper highlights the need for new mechanisms and delivery models to ensure greater national control over private companies and the development of a framework for international water governance.
BMC proceedings, 2017
As part of the NIH BUILD initiative to diversify the scientific workforce, the EXITO project is a... more As part of the NIH BUILD initiative to diversify the scientific workforce, the EXITO project is a large multi-institutional effort to provide comprehensive support and training for undergraduates from traditionally underrepresented student populations who aspire to health-related research careers. Portland State University, a major public urban university that prioritizes student access and opportunity, and Oregon Health & Science University, a research-intensive academic health center, lead the EXITO network comprised of eleven 2-year and 4-year institutions of higher education spanning Oregon, Washington, Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands. The EXITO project aims for impact in biomedical research by training diverse scholars from indigenous and underserved communities affected by adverse health disparities. Guided by socio-ecological theory, the EXITO project is a multi-level intervention offering a three-year research training pathway for schol...
Menopause, 2004
Objective: To examine the prevalence of hormone therapy (HT) use and compare demographic characte... more Objective: To examine the prevalence of hormone therapy (HT) use and compare demographic characteristics, health behaviors, and health indicators between current HT users and never-users in a nationally representative sample of postmenopausal women. Design: The Third National Health and Nutrition Examination Survey was a cross-sectional survey conducted between 1988 and 1994, including 3,673 postmenopausal women aged 40 years and older. Results: Overall, 419 (11.4%) of the women reported current HT use, 857 (23.3%) reported past use, and 2,397 (65.3%) were never-users. Non-Hispanic black women and women aged 70 years or older were less likely to be current users. Higher socioeconomic status (education and income) and surgical menopause were associated with increased odds of current hormone use. After adjusting for the above variables, women who reported being inactive during leisure time and obese women (body mass index Ն 30) were less likely to be current users. Women who had 5 to 29 alcoholic drinks per month, perceived their health status as "good," took a multiple vitamin, were aware of having high blood cholesterol, and had a clinic for regular medical care were more likely to be current users. Smoking habits were not significantly different between the groups. Conclusions: Current HT users have different demographic profiles and may lead healthier lives than never-users. This is important to take into account when studying the effects of HT, and it may partly explain differences in findings regarding the health effects of HT use in observational studies compared with randomized clinical trials.
American Journal of Epidemiology, 2004
The prevalence of osteoporosis and factors associated with treatment initiation after detection o... more The prevalence of osteoporosis and factors associated with treatment initiation after detection of osteoporosis were determined for previously unscreened, postmenopausal women. Dual-energy x-ray absorptiometry screening was conducted in 1997-2000 as part of an ancillary study of the Buffalo, New York, center of the Women's Health Initiative Observational Study. A total of 945 women were previously unaware of their bone density, although, for 344 (36.4%), osteoporosis was newly detected through screening (T-score ≤-2.5).