Kathrine Starkweather
 

Research

Overview

Climate change poses one of the greatest existential threats to human lifeways and human health. Globally, women and children are among the groups most-impacted - especially those living in minoritized and economically- and medically-underserved communities. However, the innovations, adaptations, and community-building of women across the globe may hold some of the best solutions to these problems. My research uses evolutionary theory to examine the complex relationships between environmental change (including climate events and environmental seasonality), women’s livelihoods, and maternal and child health and nutritional outcomes in order to identify potential mechanisms driving sub-optimal outcomes as areas for public health or public policy intervention. This work addresses the United Nations’ Sustainable Development Goals associated with gender equality, decent work and economic growth, and climate action. I established and direct the Shodagor Longitudinal Health and Demography Project, which collects longitudinal and cross-sectional data in cooperation with Shodagor fisher-traders in rural Bangladesh and uses a between- and within-subjects study design to study these relationships in detail.

 

research areas

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climate change & environmental seasonality

Around the world and throughout human evolutionary history, environmental change has been one of the primary factors driving human behavior and biology. These changes may be predictable, like seasonality, or unpredictable, like major climate events, such as flooding, draught, and extreme temperatures. Anthropogenic climate change is impacting both of these, resulting in seasonal weather patterns that are less predictable, and extreme weather events that are more common.

My research with the Bangladeshi Shodagor communities highlights ways that both seasonality and extreme climate events affect subsistence patterns and health and nutritional outcomes in a non-industrialized, low-income, and medically-underserved context. Current work is also using multiple sources of longitudinal climate data (temperature, rainfall, flooding inundation data) to examine how changes to seasonality have altered Shodagor women’s livelihood practices and subsequent infant and young child feeding, growth, and nutritional outcomes.

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Women’s livelihoods and childcare

Across cultures, women’s economic contributions to their households are critical to the survival, health, and well-being of all household members, but particularly women and children. Women are also responsible for the majority of childcare in nearly all human contexts. My research shows that women adapt to local, environmental conditions by trading-off time spent in economic production and childcare and strategically developing their social networks in ways that have clear impacts on child nutrition, growth, and illness. This work indicates that policies and interventions that support flexibility in women’s working hours and conditions, as well as those that prioritize high-quality childcare substitutes for maternal care are key to supporting women’s livelihoods as well as child health and nutrition.

Climate change is leading to women working longer hours and traveling farther from home to acquire necessary resources for their households (e.g., food, water, firewood, etc.). My work on women’s livelihoods and its effects on child outcomes informs a developing stream of research, which aims to determine how climate change-induced changes to women’s work are leading to more exposure to harmful weather conditions, like extreme heat, and how this is affecting women’s health, as well as infant and young child feeding and child nutrition and growth.

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maternal and child health and nutrition

Women and children living in low-income, minoritized, and medically-underserved contexts, like those often found in the Global South, are among the populations most impacted by the effects of climate change. Among Shodagor communities in Bangladesh, I examine how interactions between environmental change, including seasonality and extreme climate events, and women’s livelihood strategies affect maternal and child nutrition and growth.

In order to assess these relationships, my research team and I use 7+ years of longitudinal anthropometric data, biomarkers of general and specific infection, and bi-weekly reports of illness symptoms, as well as self-report nutritional measures, including breastfeeding frequency, age at complementary feeding and weaning, food frequencies, and household food expenditures.

Specifically, we have modeled the relationships between seasonality, women’s work and childcare, and child growth and illness, the pathway through which extreme flooding affected household nutrition and changes to children’s and adults’ BMI, and the impacts of extreme heat on maternal/infant breastfeeding activity. Current and future work continues to examine these relationships, with an emphasis on infant and young child feeding practices and child growth outcomes, as well as maternal energetic condition and other health outcomes.

Shodagor Longitudinal Health and Demography Project

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Photo by Michal Chaplin

 

The Shodagor Longitudinal Health and Demography Project (SLHDP), established and directed by Kathrine Starkweather, works with boat-dwelling and recently-settled Shodagor communities in Matlab, Bangladesh. The field team has been collecting longitudinal demographic, reproductive, and anthropometric data, as well as economic and childcare data since 2017. We regularly conduct focus groups and open-ended interviews, and have collected cross-sectional and longitudinal social network data. We also began collecting project-specific biomarker data, including markers of general and specific infection via dried blood spots, and point-of-care tests to measure HbA1C (an indicator of diabetes) and Hemoglobin (an indicator of anemia).

Funding for data collection has come from the Wenner Gren Foundation, the Max Planck Institute for Evolutionary Anthropology, and the National Science Foundation.

current project: Seasonal behavioral ecology of respiratory infections

With funding from the National Science Foundation, working in collaboration with co-PI Ashley Hazel and co-Is Drs. Nurul Alam and Rubhana Raqib, the SLHDP collected data over 14 months, in 2023 and 2024, to examine the relationships between seasonal environmental changes, close contact social networks and mobility, and respiratory viral transmission. The project collected data via: (1) weekly structured interviews, which collected data on individual-level close contacts and mobility and symptoms of respiratory illness; (2) thrice-seasonal collection of anthropometric measurements (height, weight, skin folds); (3) thrice-seasonal whole capillary blood samples via dried blood spots to be coupled with illness symptoms and assayed for C-reactive protein (CRP) to determine recent general infection, and IgG for RSV, Influenza A & B, and SARS-CoV-2 to determine recent specific infection; and (4) thrice-seasonal point-of-care tests for current infection with the above specific respiratory viruses. As of August 2024, data entry and cleaning are in process in preparation for data analysis.

 

Project Team Members

Field Team

Members of the SLHDP Field Team: (top row) Ummehani Akter, Laila Parveen, Katie Starkweather, Fatema Tuz Zohora, Mofazzal Hossain; (bottom row) Shahanaj Akter, Rojina, Siddiqudzaman

 

lab members

dr. Haley Ragsdale, postdoctoral research associate

Dr. Ragsdale is a biological anthropologist and evolutionary biologist who has been a postdoctoral research associate with the SLDHP and the UIC Department of Anthropology since January 2024, after graduating with a PhD in Anthropology from Northwestern University in December 2023.

 

Fatema tuz zohora

Fatema has worked on the Shodagor project since 2014. She has served as the in-country project manager since 2017. She earned a Master’s Degree in International Relations from Dhaka University in 2014 and is currently working on a Master’s of Public Health at the University of Illinois, Chicago, where she also works as a Graduate Research Assistant for SLHDP and the Department of Anthropology.

SLDHP collaborators

Dr. Monica Keith, Vanderbilt University

Dr. Ashley Hazel, University of California, San Francisco

Dr. Nurul Alam, International Center for Diarrheal Disease Research, Bangladesh

Dr. Rubhana Raqib, International Center for Diarrheal Disease Research, Bangladesh

Current Student Advisees:

Ian Harryman, Stanford University (PhD external committee member)

Sonia Saxon, University of Illinois, Chicago (PhD committee member)

DaiGianna Williams, University of Illinois, Chicago (Honors College mentor)

Past Students:

Alannah Templon (MA, advisor)

Mayisha Mou (MA, advisor)

Margarita De Alba (Honors Thesis advisor)

Laura Pfeifer (Honors Thesis advisor)

 

Collaborating Research Groups

 
 

Max Planck Institute for Evolutionary Anthropology

I am an affiliated researcher with the MPI EVA Department of Human Behavior, Ecology, and Culture, where I was a postdoctoral fellow for 2 years (2016-2018). The department has provided funding for the Shodagor Longitudinal Health and Demography Project since 2017.

 

international centre for diarrheal disease research, Bangladesh (icddrb)

All of my research is conducted in collaboration with Dr. Nurul Alam and the Matlab HDSS team at ICDDRB.

 

Comparative human and primate physiology center (chmpp)

I collaborate with Dr. Melissa Emery Thompson and the Comparative Human and Primate Physiology Center, working on health and physiological correlates of Shodagor women’s tradeoffs and risk preferences.

 

kunene rural health and demography project

I collaborated with Drs. Brooke Scelza and Sean Prall, co-directors of the KRHDP, from 2017 to 2021 on a project related to women’s economic strategies through concurrent partnerships and its impact on women’s and children’s health and well-being.