Early-life conditions and adult mortality decline in Dutch cohorts born 1812–1921

Mounting evidence suggests that early-life conditions have an enduring effect on an individual’s mortality risks as an adult. The contribution of improvements in early-life conditions to the overall decline in adult mortality, however, remains a debated issue. We provide an estimate of the contribution of improvements in early-life conditions to mortality decline after age 30 in Dutch cohorts born between 1812 and 1921. We used two proxies for early-life conditions: median height and early-childhood mortality. We estimate that improvements in early-life conditions contributed more than five years or about a third to the rise in women’s life expectancy at age 30. Improvements in early-life conditions contributed almost three years or more than a quarter to the rise in men’s life expectancy at age 30. Height appears to be the more important of the two proxies for early-life conditions.     

Socio-Economic Characteristics and Life Expectancies in Nineteenth-Century England: A District Analysis

This paper presents an analysis of levels of life expectancy and their patterns of change among six socio-economically differentiated sub-populations of England and Wales for the period 1851–1911. Differences in mortality levels among these sub-groups and their rates of change are analyzed with respect to three groups of explanatory variables, viz., environmental, stratification and demographic variables. Their relative importance for different periods is assessed and discussed. The findings show consistency with two previous studies, which have suggested that medical advances had little effect on the increase in life expectancy during the second half of the nineteenth century. The present paper supports the results of one study in that public health measures affected life expectancies earlier, while subsequently, the increase in standards of living was more important.     

Toward 'good enough' services for inaptly served families and children: Barriers and opportunities

The present article draws attention to ways in which the goodness of fit between social services and their clients, both in the present and the past, determines the extent to which services are successful–in the sense that clients experience them as helpful and as furthering their well-being, and that there is objective evidence of improvement in their situation.

To provide an initial conceptual framework for exploration in this area, a number of terms are introduced and defined. These include ‘inapt service”, ‘inaptly served families’, and ‘good enough services’.

It is contended that biases that promote inaptness, in the areas of policy, organization, practice, and research and evaluation, have contributed to the proliferation and perpetuation of inapt services. As a basis for further reflection and for efforts to transform ‘inapt’ service systems into ones that are ‘good enough’, twelve such biases are discussed.

Finally, premises and directions for action that promote such transformative efforts are suggested.     

Social comparison and risky choices

Theories (and experiments) on decision making under risk typically ignore (and exclude) a social context. We explore whether this omission is detrimental. To do so we experimentally investigate the simplest possible situation with both social comparison and risk: participants choose between two lotteries while a referent faces a fixed payoff. Participants are more risk averse when they can earn at most as much as their referent (loss situation) than when they are ensured they will earn at least as much as their referent (gain situation). Prospect theory with a social reference point would predict the exact opposite behavior. These results show that straightforward extensions of existing theories to allow for social comparison do not provide accurate predictions.     

Body Satisfaction and Sexual Health in Dutch Female University Students

Studies in the field of body image have primarily addressed its negative aspects, such as body dissatisfaction. The present study focused instead on women who are satisfied with their bodies and on how body satisfaction relates to sexual health. A sample of 319 Dutch female university students completed an online survey that included items about body image evaluation, body image investment, overweight preoccupation, body image affect during sexual activity, sexual frequency, sexual functioning, and sexual self-esteem. We found that the level of body dissatisfaction was minimal in our sample. The majority reported neutral or mildly positive body evaluations, and in 30% of the sample these evaluations were clearly positive. Comparisons between women who reported positive versus neutral body evaluations showed that the body-satisfied women had lower body mass indexes (BMIs) and reported less body image investment, less overweight preoccupation, and less body self-consciousness during sexual activity. With regard to sexual health, they reported higher sexual self-esteem and better sexual functioning. Furthermore, we found that body image self-consciousness was negatively associated with sexual functioning, sexual self-esteem, and frequency of sexual activity with a partner. Body satisfaction did not account for a portion of the relationship of body self-consciousness during sexual activity with sexual health.     

Mortality and Socio-economic Status in Two Eighteenth-century Dutch Villages

This study is an analysis of mortality levels and their patterns of change among different socio-economic groups in two eighteenth-century Dutch villages. In these two villages – Gilze and Rijen – there were substantial mortality differentials between farmers and agricultural labourers. Mortality differentials of this magnitude have not been found in other European villages, although they are not unheard of in cities. The differentials are probably unrelated to malnutrition, or a polluted water supply among the lower class. Relative overcrowding and poor hygiene are more probable causes. During the second half of the eighteenth century mortality levels were lower, especially among the lower class. These changes, however, did not result from a higher standard of living. They were probably related to a diminution in the amount of military activity on land in Europe after the War of the Austrian Succession.     

This Is Me : In search of your own story

This article looks at the development of the educational kit This Is Me that is aimed at four- to six-year-olds. The kit, created in 1995, aims to help children develop their own identity, a positive self-image, mutual acceptance and mutual respect. The target group of this intercultural education tool is young children. In addition to describing the aims and contents of this tool, we also evaluate how these materials are being used.     

The Reform of the Local Social Services In Israel: 1984 Compared to 1977

In 1977, there was a nationwide reform of the Local Departments of Social Services (LDSS) in Israel. This article reports on the findings of two independent and complementary studies which sought to evaluate the consequences of this comprehensive planned change. To determine what changes if any, occurred from 1977 to 1984, the first seven years following the reform, the article presents seven major foci of change. Each reflects an objective set forth by those who planned the change at the Ministry of Labour and Social Affairs. Preceding the report of these changes are a review of the historical background of the reform and a summary of the components of this planned change. This article focuses on the changes identified in these studies and concludes with a discussion of policy and organizational implications.     

The commonalities and differences in health professionals’ views on home birth in Tasmania,Australia: A qualitative study

ObjectivesHome birth has attracted great controversy in the current context. There is a need for the public and health professionals to understand why maternity care providers have such different views on home birth, why they debate, what divides them into two opposite sides and if they have anything in common.MethodA qualitative study involving twenty maternity health providers in Tasmania was conducted. It used semi-structured interview which included closed and open-ended questions to provide opportunities for exploring emerging insights from the voices of the participants.FindingsHealth practitioners who support home birth do so for three reasons. Firstly, women have the right to choose the place of birth. Secondly, home birth may be more cost effective compared to hospital birth. Thirdly, if home birth is not supported, some women might choose to have a free birth. Those who opposed home birth argue that complications could occur at childbirth and the transfer time is critical for women's and babies’ safety. These differences in opinions can be due to the differences in the training and philosophy of the maternity care providers. Despite the differing views on home births, health professionals share a common goal to protect the women and the newborns from unexpected situations during childbirth.ConclusionThis article provides some significant insights derived from the study of home birth from the maternity health professionals’ perspectives and could contribute to the enhancement of mutual understanding and collaboration of health professionals in their services to expectant mothers.