The Impact of Social and Economic Indicators on Maternal and Child Health

As early as 1985, Rosenfield and Maine began to look at what is called the maternal child field (MCH). More than two decades later, maternal and infant mortality is still among the worst performing health indicator in resource-poor countries and regions, and it has barely changed since 1990. Although three of the eight United Nations Millennium Development Goals aim at reducing child mortality, maternal mortality, and promoting gender equality, most literature in the field is either clinical or exclusively deals with women’s health problems. In this study, I proposed an empirical model that tests the impact of gender equality, women’s human rights, and maternity care on MCH with economic and political development as background factors. The proposed model was tested by using structural equation analysis. Data were obtained from 137 developing countries. The proposed model is partially supported by the data. Empirical findings demonstrate that gender equality has a pivotal role to play in the promotion of MCH. The relationship between MCH and maternity care is found to be strong and statistically significant. This finding may permit a probable verification given the current social conditions in some developing countries, particularly the neglect of many of women’s health needs and the assignment of their primary responsibilities in childrearing. The women’s human rights hypothesis is not supported by the data. It is perhaps that human rights instruments provide a legal discourse for political functions and social welfare issues, but that the legal approach alone does not necessarily provide a moral and social foundation to ensure the implementation of social welfare and human well-being, particularly maternal and child health in developing countries. The findings also indicate the importance of economic development in predicting maternity care. Finally, a positive and statistically significant relationship is found between economic development and gender equality. Implications and limitations of the study are discussed.     

Accounting for Cross-National Differences in Infant Mortality Decline (1965–1991) among less Developed Countries: Effects of Women's Status,Economic Dependency,and State Strength

The present study tests models derived from four theoretical perspectives: Modernization/free trade theory, gender inequality theory, developmental state theory, and dependency theory. It is based on a sample of 82 less developed countries for the period from 1965 to 1991. We find some support for each theoretical perspective. Foreign trade, investment, and debt dependency have adverse effects on infant mortality, mediated by variables linked to modernization/free trade theory and gender inequality theory. State strength has a beneficial direct effect on infant mortality decline. Women's education and reproductive autonomy have significant direct effects, but also play important roles as mediating variables as does rate of economic growth.     

A Cross-National Analysis of Lifespan Inequality, 1950–2015: Examining the Distribution of Mortality Within Countries

Cross-national health research devotes considerable attention to lifespan and survival rate disparities that are found between countries. However, the distribution of mortality across the world is shaped mostly by what happens within countries. We address this striking gap in the literature by modeling length-of-life inequality for individual nation-states. We use life tables from the United Nation’s (2015) World Population Prospects to estimate inequality levels for 200 countries across 13 waves between 1950 and 2015. We find that lifespan inequality is steadily declining across the world, but that each country’s level of inequality, and the rate at which it declines, vary considerably. Our models account for more than 90% of the longitudinal and cross-sectional variation in country-level lifespan inequality during the 1990–2015 period. Maternal mortality is the strongest predictor in our model, while disease prevalence, access to safe water, and health interventions figure prominently, as well. Gross domestic product per capita shows the expected curvilinear association with lifespan inequality, while primary education (both overall enrollment and gender equity in enrollment), external debt, and migration also play critical roles in shaping health outcomes. By contrast, the distribution of political and economic resources (i.e., democracy and income inequality) is less important.

     

The gender wealth gap:structural and material constraints and implications for later life

Wealth is an important measure of economic well-being, because while income captures the current state of inequality, wealth has the potential for examining accumulated and historically structured inequality. This presentation documents the extent of gender inequality in wealth for Canadian women and men aged 45 and older. The analysis uses data from the 1999 Canadian Survey of Financial Security, a large nationally representative survey of household wealth in Canada. Wealth is measured by total net worth as measured by total assets minus debt. We test two general hypotheses to account for gender differences in wealth. The differential exposure hypothesis suggests that women report less wealth accumulation because of their reduced access to the material and social conditions of life that foster economic security. The differential vulnerability hypothesis suggests that women report lower levels of wealth because they receive differential returns to material and social conditions of their lives. Support is found for both hypotheses. Much of the gender differences in wealth can be explained by the gendering of work and family roles that restricts women's ability to build up assets over the life course. But beyond this, there are significant gender interaction effects that indicate that women are further penalized by their returns to participation in family life, their health and where they live. When women do work, net of other factors, they are better able to accumulate wealth than their male counterparts.     

The Multidimensional Gender Inequalities Index (MGII): A Descriptive Analysis of Gender Inequalities Using MCA

This paper constructs a weighted measure of the multidimensional concept of gender inequality: the Multidimensional Gender Inequality Index (MGII). Multiple Correspondence Analysis is used to rank the separate forms in which gender inequality appears in developed and developing countries respectively. Eight dimensions were identified as relevant for economic purposes: identity, physical integrity, intra-family laws, political activity, education, health, access to economic resources, and economic activity. In the 109 developing countries considered, gender inequality in the identity and family dimensions are particularly severe for women: these dimensions hence have greater weight in the MGII. However, in OECD countries gender inequality occurs mainly in the political and family dimensions. Nevertheless, the family sphere remains particularly important for gender inequality, whatever the level of development. The MGII is a non-linear weighted composite indicator of gender inequality which yields a country ranking. The South-Asian region is calculated to be the most unequal.     

Gender Gaps in Care Work: Evidences from Argentina,Chile, Spain and Uruguay

This paper is a comparative analysis of the gender gaps in the non-paid domestic and care work (NPDCW) undertaken in homes in Argentina, Chile, Spain and Uruguay. The explanatory factors of this gap in two-income households and their magnitude and impact on the distribution of NPDCW are analyzed using data from national time use surveys. The weakness of micro-sociological approaches and the variables related to relative resources and time availability is demonstrated using the estimation of a regression model, while the importance of approximations of gender roles and analyses that incorporate macro-sociological factors is shown. Furthermore, the findings show that NPDCW is done by women in 70% of cases with women’s incomes and time availability among the individual variables that drive change within the couple. The results show that the equalizing effects of time availability and gender ideology are stronger for women in more egalitarian countries; women in less egalitarian countries benefit less from their individual-level assets. Additional comparative analysis shows that other macro-level factors (economic development, female labor-force participation, gender norms and welfare systems) may also influence the division of this work. The results suggest that changes in individual-level factors alone may not be enough to achieve an equal division of labor in the household without a parallel reduction in macro-level gender inequality.

     

The Differential Mortality of Undesired Infants in Sub-Saharan Africa

With high rates of infant mortality in sub-Saharan Africa, investments in infant health are subject to tough prioritizations within the household, in which maternal preferences may play a part. How these preferences will affect infant mortality as African women have ever-lower fertility is still uncertain, as increased female empowerment and increased difficulty in achieving a desired gender composition within a smaller family pull in potentially different directions. I study how being born at a parity or of a gender undesired by the mother relates to infant mortality in sub-Saharan Africa and how such differential mortality varies between women at different stages of the demographic transition. Using data from 79 Demographic and Health Surveys, I find that a child being undesired according to the mother is associated with a differential mortality that is not due to constant maternal factors, family composition, or factors that are correlated with maternal preferences and vary continuously across siblings. As a share of overall infant mortality, the excess mortality of undesired children amounts to 3.3 % of male and 4 % of female infant mortality. Undesiredness can explain a larger share of infant mortality among mothers with lower fertility desires and a larger share of female than male infant mortality for children of women who desire 1–3 children. Undesired gender composition is more important for infant mortality than undesired childbearing and may also lead couples to increase family size beyond the maternal desire, in which case infants of the surplus gender are particularly vulnerable.     

用科学发展观看待甘肃省的经济增长

本文借鉴丹尼森因素分析法对索洛余值进行分解,从中分离出人力资本积累、资源配置结构、规模经济效益和狭义的技术进步对经济增长的影响,在此基础上构建了经济增长模型,测算了1978-2005年甘肃省各因素对经济增长的贡献率。结果表明:甘肃省的经济增长主要表现为粗放的外延型增长,而且要素投入增加与经济增长之间还没有形成良性互动关系,1978-2005年,经济增长主要依靠投入(52.04%),其中,资本投入对经济增长的贡献率为37.70%,劳动力投入的贡献率为14.34%。虽然广义的技术进步贡献率达到47.96%,但狭义的技术进步的贡献率仅为15.65%,资源配置结构的调整及人力资本水平的不断提高对经济增长产生了明显的正效应。因此,加快经济增长方式转变,确实落实科学发展观,使经济增长真正依靠技术进步和人力资本的积累,仍然是我们面临的最迫切的任务。     

Gender,power, and population change

This report describes fertility and mortality trends in developing countries and discusses how gender is defined and measured in some countries. The discussion relies on case studies and country statistics to reveal how gender shapes the lives of all people in all societies. Gender is defined as the different roles women and men play in society. Gender is manifested in institutional structures, power relations, and culturally determined behavior. In no society do women and men share equal roles. The effects of inequality for women are manifested differently between countries. The 1994 International Conference on Population and Development in Cairo established the goal of gender equality. Educational enrollment and illiteracy are two measures of gender inequality that affect opportunities in society for advancement, power, and status. Girls are less likely to be enrolled in school than boys and more likely to have higher absenteeism rates. In China, absenteeism of girls is actually increasing under reforms. Marriage practices may devalue the investment in girls' education. Women experience different working conditions: they work longer hours, are paid less or not at all, and hold lower-status jobs. The exceptions are found in the Philippines and Brazil, where women hold more professional jobs than men. Women carry multiple responsibilities that consume time and prevent greater involvement in public life. Dowry and brideprice can constrain family relations. Women generally have fewer inheritance rights. Few women hold high-level public office positions or parliamentary seats. The extent to which gender inequality is reflected in demographic processes depends upon the gap in power in education, employment, and income. The relationship between gender and demographic processes is a central topic currently being researched.     

Gender Pay Gap and Employment Sector: Sources of Earnings Disparities in the United States, 1970–2010

Using data from the IPUMS-USA, the present research focuses on trends in the gender earnings gap in the United States between 1970 and 2010. The major goal of this article is to understand the sources of the convergence in men’s and women’s earnings in the public and private sectors as well as the stagnation of this trend in the new millennium. For this purpose, we delineate temporal changes in the role played by major sources of the gap. Several components are identified: the portion of the gap attributed to gender differences in human-capital resources; labor supply; sociodemographic attributes; occupational segregation; and the unexplained portion of the gap. The findings reveal a substantial reduction in the gross gender earnings gap in both sectors of the economy. Most of the decline is attributed to the reduction in the unexplained portion of the gap, implying a significant decline in economic discrimination against women. In contrast to discrimination, the role played by human capital and personal attributes in explaining the gender pay gap is relatively small in both sectors. Differences between the two sectors are not only in the size and pace of the reduction but also in the significance of the two major sources of the gap. Working hours have become the most important factor with respect to gender pay inequality in both sectors, although much more dominantly in the private sector. The declining gender segregation may explain the decreased impact of occupations on the gender pay gap in the private sector. In the public sector, by contrast, gender segregation still accounts for a substantial portion of the gap. The findings are discussed in light of the theoretical literature on sources of gender economic inequality and in light of the recent stagnation of the trend.     

孕产妇死亡健康公平性分析

文章利用2000～2005年全国卫生统计年报中孕产妇死亡情况有关资料,计算了以孕产妇死亡率为基础的一系列健康公平性指标,分析了2000～2005年间我国孕产妇死亡的健康公平性。研究结果从人群归因危险度百分比、集中指数、集中曲线等指标反映出在我国孕产妇死亡存在分布的不均衡。2000～2005年我国孕产妇死亡在地区间及省际的差距没有明显变化,即不公平现象6年间没有得到改善。     

The impact of women's status on infant mortality rate: A cross-national analysis

A number of prior studies have attempted to account for cross-national differences in infant mortality rate using a variety of economic, demographic, and health related variables. These studies have given relatively little attention to the impact of predictors measuring the status of women. The present study, based on a sample of 96 less developed countries circa 1990, tests a series of hypotheses derived from gender stratification theory and industrialism theory. Evidence is presented of an inverse relationship between the status of women and infant mortality rate. The present study shows that it makes a difference whether we use relative or absolute measures of women's status and it shows that in addition to women's educational status, other dimensions of women's status particularly economic status and autonomy are also important predictors of infant mortality rate.     

Mothers’ Marital Status and Type of Delivery Medical Care in Guatemala

The use of modern medical care for child delivery in rural Guatemala is low relative to other Latin American countries. In the previous literature, factors such as a woman’s age, education, ethnicity, religious affiliation and income are found to be important determinants of the type of delivery medical care she receives. This study hypothesizes that a woman’s marital status influences her decision as well. Using a binomial logit framework, the study finds that unmarried women are more likely to see a modern medical provider in delivery than married women, even after controlling for demographic, socioeconomic, and husbands’ characteristics. Therefore, unmarried women seem to make more informed decisions in terms of their attitudes in childbearing and maternal health relative to their married counterparts. As a result, both economic as well as social developments seem necessary to induce changes in the high incidence of maternal mortality and morbidity in Guatemala.     

Trends in socioeconomic inequalities in mortality in developing countries: The case of child Survival in São Paulo,Brazil*

I examined trends in socioeconomic inequalities in under-five mortality for the state of São Paulo, Brazil, over a 21-year period from 1970 to 1991, during which much of the mortality transition unfolded. During this time, there was a decline in inequality in under-five mortality by household wealth but a substantial increase by mother’s education. Improvements in infrastructure and economic development were associated with lower levels of socioeconomic inequality in under-five mortality. Mother’s education emerged as the key factor underlying socioeconomic inequalities in under-five mortality even as levels of education for women increased and inequality in schooling fell.     

家庭中的性别平等问题与社会对策

我国坚持男女平等和计划生育基本国策,促进了家庭领域的性别平等。但是,当今家庭仍然存在一些性别不平等现象．一定程度上制约了女孩的成长和妇女的发展。要实现家庭中的性别平等与两性和谐发展必须发挥政府和社会组织的作用,进一步倡导社会性别平等意识、建设先进性别文化、推进社会政策的性别主流化,关心女孩成长、提高妇女社会经济地位。     

Envy and Pride: How Economic Inequality Deepens Happiness Inequality in South Korea

This paper examines how economic inequality at the local level affects individuals’ subjective well-being (SWB) through social comparison in Seoul, South Korea. We implement a multi-level analysis combining asset inequality, calculated using the actual transaction prices of apartments, and public opinion surveys conducted by Seoul Metropolitan City between 2008 and 2016. Our analysis shows that inequality negatively affects SWB among respondents whose family income is lower than the median (the envy effect), but drives up SWB among the other half (the pride effect). Further analysis on the effect of inequality on subjective class awareness corroborates a social comparison mechanism: the haves embrace an upper-class awareness as local inequality increases, while the have-nots embrace a lower class awareness. These findings suggest that, despite concerns about economic inequality and its negative consequences, calling for policy reform to reduce inequality may be unpersuasive to the better off members of society, especially if doing so increases individual financial burdens.

     

Unanticipated Consequences: A Comparison of Expected and Actual Retirement Timing Among Older Women

ABSTRACT

The present study adds to the growing body of literature on women and retirement by means of a comparative analysis of the factors associated with anticipated retirement timing (among pre-retirees) and actual retirement timing (among retirees). Adopting a political economy of aging perspective, we argue that socially-structured patterns of gender inequality related to women's multiple roles across the life course affect patterns of retirement timing. Specifically, we hypothesize that the gendered nature of women's work-retirement decision-making is unanticipated during pre-retirement years. Logistic regression analyses are performed on data drawn from a sample of 275 women aged 45 and older living in the Vancouver area of British Columbia. A central finding is that while actual timing of retirement is affected by family caregiving responsibilities and by health/stress factors, pre-retirees do not perceive these to be important in their own expected retirement timing. Implications for social policy, education, and women's financial and psychological well-being in old age are elaborated.     

The effects of economic and population growth on national saving and inequality

This is a progress report on ongoing research into the effects of economic and population growth on national saving rates and inequality. The theoretical basis for the investigation is the life cycle model of saving and inequality. We report evidence that is conditional on the validity of the model, as well as evidence that casts doubt on it. Using time series of cross-sectional household surveys from Taiwan, Thailand, Britain, and the United States, we show that it is possible to force a life cycle interpretation on the data on consumption, income, and saving, but that the evidence is not consistent with large rate-of-growth effects, whereby economic and population growth enhances rates of national saving. The well-established cross-country link between economic growth and saving cannot be attributed to life cycle saving, nor will changes in economic or population growth exert large effects on saving within individual countries. There is evidence in favor of the life cycle model’s prediction that within-cohort inequality of consumption and of total income—though not necessarily inequality of earnings-—should increase with the age of the cohort. Decreases in the population growth rate redistribute population toward older, more unequal, cohorts, and can increase national inequality. We provide calculations on the magnitude of these effects.     

农村出生性别比失衡的社会性别分析

近年来中国人口出生性别比持续攀升。已有的人口学研究,一般从经济发展水平、传统生育观念以及社会保障等方面分析性别比失衡的原因,忽视了男女不平等对性别比失衡的影响。运用社会性别分析方法,分析农村事实上的男女不平等对性别比失衡的重要影响,进而提出要想解决性别比失衡问题,社会必须更加关注女性的发展。     

A summary of the fecundity for the Zang nationality in the Muli region]

The Zang nationality in the Muli region is a major branch of the Tibetan people now living in Sichuan Province. Before 1949, the social economy in the local area was rather backward, public health was poor, the infant mortality rate was high as 50% and the overall population growth was slow. Since 1949, because of changes that have taken place in the social and economic system, the development of the population has also changed on a large scale. According to a recent survey, numerous households are still trying to change their poor financial condition through a population increase. Conversely, there are also some households with a better financial situation who prefer not to have too many children. In addition, fecundity also differs between women with some education and those who are illiterate, and the social impact on fecundity is very obvious. The influence from traditional concepts and psychological factors is also strong. At the present time, the national ploicy of China is for family planning and birth control to prevent an unlimited population growth. Ideological education and propaganda are needed to alter the people's traditional outdated concept of birth so that the common goal of controlling population growth may be achieved.