Factors Associated With Temporal and Spatial Patterns in Suicide Rates Across U.S. States, 1976–2000

Using pooled cross-sectional time-series data for the 50 U.S. states over a 25-year period, this article examines how well four conceptual groups of social correlates—demographic, economic, social, and cultural factors—are associated with the 1976–2000 patterns in overall suicide rates and suicide by firearms and other means. Unlike past research that typically considers only one dimension, this analysis differentiates between spatial and temporal variation in suicide rates to determine whether and how social correlates operate differently in these two contexts. Results indicate that suicide rates correspond closely to social correlates. Within U.S. states, lower overall suicide rates between 1976 and 2000 were associated with demographic change (e.g., larger numbers of foreign-born) as well as with fewer numbers of Episcopalians. Across U.S. states, variation in overall suicide rates over the period was related to demographic (percentage male), economic (per capita income), social (percentage divorced), and cultural (alcohol consumption and gun ownership) factors. However, findings differ importantly by type of suicide, and across time and space. Reasons for these distinct patterns are discussed.     

Can Reporting Heterogeneity Explain Differences in Depressive Symptoms Across Europe?

Depression is one of the leading causes of disability in the developed world. Previous studies have shown varying depression prevalence rates between European countries, and also within countries, between socioeconomic groups. However, it is unclear whether these differences reflect true variations in prevalence or whether they are attributable to systematic differences in reporting styles (reporting heterogeneity) between countries and socioeconomic groups. In this study, we examine the prevalence of three depressive symptoms (mood, sleeping and concentration problems) and their association with educational level in 10 European countries, and examine whether these differences can be explained by differences in reporting styles. We use data from the first and second waves of the COMPARE study, comprising a sub-sample of 9,409 adults aged 50 and over in 10 European countries covered by the Survey of Health, Ageing and Retirement in Europe. We first use ordered probit models to estimate differences in the prevalence of self-reported depressive symptoms by country and education. We then use hierarchical ordered probit models to assess differences controlling for reporting heterogeneity. We find that depressive symptoms are most prevalent in Mediterranean and Eastern European countries, whereas Sweden and Denmark have the lowest prevalence. Lower educational level is associated with higher prevalence of depressive symptoms in all European regions, but this association is weaker in Northern European countries, and strong in Eastern European countries. Reporting heterogeneity does not explain these cross-national differences. Likewise, differences in depressive symptoms by educational level remain and in some regions increase after controlling for reporting heterogeneity. Our findings suggest that variations in depressive symptoms in Europe are not attributable to differences in reporting styles, but are instead likely to result from variations in the causes of depressive symptoms between countries and educational groups.     

Sacrificing Their Careers for Their Families? An Analysis of the Penalty to Motherhood in Europe

This paper examines the extent of and the mechanisms behind the penalty to motherhood in six European countries. Each country provides different levels of support for maternal employment allowing us to determine institutional effects on labour market outcome. While mothers tend to earn less than non-mothers, the penalty to motherhood is considerably lower in countries with policy support for working mothers. The paper establishes the United Kingdom and West Germany to have the least policy support for working mothers as well as the largest penalties to motherhood.

Family Trajectories Across Time and Space: Increasing Complexity in Family Life Courses in Europe?

Family life courses are thought to have become more complex in Europe. This study uses SHARELIFE data from 14 European countries to analyze the family life courses of individuals born in 1924–1956 from ages 15 to 50. A new methodological approach, combining complexity metrics developed in sequence analysis with cross-classified multilevel modeling, is used to simultaneously quantify the proportions of variance attributable to birth cohort and country differences. This approach allows the direct comparison of changing levels of family trajectory differentiation across birth cohorts with cross-national variation, which provides a benchmark against which temporal change may be evaluated. The results demonstrate that family trajectories have indeed become more differentiated but that change over time is minor compared with substantial cross-national variation. Further, cross-national differences in family trajectory differentiation correspond with differences in dominant family life course patterns. With regard to debates surrounding the second demographic transition thesis and the comparative life course literature, the results indicate that the degree of change over time tends to be overstated relative to large cross-national differences.     

A Quiescent Phase in Human Mortality? Exploring the Ages of Least Vulnerability

Demographic studies of mortality often emphasize the two ends of the lifespan, focusing on the declining hazard after birth or the increasing risk of death at older ages. We call attention to the intervening phase, when humans are least vulnerable to the force of mortality, and consider its features in both evolutionary and historical perspectives. We define this quiescent phase (Q-phase) formally, estimate its bounds using life tables for Swedish cohorts born between 1800 and 1920, and describe changes in the morphology of the Q-phase. We show that for cohorts aging during Sweden’s demographic and epidemiological transitions, the Q-phase became longer and more pronounced, reflecting the retreat of infections and maternal mortality as key causes of death. These changes revealed an underlying hazard trajectory that remains relatively low and constant during the prime ages for reproduction and investment in both personal capital and relationships with others. Our characterization of the Q-phase highlights it as a unique, dynamic, and historically contingent cohort feature, whose increased visibility was made possible by the rapid pace of survival improvements in the nineteenth and twentieth centuries. This visibility may be reduced or sustained under subsequent demographic regimes.     

Being Poor and Feeling Rich or Vice Versa? The Determinants of Unequal Income Positions in Old Age Across Europe

Individual prosperity and welfare can be measured using both objective and subjective criteria. Although theory and previous research suggest that these two methods can produce corresponding results, the measurements can also be inconsistent. Against this background, the current paper investigates the relationship between the objective income position of older Europeans (aged 50?+?years) and their perception of their financial situation, using the seventh wave of the Survey of Health, Aging, and Retirement in Europe (SHARE) conducted in 2017. The main research questions include (1) how is objective income distributed in old age across Europe?, (2) how do elderly Europeans evaluate their income situation subjectively?, (3) is there a discrepancy between the objective prosperity position and their subjective perception observable?, (4) are there country-specific differences that are observable?, and (5) how can such discrepancies be explained?

The results show that objective income positions can be congruent with subjective self-perceptions, both good (well-being) and bad (deprivation), of one’s income situation. However, this is not always the case, and country-specific variations do exist. In analyzing the causes of the 2 forms of nonconformance—namely, adaptation (satisfaction paradox) and dissonance (dissatisfaction dilemma)—this paper concludes that sociodemographic and socioeconomic determinants alone cannot account for discrepancies. The consideration of certain social-psychological influences or personality traits and especially social comparison processes (namely, with one’s past) is essential in explaining both the satisfaction paradox and the dissatisfaction dilemma.

     

Are UNDP Indices Appropriate to Capture Gender Inequalities in Europe?

This study critically investigates the suitability of United Nations’ composite indices and other related measures—among which the Gender Inequality Index just released in 2010—to capture gender inequalities in the context of “highly developed” countries, focusing on the case of Europe. Our results indicate that many of the gender gaps in health and education variables have either vanished or even reversed, thus questioning their appropriateness to capture women’s disadvantage in Europe and inviting to construct region-specific measures. Alternatively, parliamentary representation and labor force participation are variables with large gender gaps that highlight important dimensions where women disadvantage prevails. Different cross-section and cross-time associations between economic growth and gender equality are generally not statistically significant—or at most weakly correlated—at European level. This is basically due to the fact that the gender gaps included in UNDP gender-related indices reached their normatively desirable values long ago, therefore leaving no room for further improvement.     

Factors Associated With Involvement in Nonmetropolitan LGBTQ Organizations: Proximity? Generativity? Minority Stress? Social Location?

Little is known about involvement in LGBTQ organizations. Factors associated with involvement in nonmetropolitan LGBTQ organizations were examined using logistic regression and survey data from 426 LGBTQ individuals residing in a nonmetropolitan region. Involvement was examined in five types of organizations (professional, social/recreational, religious, political, and community center/charity). The same model testing proximity, generativity, minority stress, and social location hypotheses was repeated for each organization type. Results demonstrate that the generativity hypothesis is most strongly supported. Indeed, emotional attachment to the LGBTQ community significantly increased the odds of involvement in every type of organization. However, the factors associated with involvement otherwise differed by organization type. Implications for organizational leaders are discussed.     

Does Society Matter? Life Satisfaction in the Enlarged Europe

Life satisfaction is quite heterogeneously distributed across countries of the enlarged European Union. Previous research has shown how living conditions within individual countries, such as access to material and emotional resources, are important for personal well-being, but it has been less successful in explaining differences between countries. This article investigates whether it matters in which political and economic circumstances people live, as well as whether their particular perception of the quality of their societal environment plays a role. People are well aware that the institutional and cultural settings in which their lives are embedded create opportunities and limitations: within individual countries, perceptions of society influence life satisfaction outcomes irrespective of access to resources. However, their importance for well-being differs across Europe: perceptions of societies are highly decisive in countries that provide only a minimum of social security and in which the reliability of political institutions is poor. In rich and stable countries, the impact is weaker and private social support becomes more important. In addition to these country-specific weights of life satisfaction determinants, life satisfaction variations between countries can be explained to a large extent by taking into consideration the economic performance, the social security level, and the political culture in a country—all in all, general conditions that enable people to live a respectable life.     

The Death of Marriage? The Effects of New Forms of Legal Recognition on Marriage Rates in the United States

Some conservative groups argue that allowing same-sex couples to marry reduces the value of marriage to opposite-sex couples. This article examines how changes in U.S. legal recognition laws occurring between 1995 and 2010 designed to include same-sex couples have altered marriage rates in the United States. Using a difference-in-differences strategy that compares how marriage rates change after legal recognition in U.S. states that alter legal recognition versus states that do not, I find no evidence that allowing same-sex couples to marry reduces the opposite-sex marriage rate. Although the opposite-sex marriage rate is unaffected by same-sex couples marrying, it decreases when domestic partnerships are available to opposite-sex couples.     

Is Local Financial Health Associated with Citizens’ Quality of Life?

Few studies have analysed the results of public management in terms of social welfare. However, the financial health of local governments is in decline, which means that they are no longer able to provide public services that require financial obligations. This generally results in a reduction in the quality/quantity of public services provided by local governments, thus affecting citizens’ quality of life, since the most important welfare needs are usually related to public services. This study is an original approach to understanding the importance of the financial health of local governments in relation to social welfare. We selected a sample composed of 76 Spanish cities for the period 2008–2010. The results show that citizens who live in municipalities with good financial health have a higher quality of life than others. In general, citizens from municipalities governed by right-wing parties with low political competition tend to have higher levels of quality of life.     

Are Area-Level Measures of Employment Associated with Health Behaviours and Outcomes?

Accessible employment suited to residents’ needs is an important equity issue and social determinant of health and wellbeing, and a balanced jobs-housing ratio within a region has the potential to provide health benefits. This paper aims to provide evidence on the associations between employment and health, and the potential pathways, as well as identifying spatial indicators that can be used to measure urban employment, a construct of liveability. We used 2011 census data to create and test two area-level spatial measures of urban employment with geo-coded population health behaviour and outcome data (2011 VicHealth survey) in 5206 employed adults living in urban Victoria, Australia. Those living in areas with higher levels of local employment had reduced odds of a longer commute (OR 0.87). The odds of a longer commute time was also greater for those who lived in an area where more people commuted to work by private vehicle (OR 1.20), and less for those who lived in local areas where more people travelled to work by public transport (OR 0.85) or active travel (OR 0.80). The odds of reporting longer sitting times was less for those who lived in a local area where more people commuted to work by private vehicle (OR 0.65). Those who had a longer commute times, regardless of travel mode, had greater odds of reporting more sitting during a typical weekday (OR 1.67). In turn, those who spent more time sitting had significantly greater odds of reporting poorer self-rated health (OR 1.34). Such work provides evidence to policy-makers to help build the argument for which area-level attributes are needed to support urban employment across a region.     

What are the views of midwives in relation to perineal repair?

PURPOSE: To determine the views of midwives towards perineal repair and the most effective way to teach and support midwives in developing this skill. PROCEDURE: A questionnaire was distributed to 111 midwives who attended a 1-day seminar. Information was sought on a range of views relating to perineal repair, including experience, confidence, education and accreditation, attitudes and trends. FINDINGS: One hundred and six (96%) questionnaires were returned. All respondents (100%) believed midwives should be taught to undertake perineal repair. The most important reason was to provide continuity of care for women. Experience increased confidence and enjoyment in undertaking perineal repair as well as lessening fears over the impact of suturing on women. Experience did not significantly impact on concerns regarding legal implications associated with perineal repair. Three quarters of respondents reported that midwifery students should have practical experience of perineal repair. There was strong support for doctors and midwives to undertake perineal repair education together (96%), preferably in a 1-day workshop format (56%); for standards to be set by the professional colleges (midwifery and obstetrics) (66%); for midwives and doctors to be accredited as competent before performing perineal repair independently (>90%) and for regular updates in perineal repair (93%). The majority of midwives (73%) felt that they were more likely to suture than 5 years ago, due mainly to a greater appreciation of woman centred care (35%). Over 60% of midwives said they would not suture a first-degree tear more than half of the time and 13% would not suture a second-degree tear more than half of the time. PRINCIPLE CONCLUSION: A desire to provide continuity of care appears to be a major motivator for midwives to learn to undertake perineal repair. There is need for standards to be set for perineal repair to encourage consistency in education. Perineal repair programs that involve midwives and doctors training together have strong support from midwives but it is unclear if doctors would also support this. Further research is needed to support or refute the trend for midwives to not suture some perineal trauma.     

Tracing the Density Impulse in Rural Settlement Systems: A Quantitative Analysis of the Factors Underlying Rural Population Density Across South-Eastern Australia, 1981–2001

Rural population density has a very significant independent influence over important socio-economic and demographic characteristics of developed world rural communities. Additionally, it is a fundamental variable in public policy and planning, both expressing and influencing the relative cost-efficiency of servicing populations. Yet density is itself produced by more fundamental qualities (e.g. environmental resources, nature and time of colonisation) which may themselves change over time. Treating rural population density as a dependent variable produced by a wide variety of factors, we build and test two causal models that attempt to explain the observed pattern of rural densities across south-eastern Australia (n = 414 communities). We distinguish between a “productivist” model—applicable for most of white Australia’s history—and a consumptionist model that takes account of recent counter-urbanisation trends. These models are applied to the entire study area and, in recognition of the study area’s internal heterogeneity, to five clusters of communities. In the drier inland and remoter zones, the productivist model exhibits the greatest explanatory power, while in the more accessible and well-watered “multifunctional” zones, an expanded model that incorporates a measure of “amenity” produces the best results. The research finds that simple environmental factors, coupled with relative location within the national space economy, act as dominant controls over rural population density in early 21st century Australia.

Latest-Late Fertility? Decline and Resurgence of Late Parenthood Across the Low-Fertility Countries

After decades of fertility postponement, we investigate recent changes in late parenthood across low-fertility countries in the light of observations from the past. We use long series of age-specific fertility rates from the Human Fertility Database (1950–2016) for women, and new data covering the period 1990–2016 for men. In 1950, the contribution of births at age 40 and over to female fertility rates ranged from 2.5 to 9 percent, but then fell sharply until the 1980s. From the 1990s, however, the prevalence of late first births increased rapidly, especially so in countries where it was initially lowest. This has produced a late fertility rebound in the last two decades, occurring much faster for women than for men. Comparisons between recent and past extremely late (age 48+) fertility levels confirm that people are now challenging the natural fertility barriers, particularly for a first child.     

Is Economic Policy Uncertainty Related to Suicide Rates? Evidence from the United States

The main objective of this paper was to see whether different countries around the world show differences in their sustainability levels as captured in the indicators from the Sustainable Society Index (SSI, Van de Kerk and Manuel in Ecol Econ 66:228–242, 2012) according to their level of income. To do so, the X-STATIS and CO-STATIS multivariate techniques were employed. With these methods, our sample of 151 countries and 21 indicators can be jointly represented along four time periods. The results obtained permit us to visualize that the groups of countries by income levels show differences in some of the variables from the SSI, because of the lack of proximities between those variables and the countries. Moreover, with the X-STATIS technique, the possible evolution of the countries or indicators over time can be represented, and with CO-STATIS, the relations between the social, economic and environmental aspects can be shown as well. From our results we were able to deduce that, on the one hand, social and economic indicators, such as Public Debt or Employment, are associated with countries having high and upper-middle incomes, for example, Chile, Israel, Malta, Kuwait, Saudi Arabia, Oman, Spain, Portugal, France, Poland and Czech Republic. On the other hand, countries with low and lower-middle incomes are more associated with environmental issues. Also, after finding that the differences between the countries by income levels are mainly caused by the economic indicators, we carried out two CO-STATIS analyses, one for social and economic variables, and the other for economic and environmental variables. These findings led us to deduce that, generally, the social and economic indicators are not related to each other, nor are the economic indicators related to the environmental ones. However, for some of the countries individually both relations may be possible.     

A Happy Nation? Opportunities and Challenges of Using Subjective Indicators in Policymaking

This article seeks to combine decades of academic research with emerging policy demands by systematically assessing the state of the knowledge on using subjective indicators in public policy. In particular, it outlines opportunities that arise from a new focus on subjective information as a basis for policy decisions and challenges that ought to be overcome. The paper presents pros and cons of using subjective (versus objective) indicators, and it discusses six ways in which information on citizens’ subjective well-being (SWB) can advance the policymaking process: Monitoring progress, informing policy design, policy appraisal, examining the divergence of objective and subjective quality of life, ranking public institutions and allocating resources, as well as informing development strategies and goals. In doing so, best practice examples are presented and put in context. Finally, subjective measures “beyond SWB” are discussed and a new measure for the overall satisfaction with society is suggested. The next frontier for research and practice will be to build on the potential outlined here and to address the deficits in order make the most out of subjective indicators and the unique value they can add to the policymaking process.