The urban background to public health changes in England and Wales, 1900–50

The history of public health changes is taken forward from 1900 to 1950. This was a period of important development in a population in which most ofthe adult members had at the outset of the period experienced compulsory primary education; when the full effects of industrial development had made their mark on the nation's health and, at last, on the public conscience; when the force of social and economic factors in producing and perpetuating disease was becoming appreciated; and when community responsibility for the health and welfare ofthe individual was becoming accepted. Not surprisingly, great improvements were made in the scope of preventive and curative services and in their accessibility. But the most important factor in the improvement of the national health was the steady rise in the level of living of the population, especially during the last two decades of the period.     

Where do low risk women live relative to maternity services across Victoria? Expanding access to public homebirth models across Victoria

ProblemCurrently <1% of Australian women give birth at home.BackgroundIn Australia there are very few options for women to access public funded homebirth.AimWe aimed to use geo-mapping to identify the number of women eligible for homebirth in Victoria, based on the criteria of uncomplicated pregnancies and residing within 15–25 kms of suitable maternity services, to plan future maternity care options.MethodsRetrospective study of births between 2015 and 2017 in Victoria, Australia. All women who were identified as having a low risk pregnancy at the beginning of pregnancy were included. The number of women within 15 and 25 km of a suitable Victorian public maternity hospital and catchment boundaries around each hospital were determined.FindingsBetween 2015 and 2017, 126,830 low risk women gave birth in Victoria, of whom half live within 25 km of seven Victorian hospitals. Currently, 2% of suitable women who live close to the current public homebirth models accessed them.DiscussionWe present a method to inform the expansion of maternity service options using Victoria as an example. On the basis of the maximum number of low risk women living close by, we have also identified the Victorian maternity services that would be most suitable for creation of public homebirth or low risk continuity of midwifery models.ConclusionThis approach could can be used to plan other maternity care services.     

Replacement Migration: Is it a Solution to Declining and Aging Populations?

Population and Environment - This report looks at the recent publication prepared by the UN Population Division which examines the demographic situation in most advanced nations, but especially in...     

Is education a risk factor or social vaccine against HIV/AIDS in Sub-Saharan Africa? The effect of schooling across public health periods

Early in the 30-year HIV/AIDS pandemic in Sub-Saharan Africa, epidemiological studies identified formal education attainment as a risk factor: educated Sub-Saharan Africans had a higher risk of contracting HIV/AIDS than their less educated peers. Later demographic research reported that by the mid-1990s the education effect had reversed, and education began to function as a social vaccine. Recent counter-evidence finds a curvilinear pattern, with the association between educational attainment and HIV/AIDS infection changing from positive to negative across the education gradient. To reconcile these inconsistent conclusions, a hypothesis is developed and tested that education at early stages functioned as a risk factor and later functioned (and continues to function) as a social vaccine. We reason that this shift in the direction of the education effect was concurrent with changes in the public health environment in SSA that early on heightened material benefits from educational attainment but later heightened cognitive benefits from schooling. Using the 2003/2004 Demographic Health Surveys from four Sub-Saharan African countries (Cameroon, Ghana, Kenya and Tanzania), we tested this hypothesis (differential effects of schooling) using non-linear regression analysis (probit), identifying the different public health periods and controlling for confounding factors. The results support the hypothesis that the education effect shifted historically in the HIV/AIDS pandemic in SSA as we hypothesized.     

Disaggregation in population forecasting: do we need it? And how to do it simply

"We have described a method for reducing the dimensionality of the forecasting problem by parsimoniously modeling the evolution over time of the age schedules of vital rates. This method steers a middle course between forecasting aggregates and forecasting individual age specific rates: we reduce the problem to forecasting a single parameter for fertility and another one for mortality. We have described a number of refinements and extensions of those basic methods, which preserve their underlying structure and simplicity. In particular, we show how one can fit the model more simply, incorporate lower bounds to the forecasts of rates, disaggregate by sex or race, and prepare integrated forecasts of rates for a collection of regions. We also discuss alternate approaches to forecasting the estimated indices of fertility and mortality, including state-space methods. These many versions of the basic method have yielded remarkably similar results." (SUMMARY IN FRE)     

Is Debbie Does Dallas dangerous? Representations of cheerleading in pornography and some possible effects

Commonly depicted as a focus of universal heterosexual male desire, cheerleaders are a recurring theme in Western pornography and loom large in the pornographic imaginary. This article maps manifestations of cheerleading-themed pornography since the 1970s, and shows the way sexualized representations of cheerleading in pornography circulate alongside related representations in non-pornographic media domains. An analysis of these framings is then used to venture a claim about the possible impact of these combined depictions on the lived realities of cheerleaders. Specifically, I argue that discourse which sexualizes, trivializes, and stereotypes cheerleaders contributes to the fact that cheerleading suffers from a disempowering reputational deficit. This, in turn, can be linked to—among other problems—the paucity of regulation and profusion of preventable injury associated with the sport. This article’s aim is thus to closely examine cheerleading-themed pornography with an eye to understanding how these depictions—in combination with other media representations—negatively impact cheerleaders’ practice and wellbeing.     

Is migration an effective adaptation to climate-related agricultural distress in sub-Saharan Africa?

Population and Environment - Migration is often considered a form of climate change adaptation by which individuals, households, and communities seek to reduce the risks associated with climate...     

Are the affluent prepared to pay for the planet? Explaining willingness to pay for public and quasi-private environmental goods in Switzerland

A large number of ‘environmental justice’ studies show that wealthier people are less affected by environmental burdens and also consume more resources than poorer people. Given this double inequity, we ask, to what extent are affluent people prepared to pay to protect the environment? The analyses are couched within the compensation/affluence hypothesis, which states that wealthier persons are able to spend more for environmental protection than their poorer counterparts. Further, we take into account various competing economic, psychological and sociological determinants of individuals’ willingness to pay (WTP) for both public environmental goods (e.g., general environmental protection) and quasi-private environmental goods (e.g., CO₂-neutral cars). Such a comprehensive approach contrasts with most other studies in this field that focus on a limited number of determinants and goods. Multivariate analyses are based on a general population survey in Switzerland (N = 3,369). Although income has a positive and significant effect on WTP supporting the compensation hypothesis, determinants such as generalized interpersonal trust that is assumed to be positively associated with civic engagement and environmental concern prove to be equally important. Moreover, we demonstrate for the first time that time preferences can considerably influence survey-based WTP for environmental goods; since investments in the environment typically pay off in the distant future, persons with a high subjective discount rate are less likely to commit.     

Returning to a New Mexican Labor Market? Regional Variation in the Economic Incorporation of Return Migrants from the U.S. to Mexico

Population Research and Policy Review - In recent years, a historically unprecedented number of Mexican migrants to the U.S. returned to Mexico. Compared to previous cohorts, recent return migrants...     

Modernization Theory: How to Measure and Operationalize it When Gauging Variation in Women’s Representation?

Modernization theory, one of the most influential theories in the social sciences, holds that as the composition of the economy develops, from an agrarian to a postindustrial society, communities will develop post-materialist values, which should lead to a higher representation of women in elected positions. However, while this reasoning is intuitive, there is no consensus on how to operationalize and measure this process. Existing studies use different types of national level proxy measures such as aggregated survey data on public attitudes on gender equality and broad development indicators such as per capita GDP or population density. In this article, we not only highlight that existing strategies are suboptimal as they run the risk of creating ecological inference fallacies for the former type of indicators and measurement error for the second type of factors, but also offer some finer grained operationalization of modernization theory at the regional level. In more detail, we illustrate that modernization is a multifaceted concept, which is primarily characterized by urbanization, women’s increased labor force participation and a strengthening of the tertiary sector. Using an original dataset on 285 European regions we illustrate that any of these three characteristics of modernization has an independent impact on women’s representation.     

Is giving or receiving psychologically beneficial to older mothers in South Korea? Importance of marital status

In order to understand intergenerational financial transfers and subjective well-being for older mothers, this study argues that marital status is an important factor to be considered. Using the first wave of the Korean Longitudinal Study of Aging (KLoSA), this study finds that married older mothers report higher levels of life satisfaction when they provide economic support but widowed older mothers feel higher levels of life satisfaction when they receive economic support. Also, regular or irregular financial support appears to also matter in the associations between financial support and life satisfaction. These findings suggest that married and widowed older mothers have different viewpoints about the parent-children relationship.     

Can expanding access to basic healthcare improve children's health status? Lessons from Indonesia's 'midwife in the village' programme

In the 1990s, the Indonesian government placed over 50,000 midwives in communities throughout the country. We examine how this expansion in health services affected children's height-for-age. To address the problem that midwives were not randomly allocated to communities, the estimation exploits the biology of childhood growth, the timing of the introduction of midwives to communities, and rich longitudinal data. The evidence indicates that the nutritional status of children fully exposed to a midwife during early childhood is significantly better than that of their peers of the same age and cohort in communities without a midwife. The former are also better off than children assessed at the same age from the same communities but who were born before the midwife arrived. Within communities, the improvement in nutritional status across cohorts is greater where midwives were introduced than where they were not. This result is robust to the inclusion of community fixed effects.     

Zooming in on Life Events: Is Hedonic Adaptation Sensitive to the Temporal Distance from the Event?

This paper analyzed the effect of major positive and negative life events (marriage, divorce, birth of child, widowhood, and unemployment) on life satisfaction. For the first time, this study estimated the effects of life events not with a precision of 12 months but of 3 months. Specifically, two questions were addressed: (1) Does the precision of the temporal localization of the event (i.e., 12 or 3 months) affect the observed trajectories of life satisfaction, and (2) is the precision of the temporal localization more important for negative life events? As expected, results showed that the precision of temporal localization allows a clearer view on hedonic adaptation, in particular following negative life events.     

Does it happen and why? Lived and shared experiences of mistreatment and respectful care during childbirth among maternal health providers in a tertiary hospital in Nigeria

IntroductionGlobally, mistreatment during childbirth remains a powerful deterrent to skilled birth utilization.AimWe determined the perpetrated and witnessed experiences of mistreatment and Respectful Maternity Care (RMC) among maternal health providers in a tertiary hospital in Nigeria.MethodsA cross-sectional study was conducted among 156 maternal health providers in a tertiary hospital in Nigeria. Information was collected using semi-structured, self-administered questionnaires, and 3 focus group discussions. Quantitative and qualitative data analyses were performed using SPSS version 20 and thematic analysis respectively.FindingsMost respondents were males (64.1%) and doctors (74.4%) with mean age of 31.97 ± 6.82. Two-fifths (39.1%) and 73.1% of the respondents had ever meted out or witnessed disrespectful and abusive care to women during childbirth respectively. Verbal abuse and denial of companionship in labour were major mistreatments reported qualitatively and quantitatively. About a third of the respondents mistreated women 1–2 times in a week. Younger respondents had 64% lower odds of reporting mistreatment during childbirth (AOR = 0.36, 95% CI = 0.14−0.96). The most and least frequently practiced RMC element were provision of consented care (62.8%) and allowing birth position of choice respectively (3.8%). Poor hospital patronage and reputation were the perceived consequences of mistreatment during childbirth.ConclusionWitnessed rather than self-perpetrated mistreatment during childbirth was more reported in addition to poor RMC practices Self-perpetrated mistreatment during childbirth was less reported among younger providers. We recommend intensification of provider capacity building on RMC with special focus on older practitioners and the provision of supportive work environments that encourage respectful maternal care practices.