New insights into the Far Eastern pattern of mortality

This paper investigates the consequences of using different economic status proxies on the estimated impact of economic status and other determinants of fertility. Using micro survey data from Ghana and Peru, we find that the proxies for income that best predict fertility are a principal components score of the ownership of consumer durable goods and a simple sum of ownership of these durable goods. Furthermore, the choice of the proxy generally has a minor influence on the predicted effects of the control variables. We compare the results from using a restricted set of proxies, such as those available in the Demographic and Health Surveys, with the results obtained using a lengthier set of proxies. Our results suggest implications beyond fertility analyses by providing researchers with an awareness of the sensitivity of microanalyses to the treatment of economic status. Our results also suggest practical recommendations for the collection of survey data.     

On the Far Eastern pattern of mortality

Since the early 1980s, it has been accepted widely that there is a Far Eastern pattern of mortality, a pattern characterized by excessively high death rates among older men relative to death rates among younger men and among women. It has been regarded as a unique regional mortality pattern, applying primarily to Far Eastern populations. A re-examination of the mortality data of some Far Eastern populations reveals that changes in both age patterns of and sex differentials in mortality have been widely observed. Further, mortality patterns similar to the so-called Far Eastern mortality model have been found in many other populations.     

On the Far Eastern pattern of mortality

Since the early 1980s, it has been accepted widely that there is a Far Eastern pattern of mortality, a pattern characterized by excessively high death rates among older men relative to death rates among younger men and among women. It has been regarded as a unique regional mortality pattern, applying primarily to Far Eastern populations. A re-examination of the mortality data of some Far Eastern populations reveals that changes in both age patterns of and sex differentials in mortality have been widely observed. Further, mortality patterns similar to the so-called Far Eastern mortality model have been found in many other populations.     

New insights into the fertility patterns of recent Polish migrants in the United Kingdom

There have been important changes in the United Kingdom’s fertility and immigration in the past decade, with a large share contributed by migrants from Poland. A detailed understanding of Polish migrant fertility is lacking, however, because the relevant data are not routinely collected. This paper provides new insights into the fertility patterns of Polish migrants in the UK, and compares these patterns with those of other large immigrant groups, the UK-born population and in Poland. We use the UK Labour Force Survey with the Own Children Method, illustrating the potential of survey data for estimating immigrant fertility in settings where other data are unavailable. We first compare the fertility patterns of recent Polish migrants with those of other key recent immigrant groups and the UK-born population; estimating Age-Specific Fertility Rates (ASFRs), and Total Fertility Rates (TFRs), by country of birth for the 2004–2012 period; the proportions in each immigrant group that arrive without children; and of those childless at arrival the proportions of women who go on to have births within a short period after arrival. Next, we compare the ASFRs and TFR for Polish migrant women with those observed in Poland. Our results show that the fertility of Polish migrants is among the lowest for all population subgroups in the UK, and that Polish migrants are less likely to have children soon after arrival than other immigrant groups. The findings are consistent with migration not being so closely linked to family formation for Polish migrants as it is for immigrants in the comparison groups. We also find that the fertility patterns of Polish migrants are different from those observed in Poland with a later childbearing profile and a slightly higher TFR.     

Deceleration in the age pattern of mortality at olderages

The rate of mortality increase with age tends to slow down at very old ages. One explanation proposed for this deceleration is the selective survival of healthier individuals to older ages. Data on mortality in Sweden and Japan are generally compatible with three predictions of this hypothesis: (1) decelerations for most major causes of death; (2) decelerations starting at younger ages for more “selective” causes; and (3) a shift of the deceleration to older ages with declining levels of mortality. A parametric model employed to illustrate the third prediction relies on the distinction between senescent and background mortality. This dichotomy, though simplistic, helps to explain the observed timing of the deceleration.     

The pattern of mortality change in Latin America

Using 69 new life tables recently made by Arriaga for Latin American countries by stable-population methods, the authors examine the mortality trends for more countries and more periods of history than have previously been available for analysis. For the late nineteenth and early twentieth centuries, the new tables yield a substantially lower life-expectancy than that shown by previously published life tables; for recent decades the difference is smaller, though in the same direction. As a consequence, the new tables show a speed of mortality decline in Latin America greater than the speed hitherto assumed. When the trend is analyzed in terms of economic development, it appears that the decline was extremely slow in the more backward Latin American countries until around 1930, whereas in the more advanced countries of the region, a more rapid decline had set in before that. After 1930, however, in both groups of countries the pace of decline was faster than ever, and it was virtually the same for both groups, suggesting that after that date public health measures were exerting a strong influence independently of local economic development. This result is confirmed by comparison with the past history of now developed countries; the mortality decline in Latin America after 1930 was much faster than it was historically at the same level in the industrial countries. As compared with other underdeveloped countries today, the unprecedented decline of mortality in Latin America is typical. In most underdeveloped countries, whether in Latin America or elsewhere, mortality change seems increasingly independent of economic improvement and more dependent on the importation of preventive medicine and public health from the industrial countries.     

The influence of cause-specific mortality conditions on the age pattern of mortality with special reference to Taiwan

Abstract This paper discusses the relationship between the level of mortality at ages one to four, on one hand, and five to 34 on the other. This relationship has been observed to vary considerably among mortality schedules at different levels of mortality and even among schedules at the same general level of mortality. This variation is shown among the modem life table systems of the Regional Model Life Tables and the United Nations Model Life Tables. Controlling for the leyel ofmortality from age five to age 34, the West Tables and the United Nations Tables embody approximately the same 'average' relationship between early childhood and adult mortality. Relatively to this average relationship, the South and East Tables consistently display higher childhood mortality rates for a given level of adult mortality. Indeed, the childhood rates of the South Table are twice those of the West Tables over a range of life expectancy at birth from 40 to 70 years. The relationship between childhood and adult mortality from 1957 to 1968, a period of rapid mortality decline, was investigated in Taiwan. In 1957, the Taiwanese data reflected the severe childhood mortality of the South Model Tables. However, by 1968, due to an especially large decline in childhood mortality, this relationship was more moderate and resembled the mortality pattern of the West or East Model Tables. An analysis of the decline in cause-specific mortality during the period revealed that a dramatic decline in childhood mortality from gastro-enteritis was primarily responsible for the shift in the relationship between childhood and adult mortality in Taiwan. It is asserted that, while any of several diseases which result in fatalities primarily among children of pre-school ages, could cause relatively severe childhood mortality, gastro-enteritis is likely to be a primary contributor to such an age pattern. This assertion is based on the fact that, especially in the developing areas of the world, malnutrition and gastro-enteritis are usually precipitating and complicating factors of other childhood diseases. A limited test of this hypothesis was provided by considering the causal components of childhood mortality rates in two populations known, for certain periods, to have exhibited relatively severe childhood mortality conditions; Spain and Portugal. For the years in which those populations were characterized by the South mortality pattern, gastro-enteritis was a principal cause of mortality in childhood. Moreover, with the decline in mortality from gastro-enteritis, the mortality pattern in Spain and Portugal no longer exhibited childhood mortality rates which were severe relative to those of adult life. The implications of these findings for the analysis of mortality conditions in many areas of the developing world, where the gastro-enteritis malnutrition syndrome annually claims a heavy toll of life in early childhood, are not clear. In those areas, the effect of this syndrome on the age pattern of mortality could be offset by special conditions inflating adult mortality rates. Nevertheless, in circumstances where there is evidence indicating substantial childhood mortality from this syndrome and no evidence indicating compensating severe adult mortality, there is reason to suspect that the existing mortality pattern reflects the relatively severe childhood mortality conditions of the South Model Tables. Additionally, where mortality from the gastro-enteritis malnutrition syndrome has been severe in past years, but has been reduced to low levels in recent years, it is probable that the relationship between childhood and adult mortality will shift in favour of the former - quite possibly, in the manner of Taiwan, from a South to an East or West age pattern.     

Qualitative insights into women's personal experiences of perinatal depression and anxiety

Background and aimSymptoms of perinatal depression and anxiety are usually described and understood from a nosological perspective. This research sought to gain insight into women's lived experience of postnatal depression and anxiety, the factors that contribute to these symptoms and the context in which they develop.MethodFace to face and telephone interviews were conducted with 28 women from metropolitan and rural areas across Australia, who had experienced postnatal depression and/or anxiety within the last five years. Analysis was conducted from a grounded theory perspective.FindingsParticular symptoms of anxiety and depression develop in the context of the numerous changes inherent to the transition to motherhood and contribute to a common experience of frustration and loss. Symptoms were also associated with feelings of dissatisfaction with the pregnancy and motherhood experience.ConclusionsThe findings provide useful insights into women's experiences of mental health symptoms during the perinatal period, how these symptoms present and the factors involved in their development and maintenance. The need to consider women's perspectives to develop resources and health promotions strategies, as well as within the context of relationships with health professionals is highlighted. The study emphasizes the need for greater, more accurate information surrounding perinatal depression and the need to increase the profile and awareness of anxiety disorders.     

The role of smoking in the explanation of the Israeli Jewish pattern of sex differentials in mortality

The difference in life expectancy between women and men among Israeli Jews is very low relative to the difference in other developed countries, and the reasons for this are not fully understood. This paper explores the contribution of smoking to the observed patterns of sex-specific mortality among Israeli Jews, and to the sex difference in mortality exhibited by this population. The results show that the mortality of Israeli Jewish men is low owing to the relatively weak impact of smoking-related mortality, and that this also contributes to an explanation of the small sex difference. The result is explained by the high level of health-protective behaviour of Israeli Jewish men, including a low intensity of smoking (though not a low prevalence). The findings could have implications for some debates on the determinants of divergences and convergences in mortality, and research into the relationship between mortality and the Mediterranean diet.     

The peculiar pattern of mortality of Jews in Moscow, 1993-95

Russian Jews, particularly men, have a large mortality advantage compared with the general Russian population. We consider possible explanations for this advantage using data on 445,000 deaths in Moscow, 1993-95. Log-linear analysis of the distribution of deaths by sex, age, ethnic group, and cause of death reveals a relatively high concentration of endogenous causes and a relatively low concentration of exogenous and behaviourally induced causes among Jews. There is also a significant concentration of deaths from breast cancer among Jewish women. Mortality estimates using the 1994 micro-census population as the denominator reveal an 11-year Russian-Jewish gap in the life expectancy of males at age 20, but only a 2-year life-expectancy gap for women. Only 40 per cent of the Russian-Jewish difference for men, but the entire difference for women, can be eliminated by adjustment for educational differences between the two ethnic groups. Similarities with other Jewish populations and possible explanations are discussed.     

Evaluation of estimates of underenumeration in the census and the age pattern of mortality,philadelphia, 1880

The schedule of mortality by age for Philadelphia's 1880 population classified by sex and race showed aberrations from Coale and Demeny West, South, and North model life tables. Deviations from standard age patterns of mortality were especially pronounced for the black population. The question addressed in this paper is whether the alternative age patterns of mortality are produced by underenumeration in the 1880 census or by actual variations in the age-specific mortality experience. The conclusion was reached that the underenumeration of the urban population, especially the blacks, exceeds estimates for the national population. In addition, the results indicated that the black population faced risks of dying that genuinely differed from standard age patterns. An attempt to use a Brass logit model to generalize the black mortality experience met with success for females but not for males.     

Far eastern patterns of Mortality

Summary In this paper a mortality pattern is identified which has not previously been described by model mortality schedules and seems to have occurred only in populations in the Far East. Mortality schedules in Taiwan, Hong Kong, Singapore, and Korea during the past several decades have been characterized by excessively high death rates of men at the older ages. This excess mortality has progressively diminished and most recent death rates for men show only slight deviations from West model life tables. An examination of statistics on causes of death suggests that tuberculosis is at least partly responsible for the excess mortality of men.     

New estimates of fertility and child mortality in Africa, south of the Sahara

Summary Earlier work by Page and Coale has estimated demographic indices of fertility and mortality for parts of Africa using the Sullivan modification of Brass's technique. The present paper presents modified and more accurate estimates of fertility and child mortality, not only for the sub-national units covered by Page and Coale but also for areas not covered by them. The present analysis which employs Trussell's refinement of Brass and Sullivan's techniques also includes improvements overlooked in earlier estimates. The salient finding that emerges is that while the Brass mortality technique is very powerful, his equally ingenious fertility technique is very weak and should not be relied on for estimating fertility parameters.     

Mobilising patients towards transnational healthcare markets – insights into the mobilising work of medical travel facilitators in Delhi

ABSTRACT

Medical travel facilitators play an important role in mobilising patients towards transnational healthcare markets. However, little is known about the actual mobilising work of medical travel facilitators located at destination sites, such as Delhi, India. The following ethnographic study suggests conceptualising medical travel facilitators as brokers who are productive of a mobility infrastructure. This allows categorising three mobilisation strategies: direct patient mobilisation, channel partner mobilisation and patient testimonial mobilisation. These strategies draw attention to practices that build trust over distance, the power of word-of-mouth and the importance of nurturing personal relationships that translate into transnational channels that direct people to particular destinations.     

与时俱进开拓进取把婚育新风进万家活动继续引向深入

本文介绍了甘肃省开展婚育新风进万家活动的基本情况和取得的成就,并提出了今后的主要任务。     

The narrowing sex differential in life expectancy in high-income populations: effects of differences in the age pattern of mortality

Using data from the Human Mortality Database for 29 high-income national populations (1751-2004), we review trends in the sex differential in e(0). The widening of this gap during most of the 1900s was due largely to a slower mortality decline for males than females, which previous studies attributed to behavioural factors (e.g., smoking). More recently, the gap began to narrow in most countries, and researchers tried to explain this reversal with the same factors. However, our decomposition analysis reveals that, for the majority of countries, the recent narrowing is due primarily to sex differences in the age pattern of mortality rather than declining sex ratios in mortality: the same rate of mortality decline produces smaller gains in e(0) for women than for men because women's deaths are less dispersed across age (i.e., survivorship is more rectangular).