Family planning programmes and action in Western Europe

Abstract Neo-Malthusian organisations for spreading birth control propaganda were created in many West European countries in the 1870s and '80s. But the birth control movement proper, with its provision of clinics and other means of supplying advice on contraception, began much later-generally after World War I and largely on a welfare basis, divorced from Malthusianism. Legal and other difficulties impeded progress and conditioned the nature of the movement. Since World War II, however, the relevance of birth control has come increasingly to be recognized and the movement has expanded markedly. In some countries - especially in France, West Germany and Italy - there are still legal obstacles, though ways have been found of avoiding them. But even in other countries the direct impact of birth control clinics is far smaller than might have been expected and married couples still obtain their information on contraception from other sources. In recent years the various national movements have shown a greater interest in the evaluation of their activities. As a result, the near future may see substantial changes in their structure and in the approach to their potential clientèle.     

Differences in disability among older women and men in Egypt and Tunisia

Research on child survival and health has indicated disparities between boys and girls in selected Middle Eastern countries. Health disparities in later life are understudied in this region. In this article, we examine differences between women and men in later-life activity limitation in Egypt and Tunisia. Difficulty executing physical tasks is more common for women than for men in both study sites, although differences are smaller after adjustment for underlying illness. Differences in the difficulty of executing physical tasks also are sensitive to environmental controls in variable ways across the study sites. The findings caution against the sole use of reported disability in comparative studies of gender and aging.     

Social Development Trends in Europe, 1970–1994: Development Prospects for the New Europe

The European region is undergoing dramatic social change. Among other regional and international forces, these changes are rooted in: the collapse of the former Soviet Union; the sudden appearance of a large number of “new” – mostly poor and politically unstable – European nations; and, the emergence of economic trading blocs in North America and Asia. At the same time, the majority of “established” European nations are experiencing sluggish rates of economic growth, moderate to high levels of inflation, high unemployment, escalating demands on public social services, and low fertility in combination with high rates of population aging and immigration from developing countries. Despite the seriousness of the dilemmas confronting the region, European development accomplishments of the past 25 years suggest that the region's leaders already possesses the resources required to solve its complex, social, political, and economic challenges.     

Demographic challenges and health in Germany

Demographic challenges are affecting the health care system in Germany and globally: a growing aging population; low birth rates; sociopolitical, women’s health, and health care economic issues; and immigration. During a recent Fulbright Scholar program, scholars from several disciplines including demography, sociology, medicine, and nursing examined these demographic challenges facing Germany and other industrialized countries. Enormous challenges exist for industrialized and developing countries related to these demographic changes, the complexity of health care economics, and population issues. In Germany, the shifting population demographics are affecting health care, financing of the German health care system, and the growth of immigrant populations.     

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.     

Family planning programmes and action in Western Europe

Neo-Malthusian organisations for spreading birth control propaganda were created in many West European countries in the 1870s and '80s. But the birth control movement proper, with its provision of clinics and other means of supplying advice on contraception, began much later-generally after World War I and largely on a welfare basis, divorced from Malthusianism. Legal and other difficulties impeded progress and conditioned the nature of the movement. Since World War II, however, the relevance of birth control has come increasingly to be recognized and the movement has expanded markedly. In some countries — especially in France, West Germany and Italy — there are still legal obstacles, though ways have been found of avoiding them. But even in other countries the direct impact of birth control clinics is far smaller than might have been expected and married couples still obtain their information on contraception from other sources. In recent years the various national movements have shown a greater interest in the evaluation of their activities. As a result, the near future may see substantial changes in their structure and in the approach to their potential clientèle.     

Inequalities in Healthy Life Expectancy in Eastern Europe

Compared to the large body of research on mortality differentials between East Central Europe and the former Soviet Union, little attention has been paid to how overall population health status differs between these two country groups. This article investigates disparities in population health, measured by healthy life expectancy (HLE) between ages 20 and 74, for 23 Eastern European countries in 2008. There are substantial disparities in partial HLE between East Central Europe and the former Soviet Union, amounting to differences of 10 years on average for men and women. In addition, factors reflecting the malfunction of existing social structure are inversely associated with partial HLE. Accordingly, populations in countries where corruption, restriction of freedom, and violence are prevalent spend fewer years in good health.     

The educational gradient of childbearing within cohabitation in Europe

Nearly every European Country has experienced some increase in nonmarital childbearing, largely due to increasing births within cohabitation. Relatively few studies in Europe, however, investigate the educational gradient of childbearing within cohabitation or how it changed over time. Using retrospective union and fertility histories, we employ competing risk hazard models to examine the educational gradient of childbearing in cohabitation in eight countries across europe. In all countries studied, birth risks within cohabitation demonstrated a negative educational gradient. When directly comparing cohabiting fertility with marital fertility, the negative educational gradient persists in all countries except Italy, although differences were not significant in Austria, France, and West Germany. To explain these findings, we present an alternative explanation for the increase in childbearing within cohabitation that goes beyond the explanation of the Second Demographic Transition and provides a new interpretation of the underlying mechanisms that may influence childbearing within cohabitation.     

Eastern Europe: pronatalist policies and private behavior

Fertility trends in the 9 Eastern European socialist countries (Albania, Bulgaria, Czechoslovakia, German Democratic Republic, Hungary, Poland, Romania, USSR, Yugoslavia) are reviewed. Official policy in all these countries but Yugoslavia is explicitly pronatalist to varying degrees. Attention is directed to the following areas: similarities and differences; fertility trends (historical trends, post World War 2 trends, and family size); abortion trends (abortion legislation history, current legislation, abortion data, impact on birth rates, abortion seekers, health risks, and psychological aftereffects); contraceptive availability and practice; pronatal economic incentives (impact on fertility); women's position; and marriage, divorce, and sexual attitudes. The fact that fertility was generally higher in the Eastern European socialist countries than in Western Europe in the mid-1970s is credited to pronatalist measures undertaken when fertility fell or threatened to fall below replacement level (2.1 births/woman) after abortion was liberalized in all countries but Albania, following the lead of the USSR in 1955. Fertility increased where access to abortion was again restricted (mildly in Bulgaria, Czechoslovakia, and Hungary at various times, and severely in Romania in 1966) and/or economic incentives such as birth grants, paid maternity leave, family and child care allowances, and low interest loans to newlyweds were substantially increased (Bulgaria, Czechoslovakia, Hungary, and Poland to some extent, in the late 1960s and early 1970s, and the German Democratic Republic in 1976). Subsequent declines in Bulgaria, Czechoslovakia, Hungary, and Romania suggest that policy induced increases in fertility are short-lived. Couples respond to abortion restrictions by practicing more efficient contraception or resorting to illegal abortion. It is evident that the region's low birth rate is realized mainly with abortion, for withdrawal remains the primary contraceptive method in all countries but Hungary and the German Democratic Republic. It seems that cash incentives have advanced the timing of 1st and 2nd births without substantially increasing the 3rd births required to keep national fertility above replacement level. Demographic factors alone will most likely keep birth rates low in several Eastern European countries during the 1980s and the 1990s. Due to the low birth rates in the 1960s, there will be fewer women in the prime childbearing ages of 20-29 in at least Poland, Czechoslovakia, Bulgaria, and Hungary. It becomes clear that policy efforts to influence private reproductive behavior can only be moderately successful if the living conditions are such that women are determined not to have more than 1 or 2 children.     

Good Job,Good Life? Working Conditions and Quality of Life in Europe

Cross-national comparisons generally show large differences in life satisfaction of individuals within and between European countries. This paper addresses the question of whether and how job quality and working conditions contribute to the quality of life of employed populations in nine strategically selected EU countries: Finland, Sweden, the UK, the Netherlands, Germany, Portugal, Spain, Hungary, and Bulgaria. Using data from the European Quality of Life Survey 2003, we examine relationships between working conditions and satisfaction with life, as well as whether spillover or segmentation mechanisms better explain the link between work domain and overall life satisfaction. Results show that the level of life satisfaction varies significantly across countries, with higher quality of life in more affluent societies. However, the impact of working conditions on life satisfaction is stronger in Southern and Eastern European countries. Our study suggests that the issue of security, such as security of employment and pay which provides economic security, is the key element that in a straightforward manner affects people’s quality of life. Other working conditions, such as autonomy at work, good career prospects and an interesting job seem to translate into high job satisfaction, which in turn increases life satisfaction indirectly. In general, bad-quality jobs tend to be more ‘effective’ in worsening workers’ perception of their life conditions than good jobs are in improving their quality of life. We discuss the differences in job-related determinants of life satisfaction between the countries and consider theoretical and practical implications of these findings.     

The German East-West Mortality Difference: Two Crossovers Driven by Smoking

Before the fall of the Berlin Wall, mortality was considerably higher in the former East Germany than in West Germany. The gap narrowed rapidly after German reunification. The convergence was particularly strong for women, to the point that Eastern women aged 50–69 now have lower mortality despite lower incomes and worse overall living conditions. Prior research has shown that lower smoking rates among East German female cohorts born in the 1940s and 1950s were a major contributor to this crossover. However, after 1990, smoking behavior changed dramatically, with higher smoking intensity observed among women in the eastern part of Germany. We forecast the impact of this changing smoking behavior on East-West mortality differences and find that the higher smoking rates among younger East German cohorts will reverse their contemporary mortality advantage. Mortality forecasting methods that do not account for smoking would, perhaps misleadingly, forecast a growing mortality advantage for East German women. Experience from other countries shows that smoking can be effectively reduced by strict anti-smoking policies. Instead, East Germany is becoming an example warning of the consequences of weakening anti-smoking policies and changing behavioral norms.     

Gastarbeiter in West Germany and Switzerland: an assessment of host society-immigrant relations

West Germany and Switzerland have in general pursued similar immigration policies with respect to alien labor. In spite of a convergence in official policy and a change from temporary migration to settlement in both countries, immigrant groups in West Germany and Switzerland have displayed different attitudes and rates of integration within the host societies. Even when narrowing our discussion to one national group, the Italians, we find substantial differences persist. These cannot be attributed to the percentage of unskilled workers from Italy, intention to stay, the general social climate of the host societies, or even to political institutions such as trade unions. Rather, the higher integration and assimilation of Italians in Switzerland than in Germany appears to be related to structural and demographic factors. Unless policy-makers are aware of the importance of these factors, it is unlikely that they can adequately respond to the complexity and diversity of the problems generated by foreign workers.     

Economic Disparities and Life Satisfaction in European Regions

This paper investigates the role of economic variables in predicting regional disparities in reported life satisfaction of European Union (EU) citizens. European subnational units (regions) are defined according to the first-level EU nomenclature of territorial units. We use multilevel modeling to explicitly account for the hierarchical nature of our data, respondents within regions and countries, and for understanding patterns of variation within and between regions. Main findings are that personal income matters more in poor regions than in rich regions, a pattern that still holds for regions within the same country. Being unemployed is negatively associated with life satisfaction even after controlled for income variation. Living in high unemployment regions does not alleviate the unhappiness of being out of work. After controlling for individual characteristics and modeling interactions, regional differences in life satisfaction still remain, confirming that regional dimension is relevant for life satisfaction.     

Migration, fertility, and aging in stable populations

Fertility is below replacement level in all European countries, and population growth is expected to decline in the coming decades. Increasing life expectancy will accentuate concomitant aging of the population. Migration has been seen as a possible means to decelerate aging. In this article, I introduce a stable, open-population model in which cohort net migration is proportional to births. In this case, the migration-fertility trade-off can be studied with particular ease. I show that although migration can increase the growth rate, which tends to make the age distribution younger, it also has an opposite effect because of its typical age pattern. I capture the effect of the age pattern of net migration in a migration-survivor function. The effect of net migration on growth is quantified with data from 17 European countries. I show that some countries already have a level of migration that will lead to stationarity. For other countries with asymptotically declining population, migration still provides opportunities for slowing down aging of the population as a whole.     

Gender disparities in completing school education in India: explaining geographical variations

Researchers in demography, the labour market and health have observed that North Indian women face greater discrimination than women in other zones. This study examines whether a similar pattern is replicated with respect to completion of school education. We find that gender disparities are higher in northern states in rural areas. In urban areas, however, eastern states display greater disparities. This is also confirmed if we control for household traits, community characteristics and the regional context. However, when we decompose the differences in probability of completing school education across gender, the contribution of the control variables is found to be insignificant, relative to that of the coefficient effect (which is sometimes put forward as a measure of discrimination) in both rural and urban areas of Eastern India. The divergence in regional pattern of gender disparity from patterns observed for demographic and health indicators shows that gender discrimination is a complex multilayered phenomenon and the interaction between these layers may assume unexpected forms.     

A Multidimensional Approach to Precarious Employment Among Young Workers in EU-28 Countries

This article uses a new multidimensional indicator to measure precariousness among young workers across all EU-28 countries. This indicator measures both the incidence and intensity of precariousness. The analysis has involved five dimensions: wages, type of contract, type of working day, disempowerment, and job insecurity. Our database is the European Union Labour Force Survey for the period 2009–2016. The main indication of precariousness is low wages. We find high rates of precariousness for Mediterranean countries (because of low wages and temporary contracts), Denmark (low wages), and the Netherlands (expansion of involuntary part-time jobs). Central European countries have moderate rates, and most Continental and Eastern countries have low rates. We also find that a higher level of education is related to a lower probability of having a precarious job. Finally, we find a greater probability of having a precarious job among women in most countries, and non-statistically significant differences by country of birth.

     

Europe's second demographic transition

By 1985, fertility rates in Europe were below the replacement level of 2.1 births/woman in all but Albania, Ireland, Malta, Poland, and Turkey, following a steady decline from a 1965 postwar peak well above 2.5 in Northern, Western, and Southern Europe and an erratic trend from a lower level in Eastern Europe. Natural decrease (fewer births than deaths) had begun already in Austria, Denmark, Hungary, and the Federal Republic of Germany and can be expected shortly in many other countries. According to current UN medium projections, Europe's population (minus the USSR) will grow only 6% between 1985 and 2025, from 492 to 524 million and 18.4% of the population in 2025 will be 65 and over. The decline to low fertility in the 1930s during Europe's 1st demographic transition was propelled by a concern for family and offspring. Behind the 2nd transition is a dramatic shift in norms toward progressiveness and individualism, which is moving Europeans away from marriage and parenthood. Cohabitation and out-of-wedlock fertility are increasingly acceptable; having a child is more and more a deliberate choice made to achieve greater self-fulfillment. Many Europeans view population decline and aging as threats to national influence and the welfare state. However, governments outside Eastern Europe, except for France, have hesitated to try politically risky and costly economic pronatalist incentives. As used in Eastern Europe, coupled with some restrictions on legal abortion, such incentives have not managed to boost fertility back up to replacement level. Immigration as a solution is unfeasible. All countries of immigration have now imposed strict controls, tried to stimulate return migration of guestworkers recruited during labor shortages of the 1960s and early 1970s, and now aim at rapid integration of minorities. Only measures compatible with the shift to individualism might slow or reverse the fertility decline, but a rebound to replacement level seems unlikely and long-term population decline appears inevitable for most of Europe.     

Happy to Help? Exploring the Factors Associated with Variations in Rates of Volunteering Across Europe

The frequency of formal volunteering varies widely across European countries, and rates of formal volunteering are especially low among Eastern European countries. Why are there such large differences in volunteering rates when it is known that volunteering is beneficial for well-being? Using data from the latest round of the European Social Survey, we test three hypotheses to explain these cross-national differences in volunteering. We ask whether people in countries with low frequencies of volunteering spend more of their time on informal volunteering activities; whether they differ on socio-demographic variables which are known to be linked to volunteering rates; or whether they show less well-being benefit from formal volunteering. Contrary to the first hypothesis, we find a positive correlation between formal and informal volunteering. We further conclude that national differences in rates of volunteering cannot be fully explained by differences in the social, psychological or cultural factors associated with volunteering nor the outcome of volunteering. It is likely that contextual factors, such as a country’s historical background or institutions, determine levels of volunteering to a large extent.     

Life Course Changes in Smoking by Gender and Education: A Cohort Comparison Across France and the United States

Widening of educational disparities and a narrowing female advantage in mortality stem in good part from disparities in smoking. The changes in smoking and mortality disparities across cohorts and countries have been explained by an epidemic model of cigarette use but are also related to life course changes. To better describe and understand changing disparities over the life course, we compare age patterns of smoking in three cohorts and two nations (France and the US) using smoking history measures from the 2010 French health barometer (N = 20,940) and the 2010 US National Health Interview Survey Sample Adult File (N = 20,444). The results demonstrate statistically significant widening of gender and educational differences from adolescence to early and middle adulthood, thus accentuating the disparities already emerging during adolescence. In addition, the widening disparities over the life course have been changing across cohorts: age differences in educational disparities have grown in recent cohorts (especially in France), while age differences in gender disparities have narrowed. The findings highlight the multiple sources of inequality in smoking and health in high-income nations.