Medical care, living conditions, and children's well-being

We examine the effect of medical care and living conditions on children's physical and psychological well-being. We develop a causal model in which living conditions (including the socioeconomic status of the family and the social-psychological aspects of family functioning) may affect well-being both directly, and indirectly through medical care. We find that families in the higher social classes and families that function well tend to go to large prepaid groups where they receive good medical care. High quality technical care of illness, in turn, improves physical health. The quality of psychotherapeutic care, on the other hand, has no effect on psychological well-being. For this aspect of health, the effect of living conditions is largely direct, rather than indirect by way of medical care. Families characterized by high levels of functioning have children who are psychologically healthy. In addition, physical health affects psychological well-being, but not vice versa.     

Demographic determinants of perceived well-being in eight European countries

This paper reports results of a harmonised study of subjective social indicators carried out in eight member countries of the European Community, sponsored, on an experimental basis, by the Statistical Office of the European Communities (Luxembourg). Comparative data from nationwide representative samples from Germany, France, Italy, the Netherlands, Belgium, the United Kingdom, Ireland and Denmark are presented for three key dependent measures of perceived well-being: Self-Assessed Health, Satisfaction with Housing and Life Satisfaction. The cross-cultural generalisability of the influence of demographic variables on these three measures in examined, using 4-way analysis of variance. The analyses revealed a remarkable consistency across nations in terms of the effects of certain demographic variables on some of the dependent measures; however, some inconsistencies were also revealed. Substantial discrepancies in mean scores of the same sub-groups in different countries were also observed. While further research would be required to determine whether these differences were due to objective circumstances or to cultural differences in subjective perceptions or response patterns, some tentative interpretations of the differences were put forth.     

Fertility differences between the family of orientation and the family or procreation in Barbados

Data from an island-wide probability sample of 4119 Barbadian females aged 16-50 were used to study whether there has been an intergenerational fertility decline between the respondents and their mothers. The fertility of the respondents, all from the low or lower middle class, was significantly lower than that of their mothers. However, the size of the family of procreation was seen to be positively related to the size of the family of orientation; i.e., those from large families tended to have large families and vice versa. There was, however, a regression to the mean. There were no differences between women from small and large families as to fertility norms, age at 1st use of contraceptives, or actual practice of contraception. Women from small families did tend to enter sexual relationships and get pregnant at a later age. The women from small families were better educated, earned higher incomes, and had higher status occupations, all factors which might have influenced their fertility. Women from larger families cited higher numbers for both small and large families than did the women from small families. This indicates a perceptual difference which was, in turn, related to fertility differences.     

ATSDR Science Panel on the Bioavailability of Mercury in Soils: Lessons Learned

On the basis of discussion and analysis during and following an ATSDR science panel on the bioavailability of mercury in soils, it is apparent that the default assumption of 100% relative bioavailability for mercury-contaminated soils is excessively conservative. However, current knowledge does not allow the development of default assumptions or guidelines for determining relative bioavailability of mercury in soils. Until such default assumptions or guidelines can be developed, site-specific assays of bioavailability, preferably using either animal bioassays or validated in vitro techniques, may provide the best approach for estimating soil-mercury bioavailability.