Demographic transition in Arab countries: A new perspective

This paper provides a new perspective on the fertility transition in Arab countries. It shows that the story of Arab fertility must be retold: the story is of a region with the highest fertility preferences, exhibiting reluctance to change due to the stranglehold of cultural forces, and just starting to respond to development forces. The paper shows that Arab regional experience is quite comparable to that of other developing countries and that, though the fertility decline occurred at a somewhat later date, the pace of decline more than compensates for this delay. Furthermore, the probing of country level experiences and forces underlying the transition shows the diversities of these experiences and the exaggeration of the role of cultural specificity. It also demonstrates that a large part of the decline in Arab fertility is due to changes in nuptiality. For some segments of society and some countries, these changes are not paralleled by increased opportunities for women to have more fulfilling lives. For these women, the fertility decline is not necessarily improving the quality of their lives and cannot be equated with progress and development.     

How do you measure trust in social institutions and health professionals? A systematic review of the literature (2012–2021)

The importance of measuring trust in health systems has been accentuated due to its correlation with important health outcomes aimed at reducing COVID-19 transmission. A systematic review published almost a decade ago identified gaps in measures including the lack of focus on trust in systems, inconsistency regarding the dimensionality of trust and need for research to strengthen the validity of measures. Given developments in our understandings of trust since its publication, we sought to identify new scales developed, existing ones adapted in response to identified gaps, and agendas for future research. Using the PRISMA approach for systematic reviews, we conducted a search in four databases. A total of 26 articles were assessed. Twelve new scales were identified, while 14 were adapted for different settings and populations. Literature continues to focus on measuring trust in health professionals rather than systems. Various shortcomings were identified, including some articles not mentioning the dimensions included in the scale and suboptimal use of validity and reliability testing and/or reporting. Moreover, a variety of terms were used for dimensions. Future research is needed to address these gaps and consequently, to understand their correlation with health behaviors and outcomes more accurately.