CharacteriStics and utilization of midwives in a selected rural area of East Pakistan

The purpose of this study was to obtain information about the utilization of midwives (dais) by village women and to learn more about the characteristics and practices of those dais. Two interview schedules were prepared. The first was used to interview 632 village women to determine who performed or assisted with their last two deliveries. The second was used to obtain information from 21 dais.The results of the first phase may be summarized as follows: (a) 38 per cent of the women were delivered by relatives; (b) 33 per cent of the women delivered their own children; (c) 14 per cent were delivered by neighbors; (d) 6 per cent were delivered by dais; (e) 2 percent were delivered in hospitals; and (f) the remaining 7 per cent were accounted for by several minor categories.The results of the interviews with dais are summarized as follows: (a) they are mainly widows and older women; (b) they have no formal training; (c) they work for friends, neighbors, and relatives and receive a sari as compensation; (d) they cannot handle complicated deliveries; (e) they deliver 3-4 children a year; (f) their sterilizing procedures depend upon soap, water, and folk beliefs; (g) most think midwifery is a worthwhile service; (h) about one-half have a general understanding of the reproduction process; (i) most do not know how to prevent conception; and (j) about half think that it is a good idea to participate actively in a family planning program.     

Race and Ethnic Self-Identification Influences on Physical and Mental Health Statuses Among Blacks

We examine if commonly used distress measures, rates of psychiatric disorders, and chronic health conditions are affected by alternate measures of race-ethnicity for African Americans and Caribbean blacks. We examined two alternative self-identification measures to investigate if their influence might differ. A study on national household probability sample of non-institutionalized African Americans (n = 3,570) and blacks from Caribbean countries, who now live in the United States (n = 1,621), was conducted between February 2001 and June 2003, using a slightly modified version of the Composite International Diagnostic Interview. The method used to measure black race and ethnicity has influence on physical and mental health outcomes. The distributions of depressive symptoms are not affected, while the distributions of DSM IV disorders and chronic health conditions vary by race and ethnic self-identifications among the African American and Caribbean black populations. There are serious implications of using alternate measures of race-ethnicity on the distribution of physical and mental health morbidity among African Americans and Caribbean blacks. The conceptualization and assessment of race-ethnicity should be carefully considered when studying mental and physical health statuses and service needs in the American black population.     

Workers' Compensation and Family and Medical Leave Act Claim Contagion

At $60 billion per year, the workers' compensation system has come under increased scrutiny as firms, insurers, and researchers study the dynamics of claim filing. The Family and Medical Leave Act also covers most workers, and there has been very little research concerning the effects of FMLA legislation on employment. One hitherto neglected research area in both workers' compensation and FMLA is claim contagion. That is, as a claim is filed within a workgroup, does this increase the likelihood that others within the same workgroup will also file claims? We find the answer to be yes. We also find that this contagion effect is subject to diminishing returns to scale, however, in the sense that the claims probability increases at a decreasing rate as fellow employees' claims frequency increases. We argue that this is consistent with a model in which workers learn about filing a workers' compensation or FMLA claim from other workers.     

The Effects of Religious Fundamentalism and Religiosity on Preference for Traditional Family Norms*

This study examines the effects of religion on preference for a patriarchal family, one in which the husband makes decisions while the wife is subservient to him. The effects of both religious fundamentalism and personal religiosity are considered using a survey of adults in a Southwestern city. The analysis reveals a strong positive direct effect of adherence to a fundamentalist doctrine on support for the patriarchal family, but no direct effect of personal religiosity. An interaction effect of these two variables, reported in some other studies of the effect of religion on other family issues, is not found. The effect of religious fundamentalism is equal in magnitude to the effect of age, and greater than the effects of education, gender, family income, head of household occupational prestige, subjective class identification, race and rural background. With the exceptions of age and gender, religious fundamentalism serves as a crucial intervening variable in the relationships between these variables and endorsement of patriarchal norms in the husband-wife relationship.     

RATIONALITY, EVOLUTION, AND ACQUISITIVENESS

The first part of this paper discusses Alchian's classic 1950 article "Uncertainty, Evolution, and Economic Theory" and argues against the notion that it is easy to eliminate rationality from economic behavior by appealing to evolution as a substitute. The second section discusses rationality and develops a specc meaning for this term that distinguishes it from the axioms of choice found in economic theory. In the final section, I use this definition and link rationality to a behavioral propensity almost unique to the human species—acquisitiveness, concluding from this linkage that acquisitiveness can speed up the evolution of intelligence.