Family limitation among the Old Order Amish

Summary This paper shows that the Indiana Amish, a high-fertility Anabaptist population, regulate their marital fertility according to their family finances. We linked demographic data from the Indiana Amish Directory with personal property tax records at 5, 15 and 25 years after marriage and found fertility differences by occupation and wealth. Correlations between family size and wealth at the beginning, middle and end of childbearing years were positive. Wealthier women exhibited higher marital fertility, had longer first birth intervals, were older at the birth of their last child, and had larger families than poorer women. Over the past 30 years, marital fertility has remained constant among older women; but birth rates among younger women have been rising rapidly.     

More people - more energy: it seems obvious enough,but Carter plan ignores population

In President Carter's National Energy Plan, there are variable factors, including the coal production rate, standards for home insulation and auto mileage, various taxes, but not the population growth rate. The latter factor is considered to be beyond the influence of public policy; it is a constant. This seems irrational to zero population growth proponents, for there are alternatives to continued U.S. population growth, and these alternatives are more readily attainable than some of the elements in Carter's plan. With some national initiatives in population planning, energy use would be considerably less. Thus, the question remains - Why would Carter not deal with the population factor? 1 reason for this is the fact that population planning is a long-term approach; the results are indirect and not reflected immediately in energy comsumption. Yet, a start must be made in the short-term if there are ever to be long-term benefits. Russell Peterson has suggested that Carter could be ignoring the population factor because of "political sensitivity." Carter's people have ignored the population issue, and press coverage following Carter's energy pronouncements has excluded the population factor. In a situation such as this there seems little hope for increased public awareness of the population factor in energy or other public concerns.     

Geographic distance,the measurement of socioeconomic development,and the extent of migration

A study of migration in the region of Wojewodztwo Wloclawskie, Poland, is presented for the period 1975-1979 using a gravitational model. The model includes migration variables and variables measuring the level of socioeconomic development.     

The meaning of patient satisfaction with prepaid primary health care in Israel

This paper reports the development of a self-administered Hebrew-language questionnaire for assessing patient satisfaction with primary care in Israel. Four scale measures of patient satisfaction were empirically constructed. These scales pertained to doctor conduct, doctor-patient communication, teamwork, and ease of access. In addition, a single direct question was used to measure overall satisfaction with the care. Ratings of all aspects of care were negatively skewed, with doctor-conduct and doctor-patient communication usually being the most satisfactory aspects and access the least satisfactory. It was shown that different practices, or the same practice at different points in time, can easily and meaningfully be compared, using mean satisfaction scores, measures of standard deviation, or percentages in each practice with ratings above (or below) the overall mean of all practices. The use of specific measures of patient satisfaction for comparison and intervention is discussed.     

Blacks, whites, and attitudes towards abortion

This article examines patterns of black and white support forabortion from 1972 to 1980. The findings reveal that black-whitedifferences are present on the abortion issue. Many of the differencesare due to the different demographic characteristics of blacksand whites and the greater degree of religiosity of blacks.     

Maternal care receptivity--an innovative approach for the evaluation of MCH services

Despite rapid expansion in the maternal and child health and family planning services, there have been few attempts made to study the extent of utilisation of these services and their impact. The present study reports a simple method evolved in the quantification of utilisation of maternal care services (called maternal care receptivity - MCR), the relationship of factors such as age, parity, caste of the women and the distance of the health centre on the MCR and the impact of MCR on perinatal and neonatal mortalities. An inverse relationship was observed between MCR and perinatal and neonatal mortality rates and the two rates were three times less among babies born to mothers with high MCR scores compared to those with poor MCR scores.     

Gay, lesbian, bisexual and transgendered (GLBT) experiences with Earth-spirited faith

Earth-spirited faiths (e.g., Pagan and Wiccan spiritualities) have been described as more affirmative toward gay, lesbian, bisexual, and transgendered (GLBT) members than mainstream Judeo-Christian faiths, but no research has explored Earth-spirited faiths' GLBT-affirming behaviors. This study investigated those behaviors as well as the faith experiences of GLBT Earth-spirited individuals. At time of coming out, participants who were affiliated with mainstream Judeo-Christian faiths reported greater faith conflict than those affiliated with Earth-spirited faiths; however, there were no differences in resolution of the conflict between the two groups, internalized homonegativity, or self-acceptance. In addition, Earth-spirited faiths engaged in many GLBT-affirming behaviors.     

The increase in marital status differences in mortality up to the oldest age in seven European countries, 1990-99

We investigate mortality differentials by marital status among older age groups using a database of mortality rates by marital status at ages 40 and over for seven European countries with 1 billion person-years of exposure. The mortality advantage of married people, both men and women, continues to increase up to at least the age group 85-89, the oldest group we are able to consider. We find the largest absolute differences in mortality levels between marital status groups are at high ages, and that absolute differentials are: (i) greater for men than for women; (ii) similar in magnitude across countries; (iii) increase steadily with age; and (iv) are greatest at older age. We also find that the advantage enjoyed by married people increased over the 1990s in almost all cases. We note that results for groups such as older divorced women need to be interpreted with caution.