Early life exposures and the occurrence and timing of heart disease among the older adult Puerto Rican population

Few studies have examined the effects of early life conditions on the timing of the onset of heart disease. We use the remarkable example of a representative sample of the population of older Puerto Ricans aged 60– 74 who lived in the countryside during childhood (n = 1,438) to examine the effects of seasonal exposures to poor nutrition and infectious diseases during late gestation on the timing of the onset and the probability of ever experiencing adult heart disease. Cox and log logistic hazard models controlling for childhood conditions (self-reported childhood health status and socioeconomic status [SES], rheumatic fever, and knee height) and adult risk factors (adult SES, obesity, smoking, texercise, and self-reported diabetes) showed that the risk of onset of heart disease was 65% higher among those born during high-exposure periods compared with unexposed individuals. However, there were no significant differences in median time of onset for those ever experiencing heart disease. As a comparison, we found that there were no significant seasonality effects for those who lived in urban areas during childhood. We conclude that early exposures in utero have important ramifications for adult heart disease among the older Puerto Rican population. We show, however, that while exposure is associated with the probability of ever experiencing adult heart disease, it is not associated with the timing of onset among those who do experience it.     

Health,wartime stress,and unit cohesion: Evidence from Union Army veterans

We find that Union Army veterans of the American Civil War who faced greater wartime stress (as measured by higher battlefield mortality rates) experienced higher mortality rates at older ages, but that men who were from more cohesive companies were statistically significantly less likely to be affected by wartime stress. Our results hold for overall mortality, mortality from ischemic heart disease and stroke, and new diagnoses of arteriosclerosis. Our findings represent one of the first long-run health follow-ups of the interaction between stress and social networks in a human population in which both stress and social networks are arguably exogenous.     

Knox meets Cox: Adapting epidemiological space-time statistics to demographic studies

Many important questions and theories in demography focus on changes over time, and on how those changes differ over geographic and social space. Space-time analysis has always been important in studying fertility transitions, for example. However, demographers have seldom used formal statistical methods to describe and analyze time series of maps. One formal method, used widely in epidemiology, criminology, and public health, is Knox’s space-time interaction test. In this article, we discuss the potential of the Knox test in demographic research and note some possible pitfalls. We demonstrate how to use familiar proportional hazards models to adapt the Knox test for demographic applications. These adaptations allow for nonrepeatable events and for the incorporation of structural variables that change in space and time. We apply the modified test to data on the onset of fertility decline in Brazil over 1960–2000 and show how the modified method can produce maps indicating where and when diffusion effects seem strongest, net of covariate effects.     

Cultural Activities,Identities, and Mental Health Among Urban American Indians with Mixed Racial/Ethnic Ancestries

Focus groups were conducted to appreciate the voices of Urban American Indians (UAI) who have mixed ancestries residing in Philadelphia, Pennsylvania. Participants (15 women and 10 men, 19–83 years of age) with a variety of Native ancestries coming from different nations (i.e., blackfeet, blackminkwa, Cherokee, Creek, Delaware, Lakota, Powhatan, Seminole, and Shawnee) reported to also have a Non-Native racial/ethnic ancestry such as African/black, Hispanic, and/or Caucasian/white. Specifically, this study provided evidence about (a) the complexity and challenge of being “mixed” UAI (e.g., “living a culture” as opposed to blood quantum in determining a personal identity) (b) the linkage of cultural identities to mental health (c) contributions of cultural activities to identities and mental health (e.g., therapeutic and healing functions of cultural activities), and (d) very limited urban Native-oriented mental health service (e.g., visions for Native American-centered mental health clinic in an urban setting). Building on those UAI’s voices, this paper provides a context for the need of a culturally respectful transformation of urban mental health system by highlighting the clinical significance of cultural identity and mental health promotion for UAI.     

Racial and Ethnic Differentials in Idleness,Highest-Risk Idleness,and Dropping Out of High School

This research investigates three different indicators of at-risk socio-demographic conditions including dropping out of high school, being idle, and being in highest-risk idleness among non-immigrant persons aged 19–24. Using data from the 2000 US Census, our results detail the differentials in these characteristics for 30 different racial/ethnic groups that are further broken down by gender. The findings indicate a wide range in the prevalence of these at-risk socio-demographic conditions. Groups that tend to be the most at-risk in terms of these indicators include African Americans, Cambodians, Laotians, Native Americans, other Hispanic whites, and white Mexicans. With the exception of the other Pacific Islander and Thai, young women have lower high school dropout rates than do young men. However, young women are substantially more likely than young men to be idle which we define as not being in school, the labor force, or the military. After defining highest-risk idleness as never-married persons without children who are idle, however, the rates are slightly lower for young women than for young men.     

How Does the Age Gap Between Partners Affect Their Survival?

I use hazard regression methods to examine how the age difference between spouses affects their survival. In many countries, the age difference between spouses at marriage has remained relatively stable for several decades. In Denmark, men are, on average, about three years older than the women they marry. Previous studies of the age gap between spouses with respect to mortality found that having a younger spouse is beneficial, while having an older spouse is detrimental for one’s own survival. Most of the observed effects could not be explained satisfactorily until now, mainly because of methodological drawbacks and insufficiency of the data. The most common explanations refer to selection effects, caregiving in later life, and some positive psychological and sociological effects of having a younger spouse. The present study extends earlier work by using longitudinal Danish register data that include the entire history of key demographic events of the whole population from 1990 onward. Controlling for confounding factors such as education and wealth, results suggest that having a younger spouse is beneficial for men but detrimental for women, while having an older spouse is detrimental for both sexes.     

Climate change and population migration in Brazil’s Northeast: scenarios for 2025–2050

This research contributes to an understanding of the relationship between climate change, economic impacts and migration. We model the long-term relationship (up to 45 years of projection) between demographic dynamics—particularly migration—driven by changes in the performance of the economy due to climate changes in the Northeast region of Brazil. The region is of particular relevance to the study of climate change impacts given its large human population (28% of Brazil’s population) and high levels of impoverishment, having an extensive semi-dry area which will be severely impacted by growing temperatures. Ultimately, the integrated model generates state- and municipal-level migration scenarios based on climate change impacts on the primary economic sectors and their articulations with other sectors. Results suggest that the predicted climate changes will impact severely the agriculture sector in the region, acting as a potential migration push factor to other regions in the country. Finally, we discuss how the increased vulnerability of some groups, particularly migrants, can be factored into Brazilian public policy and planning.     

The effects of gender on climate change knowledge and concern in the American public

This study tests theoretical arguments about gender differences in scientific knowledge and environmental concern using 8 years of Gallup data on climate change knowledge and concern in the US general public. Contrary to expectations from scientific literacy research, women convey greater assessed scientific knowledge of climate change than do men. Consistent with much existing sociology of science research, women underestimate their climate change knowledge more than do men. Also, women express slightly greater concern about climate change than do men, and this gender divide is not accounted for by differences in key values and beliefs or in the social roles that men and women differentially perform in society. Modest yet enduring gender differences on climate change knowledge and concern within the US general public suggest several avenues for future research, which are explored in the conclusion.     

Population and pavement: population growth and land development in Israel

This research examines land use change in Israel––an intriguing but understudied setting with regard to population–environment dynamics. While Israel is fairly unique with regard to its combined high levels of economic prosperity and high population growth, this case study has relevance for developed countries and regions (like the south and southwest regions of the USA) which must balance population growth and urban development with open space conservation for ecosystem services and biological diversity. The population–land development relationship is investigated during the period from 1961 to 1995 at three spatial scales: national, regional (six districts), and local (40 localities). There is a positive correlation between population growth and land development rates at the national scale, and while remaining positive, the strength of the relationship varies greatly at regional and local scales. The variation in population–land use dynamics across scales is used to garner insight as to the importance of geography, policy and historical settlement patterns.     

Instability,investment, disasters,and demography: natural disasters and fertility in Italy (1820–1962) and Japan (1671–1965)

This article examines whether natural disasters affect fertility—a topic little explored but of policy importance given relevance to policies regarding disaster insurance, foreign aid, and the environment. The identification strategy uses historic regional data to exploit natural variation within each of two countries: one European country—Italy (1820–1962), and one Asian country—Japan (1671–1965). The choice of study settings allows consideration of Jones’ (The European miracle, Cambridge University Press, Cambridge, 1981) theory that preindustrial differences in income and population between Asia and Europe resulted from the fertility response to different environmental risk profiles. According to the results, short-run instability, particularly that arising from the natural environment, appears to be associated with a decrease in fertility—thereby suggesting that environmental shocks and economic volatility are associated with a decrease in investment in the population size of future generations. The results also show that, contrary to Jones’ (The European miracle, Cambridge University Press, Cambridge, 1981) theory, differences in fertility between Italy and Japan cannot be explained away by disaster proneness alone. Research on the effects of natural disasters may enable social scientists and environmentalists alike to better predict the potential effects of the increase in natural disasters that may result from global climate change.