Non‐Take Up of Social Benefits in Greece and Spain

Even though interest in non‐take up of social benefits is considerable in many European countries, the topic is under‐researched in southern Europe. This article provides preliminary estimates of the extent of non‐take up of two pairs of means‐tested retirement benefits in Greece and Spain. The benefits examined are: (1) the minimum pension supplements pensioner social solidarity benefit EKAΣ and complementos por mínimos; and (2) the social pensions pension to uninsured elderly and pensión de jubilación no contributiva. The article finds that non‐take up of social benefits in the two countries is rather extensive, examines the methodological difficulties inherent in the analysis of non‐take up, and concludes with a discussion of the results and their implications.     

Gypsy Children and the Italian School System: a closer look

By using the method of participant observation, both in the school and in the community, we were able to gain insight into a series of aspects that characterise the everyday school life of Sinti children in Italian schools. By describing the first school day of four Sinti children I attempt to point out some of the fundamental differences that exist between the children's community environment and the school's institutional environment, differences that lead to discontinuities that the children have to find coping mechanisms for.     

‘Southern‐style’ National Health Services? Recent Reforms and Trends in Spain and Greece

This article analyses recent changes in the Greek and Spanish national health services. The aim is to assess how the period of austerity and further recovery during the 1990s and early 2000s impacted on them in terms of equity and efficiency. This is of interest because of the closeness in time between the universalizing reform laws and the arrival of the conditions for economic convergence established in the Maastricht Treaty. The analysis is also attractive because it deals with the transformation of already mature health insurance systems into national health services, a transformation that is novel in European welfare history. The article addresses the questions of whether austerity has hindered full implementation of the reform laws enacted in the early to mid‐1980s, examining reform trajectories and financing and expenditure trends. Furthermore, it considers the impact on access, understood in terms of population coverage, the array of services provided, waiting lists, and territorial inequalities. Finally, it discusses the introduction of new managerial formulas and attempts at enhancing efficiency. The concluding section states that divergent trajectories have occurred, thus rendering the definition of a ‘Southern model of health care’ difficult. It also provides explanations of the trajectories followed in both national cases and informs on prospects for the future.     

Gender Pay Differentials in Portugal: Contributions to the Employment Policy Debate in the European Union

Since the implementation of the European Employment Strategy in the 1990s, the issue of gender gaps in the European Union labour markets has been granted a high profile. The Portuguese labour market has performed well on various indicators relating to gender equality, namely, participation and employment rates. Nevertheless, a persistent pay gap remains despite the recent evolution of the labour market, especially concerning the average education level of workers. This article investigates the main factors explaining the gender pay gap across two decades and the way those factors perform along time. We also discuss the means of closing the gap in the context of the European Employment Strategy, considering the lessons from other member states. We used wage decomposition techniques to analyse the relative importance of differences in the productive characteristics of workers, differences in the way men and women are distributed among jobs and the relative importance of discrimination practices. Our findings suggest that most of the pay gap is due to discrimination practices. Individual action by economic agents is insufficient to solve the persistent pay gap. Social partners must incorporate this issue within collective bargaining in order to construct an adequate strategy for reducing the gap, which can only be done by engaging men and women, employees and employers.     

Couples’ First Child Intentions and Disagreement: An Analysis of the Italian Case

The aim of this article is to examine the determinants of couples’ childbearing intentions, by explicitly taking into account the agreement or disagreement of the two members of the couple. The relevance of the partner’s reproductive intentions has been well recognised in the literature, but few studies have provided in-depth analyses of the fertility plans of both partners. In our study, we used the household-level data from a survey on “Family and Social Subjects”, carried out by the Italian National Statistical Office in 2003, which provides characteristics on both partners. We adopted a couple’s perspective which allows us to give a unitary picture of the concordant or discordant nature of partners’ first child intentions. We found that a lack of agreement in the reproductive decision-making process is likely to occur in the Italian couples where the role of the woman is less traditional. In particular, cohabitant, highly educated and working women are more likely to be in disagreement with their partners in the decisions concerning having a first child. Being religious may be also a source of discordance in the couples’ reproductive plans. Our findings support the utility of taking a couple-based approach in studies on fertility intentions.     

Structured measurement error in nutritional epidemiology: applications in the Pregnancy, Infection, and Nutrition (PIN) Study

Preterm birth, defined as delivery before 37 completed weeks' gestation, is a leading cause of infant morbidity and mortality. Identifying factors related to preterm delivery is an important goal of public health professionals who wish to identify etiologic pathways to target for prevention. Validation studies are often conducted in nutritional epidemiology in order to study measurement error in instruments that are generally less invasive or less expensive than "gold standard" instruments. Data from such studies are then used in adjusting estimates based on the full study sample. However, measurement error in nutritional epidemiology has recently been shown to be complicated by correlated error structures in the study-wide and validation instruments. Investigators of a study of preterm birth and dietary intake designed a validation study to assess measurement error in a food frequency questionnaire (FFQ) administered during pregnancy and with the secondary goal of assessing whether a single administration of the FFQ could be used to describe intake over the relatively short pregnancy period, in which energy intake typically increases. Here, we describe a likelihood-based method via Markov Chain Monte Carlo to estimate the regression coefficients in a generalized linear model relating preterm birth to covariates, where one of the covariates is measured with error and the multivariate measurement error model has correlated errors among contemporaneous instruments (i.e. FFQs, 24-hour recalls, and/or biomarkers). Because of constraints on the covariance parameters in our likelihood, identifiability for all the variance and covariance parameters is not guaranteed and, therefore, we derive the necessary and suficient conditions to identify the variance and covariance parameters under our measurement error model and assumptions. We investigate the sensitivity of our likelihood-based model to distributional assumptions placed on the true folate intake by employing semi-parametric Bayesian methods through the mixture of Dirichlet process priors framework. We exemplify our methods in a recent prospective cohort study of risk factors for preterm birth. We use long-term folate as our error-prone predictor of interest, the food-frequency questionnaire (FFQ) and 24-hour recall as two biased instruments, and serum folate biomarker as the unbiased instrument. We found that folate intake, as measured by the FFQ, led to a conservative estimate of the estimated odds ratio of preterm birth (0.76) when compared to the odds ratio estimate from our likelihood-based approach, which adjusts for the measurement error (0.63). We found that our parametric model led to similar conclusions to the semi-parametric Bayesian model.     

The Limits of Self-Management: Community and Health Care System Barriers Among Latinos With Diabetes

Although numerous studies examine diabetes self-care, few regard ecological framework correlates such as community and institutional level factors as fundamental for understanding diabetes management for Latinos. This article addresses the dearth of research that exists regarding social contextual forces and diabetes management for Latinos. Given the scarcity of research on this topic, studies of non-Latino groups were reviewed to illustrate the importance of community and institutional influences on diabetes care. Consideration of fundamental correlates within the ecological framework may better discern the underlying rationale for inadequate diabetes self-management for individuals who live in impoverished communities.     

Parental employment and time with children in Spain

This paper studies whether the allocation of childcare time differs across gender, parental employment and other characteristics in Spain. Results show that mothers provide substantially more care for Essential Needs Activities and Secondary Childcare than fathers, but the care for Educational Activities is similar. The analysis also shows that fathers and mothers in employment spend more time on Educational Activities than their counterparts who are not working, and that parental education generally increases childcare for Essential Needs and Educational Activities. Finally, the study suggests that ending the working day no later than 6 p.m. would significantly raise the time allocated to childcare by working parents.     

Continuity and Change in Grandchildren's Closeness to Grandparents: Consequences of Changing Intergenerational Ties

Drawing on data from Waves 2 and 3 of the National Survey of Families and Households, this study examines whether grandchildren's (N = 496) previous patterns of closeness to grandparents is associated with their current closeness to grandparents and whether changes in parents' intergenerational ties make a difference in the development of grandchildren's closeness to grandparents when grandchildren experience young adulthood. The findings suggest that there is a possibility for both continuity and change in grandchildren's bond to grandparents. Grandchildren's closeness to grandparents was associated not only with their earlier patterns of closeness to grandparents and with parents' concurrent relations with the grandchild and grandparent generations, but also with changes in parents' intergenerational ties over time. Also, the grandchild gender moderated linkages between certain intergenerational ties in the family.     

Examining marijuana user and non-user prototypes in formative research for prevention campaigns

We report on research-both quantitative and qualitative-conducted to explore perceptions of prototypes of marijuana users, as well as the extent to which self-prototype congruence predicted marijuana use intention. Results of a survey of undergraduates (N = 139) showed that prototypes of users and non-users differed in terms of key attributes, and that a greater match between one's self and user prototype would be associated with greater intention to use marijuana. In addition, exploratory analysis showed that males had higher ratings of user prototype social attractiveness compared to females overall, with the most pronounced differences between non-White males and non-White females. To probe these findings, two focus groups consisting of African-American males and females (N = 12) were conducted. Results indicated that social attractiveness of users was a common theme among males but not females. Implications for prevention programs and future research are discussed.