Pathways between education and health: a causal modelling approach

Summary.  The association of poor education and poor health has been consistently observed in many studies and in various countries. Thus far, studies examining the mechanisms underlying this association have looked at only a limited set of potential pathways. This study simultaneously examines six distinctive pathways, which have been hypothesized to link education and health and found support from previous studies. A causal analysis of education and health was performed using structural equation models. Data were used from six phases of the National Child Development Study, which is based on following up an initial sample of 17416 children who were born in 1958. The association between education and health appears to be explained by a combination of mechanisms: adolescent health and adult health behaviours for men and women, adult social class among men and parental social class among women. We conclude that improvements in population educational attainment may not automatically lead to improvements in population health, and that health policies for improving health and reducing health inequalities need to target specific causal pathways.     

Evaluation: Stakeholder-focused Criteria

Identifying and selecting suitable criteria is an important consideration in evaluating the performance of public sector organizations. Which criteria are chosen, and how they are weighted, will depend largely on the perspective being taken; different stakeholders (for example, clients, providers or commissioners) are likely to emphasize different criteria. In this paper a number of criteria are identified and an argument is developed to indicate which criteria are likely to be valued by various stakeholders. Furthermore, a number of approaches and mechanisms for evaluation are identified and the links between these, the criteria appropriate to them and the various stakeholders are made explicit. Finally, the issue of politics and the distribution of power between the stakeholders is addressed with a call for greater explicitness in using and balancing criteria (for example, as between professionals and the intended beneficiaries of services). In this way, while recognizing the inherent political nature of performance evaluation, the planning and implementation of services may be improved by a more mutually informed approach to evaluation.     

Sustainable societies in the information age

This article interweaves the ideas of sustainable development, sustainable societies, and the power of advanced information technologies toward developing recommendations for social science research on information technology in society. Worldwide concern has arisen over the potentially catastrophic consequences of global climate and environmental change. As a result, sustainable development (i.e., the simultaneous protection of both the global environment and the global economy) is receiving considerable attention. Necessary for achieving sustainable development are sustainable societies, which are capable of designing, implementing, managing and evaluating long-term environmental programs. This article presents ten characteristics that describe sustainable societies and discusses how information technologies, from wireless personal digital assistants to intelligent agents to multi-media database systems, could support the evolution of sustainable societies. Topics for social science research related to designing and ameliorating the negative consequences of eight hypothetical computer-based systems are presented. Bruce E. Tonn is leader of the policy systems analysis group at Oak Ridge National Laboratory and co-principal investigator of the National Center for Environmental Decision-making Research. His research interests include environmental and energy policy, computers in society, decision making, and futures studies. He is past president of the Social Science Computing Association. His research focuses on planning, assessment and evaluation, energy use and conservation, and education.     

A rational approach to career change

Recently, the number of physicians who have been interested in alternative careers has vastly increased. Many physicians express dissatisfaction with clinical practice, but they are uncertain about which nonclinical options are appropriate for them. Pursuing a different career after many years of studying and practicing medicine can seem like an overwhelming task. In this article, the author briefly outlines a decision-making process that can be used in analyzing career options and suggests some careers that have provided challenging opportunities for physicians.     

What Do Movements Mean? The Value of Participant-Observation

Participant-observation can teach us much about the everyday meanings of doing social activism. I conceptualize these implicit meanings in relation to work in the sociology of culture, and social movement studies, and give examples from activists' everyday interaction. A participant-observer's forays into implicit meanings illuminate three dimensions of activists' experiences: the ways activists practice democratic citizenship in their groups, the ways they build group ties, and the ways they define the meaning of activism itself. By probing these implicit meanings, we can address questions that concern many social movement scholars. We increase our understanding of how movements grow, accomodate conflict, and build alliances, and we can specify which insights are useful in theories of contemporary or new social movements.     

Who Pays? Can We Pay Them Back?

This chapter is about a very old question that is thrown up again in discussion related to ANT. Do orders have necessary limits to what can belong to them? It is possible to read ANT as containing or demanding a moral commitment to the inclusion of the disenfranchised. It can often seem to be in the business of giving credit where credit is due, spreading recognition to even the most unexpected quarters. To sustain itself such a morality would depend on the possibility of infinite inclusion. By identifying this picture of 'belonging-by-assemblage' and its traditional counterpart 'belonging-by-banishment' and by finding both at play within ANT, the papers argues that ANT is an ethical rather than a moral enterprise, bringing the unanswered question of the nature of belonging to bear across domains, rather than approaching each domain with a 'cookie-cutter' moral formula. The disturbing 'unsecuring' of belonging that ANT involves continues within the philosophical tradition ANT trades on and contributes to in the form of an abiding controversy over the place of the natural world.     

Capitalist development and educational reform

Conclusion The early formulations of reproduction theory fail to grasp uneven educational development because of a reliance on a mechanical, base/ superstructure model of social organization. Unlike neo-Weberian models which attempt to sever the necessary connection between the existence of public education and commodity production, reproduction theory emphasizes the correspondence of public education and the capitalist economy. But this correspondence does not adequately conceptualize the unity of form and content in capitalist relations of production. As a causal model it implies that economic relations develop in the absence of their institutional counterparts. The weight of economic needs then calls institutional reform into play. Such a model reduces historical development to the movement of pure forms.The early formulations of reproduction theory confuse abstract and historical levels of analysis. They also fail to adequately grasp social units. Capitalism is a world economy in which production extends well beyond national boundaries, yet in which labor power is reproduced on the whole by national states. Without an analysis of relations among nations, uneven educational development is unintelligible.The patterns of educational development seen in Ireland and Upper Canada resulted from the colonial status of these countries which made educational reform appear a potential solution to imperialist struggles. Educational reforms blocked in England because of class struggles and sectarian divisions could be invoked in the colonial situation by virtue of the relative independence of the colonial state. These reforms, however, embodied structural features peculiar to capitalist relations of production. Precocious educational development in these cases results from the heightened development of the colonial state in relation to the colonial political economy.Public education does not, one would think obviously, eliminate class relations. Rather, public educational reform is a mode of reformulating class relations by the state. This reformulation changes the appearance of class relations but not their basis. Public education is not compensation for the loss of liberty political subjects endure by consenting to be ruled by the state; it is more usefully seen as one way in which the state administers class relations. As such, it reproduces class struggles in displaced forms. Such displaced struggles are seen by neo-Weberian writers as constellations of interests, but one should not lose sight of the structural origins of such interests.While reproduction theory has presented serious critiques of liberal theory and has stressed the historically specific character of public education, it has embodied functionalist assumptions which limit its ability to come to grips with concrete historical development. To escape these assumptions it is necessary to reject a base/ superstructure model and to seek rather to understand the expanded reproduction of the essential social forms of capitalist society.