Maternity and child health care in urban China

In China the effort to develop maternal and child health (MCH) care has been ongoing. Initially, attention was directed primarily to promulgating a modern method of delivery in an effort neonatal tetanus and puerperal fever. The next stage was the systematic management of MCH care. Pregnant women and puerperants were given a series of checkups and guidance from conception until the 42nd day after delivery. The purpose was to prevent and treat complications. In some cities, perinatal care has developed to the point of health care management of the health of both mother and child. This extensive health care system includes preconception and pregnancy care, puerperant care, and neonatal care. Premarital checks have become the rule in the urban areas. MCH care organizations at the grassroots level and community health workers take responsibility for advising newly married couples about health care. In addition, some medical colleges and their affiliated hospitals provide consultation services for these couples. The Shanghai Railway Medical College uses a computer to make projections on multigenic genetic diseases. It provides information on incidence risk of the next generation to help couples make their childbearing decisions. The majority of pregnant women get their 1st prenatal check prior to the 12th week of pregnancy, followed by 9 re-examinations to screen out high risk factors. Difficult labor, infections, obstetric trauma, postpartum hemorrhage, and fetal distress are prevented at childbirth. Newborns are scored with Apgar comments; those with low marks are specially protected. In some cities, an investigation system has been established to deal with perinatal deaths. Perinatal care is managed at 3 levels: community MCH centers and MCH departments of hospitals, clinics, and industrial enterprises form the 1st level of care; MCH centers of city districts and hospitals at the district level make up the 2nd level of care; and MCH institutes or hospitals at provincial or city levels, hospitals attached to medical colleges, and hospitals under government ministries form the 3rd level of care.     

Customer knowledge sharing in cross-border mergers and acquisitions: The role of customer motivation and promise management

Knowledge is a vital source of competitive advantage and renewal for contemporary organizations. However, to date, few studies have scrutinized how mergers and acquisitions (M&As)—processes dependent on knowledge sharing—offer a valuable inter-organizational context through which to understand the attainment of customer knowledge sharing following M&As. Applying an integrated theoretical perspective from customer relationship management and M&A performance research, we study a Chinese–Finnish acquisition and customer firms of the acquired party across four advanced Western countries. We find that customer knowledge sharing is an active relationship management process that relies on the factors of customer dedication-based motivation vs. customer concerns about M&As to maintain relationships after acquisitions. In addition, and more importantly, we find that the promise management mechanisms—making promises, enabling promises, and keeping promises—of the M&A parties reinforce the motivational factors to maintain customer knowledge sharing in cross-border M&As. We propose a conceptual framework of customer knowledge sharing in cross-border M&As.     

Socioeconomic,sociodemographic and attitudinal correlates of the tempo of divorce

The association between sociodemographic, demographic, and attitudinal measures and the timing or tempo of marital dissolution over a 14-year time span is examined. Separation is considered equivalent to divorce. Early and late divorce are differentiated by whether the event occurred before or after the average number of years married prior to divorce. Data were obtained on husbands and wives within childbearing years (up to 39 years) in the 1st years of the 1st marriage. A random stratified sample of 610 couples was drawn from records of marriages in a midwestern county between 1972-77. Reinterviews were conducted on 544 couples in April 1985. socioeconomic variables included educational attainment, occupational prestige, wife's employment status, wife's future work plans, husband's attitude to wife's future work plans, total family income, and level of satisfaction with current financial status. Demographic variables are age at marriage, number of children in 1985, marital duration, and desired family size. Attitudinal items were religiosity and gender role orientations (traditionalism, modernism, egalitarianism). Exposure to divorce was not equitably distributed for the 108 who divorced, but this was not statistically significant. The results indicate that those divorced earlier were wives who worked outside the home, worked at more prestigious jobs, planned to be employed throughout married life, and whose father had a higher level of educational attainment. This finding is not consistent with prior research which has shown that favorable socioeconomic conditions lower the probability of divorce. The timing of divorce was affected by the presence of children. Those married at younger ages divorced earlier and couples with children delayed divorcing longer than couples without children. These findings were consistent with earlier research. Catholic wives delayed divorce longer than non-Catholic wives. Males lower in sexual satisfaction divorced earlier. Divorce was postponed longer for husbands with traditional values and wives who had higher scores on egalitarianism. Wives with scores on modernism had earlier divorces than wives scoring lower on modernism. The tempo of divorce was in multiple classification analysis predicted best by wife's employment status and number of children. Cross-classification was not possible.     

Temporal dimensions of the fertility transition: an age-period-cohort analysis of frontier fertility

"This paper evaluates age, period, and cohort effects on marital fertility during onset of the Utah fertility transition (1880-1900). Computerized genealogies are used to derive age-period-cohort fertility rates for 49,842 once-married couples. Age, period and cohort effects on marital fertility are then estimated using Johnson's (1985) relational model. Declining marital fertility in Utah is shown to be explained by both lower fertility levels across periods and increasing age-specific limitation across cohorts. Direct cohort effects on fertility are insignificant. These results are consistent with prior research, and the view that fertility levels were adaptive (in part through birth spacing across ages) to immediate contexts of childbearing while age-specific fertility truncation increased across cohorts (in part through the more general diffusion of contraceptive innovations)."     

Today's second generation: evidence from the 1990 U.S. census

"The prospects for today's second generation will be considerably shaped by their current social, economic and demographic status. This article provides a statistical portrait of children of immigrants by analyzing data from the 1990 U.S. Census of Population and Housing. With the second generation defined as children under age 18 with at least one foreign-born parent, the study describes place of residence; household demographic, social and economic circumstances; household head's socioeconomic status; and characteristics of children themselves. Data on second-generation children are broken down by year of immigration of parents and child's nativity. Data for children with native-born parents are provided for comparison."     

Age at marriage,sex-ratios,and ethnic heterogamy

"This paper focuses on the effects of age at marriage and the sex-ratio on patterns of ethnic homogamy among Israeli women. We hypothesize that later marriages are more likely than early marriages to be heterogamous as the 'marriage market' shifts from school to the work-place. By the same token, when facing severe marriage squeezes women will be forced to out-marry. Employing data from the 1983 census, we model mate selection of women from Afro-Asian and Euro-American origin in various birth-cohorts. The results do not fully support our hypotheses: we find that in and of itself, age at marriage does not enhance ethnic heterogamy."     

The model of place utility revisited

"The purpose of this paper...is twofold: first, to specify a way of calculating place utility so that potential migrants could move to the place where overall place utility is maximized; and second, which is more important, to reveal how decision-makers in the real world, who are acting within 'bounded rationalities'...,make their decisions on where to migrate. This study is supported by an empirical survey of recent Chinese immigrants to Edmonton [Canada].... The findings reveal that when people evaluate different places, they do not necessarily look for the one that generates the highest overall value or utility across all properties.... The study further indicates that the assumption underlying most microeconomic models (that maximizing utility or benefit is the ultimate rule for choosing one location out of several) has not been verified." (SUMMARY IN FRE AND SPA)     

Sex preference versus number preference: the case of Korea

The author argues that the effect of sex preference must be disentangled from the effect of number preference in Korea. This study tests--with hazard models--the effect of the number of previous children on the next birth according to the sex composition of previous children. Data were obtained from the 1974 Korean Fertility Survey. This paper also analyzes the timing of childbearing in recent periods in order to determine whether replacement-level fertility is temporary or permanent. The ideal number of children declined from 3.9 children in 1965 to 2.1 in 1991. The age-specific fertility rates for ages 20-24 years declined rapidly during the late 1980s. The fertility rates among women aged 25-29 years and 30-34 years increased during 1985-90. The proportion of fertility among women aged 20-29 years increased from 67.9% in 1975 to 86.6% in 1984. Women born in the late baby boom period of the late 1950s to mid-1960s reached prime reproductive age during the late 1980s and 1990s, but the crude birth rate remained about the same during 1985-92. A higher percentage of women (22.4%) born during 1955-59 remained single in 1990. During 1960-90, the percentage of women aged 20-24 years who were married declined. These trends indicate later age at childbearing and an explanation for the temporary nature of below-replacement fertility in the late 1980s. Korean women did not want to have more than 2 children, and the interval between first and second births increased since 1985. Among pregnancies of parity 2 conceived since 1985, over 90% of women with at least one son ended subsequent pregnancies by abortion compared to only 59% without sons. Hazard models of 1974 data reveal that son preference had an important effect on fertility. Fertility was higher among women with only daughters. Findings suggest that the value of sons must be measured at the societal and not at the individual level.     

Going to Pieces: Paul Monette and the Fragments of the Tribe

Author of the highly acclaimed Borrowed Time: An AIDS Memoir (1988) and winner of the 1992 National Book Award for his autobiography Becoming a Man: Half a Life Story, Paul Monette died of complications from AIDS in Los Angeles on February 12, 1995. His most recent work, Last Watch of the Night: Essays Too Personal and Otherwise (1994), is his third volume in a trilogy of autobiographical writing on growing up gay, coming-out, and living with AIDS. A graduate of Phillips Academy and Yale University, Monette received a number of awards for his writing and his work as an outspoken voice in the battle against AIDS, including the National Book Award, three Lambda Literary awards, the PEN Center West Freedom to Write Award, and three honorary doctorate degrees, from Wesleyan University, the City University of New York, and the State University of New York at Oswego. A memorial service was held for Monette on Sunday, February 19, 1995, at the Directors Guild of America on Sunset Boulevard in Los Angeles. Paul Monette was 49.