死亡水平与社会经济发展关系研究

对死亡的解释和修正可以用多种方法。本文试图从社会经济与死亡水平的相关角度,分析2000年中国各省、市、自治区死亡水平的准确性,并从这一角度提出对死亡水平的修正方法。     

甘肃省出生缺陷1：2配对病例对照研究

为了解甘肃省出生缺陷死亡率及易患因素,为“甘肃省出生缺陷干预工程”项目的实施提供可干预的核心因素。根据甘肃地理特点及经济状况,按随机分层整群抽样方法,抽取了4个县,共42个乡为调查点。结果显示四县市婴儿总死亡率15.8‰(98例),出生缺陷死亡率7.7‰。甘肃省出生缺陷前五位的致病因素依次为:母亲孕早期接触农药史;母亲孕前一月服药史;母亲孕期接触农药史;母亲孕早期感染史;既往流产史。     

Developmental outcomes after five years for foster children returned home, remaining in care, or adopted

A substantial proportion of children who enter foster care in the US are infants or toddlers and will exit from foster care before they have been in care for long, either returning home or to adoption. These first years of involvement may predict a significant amount about children's longer term development so understanding developmental outcomes after five years is valuable to understanding if child welfare services (CWS) are serving the intention of promoting the well-being of children. A subsample of 353 infants (less than 13 months of age when investigated by CWS) and subsequently placed into foster care were selected from the National Survey of Child and Adolescent Well-Being. After 66 months, these infants had been reunified, adopted, or were still in foster care. Bivariate comparisons were completed. Statistical controls for maltreatment type and severity, demographic traits, and current caregiver education were implemented to help clarify the role of terminal child welfare placement, current caregiver behaviors, and household income, on eight linear regression models of developmental outcomes. Results support the longstanding tenet of child welfare services policy that remaining in foster care is less developmentally advantageous than having a more permanent arrangement of return home or adoption.     

Protecting Black mothers: How the history of midwifery can inform doula activism

In response to the crisis of racist disparities in maternal mortality, many activists are pushing for increased access to birth doulas for Black women. As states and municipalities respond by incorporating doulas into hospital settings with increasingly common requirements for doula certification, it is more important than ever to investigate the role of doulas, and how that role might change under the medical model of birth within US hospitals. Will activism for doulas turn into arguments for the “right” to a doula? Without the full privileges of citizenship—will the most marginalized women be left out of that right despite their health and safety being at the origins of the activist struggle? To investigate these questions, we can look to the history of midwives in the United States, and examine how the midwifery model of childbirth changed as activists fought for increased access to midwives to improve birth outcomes.     

Mortality after care among young adult foster children in Sweden

This exploratory study looks at mortality after care among 13,100 former Swedish foster children, placed before their teens. Sources used are two national databases, on child welfare interventions and causes of death. Risk ratios of death for foster children are compared with those of their peers in the general population and with a comparison group, consisting of 10,668 young adults from adverse home backgrounds, who never entered foster family care before their teens. Both ex-foster children and the comparison group were young adults (19–26 years old) at time of follow-up. Results show a moderately elevated risk ratio for both groups compared with peers in the general population, mainly due to more frequent unnatural deaths, especially suicides. Time at first placement was not related to mortality among men, but there was a weak tendency of a higher risk ratio for girls placed at age 7–12. Information on time spent in care is used with caution, due to possible problems with reliability. Almost all comparisons between the foster care and the comparison group fell short of statistical significance. For foster children who had spent more than five years in care, the risk ratio tended to be higher than for foster children with shorter care experience, and similar to that of the comparison group. Foster children who had been in care for less then six years thus tended to have a lower risk ratio than the comparison group.     

关于幼儿情感教育的思考

幼儿在成长过程中 ,情感发展与认知发展是互相参与并伴随发生的。幼儿期的情感教育对形成儿童最初个体特点具有十分重要的影响 ,是情感教育的关键。实施幼儿情感教育主要靠幼儿日常生活中周围所有成人的正确引导 ,其中主要是父母和幼儿教师的引导教育     

Structural and Behavioural Changes in the Short TermPreventive Check in the Northwest Balkans in the 18th and19th Centuries

Fertility responded negatively to grain insufficiency(proxied by grain price increases), and mortality respondedpositively in Croatia-Slavonia-Srem in the 18thand 19th centuries, as in most of Europe. Shiftsin the intensity and timing of these responsesoccurred over time as social and economic structureschanged. Shifts in the elasticity of fertility withrespect to grain supply inversely mimic and lagchanges in the elasticity of mortality. Both appear tobe induced by increasing land shortage, the collapseof feudalism, and differences in the patterns ofadjustment to post-feudal conditions among former civiland military serfs. Generally, responses are strongerfor civil and former civil serfs, who may have been inless favourable economic circumstances than themilitary. Fertility responses in the year of a priceshock come to dominate those in the year following,suggesting a shift from contraception to abortion aseconomic and social conditions apparently worsened andstrategies of control intensified. Analysis of monthlyresponses supports the conjecture based on the annualresponses. The shift to the preventive check and strength of thepreventive check in the same year as the price shockis unusual in Europe and beyond. Analysis is based on25 parishes and employs lagged annual and monthly timeseries analysis with corrections for autocorrelation,in combination with ethnographic and historical data.     

Survival Convergence and the Preceding Mortality Crossover for Two Population Subgroups

In this paper, we present and develop the argument that if the survival functions for two population subgroups converge in later life, a mortality crossover must precede the occurrence of this convergence. Specifically, two survival curves, S ₁(x) and S ₂(x), associated with two distinct population subgroups, G₁ and G₂, tend to converge before all members die out, as often observed and anticipated. This convergence leads to an increased mortality acceleration for the “advantaged” group, and eventually fosters the occurrence of a mortality crossover. We present a mathematical proof for this relationship and offer several explanations for the mechanisms involved in the process of survival convergence and the preceding mortality crossover. This new presentation demonstrates that mortality crossover is a highly observable demographic event given the trend of survival convergence in later life.     

Traditional birth attendants’ roles and homebirth choices in Ethiopia: A qualitative study

BackgroundIn Ethiopia, it is encouraged that labour and delivery care are performed under the observation of skilled/trained midwifery or medical professionals. However, 70% of all births occur outside the healthcare system under the care of unskilled birth attendants, family members, or without any assistance at all.ObjectiveThis study aimed to assess the reasons for choosing homebirth and the role of traditional birth attendants in Arba Minch Health and Demographic Surveillance Site.MethodA qualitative, exploratory study was carried out between May and June 2017. Twenty-nine semi-structured interviews were conducted with various respondent groups such as traditional birth attendants, pregnant women, skilled birth attendants, and health extension workers. Data were transcribed and for analysis, structured as per the participants’ responses, sorted and categorized as per the topic guide, and presented in narrative form.FindingsThe study revealed that traditional birth attendants are actively engaged in assisting homebirths in the selected area. It was also found that many women still prefer traditional birth attendants for childbirth assistance. Reasons for choosing homebirth included lack of transport to health care facilities, distance to health care facilities, lack of respectful care at health care facilities, and the friendliness of traditional birth attendants. Lack of formal partnerships between traditional birth attendants and the health system was also observed.ConclusionsThere is a need to incorporate traditional birth attendants as a link between healthcare facilities and pregnant women; thereby, improving respectful care at the healthcare facilities.