scholarly journals Structures of German Emigration and Remigration: Historical Developments and Demographic Patterns

2021 ◽  
pp. 43-63
Author(s):  
Andreas Ette ◽  
Marcel Erlinghagen
Keyword(s):  
Life Course ◽  
German Population ◽  
International Mobility ◽  
Geographical Pattern ◽  
The West ◽  
Close Link ◽  
Historical Developments ◽  
Demographic Patterns ◽  
The Life Course

AbstractGermany today is one of the world’s most important countries of immigration but at the same time a country of emigration. During the last three decades, more than 3.3 million German citizens have left the country whereas 2.5 million have returned. Overall, 3.8 million Germans live outside Germany in another country of the OECD. The chapter analyses basic structures of German emigration and remigration. Germany’s development as a country of emigration includes major historical predecessors but also a more recent, slowly increasing level of international mobility of the German population. The geographical pattern of departure from Germany describes emigration as a heterogeneous phenomenon related to urban regions with higher shares of well-qualified people, but also close spatial links, at least with the neighbouring countries in the south and the west. In the long term, Europe has stabilised as the major destination region whereas the Americas, overall, have lost their attraction compared to earlier periods of emigration. Demographically, international mobility is a phenomenon of the younger population in particular and closely related to other transitions within the life course including changes in relationship status. The motives of migration illustrate the close link between economic, but also partnership and family-related reasons to help us understand Germany’s recent experiences with international mobility.

scholarly journals Long-term Effects of Prenatal and Infancy Nurse Home Visitation on the Life Course of Youths

2010 ◽  
Vol 164 (1) ◽  
Author(s):  
John Eckenrode ◽  
Mary Campa ◽  
Dennis W. Luckey ◽  
Charles R. Henderson ◽  
Robert Cole ◽  
...  
Keyword(s):  
Life Course ◽  
Home Visitation ◽  
Long Term Effects ◽  
Nurse Home ◽  
The Life Course

Abstract 14677: Distribution of 10- and 30-year Predicted Risks for Atherosclerotic Cardiovascular Disease in the United States: NHANES 2015 to 2018

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Nilay S Shah ◽  
Hongyan Ning ◽  
Amanda Perak ◽  
Norrina B Allen ◽  
John T Wilkins ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Life Course ◽  
Risk Model ◽  
The United States ◽  
Atherosclerotic Cardiovascular Disease ◽  
Middle Aged ◽  
Ascvd Risk ◽  
The Life Course ◽  
Predicted Risk

Introduction: Premature fatal cardiovascular disease rates have plateaued in the US. Identifying population distributions of short- and long-term predicted risk for atherosclerotic cardiovascular disease (ASCVD) can inform interventions and policy to improve cardiovascular health over the life course. Methods: Among nonpregnant participants age 30-59 years without prevalent CVD from the National Health and Nutrition Examination Surveys 2015-18, continuous 10 year (10Y) and 30 year (30Y) predicted ASCVD risk were assigned using the Pooled Cohort Equations and a 30-year competing risk model, respectively. Intermediate/high 10Y risk was defined as ≥7.5%, and high 30Y risk was chosen a priori as ≥20%, based on 2019 guideline levels for risk stratification. Participants were combined into low 10Y/low 30Y, low 10Y/high 30Y, and intermediate/high 10Y categories. We calculated and compared risk distributions overall and across race-sex, age, body mass index (BMI), and education using chi-square tests. Results: In 1495 NHANES participants age 30-59 years (representing 53,022,413 Americans), median 10Y risk was 2.3% and 30Y risk was 15.5%. Approximately 12% of individuals were already estimated to have intermediate/high 10Y risk. Of those at low 10Y risk, 30% had high 30Y predicted risk. Distributions differed significantly by sex, race, age, BMI, and education (P<0.01, Figure ). Black males more frequently had high 10Y risk compared with other race-sex groups. Older individuals, those with BMI ≥30 kg/m 2 , and with ≤high school education had a higher frequency of low 10Y/high 30Y risk. Conclusions: More than one-third of middle-aged U.S. adults have elevated short- or long-term predicted risk for ASCVD. While the majority of middle-aged US adults are at low 10Y risk, a large proportion among this subgroup are at high 30Y ASCVD risk, indicating a substantial need for enhanced clinical and population level prevention earlier in the life course.

scholarly journals Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People

2021 ◽  
Vol 18 (21) ◽  
pp. 11275
Author(s):  
Ignacio Madero-Cabib ◽  
Claudia Bambs
Keyword(s):  
Alcohol Consumption ◽  
Older People ◽  
Life Course ◽  
Tobacco Use ◽  
Respiratory Diseases ◽  
Chronic Respiratory Diseases ◽  
Logistic Regression Models ◽  
Improved Design ◽  
The Life Course

Background: We identify representative types of simultaneous tobacco use and alcohol consumption trajectories across the life course and estimate their association with cardiovascular and chronic respiratory diseases (CVDs and CRDs) among older people in Chile. Methods: We used data from a population-representative, face-to-face and longitudinal-retrospective survey focused on people aged 65–75 (N = 802). To reconstruct trajectory types, we employed weighted multichannel sequence analysis. Then, we estimated their associations with CVDs and CRDs through weighted logistic regression models. Results: Long-term exposure to tobacco use and alcohol consumption across life are associated with the highest CVD and CRD risks. Long-term nonsmokers and nondrinkers do not necessarily show the lowest CVDs and CRDs risks if these patterns are accompanied by health risk factors such as obesity or social disadvantages such as lower educational levels. Additionally, trajectories showing regular consumption in one domain but only in specific periods of life, whether early or late, while maintaining little or no consumption across life in the other domain, lead to lower CVDs or CRDs risks than trajectories indicating permanent consumption in both domains. Conclusions: A policy approach that considers CVDs and CRDs as conditions that strongly depend on previous individual experiences in diverse life domains can contribute to the improved design and evaluation of preventive strategies of tobacco use and alcohol consumption across the life course.

scholarly journals Early-life circumstances and the risk of function-limiting long-term conditions in later life

2020 ◽  
Vol 11 (2) ◽  
pp. 157-180
Author(s):  
Matthew H. Iveson ◽  
Chris Dibben ◽  
Ian J. Deary
Keyword(s):  
Life Course ◽  
Cognitive Ability ◽  
Early Life ◽  
Economic Status ◽  
Functional Limitation ◽  
Later Life ◽  
Socio Economic Status ◽  
Childhood Cognitive Ability ◽  
The Life Course

Older adults are particularly prone to function-limiting health issues that adversely affect their well-being. Previous work has identified factors from across the life course –childhood socio-economic status, childhood cognitive ability and education – that predict later-life functional outcomes. However, the independence of these contributions is unclear as later-in-the-life-course predictors are themselves affected by earlier ones. The present study capitalised on the recent linkage of the Scottish Mental Survey 1947 with the Scottish Longitudinal Study, using path analyses to examine the direct and indirect associations between life-course predictors and the risk of functional limitation at ages 55 (N = 2,374), 65 (N = 1,971) and 75 (N = 1,534). The odds of reporting a function-limiting long-term condition increased across later life. At age 55, reporting a functional limitation was significantly less likely in those with higher childhood socio-economic status, higher childhood cognitive ability and higher educational attainment; these associations were only partly mediated by other predictors. At age 65, adult socio-economic status emerged as a mediator of several associations, although direct associations with childhood socio-economic status and childhood cognitive ability were still observed. At age 75, only childhood socio-economic status and adult socio-economic status directly predicted the risk of a functional limitation, particularly those associated with disease or illness. A consistent pattern and direction of associations was observed with self-rated health more generally. These results demonstrate that early-life and adult circumstances are associated with functional limitations later in life, but that these associations are partly a product of complex mediation between life-course factors.

scholarly journals Intracohort Trends in Ethnic Earnings Gaps: The Role of Education

2019 ◽  
Vol 5 ◽  
pp. 237802311984574 ◽  
Author(s):  
Meir Yaish ◽  
Limor Gabay-Egozi
Keyword(s):  
Life Course ◽  
Racial Inequality ◽  
Ethnic Inequality ◽  
Cross Sectional ◽  
Divided Societies ◽  
Wage Premiums ◽  
Earnings Gap ◽  
The Life Course

This study demonstrates that studying ethnic/racial inequality on the basis of cross-sectional data conceals how such inequality might unfold over the life course. Moving beyond a snapshot perspective, we ask, Do Israel’s Jewish ethnic groups differ in their long-term earnings trajectories? Analyzing nearly 20 years of registered earnings data, the authors find that for the same cohort (25- to 32-year-old Jews in 1995), the ethnic earnings gap has widened over these years. This trend, we demonstrate, is explained largely by increasing wage premiums for college degree, even when these premiums are ethnicity blind. That is, ethnic inequality in educational attainment is translated to increasing ethnic earnings inequality over the life course. This pattern cannot be detected in previous research in Israel, which relied on the snapshot perspective on the basis of cross-sectional data. The consequences of these findings for changes in inequality in divided societies are discussed.

scholarly journals Adherence to a Dietary Approaches to Stop Hypertension (DASH)-type diet over the life course and associated vascular function: a study based on the MRC 1946 British birth cohort

2018 ◽  
Vol 119 (5) ◽  
pp. 581-589 ◽  
Author(s):  
Jane Maddock ◽  
Nida Ziauddeen ◽  
Gina L. Ambrosini ◽  
Andrew Wong ◽  
Rebecca Hardy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Life Course ◽  
Birth Cohort ◽  
Vascular Function ◽  
Hdl Cholesterol ◽  
Intima Media Thickness ◽  
Dash Diet ◽  
The Life Course ◽  
Diet Score

AbstractLittle is known about long-term associations between the Dietary Approaches to Stop Hypertension (DASH) diet and conventional cardiovascular (CV)-risk factors as well as novel measures of vascular function. This study aimed to examine whether long-term adherence to a DASH-type diet in a British birth cohort is associated with conventional CV-risk factors and two vascular function markers, carotid intima–media thickness (cIMT) and pulse wave velocity (PWV). Data came from 1409 participants of the Medical Research Council (MRC) National Survey of Health and Development. Dietary intake was assessed at 36, 43, 53 and 60–64 years using 5-d estimated food diaries. The DASH-type diet score was calculated using the Fung index. Conventional CV-risk factors (blood pressure (BP) and lipids), cIMT in the right and/or left common carotid artery and PWV was measured when participants were 60–64 years. Associations between the DASH-type diet score and outcomes were assessed using multiple regression models adjusted for socioeconomic position, BMI, smoking and physical activity. Participants in higher sex-specific quintiles (Q) of the long-term DASH-type diet had lower BP (P≤0·08), higher HDL-cholesterol (P<0·001) and lower TAG (P<0·001) compared with people in Q1. Participants in Q5 of the long-term DASH-type diet had lower PWV (−0·28sd; 95 % CI −0·50, −0·07,Ptrend=0·01) and cIMT (−0·24sd; 95 % CI −0·44, −0·04,Ptrend=0·02) compared with participants in the Q1. This association was independent of the conventional CV-risk factors. Greater adherence to a DASH diet over the life course is associated with conventional CV-risk factors and independently associated with cIMT and PWV.

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