scholarly journals Call the midwife. Health personnel and mortality in Norway 1887–1920

Cliometrica ◽  
2021 ◽  
Author(s):  
Andreas Kotsadam ◽  
Jo Thori Lind ◽  
Jørgen Modalsli

AbstractAt the turn of the twentieth century, Norway, like many other countries, experienced a decrease in mortality and a substantial increase in the number of health personnel. In order to assess how these changes were connected, we investigate the relationship between health personnel and mortality using data at the medical district level ($$N=106$$ N = 106 ) covering a period of 34 years. We find a large and robust effect of midwives on reduced maternal mortality in rural areas, but no effect in urban areas. No clear effect is found for other types of health personnel or on infant mortality. The results demonstrate the important role played by public health investments during the period.

Author(s):  
Ruchika Agarwala ◽  
Vinod Vasudevan

Research shows that traffic fatality risk is generally higher in rural areas than in urban areas. In developing countries, vehicle ownership and investments in public transportation typically increase with economic growth. These two factors together increase the vehicle population, which in turn affects traffic safety. This paper presents a study focused on the relationship of various factors—including household consumption expenditure data—with traffic fatality in rural and urban areas and thereby aims to fill some of the gaps in the literature. One such gap is the impacts of personal and non-personal modes of travel on traffic safety in rural versus urban areas in developing countries which remains unexplored. An exhaustive panel data modeling approach is adopted. One important finding of this study is that evidence exists of a contrasting relationship between household expenditure and traffic fatality in rural and urban areas. The relationship between household expenditure and traffic fatality is observed to be positive in rural areas and a negative in urban areas. Increases in most expenditure variables, such as fuel, non-personal modes of travel, and two-wheeler expenditures, are found to be associated with an increase in traffic fatality in rural areas.


2017 ◽  
Vol 50 (5) ◽  
pp. 604-625 ◽  
Author(s):  
S. K. Mishra ◽  
Bali Ram ◽  
Abhishek Singh ◽  
Awdhesh Yadav

SummaryUsing data from India’s National Family Health Survey, 2005–06 (NFHS-3), this article examines the patterns of relationship between birth order and infant mortality. The analysis controls for a number of variables, including mother’s characteristics such as age at the time of survey, current place of residence (urban/rural), years of schooling, religion, caste, and child’s sex and birth weight. A modest J-shaped relationship between birth order of children and their risk of dying in the neonatal period is found, suggesting that although both first- and last-born children are at a significantly greater risk of dying compared with those in the middle, last-borns (i.e. fourth and higher order births) are at the worst risk. However, in the post-neonatal period first-borns are not as vulnerable, but the risk increases steadily with the addition of successive births and last-borns are at much greater risk, even worse than those in the neonatal period. Although the strength of relationship between birth order and mortality is attenuated after the potential confounders are taken into account, the relationship between the two variables remains curvilinear in the neonatal period and direct in the post-neonatal period. There are marked differences in these patterns by the child’s sex. While female children are less prone to the risk of dying in the neonatal period in comparison with male children, the converse is true in the post-neonatal period. Female children not only run higher risks of dying in the post-neonatal period, but also become progressively more vulnerable with an increase in birth order.


2012 ◽  
Vol 11 (4) ◽  
pp. 409-430 ◽  
Author(s):  
Kim R. Manturuk

What are the mechanisms responsible for homeowners’ better mental health? Social disorganization theory suggests that the relationship between homeownership and mental health is mediated by perceived sense of control, trust in neighbors, and residential stability. This hypothesis is tested using data collected from respondents in 30 low–wealth urban areas. Using propensity score matching and regression models, I find that low–income homeowners report a greater sense of control and trust in their neighbors than comparable renters. Homeownership likewise has an impact on mental health, but the effect is entirely mediated by perceived sense of control. Part of that mediating effect is related to avoiding serious delinquency in mortgage payments. However, subjective trust and residential mobility did not mediate the relationship between homeownership and mental health. The study findings are discussed in light of the need for a cohesive theory of homeownership, particularly given changing economic realities.


2009 ◽  
Vol 56 (3) ◽  
pp. 379-396
Author(s):  
Alice Guyot ◽  
Stefan Berwing ◽  
Maria Lauxen-Ulbrich

The aim of our paper is to identify explanatory variables for income disparities between women and men across different regional types. Using data from the BA Employment Panel (BEP) descriptive statistics show that the gender pay gap grows wider from core regions to periphery. The main explanatory variables for the income differentials are vocational education in the men's case and size of enterprise in the women's case. Whereas in the case of women the importance of vocational status increases and the importance of size of enterprise decreases from rural areas to urban areas.


2018 ◽  
Vol 29 (1) ◽  
pp. 22-32
Author(s):  
R Sarker ◽  
M Yeasmin ◽  
MA Rahman ◽  
MA Islam

The present study was conducted to investigate peoples’ perception level and awareness of air pollution in some selected areas of Mymensingh sadar upazila. The relationship of independent variables (age, educational qualification, family size, residence and communication exposure) with the peoples’ perception level and awareness of air pollution (dependent variable) was done to understand the objectives of the study. Six Hundreds (600) respondents were selected randomly from six study sites under Mymensingh sadar upazila for collecting data during the period of Jan 2016-April, 2017. Pearson’s product-moment correlation coefficients were computed to examine the relationship between the concerned variables. The findings revealed that about half (46.67 percent) of the peoples had medium perception and awareness, 31.67 percent had low and 21.67 percent had high perception and awareness about air pollution. In rural areas, 43.33 percent respondents had low, 50.00 percent had medium and only 6.67 percent had high perception and awareness of air pollution. In urban areas, 20.00 percent respondents had low, 43.33 percent had medium and 36.67 percent had high perception and awareness of air pollution. Majority of the respondents (93.33 percent) were lacking of proper awareness of air pollution in rural areas while 63.33 percent in urban areas. Out of five independent variables, three variables such as educational qualification, residence and communication exposure had positive and significant relationship, age had negative and significant relationship and family size had no relationship with their perception and awareness of air pollution.Progressive Agriculture 29 (1): 22-32, 2018


2019 ◽  
Vol 14 (2) ◽  
pp. 222-228
Author(s):  
Rennie W. Ferguson ◽  
Shawn Kiernan ◽  
Ernst W. Spannhake ◽  
Benjamin Schwartz

ABSTRACTObjectives:Using data collected from a Community Assessment for Public Health Emergency Response (CASPER) conducted in Fairfax Health District, Virginia, in 2016, we sought to assess the relationship between household-level perceived preparedness and self-reported preparedness behaviors.Methods:Weighted population estimates and 95% confidence intervals were reported, and Pearson’s chi-squared test was used to investigate differences by group.Results:Examining responses to how prepared respondents felt their household was to handle a large-scale emergency or disaster, an estimated 7.4% of respondents (95% CI: 4.3–12.3) reported that their household was “completely prepared,” 37.3% (95% CI: 31.4–43.7) were “moderately prepared,” 38.2% (95% CI: 31.6–45.2) were “somewhat prepared,” and 14.4% (95% CI: 10.2–20.0) were “unprepared.” A greater proportion of respondents who said that their household was “completely” or “moderately” prepared for an emergency reported engaging in several behaviors related to preparedness. However, for several preparedness behaviors, there were gaps between perceived preparedness and self-reported readiness.Conclusions:Community assessments for public health preparedness can provide valuable data about groups who may be at risk during an emergency due to a lack of planning and practice, despite feeling prepared to handle a large-scale emergency or disaster.


2020 ◽  
Vol 135 (4) ◽  
pp. 472-482
Author(s):  
Elisabeth Dowling Root ◽  
Emelie D. Bailey ◽  
Tyler Gorham ◽  
Christopher Browning ◽  
Chi Song ◽  
...  

Objectives Geovisualization and spatial analysis are valuable tools for exploring and evaluating the complex social, economic, and environmental interactions that lead to spatial inequalities in health. The objective of this study was to describe spatial patterns of infant mortality and preterm birth in Ohio by using interactive mapping and spatial analysis. Methods We conducted a retrospective cohort study using Ohio vital statistics records from 2008-2015. We geocoded live births and infant deaths by using residential address at birth. We used multivariable logistic regression to adjust spatial and space–time cluster analyses that examined the geographic clustering of infant mortality and preterm birth and changes in spatial distribution over time. Results The overall infant mortality rate in Ohio during the study period was 6.55 per 1000 births; of 1 097 507 births, 10.3% (n = 112 552) were preterm. We found significant geographic clustering of both infant mortality and preterm birth centered on large urban areas. However, when known demographic risk factors were taken into account, urban clusters disappeared and, for preterm birth, new rural clusters appeared. Conclusions Although many public health agencies have the capacity to create maps of health outcomes, complex spatial analysis and geovisualization techniques are still challenging for public health practitioners to use and understand. We found that actively engaging policymakers in reviewing results of the cluster analysis improved understanding of the processes driving spatial patterns of birth outcomes in the state.


2020 ◽  
Vol 12 (14) ◽  
pp. 5631 ◽  
Author(s):  
Caroline Brand ◽  
Cézane Priscila Reuter ◽  
Arieli Fernandes Dias ◽  
Jorge Mota ◽  
Michael Duncan ◽  
...  

A mother’s healthy conduct may lead to the healthy conduct of their children. Thus, this study aimed to verify the role of demographic factors in the relationship between mothers’ physical activity (PA) and commuting to work with children and adolescent’s PA and commuting to school. This cross-sectional study comprised 1421 children and adolescents aged 6 to 17 years and 1421 mothers, from Brazil. PA, commuting, socioeconomic status (SES), skin color/ethnicity, and living area were evaluated by questionnaire. Logistic binary regression models were used. Results indicated that mothers’ PA and commuting were associated with children and adolescent’s PA and commuting to school in crude and adjusted models. Considering the role of the demographic factors, an association was only observed for girls in the relationship between mother’s PA with children’s PA. In adolescents, an association was observed in both high/low SES, boys/girls, and rural/urban areas. Regarding children and adolescent active commuting to school, there was an association with mothers commuting. All demographic factors were strongly associated, except for rural areas. Therefore, mothers’ PA as well as commuting to work are associated with children and adolescent’s PA and commuting to school. Sex, living area, and SES are the related demographic factors.


Author(s):  
Arief Hargono ◽  
Hario Megatsari ◽  
Kurnia Dwi Artanti ◽  
Triska Susila Nindya ◽  
Ratna Dwi Wulandari

Background: The percentage of complete immunization in urban areas is higher than rural areas. The purpose of the study was to analyze the relationship between ownership of Maternal and Child Health (MCH) books with Complete Basic Immunization (CBI) coverage in slums and poor areas. Design and Methods: A rapid survey was conducted in selected slums and poor groups based on medical records from Public Health Center. Informants were mothers with a sample of 325 infants aged 12 to 23 months. Results: The lowest coverage of CBI for slum and poor residents is Pasuruan, which is 55.4%. The results of statistical analysis showed that there was a significant relationship between ownership of MCH books and the complete coverage of basic immunization in Malang (P=0.000; PR=3.682); Pasuruan (P=0.002; PR=1.854); Sidoarjo (P=0.000; PR=4.042); Surabaya (P=0.000; PR=2.425). Conclusions: It is recommended that the government should improve access to complete immunization programs in slums and poor population.


2016 ◽  
Vol 10 (1) ◽  
pp. 1-32 ◽  
Author(s):  
JACQUELINE COGDELL DJEDJE

AbstractDuring the early twentieth century, research on African American music focused primarily on spirituals and jazz. Investigations on the secular music of blacks living in rural areas were nonexistent except for the work of folklorists researching blues. Researchers and record companies avoided black fiddling because many viewed it not only as a relic of the past, but also a tradition identified with whites. In the second half of the twentieth century, rural-based musical traditions continued to be ignored because researchers tended to be music historians who relied almost exclusively on print or sound materials for analyses. Because rural black musicians who performed secular music rarely had an opportunity to record and few print data were available, sources were lacking. Thus, much of what we know about twentieth-century black secular music is based on styles created and performed by African Americans living in urban areas. And it is these styles that are often represented as the musical creations for all black people, in spite of the fact that other traditions were preferred and performed. This article explores how the (mis)representation of African American music has affected our understanding of black music generally and the development of black fiddling specifically.


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