The impact of temporary contracts on suicide rates

The number of suicides has increased in the last decades in several developed countries. For instance, Spain has experienced a gradual but steady increase in suicides since the 80’s and it is currently the leading external cause of death in the country. At the same time, the dualisation of the labor market, with a strong and persistent incidence of temporary contracts, has increased the instability of employment conditions. Both developments have a stronger incidence for individuals with lower levels of education. Therefore, in this paper we use rich administrative data in order to estimate the impact of the wide spread use of temporary contracts on suicides. In order to do that we exploit a reform that liberalised the use of fix-term contracts in Spain in 1984. Our results show strong long-term effects of the reform, which increased the suicide mortality rate of affected cohorts (those entering the labor market just after the liberalisation) by at least 25.3%. We believe that this result has important policy implications and should be taken into account in the design of the national suicide prevention plans.

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SUMBER-SUMBER RESILIENSI PADA REMAJA AKHIR YANG MENGALAMI KEKERASAN DARI ORANGTUA PADA MASA KANAK-KANAK

Psibernetika ◽

10.30813/psibernetika.v11i1.1161 ◽

2018 ◽

Vol 11 (1) ◽

Author(s):

Devina Calista ◽

Garvin Garvin

Keyword(s):

Late Adolescents ◽

Long Term Effects ◽

Short Term ◽

Parental Affection ◽

Resilience Factors ◽

Childhood Violence ◽

Past Experiences ◽

The Impact ◽

Depth Interviews

Child abuse by parents is common in households. The impact of violence on children will bring short-term effects and long-term effects that can be attributed to their various emotional, behavioral and social problems in the future; especially in late adolescence that will enter adulthood. Resilience factors increase the likelihood that adolescents who are victims of childhood violence recover from their past experiences, become more powerful individuals and have a better life. The purpose of this study was to determine the source of resilience in late adolescents who experienced violence from parents in their childhood. This research uses qualitative research methods with in-depth interviews as a method of data collection. The result shows that the three research participants have the aspects of "I Have", "I Am", and "I Can"; a participant has "I Can" aspects as a source of resilience, and one other subject has no source of resilience. The study concluded that parental affection and acceptance of the past experience have role to the three sources of resilience (I Have, I Am, and I Can) Keyword : Resilience, adolescence, violence, parents

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The Quantification of Structural Reforms in OECD Countries

10.1093/oso/9780198821878.003.0007 ◽

2018 ◽

Cited By ~ 1

Author(s):

Balázs Égert ◽

Peter Gal

Keyword(s):

Product Market ◽

Physical Capital ◽

Oecd Countries ◽

Market Regulation ◽

Structural Reforms ◽

Long Term Effects ◽

Per Capita ◽

Product Market Regulation ◽

The Impact

This chapter describes and discusses a new supply-side framework that quantifies the impact of structural reforms on per capita income in OECD countries. It presents the overall macroeconomic impacts of reforms by aggregating over the effects on physical capital, employment, and productivity through a production function. On the basis of reforms defined as observed changes in policies, the chapter finds that product market regulation has the largest overall single policy impact five years after the reforms. But the combined impact of all labour market policies is considerably larger than that of product market regulation. The paper also shows that policy impacts can differ at different horizons. The overall long-term effects on GDP per capita of policies transiting through capital deepening can be considerably larger than the five- to ten-year impacts. By contrast, the long-term impact of policies coming only via the employment rate channel materializes at a shorter horizon.

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Public reporting of performance measures in long-term care in Canada: does it make a difference?

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.101 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Poldrugovac ◽

J E Amuah ◽

H Wei-Randall ◽

P Sidhom ◽

K Morris ◽

...

Keyword(s):

Performance Measures ◽

Performance Indicators ◽

Long Term Care ◽

Public Reporting ◽

Policy Implications ◽

Term Care ◽

Factors Affecting ◽

Care Facilities ◽

The Impact

Abstract Background Evidence of the impact of public reporting of healthcare performance on quality improvement is not yet sufficient to draw conclusions with certainty, despite the important policy implications. This study explored the impact of implementing public reporting of performance indicators of long-term care facilities in Canada. The objective was to analyse whether improvements can be observed in performance measures after publication. Methods We considered 16 performance indicators in long-term care in Canada, 8 of which are publicly reported at a facility level, while the other 8 are privately reported. We analysed data from the Continuing Care Reporting System managed by the Canadian Institute for Health Information and based on information collection with RAI-MDS 2.0 © between the fiscal years 2011 and 2018. A multilevel model was developed to analyse time trends, before and after publication, which started in 2015. The analysis was also stratified by key sample characteristics, such as the facilities' jurisdiction, size, urban or rural location and performance prior to publication. Results Data from 1087 long-term care facilities were included. Among the 8 publicly reported indicators, the trend in the period after publication did not change significantly in 5 cases, improved in 2 cases and worsened in 1 case. Among the 8 privately reported indicators, no change was observed in 7, and worsening in 1 indicator. The stratification of the data suggests that for those indicators that were already improving prior to public reporting, there was either no change in trend or there was a decrease in the rate of improvement after publication. For those indicators that showed a worsening trend prior to public reporting, the contrary was observed. Conclusions Our findings suggest public reporting of performance data can support change. The trends of performance indicators prior to publication appear to have an impact on whether further change will occur after publication. Key messages Public reporting is likely one of the factors affecting change in performance in long-term care facilities. Public reporting of performance measures in long-term care facilities may support improvements in particular in cases where improvement was not observed before publication.

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Anti-meningococcal B vaccination in Italian adolescents: a cost-effective health opportunity

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.586 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

D Panatto ◽

P Landa ◽

D Amicizia ◽

P L Lai ◽

E Lecini ◽

...

Keyword(s):

Large Scale ◽

Public Health Problem ◽

Vaccination Strategy ◽

Cost Effective ◽

Dose Schedule ◽

Developed Countries ◽

Invasive Disease ◽

International Setting ◽

The Impact

Abstract Background Invasive disease due to Neisseria meningitidis (Nm) is a serious public health problem even in developed countries, owing to its high lethality rate (8-15%) and the invalidating sequelae suffered by many (up to 60%) survivors. As the microorganism is transmitted via the airborne route, the only available weapon in the fight against Nm invasive disease is vaccination. Our aim was to carry out an HTA to evaluate the costs and benefits of anti-meningococcal B (MenB) vaccination with Trumenba® in adolescents in Italy, while also considering the impact of this new vaccination strategy on organizational and ethics aspects. Methods A lifetime Markov model was developed. MenB vaccination with the two-dose schedule of Trumenba® in adolescents was compared with 'non-vaccination'. Two perspectives were considered: the National Health Service (NHS) and society. Three disease phases were defined: acute, post-acute and long-term. Epidemiological, economic and health utilities data were taken from Italian and international literature. The analysis was conducted by means of Microsoft Excel 2010®. Results Our study indicated that vaccinating adolescents (11th year of life) with Trumenba® was cost-effective with an ICER = € 7,912/QALY from the NHS perspective and € 7,758/QALY from the perspective of society. Vaccinating adolescents reduces the number of cases of disease due to meningococcus B in one of the periods of highest incidence of the disease, resulting in significant economic and health savings. Conclusions This is the first study to evaluate the overall impact of free MenB vaccination in adolescents both in Italy and in the international setting. Although cases of invasive disease due to meningococcus B are few, if the overall impact of the disease is adequately considered, it becomes clear that including anti-meningococcal B vaccination into the immunization program for adolescents is strongly recommended from the health and economic standpoints. Key messages Free, large-scale MenB vaccination is key to strengthening the global fight against invasive meningococcal disease. Anti-meningococcal B vaccination in adolescents is a cost-effective health opportunity.

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Antibiotics at birth and later antibiotic courses: effects on gut microbiota

Pediatric Research ◽

10.1038/s41390-021-01494-7 ◽

2021 ◽

Author(s):

Sofia Ainonen ◽

Mysore V Tejesvi ◽

Md. Rayhan Mahmud ◽

Niko Paalanne ◽

Tytti Pokka ◽

...

Keyword(s):

Gut Microbiota ◽

Control Group ◽

List Type ◽

Antibiotic Exposure ◽

Microbiota Composition ◽

Long Term Effects ◽

The Impact ◽

Antibiotic Courses ◽

Gut Microbiota Composition

Abstract Background Intrapartum antibiotic prophylaxis (IAP) is widely used, but the evidence of the long-term effects on the gut microbiota and subsequent health of children is limited. Here, we compared the impacts of perinatal antibiotic exposure and later courses of antibiotic courses on gut microbiota. Methods This was a prospective, controlled cohort study among 100 vaginally delivered infants with different perinatal antibiotic exposures: control (27), IAP (27), postnatal antibiotics (24), and IAP and postnatal antibiotics (22). At 1 year of age, we performed next-generation sequencing of the bacterial 16S ribosomal RNA gene of fecal samples. Results Exposure to the perinatal antibiotics had a clear impact on the gut microbiota. The abundance of the Bacteroidetes phylum was significantly higher in the control group, whereas the relative abundance of Escherichia coli was significantly lower in the control group. The impact of the perinatal antibiotics on the gut microbiota composition was greater than exposure to later courses of antibiotics (28% of participants). Conclusions Perinatal antibiotic exposure had a marked impact on the gut microbiota at the age of 1 year. The timing of the antibiotic exposure appears to be the critical factor for the changes observed in the gut microbiota. Impact Infants are commonly exposed to IAP and postnatal antibiotics, and later to courses of antibiotics during the first year of life. Perinatal antibiotics have been associated with an altered gut microbiota during the first months of life, whereas the evidence regarding the long-term impact is more limited. Perinatal antibiotic exposure had a marked impact on the infant’s gut microbiota at 1 year of age. Impact of the perinatal antibiotics on the gut microbiota composition was greater than that of the later courses of antibiotics at the age of 1 year.

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Parental alienation: the impact on men’s mental health

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2015-0083 ◽

2015 ◽

Vol 29 (3) ◽

Cited By ~ 3

Author(s):

Leo Sher

Keyword(s):

Mental Health ◽

Separation Anxiety ◽

Self Esteem ◽

Long Term Effects ◽

Parental Alienation ◽

Adult Men ◽

Self Confidence ◽

High Conflict ◽

The Impact

Abstract Parental alienation is defined as a mental state in which a child, usually one whose parents are engaged in a high-conflict separation or divorce, allies himself strongly with one parent (the preferred parent) and rejects a relationship with the other parent (the alienated parent) without legitimate justification. Parental alienation may affect men’s mental health: a) parental alienation negatively influences mental health of male children and adolescents who are victims of parental alienation. Alienated children/adolescents display guilt, sadness, and depressed mood; low self-esteem and lack of self-confidence; distress and frustration; lack of impulse control, substance abuse and delinquent behavior; separation anxiety, fears and phobias; hypochondria and increased tendency to develop psychosomatic illness; suicidal ideation and suicide attempt; sleep and eating disorders; educational problems; enuresis and encopresis; b) parental alienation negatively affects the mental health of adult men who were victims of parental alienation when they were children and/or adolescents. Long-term effects of parental alienation include low self-esteem, depression, drug/alcohol abuse, lack of trust, alienation from own children, divorce, problems with identity and not having a sense of belonging or roots, choosing not to have children to avoid being rejected by them, low achievement, anger and bitterness over the time lost with the alienated parent; c) parental alienation negatively influences mental health of men who are alienated from their children. Fathers who have lost some or all contact with their children for months or years following separation or divorce may be depressed and suicidal.

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Cancer Care and Survivorship Planning: Promises and Challenges

Journal of Oncology Practice ◽

10.1200/jop.0934407 ◽

2009 ◽

Vol 5 (3) ◽

pp. 116-118 ◽

Cited By ~ 7

Author(s):

Len Lichtenfeld

Keyword(s):

Cancer Care ◽

Long Term Effects ◽

Cancer Treatments ◽

The Impact

Although we have made some progress in understanding long-term effects of some cancer treatments, there is still much more to learn about the impact of our treatments on our patients.

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Intergenerational Earnings Mobility in Italy

The B E Journal of Economic Analysis & Policy ◽

10.2202/1935-1682.1794 ◽

2007 ◽

Vol 7 (2) ◽

Cited By ~ 35

Author(s):

Sauro Mocetti

Keyword(s):

Labor Market ◽

Least Squares ◽

Household Income ◽

Intergenerational Mobility ◽

Least Squares Method ◽

Developed Countries ◽

Data Set ◽

Labor Market Success ◽

Term Labor

Abstract This paper contributes to the growing number of studies on intergenerational mobility by providing a measure of earnings elasticity for Italy. The absence of an appropriate data set is overcome by adopting the two-sample two-stage least squares method. The analysis, based on the Survey of Household Income and Wealth, shows that intergenerational mobility is lower in Italy than it is in other developed countries. We also examine the reasons why the long-term labor market success of children is related to that of their fathers.

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The Crisis and International Population Movement in Indonesia

Asian and Pacific Migration Journal ◽

10.1177/011719680000900104 ◽

2000 ◽

Vol 9 (1) ◽

pp. 93-129 ◽

Cited By ~ 10

Author(s):

Graeme Hugo

Keyword(s):

Labor Market ◽

Migrant Workers ◽

Labor Migration ◽

Asian Financial Crisis ◽

Policy Implications ◽

Undocumented Migrants ◽

Population Movements ◽

Potential Migrant ◽

The Impact ◽

Contract Labor

Indonesia is the country most affected by the Asian financial crisis which began in mid-1997 and has been the slowest to recover from it. In the present paper the effects of the first two and a half years of the crisis on international population movements influencing Indonesia are discussed. The crisis has increased economic pressures on potential migrant workers in Indonesia and the result has been increased out-movement. In both pre and post-crisis situations this was dominated by women, at least among official migrant workers. The crisis has tightened the labor market in some of Indonesia's main destination countries but the segmentation of the labor market in those countries has limited the impact of the crisis in reducing jobs in those countries. The crisis has created more pressure on undocumented migrants in destination countries but the extent of repatriation, while higher than in the pre-crisis situation, has been limited. The crisis has directly or indirectly affected other international movements influencing Indonesia including expatriate movement to Indonesia and longer-term, south-north migration out of the country. The policy implications of these changes are discussed including the fact that the crisis has led to an increased appreciation of the importance of contract labor migration by government and greater attention being paid to improving the system for migrants themselves and the country as a whole.

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Transient inhibition and long-term facilitation of locomotion by phasic optogenetic activation of serotonin neurons

eLife ◽

10.7554/elife.20975 ◽

2017 ◽

Vol 6 ◽

Cited By ~ 57

Author(s):

Patrícia A Correia ◽

Eran Lottem ◽

Dhruba Banerjee ◽

Ana S Machado ◽

Megan R Carey ◽

...

Keyword(s):

Motor Behavior ◽

Motor Impairment ◽

Long Term Effects ◽

Strong Suppression ◽

Serotonin Neurons ◽

Short And Long Term ◽

Rapid Kinetics ◽

Long Term Facilitation ◽

The Impact

Serotonin (5-HT) is associated with mood and motivation but the function of endogenous 5-HT remains controversial. Here, we studied the impact of phasic optogenetic activation of 5-HT neurons in mice over time scales from seconds to weeks. We found that activating dorsal raphe nucleus (DRN) 5-HT neurons induced a strong suppression of spontaneous locomotor behavior in the open field with rapid kinetics (onset ≤1 s). Inhibition of locomotion was independent of measures of anxiety or motor impairment and could be overcome by strong motivational drive. Repetitive place-contingent pairing of activation caused neither place preference nor aversion. However, repeated 15 min daily stimulation caused a persistent increase in spontaneous locomotion to emerge over three weeks. These results show that 5-HT transients have strong and opposing short and long-term effects on motor behavior that appear to arise from effects on the underlying factors that motivate actions.

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