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Mortality differentials in the Czech Republic during the post-1989 socio-political transformation.

The Czech Republic, together with Slovakia and Poland, forms a region within Central-Eastern Europe in which the values of life expectancy at birth have been increasing during the period of transformation. However, the tempo of mortality reduction has differed spatially within the territory of the Czech Republic, as have other outcomes of the transformation process. This paper discussed possible socio-economic explanations of regional differences in the tempos of mortality change between 1990/91 and 1995/96. Standardized mortality rates for males aged 0-64 years specified for the three most frequent causes of death were examined by means of the regression and correlation analysis.

Adolescent↗

Interregional migration in socialist countries: the case of China.

"This paper analyzes changing interregional migration in China and reveals that the recent eastward migration reverses patterns of migration under Mao. It finds that investment variables are more important than the conventional variables of income and job opportunities in determining China's recent interregional migration. It suggests that both state policy and the global force influence interregional migration, challenging the popular view that the socialist state is the only critical determinant. This paper also criticizes Mao's approach to interregional migration and discusses the impact of migration on development."

Asia↗

To know or not to know: the case of communication by and with older adult Russians diagnosed with cancer.

This paper describes the ways in which group identifications and stereotypes can inform our understanding of cancer treatment and survivorship, as well as the more general social processes surrounding the communicative experiences of older adult Russians diagnosed with cancer, by providing a theoretical essay (with some modest illustrative data) to shed light on salient cross-cultural health and identity issues. Utilizing an approach grounded in social identity theory, it describes the ways in which understanding primary identities associated with large social collectives such as cultural groups, secondary identities associated with health behaviors and tertiary identities associated with a cancer diagnosis can help explain certain cancer-related social processes. Subtle cultural differences in approaches to health care, particularly with older adult populations, are likely influenced by assumptions embedded in their economic, social, and political systems.

Age Factors↗

Financing changes of schistosomiasis control programmes in China 1980-1995: a case study in Songzi county.

To assess the financing changes of schistosomiasis control programmes in China and estimate the impact of these changes on patients' treatment-seeking behaviour and control of schistosomiasis, a survey was conducted in five schistosomiasis-endemic areas of the lake regions, Hubei province, in 1996. This paper reports financing changes and their impact on the incidence and prevalence of schistosomiasis from one of the five areas as a case study. By examining the surveillance and financial data from 1980 to 1995, and through focus group discussions we found that the schistosomiasis control programmes in People's Republic of China have gone through dramatic financing changes from 1980 to 1995, when the transitions of China's social, economic, and political systems happened. The proportions of funding to schistosomiasis control programmes from high level governmental agencies, county budgets, and services revenue changed from 60%, 23%, and 17%, respectively, in 1980-1987 to 0.7%, 22.3%, and 72% in 1995. The percentages of expenditure of schistosomiasis control activities, salaries and bonuses, and other activities unrelated to schistosomiasis control, were 53.5%, 14.4, and 17.2% in 1980. These percentages changed to 7.7%, 33.3%, and 53.3%, respectively, in 1995. The preponderant role of the state in organizing, financing, and delivery of the services was replaced with the new system which is more influenced by the market economy. The incidence and the prevalence of schistosomiasis in the study area have increased year by year from 1980 to 1990, although there has been a tendency to decrease after 1991 but not to the low pre1980 levels. The collapse of the community-based medical system in rural areas and the dramatic financing changes of schistosomiasis control programmes have created major difficulties for schistosomiasis control in China.

China↗

More than time and place: using historical comparative research as a tool for nursing.

Views of history often seem to be inextricably intertwined with assumptions about past and present political systems and the kind of pressure groups they generate. This fact is important when comparing the history of nursing across different time periods. This paper addresses the relevance of the historical comparative method for nurse historians as it applies to remote area nursing in Australia. The method is an under-utilized but legitimate and important methodological approach in health research, particularly when the research involves more than just content analysis of documents from the past. Specifically, when researching the history of nursing in Australia across different time periods, this method has much to contribute to our understanding of health-care practice and policy. Its contribution lies in allowing a student of nursing history to find the lessons from the past, which are many in health care. The historical comparative research method provides the way for comparisons of certain times and events as they relate to the scope of practice of nursing today.

Australia↗

The white rose.

Explore the source record for details and available documents.

Germany↗

Kinship-based politics and the optimal size of kin groups.

Kin form important political groups, which change in size and relative inequality with demographic shifts. Increases in the rate of population growth increase the size of kin groups but decrease their inequality and vice versa. The optimal size of kin groups may be evaluated from the marginal political product (MPP) of their members. Culture and institutions affect levels and shapes of MPP. Different optimal group sizes, from different perspectives, can be suggested for any MPP schedule. The relative dominance of competing groups is determined by their MPP schedules. Groups driven to extremes of sustainability may react in Malthusian fashion, including fission and fusion, or in Boserupian fashion, altering social technology to accommodate changes in size. The spectrum of alternatives for actors and groups, shaped by existing institutions and natural and cultural selection, is very broad. Nevertheless, selection may result in survival of particular kinds of political structures.

Culture↗

Social traditionalism and economic conservatism: two conservative political ideologies in the United States.

The authors surveyed by telephone a random sample of voters in the 1996 presidential election from the Standard Metropolitan Statistical Area of Muncie, IN ("Middletown"; R. Lynd & H. Lynd, 1929) to test a model describing the nature of 2 conservative political ideologies--social traditionalism and economic conservatism. The model, based on functions of attitudes theory, predicted (a) that the 2 political ideologies would appeal to 2 rather distinct constituency groups--the former, to conservative Protestants; the latter, to people of higher incomes--and (b) that social traditionalists would be more dogmatic and economic conservatives would be more open-minded in their respective views. The findings were consistent with those predictions.

Adult↗

Peacekeeping and peacemaking: the conceptual foundations of a plan to reduce violence and improve the quality of life in a midsized community in Jamaica.

Thomas Jefferson noted that social ills breed economic ills and vice versa. An endless regress can occur with violence and mayhem as a chorus: Every community in the world has its own thresholds and patterns of violence, and communities experience varied levels of deterioration of safety with a reciprocal increase in violence. The United States, having undergone 200 years of social evolution as an independent nation, has a spiraling problem with violence. Jamaica, with only recent independence from British sovereignty, is an ideal crucible for the study of evolution of violence in a very young democracy and, hopefully, to identify problems and provide some solutions. Having gained independence from British rule in 1962, Jamaica immediately demonstrated a facile experimentation with forms of government that differed dramatically from what had been previously experienced under the rather rigid, autocratic British administration. In its 33 years of independence, this country has gone through some extraordinary shifts. An initial courtship with Communist theory led to a destructive liaison with Fidel Castro's version of Marxism. During this brief interlude, the intellectual ideals of equality and peace came into direct contrast with facts of a failing Communist regime. During this period, there was a steady exodus of wealthy Jamaican families for whom heavy taxation threatened financial ruin. The prime minister, the Honorable Michael Manley, a highly sophisticated left-wing intellectual liberal, soon realized the political cost of the alliance with his Caribbean neighbor, Fidel Castro, who was then and is now dedicated to old-fashioned, state-controlled Communism. He attempted to return to a free-market democracy with financial foundations that were, by then, very shaky. To succeed in a project to reduce violence and improve the quality of life, the entire community needs to be involved. From our work in countries where community projects were primarily financed by federal and state agencies, we were aware that the participation of private citizens in projects was essential for success. Commitment has an added intensity when personal time and funding is involved. Prime Minister Manley enthusiastically embraced and inspired this project, believing that it embodied the fundamental principles of democratic involvement to which he was committed. When the authors personally presented their plan to him, he accepted it immediately and with an obvious personal sense of urgency. Illness led him to resign the post of Prime Minister in 1993, but his successor, Mr. P.J. Patterson, has continued in the same committed, democratic mode.

Developing Countries↗