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PubMedDate not supplied

Social status and adult heights in the two Germanies.

BACKGROUND: Lack of evidence prevented hitherto the systematic comparison of physical stature across East and West Germany. AIM: The aim of this study is to compare heights by social status in the two Germanies with very different socio-economic and political systems prior to unification. DATA: The German Federal Health Survey of 1998 (Public Use File BGS98), a cross-sectional random sample of 7124 adult males and females between ages 18 and 79 (birth cohorts of 1919-1980) is used in the analysis. RESULTS: There are considerable and persistent differences by social status in both East and West Germany over time. The West German height advantage among men increases with social status, whereas among women the opposite is the case. East German men born after the Berlin Wall was built became significantly shorter, but East Germans regained equality with West Germans after unification. In contrast, East German females were markedly shorter than their West German counterparts throughout the period considered. CONCLUSIONS: The West German capitalistic welfare state provided a more propitious environment for the physical growth of the human organism than did the socialist East German government. There were substantial social differences in height in the officially classless German Democratic Republic.

Adolescent↗
PubMed1988

Public policy, federalism, and AIDS.

The AIDS epidemic poses important challenges to the American political system. In the context of AIDS, relationships between the public and private sectors as well as those among federal, state, and local governments have had a significant impact in shaping the nations response to the epidemic. The character of health policy in the United States has in large part been determined by uncertainty regarding the appropriate role of the public sector and by persistent beliefs that the best solutions are private sector ones. Similarly, relationships across levels of government are clouded by concerns about the presumed excesses of centralized (federal) government and the widespread conviction that the most appropriate solutions are state and local ones. AIDS emerged as a public health issue at a point in the early 1980s when a new federal administration was calling for a reduction in public sector and federal responsibility for addressing health and social needs. Since that time, stronger public and federal leadership appears to be developing, and both are essential to forging the policy partnerships between the public and private sectors and across levels of government that are essential to the development of a comprehensive policy response to the AIDS epidemic.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Biotechnology in Switzerland: high on the public agenda, but only moderate support.

In Switzerland, there have been intensive public debates about biotechnology because of the specific Swiss political system of direct democracy that led, in 1992 and 1998, to two national referenda on biotechnology regulation. As a result, the Swiss population is well informed but skeptical about this technology. These findings contrast with the deficit model of public understanding of science, which predicts a positive correlation between knowledge of, and support for, a specific technology. What role did the media play in the development of public opinion? This question is discussed because of a content analysis (time series) of national newspapers. In addition, representative surveys and focus groups yield insights into the public perception of biotechnology and the influence of mass communication for opinion formation.

Biotechnology↗
PubMed1995

From the profane to the sacred: why we need to retrieve Christian bioethics.

Christianity has been crucial in the conceptualization and articulation of the moral framework of the Western tradition. The social sciences, including ethics, were modeled on physical science. However, the Enlightenment project inculcated a metaphysics and an epistemology that reduced the subject to an object and thus undermined the conditions of freedom, agency and an accessible cosmic order; all of which are essential to morality. Competing value claims were shunted into a political context for resolution, but the politicalized morality itself requires a framework for evaluating resolutions. While neither the Enlightenment nor post-modernism can provide such a framework, Christian tradition can, in fact, provide just such a framework and response.

Bioethics↗
PubMed2007

Introducing Health Impact Assessment: an analysis of political and administrative intersectoral working methods.

BACKGROUND: Intersectoral Action for Health (IAH) and its Health Impact Assessment (HIA) tool are built on collaboration between actors and sectors, requiring multidimensional and horizontal way of working. The study aims to analyse the enablers and barriers when such a new way of working and tool have been initiated to replace a traditional, vertical operation at the local level in Slovakia-a country in transition-in 2004. METHODS: Up to date, there are few studies that have analysed intersectoral initiatives in relation to politics. In this study the conceptual framework of Kingdon has been used by which the actual problems, the governmental actions (or non-actions) (politics) and the understanding, implementation and evaluation of the initiative (policy) could be analysed. All actors involved, civil servants, politicians, representatives of the local public health institute and researchers, were interviewed and made to answer a questionnaire. RESULTS: The results showed that there were a number of factors behind the initiation of HIA, which either delayed or accelerated the process. The problems identified were e.g. the prevailing traditional health care focus and the deteriorating health status of the population. There was a lack of multi-intersectoral knowledge, co-operation and function between sectors and actors. Enablers on the other hand were the membership of international organizations which called for new solutions, and the strong political commitment and belief that intersectorality would have a positive effect on health. CONCLUSION: The actors on the local level would have the capacity to work intersectorally to bring about policy change if HIA was to be more supported/institutionalized.

Community Health Planning↗