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PubMedDate not supplied

Is lactation nature's contraceptive? Data from Samoa.

Data from a Samoan menstruation study suggest that lactation, even intensive on-demand lactation, does not inhibit menstruation or conception. This paper explores the applied and theoretical implications of continuing to accept lactation as a universally effective fertility control mechanism. Such thinking can have disastrous implications for family planning programs, and it keeps us from challenging long-held assumptions about lactation's role in population growth in early populations.

Body Weight↗
PubMed1996

High mortality from cardiovascular disease and analysis of risk factors in Indian and Melanesian Fijians.

BACKGROUND: In recent years, developing populations such as the Pacific island nation of Fiji, have seen decreases in infectious diseases and increasing frequency of cardiovascular diseases (CVD), diabetes and cancer. However, cohort studies of mortality in these populations are scarce. Here we report 11-year all-cause and cause-specific mortality rates and risk factors for total, CVD and coronary heart disease (CHD) for indigenous Melanesian and Asian Indian people of Fiji. METHODS: Following a baseline risk factor survey in 1980, mortality surveillance continue until 1991 in a representative cohort of 1325 Melanesians and 1221 Indians from urban and rural areas of Fiji. Date and cause of death were recorded and total, CVD and CHD mortality rates calculated. Baseline predictors of mortality were assessed using Cox regression. RESULTS: Total mortality rates in Melanesians were 15.9 and 9.2/1000 person-years, and in Indians were 13.5 and 6.8/1000 person-years, in men and women respectively. Death due to CHD was more common in men than women, and in Indian than Melanesian men, although total CVD deaths were more common in Melanesian men. Deaths due to CHD were more common in the urban than the rural area. After adjusting for other risk factors Indian ethnicity was associated with a significantly reduced risk of total and CVD mortality in men, and total mortality in women. Age and systolic blood pressure were consistently and independently associated with mortality from all causes, as well as CVD and CHD (except in Indian women). In men associations were also identified for total cholesterol with CVD and CHD mortality in Melanesians, and 2-hour plasma glucose with total and CVD mortality in Indians. In women, 2-hour glucose was important for total, CVD and CHD mortality in both ethnic groups as was smoking in Indians. Obesity had inconsistent associations with mortality. CONCLUSION: Cardiovascular disease is now responsible for a large proportion of total mortality in both Indian and Melanesian Fijians. The major risk factors identified in Fijians are similar to those observed in developed populations.

Adult↗
PubMed1996

Mortality in Micronesian Nauruans and Melanesian and Indian Fijians is not associated with obesity.

The association of obesity with mortality was investigated in population-based samples of Micronesian Nauruans (n = 1,400), Melanesian Fijians (n = 1,279), and Indian Fijians (n = 1,182), over 10 years from 1982 in Nauru, and 11 years from 1980 in Fiji. At the end of follow-up, vital status was known for all Nauruans and all but 3.5% of Fijians. Mortality rates were higher in Nauru than Fiji, and in Melanesians than Indians. The mean body mass index of decedents was similar to or less than (Nauruan men, p < 0.001) that of survivors in each sex-ethnic group. Crude mortality rates showed an inverse relation with body mass index in Nauruan men, with inconsistent relations in other sex-ethnic groups. After stratification by diabetes status, there was no relation between mortality and obesity in nondiabetic subjects, but an inverse relation was observed among diabetic subjects in each population. These findings persisted even after the exclusion of subjects who died within the first 2 years of follow-up. After controlling for age, smoking, and diabetes status in Cox proportional hazard models, body mass index (as a continuous variable) was not related to mortality in any sex/ethnic group and tended to be negatively associated with mortality risk. Interactions of body mass index with age, smoking, and diabetes status were not significant. Mortality risk was significantly increased in older subjects and in diabetic subjects, and cigarette smoking also increased risk in some groups. Stratification of analyses according to cigarette smoking did not alter the nature of the results. The association of mortality and body mass index categorized by quartiles was also investigated. After adjusting for age alone, or age, smoking, and diabetes status, the lower quartiles of body mass index were consistently associated with the highest relative risk for mortality. Quadratic terms for body mass index did not improve Cox models in subjects with normal glucose tolerance. Relations with cardiovascular disease mortality were also assessed and results were inconsistent, although positive trends were observed in Nauruan women (p = 0.02) and Melanesian men (p = 0.06). Overall, there was little evidence to suggest that obesity was a risk factor for total or cardiovascular mortality in these populations. However, obesity is clearly associated with a high risk of diabetes and other morbid conditions and at least on this basis it would seem desirable to prevent obesity in these and other Pacific populations.

Adult↗
PubMed1992

Labour circulation and the village economy in Fiji.

The author examines circular labor migration in Fiji. "This paper is organized into five sections. The first section provides a brief discussion of two major perspectives of labour circulation in developing countries. The second section presents the state of the Fijian village in the context of the current pattern of uneven development in Fiji. The practice of labour circulation by Fijian villagers is dealt with in the third section. In the last two sections, issues concerning the maintenance of the polarized pattern and the preservation of the village mode of production are discussed."

Demography↗
PubMed1987

The prevalence of sexually transmitted disease agents in pregnant women in Suva.

Routine testing of 440 women (257 Fijians, 183 Indians) at the first antenatal attendance identified Chlamydia trachomatis in 50% of Fijians and 38% of Indians; the seropositivity rates for syphilis were 14.2% and 1.7% respectively, and the isolation rates for N. gonorrhoeae were 3.1% in Fijians and 1.1% in Indians.

Adult↗
PubMed1980

Venereal diseases in the islands of the South Pacific.

The island territories of the South Pacific vary considerably in area and in size of population; Pitcairn has a population of 100 in two square miles whereas Papua New Guinea has a population of 2,990,000 in approximately 175,000 square miles. Today the whole ocean is traversed by air routes. Recently, the prevalence of gonorrhoea has decreased in the northern region but increased in the eastern and western; in all these regions the reported prevalence exceeds 200 cases per 100,00 population. In an area where yaws was once widespread, syphilis is being increasingly recognised. Although the figures for syphilis are clearly higher because of the greater use of serological screening, many of the reported cases are of early infection. Yaws has been eliminated from most of the South Pacific Islands but is still present in the western region--more than 99% of the reported cases occurring in Papua New Guinea, particularly in the offshore islands.

Demography↗
PubMed1992

The use of scientific models in the study of Polynesian migration.

"This paper has attempted to show that...currently popular explanatory models of Polynesian migration contain logical and empirical weaknesses." The work of John Connell and of I. G. Bertram and R. F. Watters is examined. The author concludes that although neither approach is shown to be without merit, this review "has served to show where further analysis, interpretation, and empirical research are required in order to develop more accurate, complete, and useful theories."

Demography↗
PubMed1992

The future of Western Samoan migration to New Zealand.

"The history of Samoan migration to New Zealand, a demographic profile of the migrants, and the future of such migration are discussed. Migration became a serious phenomenon after independence in 1962, with primarily young, unskilled workers moving to take up jobs in the agricultural and service sectors. Remaining essentially unchanged since 1962, New Zealand's immigration policy gives preferential treatment to Western Samoans and recognizes their valuable labor contribution. The future of migration to New Zealand is discussed in the context of the costs and benefits to Western Samoa.... The author argues that emigration has been beneficial rather than deleterious to Western Samoa's development...." Data are from official sources.

Demography↗
PubMed1994

Australia and Pacific Islander migration.

"The net migration gains of Pacific Islands-born to Australia increased steeply from 1986, mostly due to migration from Fiji in 1987-1988 after the coups. This is reflected in the differing migration trends and characteristics of the Fiji-born compared to other Islander migrants. Australia also receives secondary migrants from New Zealand, facilitated by the free movement of residents allowed by the Trans-Tasman Agreement. Due to poor job opportunities in the Islands and economic restructuring in the countries of the Pacific rim, Island states seem to have adopted a policy of increased brain drain to ensure remittances flows. This could also be related to changing fertility rates in the Islands in the 1980s."

Australia↗