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Marriage and mobility in Britain--secular trends in a nationwide sample.

A nationwide sample survey of 2338 married couples provides information on the birthplaces and residences at meeting of couples first married between 1920 and 1960. Four measures of marital mobility are analysed according to year of marriage and year of first meeting. In their original form all measures show the expected increase in mobility from the 1920s to the 1930s with an exceptionally steep rise in the 1940s and a decline after the Second World War. The role of the war in promoting migration both of civilians and of soldiers is briefly reviewed. Women show rather different migration patterns from those of men. Age at marriage is positively correlated with movement in this sample, but a stronger association is provided by age at first meeting. Mobility averages for each cohort are adjusted for the changes in age at marriage, both real and peculiar to this sample, which have occurred since 1920, and also for variation in the population sizes of birthplaces in the sample over time, and changes in the relative frequencies of different socio-economic classes. After adjustment, little ghange is seen in material mobility over the four decades covered by the survey and many of the differences which do remain after adjustment lack statistical significance. Some socio-economic explanations are offered for these conclusions.

Age Factors↗

Secular trends in relationship as estimated by surnames: a study of a Tyneside parish.

From the surnames of 21 132 individuals baptised in the Tyneside parish of Whickham between 1577 and 1758, the extent to which individuals of different periods bear the same surname shows (1) a coefficient of correlation of +0.93 between data on males and females; (2) the highest rates between individuals of the same 26-year period, lower between adjacent periods and still lower between periods more separated in time; (3) an apparent tendency for the closeness of genetic interrelationship to decrease from the late 16th and early 17th centuries, and to level off with fluctuations through the mid-18th century. This drop was concurrent with military campaigns and epidemics which affected the parish, but preceded the industrial revolution with its possible effects on labour migrations.

Consanguinity↗

Secular change in menarche in women in Madrid.

The age at menarche was estimated by recollection in 1617 women between the ages of 18 and 60 in Madrid and a nearby suburb, Pinto. The population of Pinto is working-class and the Madrid group, taken from residential neighbourhoods , belongs to the upper middle class. In both groups we found a diminution in average age at menarche, from 14.04 to 13.02 years in Madrid and from 14.55 to 13.16 years from about 1935 to about 1965 in Pinto. These changes have been more intense in the group which is less well-off economically, where living conditions have varied much more drastically.

Adolescent↗

Secular trends in weight, weight-for-height and triceps skinfold thickness in primary schoolchildren in England and Scotland from 1972 to 1980.

Measurements of height, weight and triceps skinfold thickness were obtained from English and Scottish schoolchildren from 15 birth cohorts over the period 1972-1980. Positive trends in weight were found for boys and girls in both countries, but in England they were less than expected from the increases in height. The increase in weight-for-height in Scotland was paralleled by a greater increase in triceps skinfold in Scottish than in English children. Scottish children remained shorter, lighter and thinner than English children, but similar in weight-for-height. Separate monitoring of trends in obesity for English and Scottish children should continue.

Body Height↗

Birth weights in three Norwegian cities, 1860-1984. Secular trends and influencing factors.

Data from birth records from three maternity hospitals in Norway have been used to study the trend in birth weight in this country from 1860-1984. The investigation is based on a sample of 200-300 records taken at random from 2 to 5 years around every 10th year, from each of the three maternity hospitals--amounting to a total sample of 9152 women. Besides describing the trend in birth weight, I have analysed the different factors influencing birth weight--using multivariate linear regression methods. The results show that the mean birth weight has changed remarkably little throughout this period of 120 years. The total increase has only been just below 200 g. From Montreal, Ward and Ward (1984) have reported a decrease in mean birth weight of about 430 g during the second half of the last century. The Norwegian data indicates a simultaneous fall in mean birth weight of about 70 g. This fall is, however, found mainly among unmarried women. Thus, the great decline in birth weight which is found in Montreal, is not apparent in our material from Norway, despite the fact that Oslo was industrialized at approximately the same time as Montreal. Of the various independent variables used in the multiple regression analyses, only the following variables appear to be of any importance: the year when the birth took place, the mother's menarcheal age, her marital status, the sex of the child and the parity number. In this material, I have found a linearly increasing birth weight from birth number 2 up to at least parity 8, and a larger increase from parity 1 to 2. The birth weight shows a significant increase in the case of married women as opposed to unmarried. This effect is most marked before 1900, indicating that the social conditions gradually became less unequal after the turn of the century. The birth weights have a decreasing tendency with higher ages of menarche. This tendency is constant throughout the whole period of time. Boys appear to be about 112 g heavier than girls, this difference being largely the same throughout the investigated period.

Age Factors↗

Early influences on the secular change in adult height between the parents and children of the 1958 birth cohort.

The present account is of data available from the 1958 British national birth cohort and its follow-up to the age of 23 years. It shows an increase in adult height between the cohort members and their parents, amounting to an average 1.2 +/- 0.11 (SEM) cm between the daughters and their mothers and 3.0 +/- 0.12 cm between the sons and their fathers. Factors in early life which contributed jointly to a significant increase in adult height included, as well as sex and parental height, birthweight and maternal pre-pregnant weight, while increasing gestational age had a negative effect. Overall these factors accounted for 71% of the variance of the cohort members' height. Measuring the intergenerational difference between individual pairs of sons and father and daughters and mothers allows to some extent for social and genetic influences. This showed that the size of the difference was increased by increasing intrauterine growth rate, and falling paternal social class. These findings demonstrate again the lifelong influence on offspring of circumstances pertaining at their birth and explain why it may take more than one generation to overcome the effects of childhood disadvantage.

Adolescent↗

Secular trend in age at menarche in Marrakesh (Morocco).

The median age at menarche observed by status-quo methods in 1991, and calculated by mean of probit analysis in a sample of 239 school girls from Marrakesh aged 11-17 years, was 13.75 +/- 0.17 years. Compared with earlier observations obtained for Moroccan girls in 1982 and 1987 the results show a decline of age at menarche of 0.55 year in the period 1982-91 and 0.25 year in the period 1987-91.

Adolescent↗

Secular trends in breastfeeding and parental smoking.

To explore the association between smoking and breastfeeding, we obtained data from a retrospective questionnaire-based national survey comprising a random sample (n = 34799) of all mothers giving birth in Norway 1970-91. Variables studied were postpartum smoking habits for both parents, duration of breastfeeding, infant's year of birth and parental age. The response rate was 70% (n = 24438). During the study period, the maternal postpartum smoking prevalence decreased from 38% to 26%. The proportion breastfeeding at 6 months increased from 15% to 44% among smokers, and from 30% to 72% among non-smokers. In spite of a considerable increase in breastfeeding both among smokers and non-smokers, the proportion of breastfeeding, non-smoking women at 6 months was twice that of smoking women during the whole period. Furthermore, the duration of breastfeeding was shorter among young mothers and when the fathers were smoking. There was epidemiological evidence that the effect on breastfeeding of smoking might represent both biological and social mechanisms.

Adult↗

Secular changes in prevalence of cardiovascular diseases in elderly Finns.

AIMS: The purpose of the present study was to examine changes with time in the prevalence of cardiovascular diseases (CVD) in Finns 65 to 74 years of age. METHODS: Two cross-sectional studies were conducted 18 years apart. In the Mini-Finland Survey (1978 to 1980), a nationally representative sample of 1,250 Finns of 65 to 74 years of age was interviewed and clinically examined. The FINRISK Survey (1997) consisted of a random sample of 1,500 individuals in the same age range, from two areas of Finland. Prevalences of chronic CVD (angina pectoris (AP), myocardial infarction (MI), coronary heart disease (CHD), heart failure, hypertension, cerebrovascular disease, and intermittent claudication) were assessed via self-reported data relating to known conditions and diagnoses by physicians. RESULTS: The prevalences of most of the chronic CVD were lower in the 1997 survey than in the 1978 to 1980 survey. A major exception was drug treatment for hypertension in men, which was more prevalent in the 1997 survey. CONCLUSIONS: We conclude that the prevalence of CVD in Finns 65 to 74 years of age has declined since 1978. This information is valuable in assessing current and future burdens imposed by CVD on society.

Aged↗

Secular trend of hospital-acquired candidemia among intensive care unit patients in the United States during 1989-1999.

We describe the annual incidence of primary bloodstream infection (BSI) associated with Candida albicans and common non-albicans species of Candida among patients in intensive care units that participated in the National Nosocomial Infections Surveillance system from 1 January 1989 through 31 December 1999. During the study period, there was a significant decrease in the incidence of C. albicans BSI (P<.001) and a significant increase in the incidence of Candida glabrata BSI (P=.05).

Adult↗

Epidemiology of candidemia in Swiss tertiary care hospitals: secular trends, 1991-2000.

Candida species are among the most common bloodstream pathogens in the United States, where the emergence of azole-resistant Candida glabrata and Candida krusei are major concerns. Recent comprehensive longitudinal data from Europe are lacking. We conducted a nationwide survey of candidemia during 1991-2000 in 17 university and university-affiliated hospitals representing 79% of all tertiary care hospital beds in Switzerland. The number of transplantations and bloodstream infections increased significantly (P<.001). A total of 1137 episodes of candidemia were observed: Candida species ranked seventh among etiologic agents (2.9% of all bloodstream isolates). The incidence of candidemia was stable over a 10-year period. C. albicans remained the predominant Candida species recovered (66%), followed by C. glabrata (15%). Candida tropicalis emerged (9%), the incidence of Candida parapsilosis decreased (1%), and recovery of C. krusei remained rare (2%). Fluconazole consumption increased significantly (P<.001). Despite increasing high-risk activities, the incidence of candidemia remained unchanged, and no shift to resistant species occurred.

Antifungal Agents↗