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The politics of adolescent pregnancy: a view of New York State.

In 1965, the U.S. Supreme Court struck down the Connecticut statute outlawing the use of birth control by married couples. Since then, 26 related cases have been heard by the court. Many of these directly involved teenagers. Frequently, the determinations involved parental consent or a parental notice requirement. New York State does not have parental consent nor notice requirements for minors seeking contraceptive or abortion services. The physician makes the professional judgment of the maturity of the person seeking care. All efforts to institute any form of parental consent in New York State have failed. The New York State Bar Association has supported this posture. A statewide network of family planning clinics exists throughout New York State. Yet, in spite of their combined efforts, and the activities of many other agencies and organizations, the rate of pregnancy among 15 to 19 year olds increased 20 percent between 1972 and 1980. There is a need for bold public action. Informed community leaders, health professionals, and leaders in the educational community must form a coalition to support the special initiatives which New York State's governor and New York City's mayor support. Black physicians have an unusual opportunity and a special responsibility to the youth of this city to provide leadership in their communities, and in their profession, in providing information about the risks and complications of teen pregnancies and teen parenting.

Abortion, Legal↗

Immigration as a source of political discontent and frustration in Western democracies.

"This article describes the migration context of three sets of Western democracies and then explores plausible linkages between the scale, timing, and characteristics of migration, and the substance and process of migration policies, on the one hand, and support for government, on the other. Trying to move beyond plausibility, I discuss indirect indicators of the impact of immigration on Western publics: attitudes toward immigration policy and immigrants, support for extremist parties, and acts of violence and disorder linked to anti-immigrant or racist motives."

Attitude↗

To return or not to return? Politics vs. economics in China's brain drain.

"This study, based on 273 face-to-face interviews with students, scholars, and former residents of China in the United States in 1993, uses both qualitative and quantitative methods to explain people's views about returning to China. Although less than 9 percent of interviewees had concrete plans to return, over 32 percent were positively disposed to returning in the future. Key background variables that affect that decision are people's age, sex, social background in China, and their views about returning when they first left China. Concern about children's future was not significant, but having a wife abroad greatly increased the desire to stay abroad. Why people chose not to return varied significantly between people [who had] children and those who didn't."

Age Factors↗

Malaria control in Nicaragua: social and political influences on disease transmission and control activities.

Throughout Central America, a traditional malaria control strategy (depending on heavy use of organic pesticides) became less effective during the 1970s. In Nicaragua, an alternative strategy, based on frequent local epidemiological assessments and community participation, was developed in the 1980s. Despite war-related social instability, and continuing vector resistance, this approach was highly successful. By the end of the contra war, there finally existed organisational and ecological conditions that favoured improved malaria control. Yet the expected improvements did not occur. In the 1990s, Nicaragua experienced its worst recorded malaria epidemics. This situation was partly caused by the country's macroeconomic structural adjustment programme. Volunteers now take fewer slides and provide less treatment, malaria control workers are less motivated by the spirit of public service, and some malaria control stations charge for diagnosis or treatment. To "roll back malaria", in Nicaragua at least, will require the roll-back of some erroneous aspects of structural adjustment.

Developing Countries↗

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↗