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Economic development, political-economic system, and the physical quality of life.

This study compared capitalist and socialist countries in measures of the physical quality of life (PQL), taking into account the level of economic development. The World Bank was the principal source of statistical data for 123 countries (97 per cent of the world's population). PQL variables included: indicators of health, health services, and nutrition (infant mortality rate, child death rate, life expectancy, population per physician, population per nursing person, and daily per capita calorie supply); measures of education (adult literacy rate, enrollment in secondary education, and enrollment in higher education); and a composite PQL index. Capitalist countries fell across the entire range of economic development (measured by gross national product per capita), while the socialist countries appeared at the low-income, lower-middle-income, and upper-middle-income levels. All PQL measures improved as economic development increased. In 28 of 30 comparisons between countries at similar levels of economic development, socialist countries showed more favorable PQL outcomes.

Adult

Health, population, and economic development. International health programs have an important role in promoting economic development and population control.

Health as a basic human value is particularly important to people in the developing world. Rates of economic development lower than had been hoped for and ever more steeply rising population growth have precipitated a reaction against public health programs. Among economists, agriculturalists, and even health professionals the philosophy arose that one should "hold back" on using modern weapons against disease because they are "too effective." To satisfy the recognized popular demand, simple and relatively ineffective measures of curative medicine could be substituted. It was said that the emphasis should be, instead, on agriculture, community development, education, and industrialization and that family planning should be pushed as a separate program. Documentation presented here sharply challenges such a point of view. No segment of the total development process can be effective without the other sectors.

Demography

Funding of health-related facilities and other projects under the Public Works and Development Facilities Program--Economic Development Administration. Interim rule.

This interim rule modifies two regulations setting forth requirements for funding certain types of projects under the Public Works and Development Facilities Program. One regulation is amended to clarify its scope by noting that its requirements apply to Public Works Impact Program projects. The other regulation is amended to tighten its standards relating to economic impact and to specify that projects involving health-related facilities must be reviewed and approved by the Department of Health and Human Services and, if appropriate, the State Health Planning and Development Agency. In addition, a third regulation regarding project modification is amended to clarify the scope of one provision.

Financing, Government

[Economic development and health].

The purpose of this work is to examine the relationship between economic development and the population's level of health. Consequently, we will establish a comparison between Mexico and other countries in various stages of development. The interrelationship between economic development and health is a complex problem which is little understood, even though it is acknowledged that at increased levels of economic development the levels of health of a population will also increase. These considerations can be taken into account when we accept the fact that the health conditions in industrialized countries are generally better than the health conditions in non-industrialized countries. In the case of Mexico, the problems relating to social disparities due to the type of economic development are reflected in the country's level of health. Poor health conditions and the deterioration of health services in Mexico, based on international references, are matters that must be resolved by means of a clear political decision accompanied by the appropriate corresponding resources so that the strategies put forth by the National Health Program (1989-1994) can be carried out.

Colombia

Mortality and income inequality among economically developed countries.

The absence of a correlation between age-adjusted death rates and the average income levels of economically developed countries has led researchers to conclude that income does not affect the mortality levels of economically developed countries. The mortality experiences of the former Soviet Union and some of the eastern European countries have further brought into question the importance of income's distribution in determining mortality among economically developed countries; prior to its breakup, the income distribution of the Soviet Union was as equal as that of Sweden, yet the life expectancy of the Soviets has been dramatically shorter than that of the Swedes. Using insights from a longitudinal microanalysis of U.S. mortality, this study presents evidence that, even for economically developed countries, the income distribution of a nation is an important determinant of its mortality. The results of this study also suggest that the relatively unequal income distribution of the United States is an important contributing factor to its low life expectancy relative to other high-income countries.

Adult

How economic development and family planning programs combined to reduce Indonesian fertility.

This paper examines the contributions of family planning programs, economic development, and women's status to Indonesian fertility decline from 1982 to 1987. Methodologically we unify seemingly conflicting demographic and economic frameworks into a single "structural" proximate-cause model as well as controlling statistically for the targeted (nonrandom) placement of family planning program inputs. The results are consistent with both frameworks: 75% of the fertility decline resulted from increased contraceptive use, but was induced primarily through economic development and improved education and economic opportunities for females. Even so, the dramatic impact of the changes in demand-side factors (education and economic development) on contraceptive use was possible only because there already existed a highly responsive contraceptive supply delivery system.

Adolescent

Health and economic development: the example of China and Cuba.

The unprecedented accomplishments reported from China and Cuba in providing health care to their populations question the assumption that economic development along the model of Western nations is a sine qua non for developing effective health care systems among nonaffluent developing nations. Equal distribution of resources, emphasis on preventive public health measures, and attention to improving overall quality of life have been concepts employed to great advantage by both countries. When it is realized that improved standards of living have far overshadowed modern medical technology in upgrading the health of populations, the policies employed in China and Cuba become especially relevant to other nations, both developed and developing.

China

Economic development and tropical disease.

Development stands for an improved quality of life through gains in health, education, living standards, and higher income. Development is based on economic growth. Although all indicators of development: GDP per capita, average life expectancy at birth, and per capita income have been rising in almost all countries, including the "developing" countries over the past decades, economic growth did not lead to the expected disappearance of infectious diseases. Economic growth is associated with severe degradation of the natural world. Though economic growth is essential for development, it is a highly imperfect proxy for it. The people who suffer from the adverse effects of economic growth are often different from those who benefit from it. Economic development shows two faces with regard to tropical diseases: it is essential for their prevention and cure and it contributes to their transmission and severity through its impact on the environment. The pivotal point is poverty. If economic growth leads to improved education and social organization, even adverse effects can be mastered by the community.

Economics

[Dynamic of demographic economic developments (author's transl)].

Present and predicted demographic and economic developments demonstrate a close interrelation between population and the economy. In the course of a few years the population structure of highly industrialized societies such as the German Federal Republic has changed, due to declining birth-rate, negative birth/death-rate ratio and an influx of foreign workers; many problems and contradictions result therefrom. One is bound to conclude that traditional population theories have been overtaken by practice and that only the present and the future count in promoting the evolution of society. The problem is to bring about an equilibrium between the widely varying increases in production rates in different branches of industry, population trends and the standard of living. Decreases in population and endogenous mortality are reflected in national investment policies, capital distribution within a generation and statutory provisions. Conversely, marriage, fertility and mortality exercise and influence on investment, justice and morality. It has not yet been proven whether, in view of the behavior of one generation, a chance of generation results in a new situation. Certainly, selective adaption processes are operative between population and economic trends. To cope with these processes, a maximum of motivation is essential.

Birth Rate

Reproductive health, population growth, economic development and environmental change.

World population will increase by 1000 million, or by 20%, within 10 years. Ninety-five per cent of this increase will occur in the South, in areas that are already economically, environmentally and politically fragile. Morbidity and mortality associated with reproduction will be greater in the current decade than in any period in human history. Annually, 40-60 million pregnancies will be terminated and 5-10 million children will die within one year of birth. AIDS-related infections, e.g. tuberculosis, will undermine health care in Africa (and elsewhere) and in places AIDS-related deaths will decimate the work-force. The growth in population and associated morbidity will inhibit global economic development and spawn new problems. The key issues are migration, the spread of disease, the supply of water and the degradation of land, and fiscal policies with respect to family planning, pharmaceuticals and Third-World debt. Full education, particularly of women, and more effective family planning in the South have the power to unlock the problem. Failure will see the developed countries, with their 800 million population, swamped by the health, economic and environmental problems of the South, with its projected population of 5400 million people for the year 2000.

Demography

[Demographic and economic development in contemporary Mexico].

This paper briefly reviews the main features of the recent Mexican experience in demographic and economic development matters. It assesses the development pattern that prevailed between 1940 and 1970 and the ways and policies that were instrumental in accommodating the rapid population growth of the period. The author considers that by 1970 the relatively acceptable demo-economic system in place since 1940 entered a period of emerging tensions, and examines the responses to those difficulties, among them the change in population policy. It closes with a brief review of the tasks ahead considering future demographic and economic tendencies in Mexico.

Demography

An analysis of divergent trends in alcohol consumption and economic development.

Alcohol consumption has increased significantly since World War II--a trend that is frequently explained by the economic growth during this period. During the second half of the 19th century, the overall trend in alcohol consumption decreased despite strong economic growth. In this study, the reasons for this apparent anomaly are discussed. It is argued that economic factors played an important role in the decrease during the late 19th century as well as in ensuing years, and that the difference in consumption trends is due to factors other than economics. This argument is corroborated by a time-series analysis of Norwegian data 1865-1982, showing that the effects of economic development were at least as strong during the first part of this period as they were during the latter.

Alcohol Drinking

[Health consequences of the economic development of tropical countries].

If the usefulness of industrial development of the Third World is not really discussed, nevertheless it appears more and more necessary to evaluate carefully its advantages and disadvantages on the health status and the well being of the population concerned. Indeed, the evil consequences are well known: new outbreak of bilharziosis, malaria, onchocerciasis, but also arbovirosis, tuberculosis and S.T.D. On the other hand, we must consider the positive aspects of economic development: improvement of hygiene, constructions of health centers, increased food production. In order to minimize the drawbacks, some measures have to be taken, f.i.: to set up the sanitary files of the population to be displaced, the organization of the redwelling zones. For all these reasons, the cost evaluation must take into account the sanitary sector, keeping in mind the difficulty to appraise the consequential effects on climate and fauna.

Adult

Effects of level of socio-economic development on course of non-affective psychosis.

BACKGROUND: This study explored the relation of level of socio-economic development to the course of non-affective psychosis, by extending the analysis of urban/rural differences in course in Chandigarh, India. METHOD: The proportion of 'best outcome' cases between urban (n = 110) and rural (n = 50) catchment areas were compared at two-year follow-up, separately for CATEGOS+ and non-S+ schizophrenia. RESULTS: The proportion of subjects with 'best outcome' ratings at the urban and rural sites, respectively, was similar for CATEGOS+ schizophrenia (29 v. 29%), but significantly different for non-S+ psychosis (26 v. 47%). CONCLUSIONS: The fact that in rural Chandigarh, psychoses have a more favourable course than in the urban area may be explained in large part by psychoses distinct from 'nuclear' schizophrenia.

Cohort Studies