Capacity for Freedom – Using a New Poverty Measure to Look at Regional Differences in Living Standards within Australia

Using a recently developed measure of multidimensional poverty, the Freedom Poverty Measure, the difference in poverty rates of major cities, inner regional, and other areas have been compared. The population living in ‘other areas’ had the highest proportion of individuals living in freedom poverty. Those in inner regional areas (P = 0.0303) and those in major cities (P < 0.0001) were significantly less likely to be in freedom poverty than those in ‘other areas’. However, when breaking the analysis down to look at the different poverty rates for different age groups across the three regional classifications, it was found that there was no difference in the likelihood of being in freedom poverty between children in inner regional and other areas, adults in inner regional and other areas, and older people in inner regional and other areas. This may indicate that the disadvantage experienced by those living in regional centres has been overlooked in the past and is an emerging contemporary issue for health and education equity as well as economic equality.     

Socio-demographic differences of disability prevalence among the population aged 60 years and over in Bangladesh

This study aims to delineate the sociodemographic differences in disability prevalence across the population aged 60 years and over in Bangladesh, and to investigate the association of factors with reporting disability in later life. A microdata sample for those aged 60 years or over from the Census of Bangladesh 2011 was used where disability was assessed with a self-reported single response question. Logistic regression models were performed separately for men and women. Results reveal that the disability prevalence rate increased sharply with age, and it was higher among older women (5.2 per cent) compared to men (4.8 per cent). Physical and vision disabilities were the two categories with the highest prevalence of reported disabilities, with a higher prevalence of physical disability among men and vision disability among women. Being older, female, currently not in marital partnership, and having a lower educational attainment, not being employed, living alone, and residing in the rural areas were significantly associated with reporting disability in later life. The higher prevalence of disability among older women, those who are illiterate, and those residing in rural areas highlights the need for policies prioritising these groups. Special attention should also be given to those who are currently not in marital partnership, particularly women who are living alone.     

OLDER-AGE PARENTS IN RURAL CAMBODIA AND MIGRATION OF ADULT CHILDREN

This study examines links between migration status and location of adult children and measures associated with the well-being of older parents. Data come from older adults born between 1940 and 1950 living in a region in northwest Cambodia near the Thai border with good access to Phnom Penh. Analyses are conducted from the perspectives of the older adult and adult children. Results show that high rates of out-migration do not leave their older parents without alternative means of support. Migrant children often remain in contact by telephone. Most adult children remit money to their parents, but the majority of remittances are small. While large remittances are atypical, adult children living in Phnom Penh or across the border in Thailand are more likely to provide substantial amounts. The analysis presents a picture of an area where people are on the move but families still share resources and time with older adults.     

Simple Transfers,Complex Outcomes: The Impacts of Pensions on Poor Households in Brazil

Drawing on quantitative survey data and in‐depth interviews, this article seeks to map out the potential direct and indirect effects of simple cash transfers on households in impoverished rural and urban settings. Brazil is shown to have an extensive system of old age pensions, which affords almost universal coverage to households containing older people. These benefits have a significant impact on levels of poverty and vulnerability in recipient households. They also facilitate access to essential healthcare items, such as drugs, which are seldom freely available through the state health system. The in‐depth interviews reveal that pensions can have important effects on intra‐household relations, but these effects were not generalizable nor easily captured by quantitative survey tools. There was clear evidence that pensions reduced the propensity of older people to remain economically active, but this must be understood in a context of limited employment opportunities for all age groups and a high prevalence of disability. Overall, the article demonstrates the complex effects of a relatively simple cash transfer, which policy makers need to take into account.     

Old‐age Poverty in Indonesia: Measurement Issues and Living Arrangements

Drawing on several rounds of nationally representative household survey data for Indonesia, this article shows that poverty rates among the elderly are substantially higher than those of the rest of the population. Using sensitivity checks on adult equivalence scales and economies of scale, the author demonstrates that the gap in poverty rates between the elderly and non‐elderly population would increase even further if moderate changes to the per‐consumption expenditure assumption were made. Additional panel data evidence reveals that about one‐third of the elderly population is currently vulnerable to poverty. While the findings do not show gender differences in old‐age poverty rates, they do highlight important differences in living arrangements across gender, with the majority of elderly women being widows while the majority of men are still married at all ages.     

Inferences from the human skeletal material of the Early Iron Age cemetery at Agios Dimitrios,Fthiotis, Central Greece

The Geometric cemetery of Agios Dimitrios (850–740 B.C.) yielded a human osteological sample, with an MNI of 51 and equal numbers of males and females and adults and subadults. This site is of significant archaeological importance, as it provides information on human health status, diet, and activity patterns as well as mortuary behavior for a little studied time period. The results, including a) stable carbon and nitrogen isotopic data suggesting a C₃ low-protein plant diet, b) relatively high infant mortality, c) low stature estimates, d) significant prevalence of possible anemic conditions, and e) high dental infection and loss rates, all point to a rapidly increasing, stressed, and relatively malnourished population which did not exploit nearby marine resources, experienced suboptimal living conditions, and could not reach its biological potential. Furthermore, the study of this group provides evidence of equal burial treatment of all age and sex categories, no dietary differences in terms of sex and status, and no sex differentiation in pathological conditions.     

Access to Health Care Among Three Cohorts of Older Americans Residing in a Rural State

Three cohorts of older Americans are examined to determine how they perceive the likelihood of being able to access health care in the future. A modified Andersen (1968) model provides the framework for the study. A representative sample of 2,404 noninstitutionalized midwestern older persons separated into three age cohorts (60–69, 70–79, and 80+) was used. Predisposing, enabling, and need factors were examined by logistic regression. Significant differences were found between age cohorts, with the perceptions of the oldest-old and the youngest-old appearing to be markedly more sensitive than those of the middle-old. Need factors of health and the respondents' perceptions of help they needed with instrumental activities of daily living, and enabling factors of community size and the barrier imposed by lack of transportation, combined to explain the perceptions of the oldest-old. For the youngest-old, the significant variables were bills, gender, barriers imposed by inadequate insurance, lack of transportation, and a perception that physicians charged more than allowed by Medicare. Recommendations are made for health care policy with respect to different age cohorts among the elderly, their families, and the rurality of the population.     

Examining social isolation by gender and geography: conceptual and operational challenges using population health data in Canada

In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate support to this vulnerable population, it is critical to untangle the complex web of relationships that influence the need for care, and the health status and service utilization patterns of socially isolated older adults. Using data from the 2000–01 Canadian Community Health Survey (CCHS), this article explores social isolation as a multidimensional social construct examining in particular the axes of gender and geography to try to tease out some of this complexity and its relationship to health status and service utilization. When individual characteristics like gender are considered together with broader contextual variables like place of residence, a more comprehensive and layered portrait of vulnerability among socially isolated persons begins to emerge with insights into their unique patterns of health and service use. For example, home care may be an extremely critical resource for keeping older women in their homes and out of hospital. On the other hand, among socially isolated older men, those living in rural communities may be particularly ‘invisible’, neither benefiting from home care nor having strong social supports. It seems plausible then that both men and women may be in need of special interventions or targeted programmes to help them to remain, or to become, more socially integrated in their communities as they age in place. In addition, this article addresses some of the limitations of using both a quantitative analytic approach and the CCHS dataset itself in grappling with such complexity.     

乡村旅游对贫困山区农户多维贫困的影响研究

在分析乡村旅游对农户多维贫困影响机理的基础上,利用陕西4市22个乡村旅游扶贫村农户调查数据,采用内生转换回归模型,定量分析了乡村旅游对贫困山区农户多维贫困的影响。研究发现：多维贫困程度越深,农户参与旅游比例越低,乡村旅游不具有天然益贫性;参与旅游能够显著减缓农户的多维贫困。从单维贫困看,乡村旅游对调查地农户的经济、教育、生活水平和权利维度具有显著的减贫效应,其中对生活水平的减贫效应最大,健康维度效应不显著;参与和未参与乡村旅游的农户在多维贫困以及经济、生活水平维度的减贫影响因素存在着显著差异,而在教育、健康、权利维度的减贫影响因素差异不大。据此,从乡村旅游经营、精准帮扶、权益保障等方面提出对策建议。     

Interpreting Oral Pathology at Machu Picchu,Peru

This study analyzes oral pathological conditions—caries, antemortem tooth loss, and occlusal macrowear—among adults (N = 70) interred at Machu Picchu, Peru. Previous isotopic diet reconstructions at Machu Picchu suggest substantial early‐life variation that may have narrowed somewhat by the last decade of life. This study seeks to further elucidate the intersection of diet, sex, and health at Machu Picchu by analyzing oral pathological conditions with existing carbon and nitrogen isotopic data. Observed caries prevalence is corrected to control for age and tooth loss, and is described for both anterior and posterior teeth; wear data are scored and reported for individual tooth types. Results indicate caries prevalence consistent with carbohydrate‐rich diets and no significant difference between males and females. However, no significant isotopic parameters are associated with caries prevalence in young adult males, while caries prevalence is significantly associated only with enamel carbonate δ¹³C in older adult males. Dietary protein sources, but not C₄ resources, are associated with caries prevalence in young adult females, and to a lesser degree in older adult females. Significant associations between occlusal wear and caries exist among young adult males and young adult females, but involving different tooth types. These findings suggest differential protein consumption at Machu Picchu between males and females, and separate masticatory and physiological processes shaping caries prevalence between the sexes at the site. This study therefore underscores the role that gender roles may have played in diet variation among this population and the need to account for sex in analyzing oral pathology. Copyright © 2013 John Wiley & Sons, Ltd.     

Self-rated Health of older persons in Indonesia

This study contributes to expanding the knowledge of the health of older persons living in Indonesia, a country with limited welfare benefits. The research employs a variable, ‘self-rated health’ (SRH), to investigate socio-cultural factors linked to the health of older Indonesians. The data presented in this study are based on fieldwork collected using a mixed-method approach. Sex-difference in SRH in older age is shown to be predominantly a result of enduring inequalities across the life course, manifested in cultural practices, education, employment and programs for health. An older person's status within the family is a significant determinant of SRH, but the direction of the relationship depends on the sex and ethnicity of the person. Other variables related to SRH are age, lifestyle, education, residential area and intergenerational transfers.     

内蒙古自治区农村人口多维贫困特征测算与分析

针对国家精准扶贫需求,构建基于A-F双临界值法的多维贫困度量模型,进行内蒙古自治区农村人口多维贫困特征的总体测算与分析,并分别分析多维贫困的空间集聚效应及不同分类体系下的贫困分异特征。结果显示:①研究区西部存在大面积高度贫困县单元,中部存在呈东西条带状分布的中度贫困县单元,东部地区贫困程度呈现"南高北低"状态;②研究区主要致贫因素为:人均纯收入、家庭健康、平均教育年限,一般致贫因素为燃料类型、资产、房屋结构,次要致贫因素为:饮水情况、通电情况、儿童入学率;且大部分贫困指标呈显著空间集聚效应;③研究区西部县际贫困特征差异较小,东部存在显著的南北分布差异;④不同类型县各贫困指标差异不同。     

Vietnamese Aging and Marital Sexual Behavior in Comparative Perspective

This study examines marital sexual activity in relation to age and its significance for marital relationships in Vietnam with particular attention to older persons. Results are compared with Thailand and the US. Two regional surveys provide the first quantitative assessment of marital sex in Vietnam. As elsewhere, marital sexual activity declines with age. At older ages, substantial proportions of married Vietnamese are sexually inactive. Levels of activity among older Vietnamese and Thais are remarkably similar and substantially lower than in the US. Contrary to US studies, the frequency of sexual activity shows little relationship to marital satisfaction and harmony in Vietnam. Possible explanations for these differences are discussed in terms of biases in the data, differences in health and living arrangements, and societal, cultural and normative contexts. We speculate that a main reason underlying the differences is a lesser societal emphasis on sex in general and on the importance of sexual and physical intimacy in marital relationships in Vietnam and Thailand than in the US.     

How Road Traffic Injuries Affect Household Welfare in Cambodia Using the Millennium Development Goals Benchmarks

This paper reveals the welfare costs of traffic injuries in Cambodia at the beginning of a decade in which greater research and resources will be focused on road safety. The results quantify how road traffic injuries affect progress towards the Millennium Development Goals (MDGs) using survey data from 100 Cambodian households. The median age of the police-reported casualties was 28 years and 68 per cent were male. In terms of poverty (MDG1), injuries resulted in a 21 per cent loss of income for the 542 household residents. The poorest households, and those with a seriously injured resident, were worst affected. Primary education (MDG2) drop-out rates were eight times the province average. The gender (MDG3) income gap widened by 28 per cent, whilewomen bore 88 per cent of the burden of care for the injured. In terms of child health and mortality (MDG4), 31 per cent of respondents reported adeterioration in child health, while 24 per cent of respondents reported a deterioration in maternal health (MDG5). The households reported rates of priority diseases (MDG6) at twice the national average. Environment (MDG7) outcomes included increased wood fuel use and stagnation in improving drinking water access, with no apparent development partnership (MDG8) to address the negative welfare impacts of road traffic injury.     

城中村外来人口的购房意愿研究——以深圳为例

本文以快速城市化的典型地区深圳作为研究区域,以居住在城中村的外来人口作为研究对象,调查其居住现状以及购房意愿,并分析其购房意愿的影响因素。分析发现,通过影响住房改善需求、未来发展规划、购房能力等,户主年龄、户主学历、住深时间、家庭收入、现住房的租金以及满意度、户主户口以及留深发展意愿对城中村外来人口家庭购房意愿有着显著的影响。     

No Country for Old People: A Paleodemographic Analysis of Migration Dynamics in Early Andean States

In this paper, we present a paleodemographic interpretation of a complete mortuary population from the site of Rio Muerto (southern Peru) affiliated with the early Andean Tiwanaku state (A.D.500–1000). Although advances in biogeochemical paleomobility studies have revolutionized bioarchaeological approaches to certain aspects of migration, paleodemography continues to offer a valuable complementary perspective on migration and population dynamics. Notably, paleodemography, through reference to Uniformitarian age‐at‐death profiles, is uniquely equipped to identify age‐specific subgroups that are missing from the mortuary population. We argue that the marked absence of adult individuals in the M70B cemetery population is the result of the socially regulated movement of older adults or their remains from the state provinces back to the homeland. We suggest that the particular demographic composition of the Rio Muerto M70 cemetery population, when considered within its cultural context and compared to other available paleodemographic data, reveals potential patterns of adult return migration, and carries important implications for the political and social dynamics of early Andean state society. Copyright © 2015 John Wiley & Sons, Ltd.     

Public art as public pedagogy: memorial landscapes of the Cambodian genocide

Historical memory in the form of public art acts as a pedagogical tool, both revealing the artist’s interpretation of history and serving as a historical device for the viewer. In Cambodia, new generations are developing an understanding of the Khmer Rouge regime (1975–1979) and its effect on their country’s history. Young peoples’ understanding of history is constructed through institutional, living, and public memory pedagogies. These pedagogical channels do not always work in unison, leaving gaps in historical education. In Cambodia, institutional and living memory pedagogies on the Khmer Rouge genocide often fail to transmit this important national history to those who did not live through it. Publicly accessible memorial art has the potential to supplement the historical understanding of young, rural Cambodians. Three murals sites in rural Cambodia act as landscapes of public pedagogy by depicting scenes of Khmer Rouge atrocities. This paper aims to understand the significance of the impact and implications of public memorial art as an educational supplement, and how public art can be utilized as public pedagogy in Cambodia and beyond.     

中国老年人口自评健康水平的空间分异及影响因素研究

基于2005年和2015年1%人口抽样调查资料以及2010年人口普查资料，采用ArcGIS分级制图和空间自相关分析等方法，刻画中国老年人口健康水平的时空格局及变化，并使用面板数据线性回归模型和Tobit回归模型识别影响老年人口健康水平空间分异的主要因素。结果表明：①中国老年人口健康水平存在明显的空间分异，老年人口健康水平高的地市主要分布在东南部省份、华北平原和新疆北部，老年人口健康水平低的地市主要集中在青藏高原及其周边地区；②十年间，老年人口健康水平的空间分异水平有所降低，老年人口健康水平中等的地市数量大幅增加；③老年人口健康水平呈现显著的空间正相关性，随着空间分异的缩小，空间集聚程度上升；老年人口健康水平的高-高类型区主要集中在东南部地区，低-低类型区主要分布在青藏高原及周边区域；④社会经济发展水平、人口结构、饮食习惯和自然地理因素是影响老年人口健康水平空间分异的重要因素，东部、中部和西部地区老年人口健康水平的影响因素存在显著的差异。     

Changes in Food Consumption and the Implications for Food Security and Undernourishment: India in the 1990s

This article examines the changes in the nature and quantity of food consumption in India during the reform decade of the 1990s, and analyses their implications for calorie intake and undernourishment. The study documents the decline in cereal consumption, especially in the urban areas, and provides evidence that suggests an increase in the prevalence of undernourishment over the period 1987/88 to 2001/2002. The results also point to a significant number of households, even in the top expenditure decile, suffering from undernourishment. This calls for a reassessment of the current strategy of directing the Targetted Public Distribution System (TPDS) exclusively at households ‘below the poverty line’. This study shows that, both as a source of subsidized calories and as a poverty reducing instrument, the PDS is of much greater importance to female‐headed households than it is to the rest of the population. Another important result is that, notwithstanding the sharp decline in their expenditure share during the 1990s, rice and wheat continue to provide the dominant share of calories, especially for the rural poor. The overall message is that, especially in a period of significant economic change, one needs to go beyond the standard expenditure‐based money metric measures to assess the changes in the living standards of households.     

Rates for the job. Measures of disease frequency in palaeopathology

Measures of disease frequency are discussed and their use in palaeopathology illustrated with examples, both hypothetical and real. It is shown that prevalence rates are the appropriate rates to use when calculating the frequency of diseases in skeletal populations. The extent to which prevalence rates accurately reflect those in the living population from which the skeletons were derived is also considered and it is suggested that they are a reasonable approximation for diseases that do not shorten life span, but not for those that do. Finally, suggestions are made for dealing with missing data.