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1.
Maternal mortality is a major problem in middle‐income and low‐income countries, and the availability and accessibility of healthcare facilities offering safe delivery is important in averting maternal deaths. Siaya County, in Kenya, has one of the highest maternal mortality rates in the country—far more than the national average. This study aimed to evaluate geographic access to health facilities offering delivery services in Siaya County. A mixed‐methods approach incorporating geographic information system analysis and individual data from semi‐structured interviews was used to derive travel time maps to facilities using different travel scenarios: AccessMod5 and ArcGIS were used for these tasks. The derived maps were then linked to georeferenced household survey data in a multilevel logistic regression model in R to predict the probability of expectant women delivering in a health facility. Based on the derived travel times, 26 per cent (13,140) and 67 per cent (32,074) of the estimated 46,332 pregnant women could reach any facility within one and two hours, respectively, while walking with the percentage falling to seven per cent (3,415) and 20 per cent (8,845) when considering referral facilities. Motorised transport significantly increased coverage. The findings revealed that the predicted probability of a pregnant woman delivering in a health facility ranged between 0.14 and 0.86. Significant differences existed in access levels with transportation‐based interventions significantly increasing coverage. The derived maps can help health policy planners identify underserved areas and monitor future reductions in inequalities. This work has theoretical implications for conceptualising healthcare accessibility besides advancing the literature on mixed methodologies.  相似文献   

2.
According to recent studies in evolutionary anthropology, firstborn daughters influence both parity progression and sibling survival by acting as so-called helpers at the nest. Based on 534 sets of household data from family reconstitution, the current analysis fails to show that offspring sex had any direct impact on maternal fertility, sibling survivorship, birth spacing, or reproductive span. Instead, the results indicate that fertility decisions were heavily affected by proximate factors such as child mortality and gender preferences. Families who had experienced child death were swift to substitute the loss with another pregnancy--a phenomenon known as replacement strategy. Similarly, a surplus of daughters acted as a strong impulse for parity progression, not because of potential helping effects but in an attempt to conceive additional sons. This is particularly apparent when the odds of grandmultiparity are considered.  相似文献   

3.
This study attempts to evaluate the factors affecting adult mortality with special emphasis on the lifestyle factors using the 1998–1999 National Family Health Survey (NFHS). The sample size, N, in this analysis is 330,267. It includes those aged 15–59 of which 2.6 per cent died during adulthood. In the Poisson regression model, the independent variables used are age, sex, place of residence, lifestyle factors of other members of the family, standard of living, literacy composition, caste, religion, mass media exposure, household type, fuel for cooking and region of residence. This analysis has been adjusted for the clustering of deaths at the family level. The findings suggest that there is a strong positive relationship between lifestyle factors and premature mortality, even after controlling for other background characteristics of the deceased person. Further, age, standard of living index (SLI), literacy composition, religion, household type and region of residence are some important determinants of adult mortality in India.  相似文献   

4.
Despite there being several estimates for famine-related deaths in the west of The Netherlands during the last stage of World War II, no such information exists for war-related excess mortality among the civilian population from other areas of the country. Previously unavailable data files from Statistics Netherlands allow researchers to estimate the number of war-related excess deaths during the last stage of the war in the whole country. This study uses a seasonal-adjusted mortality model combined with a difference-in-difference approach to estimate the number of excess deaths in the period between January 1944 and July 1945 at a total of close to 91,000 (75%) excess deaths. Almost half of all war-related excess mortality during the last year of the war occurred outside the west.  相似文献   

5.
Infant mortality is widely recognized as an indicator of poor living conditions. Scholars have identified economic, housing, environmental, and more recently, cultural determinants of infant mortality. Using individual-level data and record linkage this paper documents and explains the geography of infant mortality in Ottawa in 1901. Infant death in Ottawa mirrored the geography of poor living conditions in the city. The poorest and most densely settled community in Ottawa was Lowertown, a mostly French-Canadian part of the city with a disproportionate share of the city's infant deaths. In addition to environmental factors, infant mortality was linked to economic standing. Poorer families in Lowertown were more likely to have one of their infants die than better off families. After controlling for economic standing, however, cultural factors were stronger predictors of infant deaths. French-Canadian families in Lowertown had a greater risk of infant deaths than did families of other backgrounds irrespective of material circumstances. Supporting conclusions drawn elsewhere, this paper suggests that the interaction of particular cultural practices, such as shorter periods of breast-feeding among French-Canadians and a poor sanitary environment, resulted in high infant mortality rates in Ottawa.  相似文献   

6.
美国华人移民家庭的代际关系与跨文化冲突   总被引:1,自引:0,他引:1  
本文旨在研究美国华人移民家庭的代际关系与跨文化冲突问题。作者通过对其本人在洛杉矶和纽约两大华人移民社区所进行的田野调查、个人访谈和实地观察所收集的实证资料的系统分析,着重探讨矛盾重重的华人移民家庭中父母与子女如何处理复杂的、不断变动的家庭关系以及移民父母如何选择轻重缓急的策略,并依靠社区的力量来确保下一代的健康成长。  相似文献   

7.
The census is the traditional source of population figures at various levels. Census figures however are technically outdated immediately they are released because planners require figures for the present and possibly for future dates. In an attempt to meet this demand different organisations and researchers produce population estimates and projections. These estimates however are usually at higher geographical levels and often do not meet the planning needs of administrators at lower geographical levels. This study extends a top‐down estimation method to an African country by estimating the mid‐2014 population at ward level in South Africa. The study used the 2011 South Africa Census to estimate current levels of fertility, mortality as well as current trends in net migration at a higher geographical level. Historical trends in fertility and mortality were based on the 1996 Census, 1997 and 1998 October Household Surveys as well as the 2007 Community Survey data. The results indicate that that 20 of the largest wards as at mid‐2014 were located in South Africa's metropolitan areas. Nineteen of the 20 largest wards are currently growing at a rate of over 4% per annum and if this trend continues, eighteen of these wards will double their current population size in less than 15 years.  相似文献   

8.
The author reviews recent changes in population research from a geographical perspective. "The deaths in 1990 of two of France's most distinguished demographers, Alfred Sauvy (1899-1990) and Jean Bourgeois-Pichat (1912-90)...seem an appropriate starting point from which to review progress in population research in the early 1990s....Relative to the lifespans and works of Bourgeois-Pichat and Sauvy, it is possible to discern progress in population studies as a whole and population geography in particular. Advances in technical aspects of measuring mortality, fertility and migration have been most marked, as have attempts to inter-relate these demographic processes. Progress towards explanation of population-related phenomena has been slower. Advances have not been towards building more sophisticated general theories, but towards new and more insightful forms of explanation." The author then summarizes other research literature on fertility, migration, and population subgroups. The geographical scope is worldwide.  相似文献   

9.
Abstract

The author looks at the fertility, mortality, and marriage experience of racial, ethnic, and nativity groups in the United States from the nineteenth to the late twentieth centuries. The first part of the essay describes and critiques the racial and ethnic categories used in the federal census and in the published vital statistics; the second part examines the three dimensions of demographic behavior. Both absolute and relative convergence of fertility across groups has been of relatively recent origin and in large part has been due to stable, or even slightly increasing, birthrates for the majority white population combined with declining birthrates for blacks and the Asian-origin, Hispanic-origin, and Amerindian populations. This has not been true for mortality. The black population has experienced absolute convergence but relative deterioration in mortality (neonatal and infant mortality, maternal mortality, expectation of life at birth, and age-adjusted death rates), in contrast with the Amerindian and Asian-origin populations. The Asian-origin population now has age-adjusted death rates significantly lower than those for the white population. The disadvantaged condition of the black population and the deteriorating social safety net are the likely origins of this outcome. Finally, a trend toward earlier and more extensive marriage existed from about 1900 until the 1960s. At this point, coincident with the end of the baby boom, there has been a movement to later marriage for both males and females among whites, blacks, and the Hispanic-origin populations, a trend that has been more extreme in the black population, especially among females. There has also been a significant rise in percentages never-married at ages 45-54 among blacks and, to a lesser extent, among Hispanics. So here, too, there has been some divergence.  相似文献   

10.
The author considers the demographic importance of levels of sterility and infertility in Africa. The differences between infertility and sterility are first established, and their probable impact on the diffusion of family planning practice in Africa is considered, as well as their impact on demographic trends in general  相似文献   

11.
The authors describe and evaluate a series of historical demographic methods that fall between family reconstitution and aggregative methods and that were developed during a study of the demographic impact of early industrialization on the processes of fertility, nuptiality, and migration in Verviers, Belgium. The methods involve the use of truncated fertility histories for the first few years of marriage rather than complete fertility histories. The authors suggest that the methods proposed are an effective means of reducing the cost of accumulating data while increasing the number of cases studied.  相似文献   

12.
BERNARD CAPP 《History》2023,108(379-380):41-63
Grandparents have been largely overlooked in the otherwise rich historiography of the family in early modern England. This article shows how many were able to play significant roles in family life, in both emotional and practical terms. Some forged close bonds with their young grandchildren, or took them in for a period to relieve hard-pressed parents, while others were willing to raise and educate the orphaned. Some also provided moral or religious guidance, assuming responsibilities conventionally assigned to godparents, and in some cases even challenging parental decisions of which they disapproved. Grandchildren were almost always remembered in wills, with testators also careful to protect the interests of any potentially at risk. The article then turns to explore the role of grandparents acting as welfare providers, whether voluntarily or through a court order, for grandchildren left as orphans or born to unmarried mothers. It assesses the often contentious issue of grandparents’ moral and legal responsibilities under the parish relief system established by the Poor Law in 1601, and disputes between the paternal and maternal kin. Finally, the article touches briefly on grandparents as repositories of information, whose memories and experience could be of value to their community as well as to their own families.  相似文献   

13.
The construction of mortality profiles to investigate age-at-death patterns is a typical component of most faunal analyses. While many methods exist for constructing and comparing mortality profiles, plotting the percentages of juvenile, prime, and old individuals on a triangular graph, or ternary diagram, remains a popular method for making comparisons. Typically, these comparisons are made visually, but because sample sizes are often small, any differences may be the product of sampling rather than meaningful contrasts in depositional history. To overcome this problem, here we present a likelihood-based method for making statistical comparisons of mortality profiles on a triangular graph, and we make available a cross-platform computer program that implements the method. Although we developed the method with mortality profiles in mind, in principle, it can be used to analyze any kind of artifact for which there are three distinct categories.  相似文献   

14.
《Asiaweek》1992,18(34):25-27
The Philippine government's position on aggressive population management is in conflict with the Catholic Church's opposition to artificial means of birth control, particularly sterilization. The Episcopal Commission for Family Life plans to increase its campaign against contraception at their local level. The government effort through the Department of health will provide access to contraception in a network of 600 hospitals and 1500 rural health units. Government support comes from 2 Protestant churches, the Church of Christ, which is the largest independent church in the Philippines, and the United Church of Christ. Leaders of both churches gave the Minister of Health letters of support which stated that family planning (FP) was necessary to curb population growth which was too high, and China and Thailand are countries which are economically better off with population planning. The government position is similar to former President Corazon Aquino's. The new President, Fidel Ramos, is a protestant and wants economic prosperity for the Philippines; part of the formula for achieving economic growth is slowing population growth. There is limited resources in a sluggish economy and the push for zero population growth can be accomplished through effective contraception. The birth rate fuels poverty is the position of Juan Flavier, Health Secretary. Annual population growth is 2.3% and family size is 4.8/couple while agricultural growth is only 1%. The ideal family size recommended is 2 children/family. The Philippine Commission on Population in its 6-year plan is hoping to obtain 200 million in foreign aid and involve a larger network of nongovernmental organizations. Choice is the key component. Women need to be convinced that birth spacing will reduce maternal and infant mortality. Flavier has reassured Cardinal Jaime Sin of the Catholic Church that Natural methods or the rhythm method would be taught. Health experts argue that the discipline and sacrifice necessary for effective natural methods is lacking.  相似文献   

15.
By investigating the Tang-Song examples of widows remaining chastity or inviting a jiejiaofu (second husband) into the deceased husbands’ families, this article analyzes widows’ lives and their right to inherit their deceased husbands’ family properties. The conclusion is that widows had only “rights of management,” but not the “possessive right,” over their deceased husbands’ properties. Moreover, the qualities of widows’ lives in their in-law’s families depended on their relationships with the deceased husbands’ brothers. When being treated unfairly, widows often resorted to “the power of the maternal uncle” in order to defend their benefits.  相似文献   

16.
Reported here are the results of a mortality analysis of an Ursus spelaeus death assemblage from Grotta Lattaia, southern Tuscany (central Italy), excavated in 1939. The Grotta Lattaia cave bears are among the latest representatives of the species. The large amount of cave bear remains indicates that the cavern was a lair for hibernating bears which repeatedly, but not necessarily yearly, occupied it. The mortality evidence indicates that deaths occurred primarily during hibernation from violent predation, and, therefore, that the bears had direct interaction with other carnivores. However, no sign of interrelation with humans could be found, even though Middle Paleolithic human remains and tools had been recovered associated with the bear material. Grotta Lattaia can be thus considered an example of cumulative, non-human-caused violent deaths in a hibernation context.  相似文献   

17.
汉代的非单棺墓,即同穴多人葬,包括有亲缘关系的合葬墓和非亲缘关系的主仆同葬墓。本文所论非单棺墓,为有亲缘关系的合葬墓。这类墓葬的考古年代学类型有同时合葬和异时合葬两种形式。同时合葬因迁葬或同时丧亡而形成,异时合葬则由于先后丧亡因而先后入葬形成。异时而葬的合葬墓,墓主葬入的时间虽有绝对的先后,但因考古学研究方法的特性,对先后葬入的随葬品的考古年代学分期,会有同一时间段或不同时间段两种结论。对于非单棺墓葬的研究,我们首先要重视资料报道的准确件,其次要以对单棺墓葬的分析作为研究的前提,此外要注意辨析同一墓葬内和不同墓葬间不同器物群组之间的关系。  相似文献   

18.
This article demonstrates how the security of an extractive corporation is related to the governance of the lives and deaths of local inhabitants living in the area around a large coalmine and its railway in Colombia. Making legible the corporate security technologies that manage railway mortality and work along a spectrum from “hard” to “soft”, this article explores the productivity of corporate security in relation to the lives and deaths of local populations. Offering a specific lens on corporate railway security, it shows how corporate security technologies influence not only the lives of local residents but also their deaths. The findings also suggest that deaths and/or suicides be understood as both a product of and a productive force for corporate territorialization. Drawing on conceptualizations of ‘social death’ from genocide studies and Foucauldian ideas about death and technologies of power, I discuss the implications of corporate sovereignty (deciding over lives and deaths) as a technology of the corporate protection of mining infrastructure that normalizes corporate territorialization and justifies corporate social control.  相似文献   

19.
This case study presents the results of research carried out on the principal wealthy families in Florence between 1862 and 1904. It shows that while Tuscany was in many ways a particular case, it offers an important opportunity for studying those distinctions between ‘modernity’ and ‘tradition’ that are implicit in debates on the social history of this period. From the 30,000 declarations of inheritance resulting from deaths registered in these years, the author examines 300 estates that were valued at over half a million lire and 146 ‘millionaires’, reconstructing the balance between fixed and liquid assets in the overall composition of the estates. The data show that estates based mainly on landed property of a type which was aristocratic in origin remained common throughout the period, and this finding is confirmed by the importance that farms in the case of rural property, and noble houses in the case of urban property, retained as forms of immovable property. A comparison of the structure of the wealth of the nobility (theoretically a more ‘traditional’ group) and that of Jewish bankers (in theory a more ‘modern’ group) indicates that all sections of the elite followed the same tendencies. The author argues that the elite was characterized by a ‘Renaissance paradigm’ in which forms of rural and urban seigneurial power were combined in a mixture of both relatively modern and relatively conservative features, and that this same combination was evident over the longer period in many other northern and central Italian urban elites. The statistical data offered by the sources are insufficient, however, to carry the analysis further without taking account of institutional structures and individual behaviour. In the final section of the article the author discusses several examples of inheritance settlements that confirm the complementary nature of family strategies aimed at perpetuating the integrity of the property through the male line and forms of management that sought to develop a variety of forms of economic enterprise and activity.  相似文献   

20.
People have been burying or otherwise ritually disposing of dead dogs for a long time. They sometimes treat other animals in such a fashion, but not nearly as often as dogs. This presentation documents the consistent and worldwide distribution of this practice over about the past 12,000–14,000 years. Such practices directly reflect the domestic relationship between people and dogs, and speak rather directly to the timing of canid domestication. In doing so, they contradict recent genetics-based inferences, thus calling into question the legitimacy of focusing mostly on genetic factors as opposed to other factors. This discussion seeks to work towards a sound framework for analyzing and thus understanding the social compatibility between people and dogs. That compatibility is directly signified by the burial of dogs, with people often responding to the deaths of individual dogs much as they usually respond to the death of a family member. Moreover, that special social relationship continues, as illustrated clearly by the establishment, maintenance, and ongoing use of several modern dog cemeteries, in different countries of the world.  相似文献   

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