Background: Evaluating the impact of health systems on premature mortality across different countries is a very challenging task, as it is hardly possible to disentangle it from the influence of contextual factors such as cultural differences. In this respect, the German-speaking area in Central Europe (Austria, Germany, South Tyrol and large parts of Switzerland) represents a unique 'natural experiment' setting: While being exposed to different health policies, they share a similar culture and language.
Methods: To assess the impact of different health systems on mortality differentials across the German-speaking area, we relied on the concept of avoidable mortality.
Popul Space Place
January 2023
In high-income countries, migration redistributed populations from congested city centres into the sparsely populated outskirts, raising challenges to environmental and population health and the conservation of biodiversity. We evaluate whether this periurbanisation process came to a halt in Switzerland by expecting a decline in internal migration and a renewed residential attractiveness of urban agglomeration centres (i.e.
View Article and Find Full Text PDFThe stress on the environment is increasing as the human population living on it increases. Water eutrophication, a leading cause of impairment of many freshwater and coastal marine ecosystems in the world, is a typical consequence of anthropogenic pressure on the environment. The Baltic Sea represents an excellent example of eutrophication-related massive bottom water deoxygenation since 1950s, when the nutrient inputs derived from agricultural fertilisers and wastewater discharges increased significantly.
View Article and Find Full Text PDFProc Natl Acad Sci U S A
July 2021
The contraceptive effect of breastfeeding remains essential to controlling fertility in many developing regions of the world. The extent to which this negative effect of breastfeeding on ovarian activity is sensitive to ecological conditions, notably maternal energetic status, has remained controversial. We assess the relationship between breastfeeding duration and postpartum amenorrhea (the absence of menstruation following a birth) in 17 World Fertility Surveys and 284 Demographic Health Surveys conducted between 1975 and 2019 in 84 low- and middle-income countries.
View Article and Find Full Text PDFThe study of regional trends in the rural-urban fertility gradient helps us to understand the pace of completion of the fertility transition and the geography of urban growth in the global South. We question whether the hypothesized inverted U-shaped evolution in rural excess fertility is confirmed in four developing regions, and investigate the underlying fertility dynamics by place of residence. Using multiple surveys for 60 developing countries, we analyze long-term rural and urban trends in cohort fertility.
View Article and Find Full Text PDFPopul Stud (Camb)
July 2018
Fertility decline in central and eastern Europe (CEE) since the fall of the communist regimes has been driven by both stopping and postponement of childbearing: two processes that have been related to crisis and economic development, respectively. In the Western Balkans these economic and political contexts followed each other in the form of a biphasic transition. I examine whether this sequence triggered fertility responses like those observed elsewhere.
View Article and Find Full Text PDFBackground: Reliable estimates of mortality according to socioeconomic status play a crucial role in informing the policy debate about social inequality, social cohesion, and exclusion as well as about the reform of pension systems. Linked mortality data have become a gold standard for monitoring socioeconomic differentials in survival. Several approaches have been proposed to assess the quality of the linkage, in order to avoid the misclassification of deaths according to socioeconomic status.
View Article and Find Full Text PDFPopul Res Policy Rev
March 2018
The interactions between the processes of urbanization and international migration in less developed and transition countries have important repercussions for socioeconomic development, but are not well understood. Based on the retrospective data from the Albanian Living Standards Measurement Survey 2008, we first assess the geography of migration in terms of the rural-urban continuum, the urban hierarchy and the outside world since 1990. We then investigate the spatio-temporal diffusion of rural-to-urban and international movements using survival models.
View Article and Find Full Text PDFAlthough natural increase has been recognized as the main driver of postwar urban growth in developing countries, urban transition theory predicts a dominant role for population mobility in the early and late phases of the process. To account for this discrepancy between theory and empirical evidence, I demonstrate the complex role played by internal and international migration in the pattern of urban growth. Using a combination of indirect demographic estimations for postwar Albania, I show that the dominant contribution of natural increase from the 1960s to the 1990s was induced by a limited urban in-migration; this was due to the restrictions on leaving the countryside imposed under communist rule and, thereafter, to the redirection abroad of rural out-migrants.
View Article and Find Full Text PDFAnalysis of data from a questionnaire survey of 2,000 young Malians undertaken by the authors in 2002 demonstrates that, even in underprivileged urban and rural populations, changes in sexual behavior are emerging. Among women, first sex and motherhood are taking place slightly later, and a minority is now dissociating sexuality and procreation. Our data confirm the considerable impact of female education on this transition.
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