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Social Differences in Infant Mortality in the Norwegian Parish Asker and Bærum 1814–1878 挪威教区婴儿死亡率的社会差异Asker和Bærum 1814-1878
Pub Date : 2002-12-18 DOI: 10.3384/HYGIEA.1403-8668.0231177
E. Fure
y the turn of the century 1700/1800 less than one in five Norwegian children died before their first birthday. The average hides variations among regions and over time. Infant mortality had, at least in some areas, started its secular decline from the end of the 18th century. Neither in Norway nor in other countries have the causes of decline been definitively identified. One hypothesis has been that the decline in mortality was associated with an increase in prosperity. One would, therefore, expect that infant mortality was higher in the poorer classes, at least during the initial stage of the decline in infant mortality. Researchers have published data on infant mortality according to social groups in some Norwegian family reconstitution studies from different parishes. Usually there are two groups: one consists of farmers, whereas the other is a mixed group of cotters, crofters, laborers, workers, fishermen and sailors. Family reconstitution is very time-consuming work. The results for individual parishes often do not consist of a large number of cases, and the differences found have not been subjected to statistical testing. This makes it difficult to interpret the results, and the researchers are usually reluctant to make substantial conclusions. One exception is a study not based on study of a single parish, but rather on linkage between records from church registers from 45 randomly chosen parishes for two to five years around
在世纪之交,不到五分之一的挪威儿童在一周岁前死亡。平均值掩盖了不同地区和不同时期的差异。至少在某些地区,婴儿死亡率从18世纪末开始长期下降。无论是在挪威还是在其他国家,都没有明确确定下降的原因。有一种假设认为,死亡率的下降与繁荣程度的提高有关。因此,人们可以预期,至少在婴儿死亡率下降的最初阶段,较贫穷阶层的婴儿死亡率较高。研究人员公布了一些挪威不同教区家庭重构研究中按社会群体划分的婴儿死亡率数据。通常有两个群体:一个群体由农民组成,而另一个群体则是由农夫、佃农、劳动者、工人、渔民和水手组成的混合群体。家庭重建是一项非常耗时的工作。个别教区的结果往往不包括大量的病例,而且发现的差异也没有经过统计检验。这使得解释结果变得困难,研究人员通常不愿做出实质性的结论。一个例外是,一项研究不是基于对单个教区的研究,而是基于随机选择的45个教区的教会登记记录之间的联系,时间为2到5年左右
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引用次数: 2
The Interpretation of Cause of Death 53 Among Infants 53例婴儿死亡原因的解释
Pub Date : 2002-12-18 DOI: 10.3384/HYGIEA.1403-8668.023153
M. Bengtsson
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引用次数: 3
Contagion, Policy, Class, Gender, and Mid-Twentieth-Century Lancashire Working-Class Health Culture 传染病、政策、阶级、性别和二十世纪中期兰开夏郡工人阶级的健康文化
Pub Date : 2001-06-20 DOI: 10.3384/HYGIEA.1403-8668.01217
L. M. Beier
rom earliest times, governments have been concerned about the threat posed by epidemics and have embraced policies and regulations intended to prevent or limit the impact of diseases identified as contagious. However, the public health initiatives of nineteenthand early twentieth-century England were more ambitious, inclusive, and sustained than any previous public attempts to control disease. The sanitation reforms and preventive health services implemented from the 1840s onward had an enormous impact on the quality and duration of life experienced by English people. Indeed, in his challenge to the McKeown thesis, Simon Szreter argues, ‘The public health movement working through local government, rather than nutritional improvements through rising living standards, should be seen as the true moving force behind the decline of mortality in this period.’
从很早的时候起,各国政府就一直关注流行病所构成的威胁,并制定了旨在预防或限制被确定为传染性疾病影响的政策和条例。然而,19世纪和20世纪早期英国的公共卫生倡议比以往任何公共控制疾病的尝试都更雄心勃勃,更包容,更持久。从19世纪40年代开始实施的卫生改革和预防性卫生服务对英国人的生活质量和寿命产生了巨大的影响。事实上,西蒙•斯雷特(Simon Szreter)在对麦基奥恩论文的质疑中指出,在这一时期,真正推动死亡率下降的是地方政府开展的公共卫生运动,而不是通过提高生活水平来改善营养状况。
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引用次数: 1
The Roots of North America's First Comprehensive Public Health Insurance System 北美第一个综合公共健康保险制度的根源
Pub Date : 2001-06-08 DOI: 10.3384/HYGIEA.1403-8668.012125
A. Ostry
askatchewan, sandwiched between Alberta and Manitoba, is one of three prairie provinces in Canada. The province consists mainly of dry prairie in the south (where it borders the states of Montana and North Dakota) and subArctic forest, giving away to tundra along its border with the North West Territories. It was opened for European settlement after the building of the Canadian Pacific Railway at the end of the nineteenth-century and grew slowly, stabilizing at a population of between 900,000 and one million after the 1940s. Until the 1950s, this sparsely settled province was sustained by a one-crop wheat economy. Saskatchewan's population distribution reflected this, as most people lived in rural areas. There were only two medium-sized cities (Regina and Saskatoon) and six smaller ones ‘which anchored a network of villages and towns that covered an expanse of agricultural land larger than France’. Although less than eight per cent of Canadians lived in Saskatchewan in the 1940s, this province has played a large role in the development of national social policy. Western Canada, particularly Saskatchewan and Manitoba, was the crucible of the nation's Social Democratic movement which was based largely on the strong tradition of co-operative prairie wheat farming and marketing. Canada's first Social Democratic party, the Cooperative Commonwealth Federation (CCF), the forerunner of the New Democratic Party, was born during the Great Depression in Manitoba and Saskatchewan. The party came to power in the Saskatchewan pro-
阿斯喀彻温省夹在阿尔伯塔省和马尼托巴省之间,是加拿大三个大草原省份之一。该省主要由南部的干燥草原(与蒙大拿州和北达科他州接壤)和亚北极森林组成,与西北地区接壤的苔原。19世纪末加拿大太平洋铁路建成后,它向欧洲人开放,人口增长缓慢,20世纪40年代后稳定在90万至100万之间。直到20世纪50年代,这个人口稀少的省份一直依靠单一作物的小麦经济维持生计。萨斯喀彻温省的人口分布反映了这一点,因为大多数人生活在农村地区。只有两个中等规模的城市(里贾纳和萨斯卡通)和六个较小的城市,“这些城市由村庄和城镇组成,覆盖了比法国还大的农业用地”。虽然在20世纪40年代,不到8%的加拿大人居住在萨斯喀彻温省,但这个省在国家社会政策的发展中发挥了重要作用。加拿大西部,尤其是萨斯喀彻温省和马尼托巴省,是全国社会民主运动的熔炉,这一运动主要基于草原小麦合作种植和销售的强大传统。加拿大第一个社会民主党合作联邦(CCF),即新民主党的前身,诞生于大萧条时期的马尼托巴省和萨斯喀彻温省。该党在萨斯喀彻温省执政
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引用次数: 3
The Impact of Alcohol Consumption on Excess Male Mortality in Nineteenth- and Early Twentieth-Century Sweden 酒精消费对19世纪和20世纪初瑞典男性死亡率过高的影响
Pub Date : 2001-06-08 DOI: 10.3384/HYGIEA.1403-8668.012145
S. Willner
weden has the lowest per capita consumption of alcohol in Western Europe together with the Nordic sister nations Norway and Iceland, according to recent official statistics. Alcohol-related deaths are consequently low in a European perspective. This level is ascribed to the Swedish policy based on farreaching administrative restrictions and on the high taxes imposed on alcohol sale. However, ideological influences that encourage conscientiousness and temperance have also been exercised historically by strong popular movements: the absolutist temperance societies, working class organisations and the non-conformist free churches (outside the Swedish Lutheran Church). Many of those who defend this system with a low consumption policy today foresee great risks regarding the social and health-related consequences if the European Union efforts to liberalise the restrictive Swedish policy in order to ‘harmonise’ trade in alcoholic beverages are carried through. The great interest in alcohol in the contemporary debate on public health issues in Sweden motivates a closer examination of the historical experiences with alcohol policies and traditions regarding consumption levels and health effects.
根据最近的官方统计数据,瑞典与北欧姐妹国家挪威和冰岛是西欧人均酒精消费量最低的国家。因此,从欧洲的角度来看,与酒精有关的死亡人数很低。这一水平归因于瑞典基于深远的行政限制和对酒类销售征收高额税收的政策。然而,鼓励尽责和节制的意识形态影响也在历史上被强大的大众运动所运用:绝对主义节制社会、工人阶级组织和不墨守成规的自由教会(瑞典路德教会之外)。今天,许多以低消费政策捍卫这一制度的人预见,如果欧洲联盟继续努力放宽瑞典的限制性政策,以"协调"酒精饮料贸易,将会带来巨大的社会和健康后果风险。在瑞典当代关于公共卫生问题的辩论中,对酒精的极大兴趣促使人们更仔细地研究关于消费水平和健康影响的酒精政策和传统的历史经验。
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引用次数: 11
Scarlatina and Sewer Smells: Metropolitan Public Health Records 1855-1920 猩红热和下水道气味:1855-1920年大都会公共卫生记录
Pub Date : 2000-02-29 DOI: 10.3384/HYGIEA.1403-8668.001137
A. Tanner
he peculiarities of the history of public health in London have been the subject of several studies in the last twenty years, most notably by Anne Hardy, Bill Luckin, Lara Marks, Graham Mooney, John Davies and David Owen. The purpose of this contribution is not to add to the canon, but rather to make a plea for a re-examination of some of the original sources for this field, in particular the surviving reports of the metropolitan Medical Officers of Health (MOHs), which provide a unique insight, not solely into the development of public health policy and practice in the capital, but into many aspects of London life. London tended to be excluded from the provisions of much of the reforming legislation of the nineteenth century. It alone was left out of the 1835 Corporations Act, and the 1848 Public Health Act. This second Act decreed that, where a registration district recorded a death rate of over 23 per 1,000, the undertaking of remedial measures and the appointment of a Medical Officer of Health (MOH) became compulsory. In certain parts of London, most notably the East End, a death rate of
在过去的二十年里,伦敦公共卫生史的特殊性一直是几项研究的主题,其中最著名的是安妮·哈迪、比尔·勒金、劳拉·马克斯、格雷厄姆·穆尼、约翰·戴维斯和大卫·欧文。这篇文章的目的不是增加经典,而是呼吁重新审视这一领域的一些原始来源,特别是幸存的大都会卫生医疗官员(MOHs)的报告,这些报告提供了独特的见解,不仅是对首都公共卫生政策和实践的发展,而且对伦敦生活的许多方面。伦敦倾向于被排除在19世纪许多改革立法的条款之外。1835年的《公司法》和1848年的《公共卫生法》唯独没有提到这一点。第二项法令规定,如果一个登记区记录的死亡率超过千分之23,则必须采取补救措施并任命一名卫生医务官员。在伦敦的某些地区,尤其是东区,死亡率为
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引用次数: 2
History in Public Health: a New Development for History? 公共卫生史:历史学的新发展?
Pub Date : 2000-02-29 DOI: 10.3384/HYGIEA.1403-8668.001123
V. Berridge
Historians, by and large, operate among their own kind. Most professional historians work in departments which are discipline based, although often with contacts and networks among a wider range of interests relevant to their research speciality. Medical and other health-related schools, where they draw on history, as in teaching, tend to look within their own ranks. The history of public health might well be the responsibility of a non-historical staff member with an interest in the subject. It is rare for historians, in the UK at least, to cross the boundary and to be located in a medical or public health setting. This is the position of the history group at the London School of Hygiene and Tropical Medicine. Operating across the boundaries in this way requires a complex balancing act of interests. This paper reflects on the history of public health and possibilities for future development both from the perspective of that unusual location, but personally from that of a research career which has partially been spent in other non-historical contexts elsewhere as well. I aim to consider three related but different areas of interest public health history (by which I mean the current state of play of historical research in this and allied subjects) and history in public health (by which I mean the interest in and use of that history by non
总的来说,历史学家是在自己的同类中工作的。大多数专业历史学家在以学科为基础的院系工作,尽管他们经常与与他们的研究专业相关的更广泛的兴趣联系和网络。医学和其他与健康相关的学校,他们在教学中借鉴历史,倾向于在自己的队伍中寻找。公共卫生的历史很可能是一个对该主题感兴趣的非历史工作人员的责任。对于历史学家来说,至少在英国,跨越边界并位于医疗或公共卫生环境中是很少见的。这是伦敦卫生和热带医学学院历史小组的观点。以这种方式跨界运作需要复杂的利益平衡。这篇论文反映了公共卫生的历史和未来发展的可能性,既从这个不寻常的地点的角度,也从我个人的研究生涯的角度来看,我的研究生涯在其他地方也有部分时间是在其他非历史背景下度过的。我的目标是考虑三个相关但不同的兴趣领域公共健康史(我指的是在这方面和相关学科的历史研究的现状)和公共健康史(我指的是对这一历史的兴趣和利用
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引用次数: 7
Why Hygiea Internationalis
Pub Date : 2000-02-29 DOI: 10.3384/HYGIEA.1403-8668.00115
J. Sundin
s there a need for a special journal for the history of public health? And, if so, why in electronic form? There are at least two answers to the last question. First of all, new journals in traditional form are expensive to produce and to distribute. Much more substantial support would have been needed from our sponsors to establish the journal on the market and to test its economic potential. We all know the difficulties in convincing our university libraries to subscribe to new journals, a condition necessary for their survival. Secondly, the electronic medium offers a number of possibilities not easily available for traditional journals. One is the easy access at no other cost for the consumer than time. A second advantage is the possibility to cut the time – just a few months – between the submission of the manuscript and its publication, which shortens the interval between the first expression of new ideas and findings and the moment they reach the rest of the scholarly world. We have met colleagues who are doubtful about the value of an electronic medium for the spread of high-quality research in the humanities and social sciences. Besides the arguments already mentioned, we would also like to point out that:
是否需要一份专门的公共卫生史杂志?如果是,为什么是电子形式?最后一个问题至少有两个答案。首先,传统形式的新期刊的制作和发行成本很高。我们需要赞助商提供更多实质性的支持,才能将期刊推向市场,并测试其经济潜力。我们都知道说服我们的大学图书馆订阅新期刊的困难,这是它们生存的必要条件。其次,电子媒介提供了许多传统期刊不容易获得的可能性。其一是消费者只需花费时间就可以轻松访问。第二个好处是可以缩短从提交手稿到发表论文之间的时间——只有几个月,这缩短了新思想和新发现从首次发表到传播到学术界的时间间隔。我们遇到过一些同事,他们怀疑电子媒介对传播人文和社会科学领域高质量研究的价值。除了上述论点外,我们还想指出:
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引用次数: 2
Changing Definitions of the History of Public Health 公共卫生史定义的变化
Pub Date : 2000-02-01 DOI: 10.3384/HYGIEA.1403-8668.00119
D. Porter
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引用次数: 17
期刊
Hygiea Internationalis : An Interdisciplinary Journal for The History of Public Health
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