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The 'lifeworld' of health and disease and the design of public health interventions. 健康与疾病的 "生活世界 "以及公共卫生干预措施的设计。
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-06-01 DOI: 10.1332/175795921X16835353334712
Federica Russo, Michael P Kelly

The consequences of the COVID-19 pandemic are still working through health systems worldwide, and further reflections about the nature of health and disease, and about how to design and implement effective public health interventions are much needed. For numerous diseases and conditions, as well as for COVID-19, our knowledge base is rich. We know a lot about the biology of the disease, and we have plenty of statistics that relate health to socio-economic factors. In this paper, we argue that we need to add a third dimension to this knowledge base, namely a thorough description of the lifeworld of health and disease, in terms of the mixed biosocial mechanisms that operate in it. We present the concepts of lifeworld and of mixed mechanisms, and then illustrate how they can be operationalised and measured through mixed methodologies that combine qualitative and quantitative approaches. Finally, we explain the complementarity of our approach with the biological and statistical dimensions of health and disease for the design of public health interventions.

COVID-19 大流行所造成的后果仍在影响着世界各地的卫生系统,因此我们需要进一步思考健康和疾病的本质,以及如何设计和实施有效的公共卫生干预措施。对于许多疾病和病症以及 COVID-19,我们的知识库是丰富的。我们对疾病的生物学特性了如指掌,也有大量统计数据表明健康与社会经济因素相关。在本文中,我们认为我们需要在这个知识库中增加第三个维度,即对健康和疾病的生活世界进行全面描述,即在其中运行的混合生物社会机制。我们介绍了生活世界和混合机制的概念,然后说明了如何通过定性和定量相结合的混合方法对其进行操作和测量。最后,我们解释了我们的方法与健康和疾病的生物和统计维度的互补性,以便设计公共卫生干预措施。
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引用次数: 0
Association of white blood cell count-to-mean platelet volume ratio with the risk of fatal stroke occurrence in older Chinese 中国老年人白细胞计数与平均血小板体积比与致命性脑卒中发生风险的相关性
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-05-24 DOI: 10.1332/175795921x16829403140033
Zhi-bing Hu, Ze-xiong Lu, Ying-Juan Chen, T. Zhu, Y. Jin, J. Pan, Qiong Zhong, Jun-xiao Li, F. Zhu
White blood cell (WBC) and mean platelet volume (MPV) counts are related to stroke events, but relationship between their combined indicator (WBC count-to-MPV count ratio (WMR)) and the risk of fatal stroke occurrence is unclear so far. In this retrospective analysis, we enrolled 27,163 participants aged 50 years or older without a stroke history in the Guangzhou Biobank Cohort Study. After a mean follow-up time of 15.0 (SD = 2.2) years with 389,242 person-years, 816 stroke (401 ischaemic, 259 haemorrhagic and 156 unclassified) deaths were recorded. Cox’s proportional hazards regression was used to estimate the hazard ratios (HRs) and the 95% confidence intervals (CIs). Compared with those in the lowest quartile, participants with the highest WMR had different risks for fatal all stroke and fatal ischaemic stroke, respectively, although an increased risk for fatal ischaemic stroke was observed among participants in the fourth WMR quartile and further hs-CRP adjustment; those in the WMR change with 10% increase had a 36% increased risk of fatal all stroke and a 79% increased risk of fatal haemorrhagic stroke, compared to those in a stable (the WMR change between −10% and 10%). Our findings suggest that higher WMR and its longitudinal change were associated with an increased risk of fatal stroke occurrence in middle-aged to older Chinese; it may be a potential indicator for the future fatal stroke occurrence in relatively healthy elderly populations.
白细胞(WBC)和平均血小板体积(MPV)计数与中风事件有关,但它们的综合指标(WBC计数与MPV计数比(WMR))与致命中风发生风险之间的关系目前尚不清楚。在这项回顾性分析中,我们在广州生物库队列研究中招募了27163名50岁或50岁以上没有中风史的参与者。在平均随访15.0年(SD=2.2),389242人年后,记录了816例中风(401例缺血性,259例出血,156例未分类)死亡。Cox比例风险回归用于估计风险比(HR)和95%置信区间(CI)。与最低四分位数的参与者相比,WMR最高的参与者分别有不同的致命性全脑卒中和致命性缺血性卒中的风险,尽管在第四个WMR四分位数和进一步的hs-CRP调整中观察到致命性缺血性中风的风险增加;与稳定期(WMR变化在-10%-10%之间)相比,WMR变化10%的患者发生致命性全脑卒中的风险增加36%,发生致命性出血性卒中的风险提高79%。我们的研究结果表明,在中老年中国人中,较高的WMR及其纵向变化与致命中风发生风险增加有关;在相对健康的老年人群中,它可能是未来致命中风发生的潜在指标。
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引用次数: 0
Education, health indicators and fertility outcomes: a longitudinal analysis of couples in Britain. 教育、健康指标和生育结果:对英国夫妇的纵向分析
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-05-18 DOI: 10.1332/175795921X16822409446639
Nitzan Peri-Rotem

Previous studies have shown that highly educated women are more likely to realise their fertility aspirations, or experience a faster progression to a higher order birth, compared to lower educated women. This is often explained by improved economic or social resources among the higher educated. However, it is unclear whether educational differences in health behaviours may also contribute to these differential fertility outcomes. In this study, we use data from Waves 1-7 of the UK Longitudinal Household Study, combined with data from the Nurse Health Assessment from Wave 2 to estimate couples' likelihood of experiencing additional childbirth within six years. A discrete-time event history model is employed to analyse the transition to a higher order birth, while accounting for both partners' level of education as well as smoking patterns and body mass index. We find that couples in which the female partner is highly educated are more likely to experience childbirth within six years compared to others. In addition, female smoking is negatively associated with the likelihood of childbirth, while no significant effect has been found for male health factors. Female health indicators explain some of the variation in fertility outcomes for women with lower secondary education compared to degree-educated women. However, education remains a significant predictor of the transition to higher order births, also after accounting for male and female health indicators. It is therefore important to consider both socio-economic and health factors in order to understand variations in fertility outcomes.

先前的研究表明,与教育程度较低的女性相比,受过高等教育的女性更有可能实现自己的生育愿望,或更快地实现更高的生育顺序。这通常可以用受过高等教育的人的经济或社会资源的改善来解释。然而,尚不清楚健康行为的教育差异是否也会导致这些不同的生育结果。在这项研究中,我们使用了英国纵向家庭研究第1-7波的数据,结合第2波护士健康评估的数据,来估计夫妇在六年内再次分娩的可能性。采用离散时间事件历史模型来分析向高阶出生的转变,同时考虑伴侣双方的教育水平以及吸烟模式和体重指数。我们发现,与其他夫妇相比,女性伴侣受过高等教育的夫妇更有可能在六年内分娩。此外,女性吸烟与分娩的可能性呈负相关,而男性健康因素没有显著影响。女性健康指标解释了中等教育程度较低的女性与受过学位教育的女性相比生育结果的一些差异。然而,在考虑了男性和女性的健康指标后,教育仍然是向高出生率过渡的重要预测因素。因此,重要的是要考虑社会经济和健康因素,以了解生育结果的变化。
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引用次数: 0
Income inequality in later years: occupational trajectories or initial social characteristics? 晚年的收入不平等:职业轨迹还是最初的社会特征?
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-05-05 DOI: 10.1332/175795921X16805239728832
Olga Ganjour, Jacques-Antoine Gauthier, Jean-Marie Le Goff, Eric D Widmer

This study focuses on the constitution of financial reserves in Switzerland from a longitudinal perspective. Personal income after retirement derives from financial reserves whose constitution depends both on positional factors, such as sex and birth cohorts, and processual factors, such as occupational trajectories, in the institutional context of the Swiss pension system (structural factors). We hypothesise that some processual, positional and structural factors interact with each other to shape financial reserves available in old age. We assess this set of factors and their interactions using the occupational trajectory types stemming from optimal matching analysis (OMA) combined with the hierarchical clustering and regression tree methods. We used the retrospective biographic data SHARELIFE gathered during the third wave of the SHARE survey in 2009. The results show that occupational trajectories are influential factors accounting for much of the financial reserves available in later life. However, these processual factors interact with positional factors such as sex and birth cohort. The retirement schemes generalised in Switzerland during the period under consideration add up to the effect of positional factors on the constitution of financial reserves.

本研究从纵向的角度关注瑞士财政储备的构成。退休后的个人收入来源于财政储备,其构成既取决于位置因素,如性别和出生群体,也取决于过程因素,如瑞士养老金制度中的职业轨迹(结构因素)。我们假设,一些过程、位置和结构因素相互作用,形成了老年可用的财政储备。我们使用最佳匹配分析(OMA)产生的职业轨迹类型,结合层次聚类和回归树方法,评估这组因素及其相互作用。我们使用了SHARELIFE在2009年第三波SHARE调查中收集的回顾性传记数据。研究结果表明,职业轨迹是影响晚年可动用财政储备的主要因素。然而,这些过程因素与性别和出生队列等位置因素相互作用。在本报告所述期间,瑞士普遍采用的退休计划加起来就是位置因素对财政储备构成的影响。
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引用次数: 1
Life course development following childhood adversity: methods and findings from the Christchurch Health and Development Study. 童年逆境后的人生历程发展:克赖斯特彻奇健康与发展研究的方法和发现
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-04-10 DOI: 10.1332/175795921X16783739382061
Mary Buchanan, Giles Newton-Howes, Geri McLeod, Joseph Boden

Aim: To review research developments on childhood adversity in the Christchurch Health and Development Study (CHDS) since 2001.

Method: Narrative overview of the published work of the CHDS since 2001 in the context of research methods.

Results: The CHDS research has continued to evolve as the cohort has aged. A clear focus has remained on the measurement of outcomes associated with psychosocial risk factors over the life course. This focus has allowed the CHDS to examine the linkages between exposure to adversity in childhood and later mental health, psychosocial and occupational outcomes across the life span to middle adulthood. The CHDS has many strengths, including prospective measurement of a broad and deep set of constructs, the use of multiple informants for data, and a range of statistical approaches suited to repeated measures longitudinal data. The CHDS has pioneered new approaches to the study of human development over the lifespan, which has been instrumental in investigating childhood adversity.

Conclusion: The CHDS continues to provide unique information from a population cohort that has been studied for more than four decades. Future research will include examination of factors that mitigate the effects of childhood adversity and enhance resilience.

回顾克赖斯特彻奇健康与发展研究(CHDS)自2001年以来关于儿童逆境的研究进展。在研究方法的背景下,对2001年以来CHDS发表的工作进行叙述性概述。CHDS的研究随着年龄的增长而不断发展。一个明确的重点仍然是衡量生命过程中与心理社会风险因素相关的结果。这一重点使CHDS能够研究儿童时期遭受逆境与成年中期的心理健康、心理社会和职业结果之间的联系。CHDS具有许多优势,包括对广泛而深入的结构的前瞻性测量,对数据使用多个信息者,以及适用于重复测量纵向数据的一系列统计方法。CHDS开创了研究人类一生发展的新方法,这在研究儿童逆境方面发挥了重要作用。CHDS继续从研究了40多年的人群队列中提供独特的信息。未来的研究将包括研究减轻童年逆境影响和增强复原力的因素。
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引用次数: 1
Impact of New Zealand teenagers' fertility intentions on childbearing. 新西兰青少年生育意向对生育的影响
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-31 DOI: 10.1332/175795921X16783960472524
Judith L Sligo, Bryndl E Hohmann-Marriott, Helena M McAnally, Robert J Hancox

Objective: To assess the impact of age 15 fertility intentions on childbearing outcomes three decades later.

Background: Evidence is mixed about the implications of teenage fertility intentions on later childbearing. Taking a prospective life course approach to assessing intentions and outcomes may help clarify these mixed findings.

Method: A general population birth cohort (born 1972/73) was asked about their fertility intentions at age 15 and 775 of this sample (384 women, 391 men) provided data on their childbearing between ages 15 and 45.

Results: At age 15, almost all of the sample indicated they would like to have children in the future (93%). Most (79%) reported having had a biological child by they time they were 45; but those who professed to not wanting children as teenagers were significantly less likely to have had a child three decades later.

Conclusion: Fertility intentions during adolescence are probably influenced by social, political and economic norms and may influence later childbearing decisions. This may be particularly true for those whose intentions counter established norms around childbearing.

Implications: A life course framework is useful for examining the relationship between hypothetical fertility intentions and outcomes.

评估15岁生育意愿对30年后生育结果的影响。关于青少年生育意愿对以后生育的影响,证据喜忧参半。采用前瞻性的生命历程方法来评估意图和结果可能有助于澄清这些混杂的发现。一个普通人口出生队列(1972/73年出生)被问及他们在15岁时的生育意愿,其中775名样本(384名女性,391名男性)提供了他们在15至45岁之间生育的数据。在15岁的时候,几乎所有样本都表示他们将来想生孩子(93%)。大多数人(79%)报告说,他们在45岁时已经有了亲生孩子;但那些声称在青少年时期不想要孩子的人,在三十年后生孩子的可能性要小得多。青春期的生育意愿可能受到社会、政治和经济规范的影响,并可能影响以后的生育决定。对于那些意图违背既定生育规范的人来说,情况可能尤其如此。生命历程框架有助于研究假设生育意愿与结果之间的关系。
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引用次数: 0
Determinants of participation in a longitudinal survey during the COVID-19 pandemic: the case of a low-infection country. COVID-19大流行期间参与纵向调查的决定因素:以低感染率国家为例
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-17 DOI: 10.1332/175795921X16730110266038
Nicholas Biddle, Kate Sollis
A large-scale crisis, such as the COVID-19 pandemic, has the potential to affect non-response in cross-sectional and longitudinal surveys. This study utilises a longitudinal survey, conducted prior to and during the COVID-19 pandemic, to examine the factors associated with participation in longitudinal surveys during the COVID-19 period, and how this has changed from prior to the pandemic. We find that a number of demographic groups are more likely to be non-responders to COVID-19 surveys, despite having completed pre-COVID surveys, as well as a number of other economic and personality factors. Reassuringly though, there were many more factors that did not have an association. The findings also highlight that two simple questions (with a low time cost) on subjective survey experience early in the pandemic were highly useful in predicting future survey participation. These findings can help to support survey practitioners and data collection companies to develop more robust response improvement strategies during the COVID-19 period.
COVID-19大流行等大规模危机有可能影响横断面和纵向调查中的不反应。本研究利用在COVID-19大流行之前和期间进行的纵向调查,研究与COVID-19大流行期间参与纵向调查相关的因素,以及这种情况与大流行之前相比有何变化。我们发现,一些人口群体更有可能对COVID-19调查无反应,尽管他们已经完成了COVID-19前的调查,以及许多其他经济和个性因素。但令人欣慰的是,还有更多的因素没有关联。调查结果还强调,大流行早期关于主观调查经验的两个简单问题(时间成本低)对于预测未来的调查参与情况非常有用。这些发现有助于支持调查从业者和数据收集公司在2019冠状病毒病期间制定更强有力的应对改进战略。
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引用次数: 4
Exploring the reasons for labour market gender inequality a year into the COVID-19 pandemic: evidence from the UK cohort studies. 在COVID-19大流行一年后探索劳动力市场性别不平等的原因:来自英国队列研究的证据。
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-13 DOI: 10.1332/175795921X16751166213852
Bożena Wielgoszewska, Alex Bryson, Monica Costa Dias, Francesca Foliano, Heather Joshi, David Wilkinson

The COVID-19 pandemic has caused unexpected disruptions to Western countries which affected women more adversely than men. Previous studies suggest that gender differences are attributable to: women being over-represented in the most affected sectors of the economy, women's labour market disadvantage as compared to their partners, and mothers taking a bigger share childcare responsibilities following school closures. Using the data from four British nationally representative cohort studies, we test these propositions. Our findings confirm that the adverse labour market effects were still experienced by women a year into the COVID-19 pandemic and that these effects were the most severe for women who lived with a partner and children, even if they worked in critical occupations. We show that adjusting for pre-pandemic job characteristics attenuates the gaps, suggesting that women were over-represented in jobs disproportionately affected by COVID-19 pandemic. However, the remaining gaps are not further attenuated by adjusting for the partner's job and children characteristics, suggesting that the adversities experienced by women were not driven by their relative labour market position, as compared to their partners or childcare responsibilities. The residual gender differences observed in the rates of active, paid work and furlough for those who live with partner and children point to the importance of unobserved factors such as social norms, preferences, or discrimination. These effects may be long-lasting and jeopardise women's longer-term position through the loss of experience, leading to reinforcement of gender inequalities or even reversal of the progress towards gender equality.

COVID-19大流行给西方国家造成了意想不到的破坏,对女性的影响比对男性的影响更大。先前的研究表明,性别差异可归因于:女性在受影响最严重的经济部门中所占比例过高,与伴侣相比,女性在劳动力市场上处于劣势,以及母亲在学校关闭后承担了更大的育儿责任。使用来自四个英国全国代表性队列研究的数据,我们检验了这些命题。我们的研究结果证实,在COVID-19大流行一年后,女性仍然经历了不利的劳动力市场影响,而且这些影响对与伴侣和孩子一起生活的女性最为严重,即使她们从事关键职业。我们的研究表明,根据大流行前的工作特征进行调整可以缩小差距,这表明女性在受COVID-19大流行影响的工作中比例过高。然而,根据伴侣的工作和子女特征进行调整后,剩余的差距并没有进一步缩小,这表明,与伴侣或育儿责任相比,女性所经历的逆境并不是由她们的相对劳动力市场地位造成的。在那些与伴侣和孩子一起生活的人的积极、有偿工作和休假率中观察到的剩余性别差异表明,社会规范、偏好或歧视等未被观察到的因素很重要。这些影响可能是长期的,并因经验的丧失而危及妇女的长期地位,导致性别不平等加剧,甚至逆转性别平等的进展。
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引用次数: 3
An evaluation of self-reported material well-being using latent Markov models with covariates. 使用具有协变量的潜在马尔可夫模型评估自我报告的物质幸福感
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-10 DOI: 10.1332/175795921X16719290621875
Ewa Genge

A household's financial satisfaction is one of the most significant factors driving subjective well-being. However, Poland ranks close to the lowest position, 22nd out of the 28 EU members, in self-reported financial status. The paper investigates the problem of determining patterns of Polish households' behaviour and shows the evolution of the subjective assessment of financial situation based on the eight waves of the Polish Household panel data. The analysis is carried out on the basis of latent Markov (LM) models, which allow for socio-economic features affecting the parameters of the latent process. We compare different types of LM models considering: (1) different numbers of latent structures; (2) different types of the latent process constraints; (3) socio-economic background characteristics; and (4) survey weights (being excluded in most of the empirical analyses). The final model identifies three latent states, specifies common initial and transition probabilities over a 15-year period and, as a result, enables us to better characterise the families likely to change their position, especially families reporting worsening in their financial situation. To show the main direction of self-reporting financial condition, we present the predicted path for respondents characterised by the selected socio-economic features, relying on algorithm maximising posterior probabilities of the selected LM model.

家庭的经济满意度是驱动主观幸福感的最重要因素之一。然而,波兰的自我报告财务状况接近最低,在28个欧盟成员国中排名第22。本文调查了波兰家庭行为模式的确定问题,并展示了基于八波波兰家庭面板数据的财务状况主观评估的演变。分析是在潜在马尔可夫(LM)模型的基础上进行的,该模型考虑了影响潜在过程参数的社会经济特征。我们比较了不同类型的LM模型,考虑到:(1)不同数量的潜在结构;(2) 不同类型的潜在过程约束;(3) 社会经济背景特征;以及(4)调查权重(在大多数实证分析中被排除在外)。最终的模型确定了三种潜在状态,指定了15年内常见的初始和过渡概率,因此,使我们能够更好地描述可能改变立场的家庭,特别是报告财务状况恶化的家庭。为了显示自我报告财务状况的主要方向,我们根据所选LM模型的后验概率最大化算法,为以所选社会经济特征为特征的受访者提供了预测路径。
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引用次数: 2
Natural hazards and life course consequences in a time of pandemic. 大流行时期的自然灾害和生命历程后果。
IF 0.9 4区 社会学 Q2 Social Sciences Pub Date : 2023-03-02 DOI: 10.1332/175795921X16754347829837
Ben Edwards, Marc A Scott
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引用次数: 0
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Longitudinal and Life Course Studies
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