European Journal of Population-Revue Europeenne De Demographie最新文献

We propose a new summary measure of population health (SMPH), the well-being-adjusted health expectancy (WAHE). WAHE belongs to a subgroup of health-adjusted life expectancy indicators and gives the number of life years equivalent to full health. WAHE combines health and mortality information into a single indicator with weights that quantify the reduction in well-being associated with decreased health. WAHE's advantage over other SMPHs lies in its ability to differentiate between the consequences of health limitations at various levels of severity and its transparent, simple valuation function. Following the guidelines of a Committee on Summary Measures of Population Health, we discuss WAHE's validity, universality, feasibility sensitivity and ensure its reproducibility. We evaluate WAHE's performance compared to life expectancy, the most commonly used indicators of health expectancy (HE) and disability-adjusted life expectancy (DALE) in an empirical application for 29 European countries. Data on health and well-being are taken from the 2018 EU-SILC, and the life tables are from Eurostat. DALE is taken from the database of the Global Burden of Disease Programme. WAHE's sensitivity to univariate and multivariate state specifications is studied using the three Minimum European Health Module health dimensions: chronic morbidity, limitations in activities of daily living, and self-rated health. The empirical tests of the indicators' correspondence reveal that WAHE has the strongest correlation with the other SMPHs. Moreover, WAHE estimates are in agreement with all other SMPHs. Additionally, WAHE and all other SMPHs form a group of reliable indicators for studying population health in European countries. Finally, WAHE estimates are robust, regardless of whether health is defined across one or multiple simultaneous dimensions of health. We conclude that WAHE is a useful and reliable indicator of population health and performs at least as well as other commonly used SMPHs.

Supplementary information: The online version contains supplementary material available at 10.1007/s10680-022-09628-1.

Existing literature shows that on average and across countries, men have higher levels of wealth than women. However, very little is known about the gender-specific wealth gap within couples. This paper studies this phenomenon for the first time in Austria. The particular focus of the paper is on the relationship between the socio-demographic characteristics of the couple and the couple's gender wealth gap. We focus on how age, education, marital status, fertility, migratory background, and the gender of the respondent are related to the wealth gap within a couple. In both bivariate and multivariate analyses, we find evidence in support of the hypothesis that bargaining power plays an important role in the intra-couple gender wealth gap in Austria. Immigrant women living in a couple with native men, and, among natives, couples in which the man is much older on average, have larger gender wealth gaps. Furthermore, couples in which the woman is the "financially most knowledgeable person" in the household have consistently lower gender wealth gaps.

Medically assisted reproduction (MAR) plays an increasingly important role in the realization of fertility intentions in advanced societies, yet the evidence regarding MAR-conceived children's longer-term well-being remains inconclusive. Using register data on all Finnish children born in 1995-2000, we compared a range of social and mental health outcomes among MAR- and naturally conceived adolescents in population-averaged estimates, and within families who have conceived both through MAR and naturally. In baseline models, MAR-conceived adolescents had better school performance and the likelihood of school dropout, not being in education or employment, and early home-leaving were lower than among naturally conceived adolescents. No major differences were found in mental health and high-risk health behaviours. Adjustment for family sociodemographic characteristics attenuated MAR adolescents' advantage in social outcomes, while increasing the risk of mental disorders. The higher probability of mental disorders persisted when comparing MAR adolescents to their naturally conceived siblings. On average, MAR adolescents had similar or better outcomes than naturally conceived adolescents, largely due to their more advantaged family backgrounds, which underscores the importance of integrating a sociodemographic perspective in studies of MAR and its consequences.

Refugees coming to Norway are assigned to a municipality where they start their integration process. These municipalities offer very different contexts for refugees' access to employment. Using rich register data, we study how the employment of a refugee varies by both the centrality and population size of the municipality to which he/she is assigned, conditional on existing local labor market conditions and the share of non-Western immigrants. Results show that refugees assigned to the least central municipalities are most likely to be employed the first years after arrival. However, one municipality type does not fit all: Population size matters more for men than it does for women, and there is persistent disadvantage for low-educated men assigned to large municipalities. For women, a high share of non-Western immigrants correlates with lower long-term employment. Municipality context seems to matter the least for highly educated refugees of both genders.

Supplementary information: The online version contains supplementary material available at 10.1007/s10680-022-09618-3.

Late-life depression is a condition that affects an ever-growing share of the population in ageing societies. While depression prevalence varies across countries for a myriad of reasons, generational factors, expressed in the shared experience of birth cohorts, may also play a part in such differentials. This paper describes the presence of age, period, and cohort (APC) effects in late-life depression prevalence trends (for adults aged 50 and above) for selected countries in Europe, using the Survey of Health and Ageing and Retirement of Europe (SHARE). We analysed six countries during the 2004-2016 period: Denmark, Sweden, and Germany, with a lower baseline prevalence, and Italy, Spain, and France, with a higher baseline prevalence. By applying a set of APC statistical models to visualise linear and nonlinear effects, we found that all countries followed a J-shaped curve when describing the transversal and longitudinal age trajectories of late-life depression. We also found a combination of nonlinear effects present in Germany, France and Sweden in males, indicating that younger male cohorts had a higher relative risk of depression. In females, we found nonlinear cohort effects, indicating that younger and older cohorts presented a higher risk of depression in Sweden and Germany and a lower risk in Spain. The presence of an increased risk for younger male cohorts may be indicative of a new trend in some countries, which may reduce the sex gap in prevalence. Future analysis should focus on the causes and mechanisms that lead to differential risks across cohorts.

The lengthening of the amount of time adult children depend on their parents' support and rising longevity have pushed scholars to devote increasing attention to the phenomenon of older sandwich family generations. This brief report develops a descriptive portrait of the prevalence of being demographically and socially sandwiched in the population aged 50 or more years, in Europe. It is shown that the prevalence of social sandwiching is highly sensitive to the types of support utilized to operationalize the concept; also, differences between welfare and transfer regimes are significantly affected by different operationalizations. Next, the analyses highlight the dynamic nature of social sandwiching over the adult life cycle, and show that demographic events and the changing needs of older parents are the main drivers of moving in/out the status of socially sandwiched. Support to adult children is ubiquitous in all European societies. Among the pivot generation family solidarity prevails over competition, but children enjoy a strategic advantage when older parents are in good health.

Many studies in different settings have suggested that migrants from countries with skewed sex ratios at birth tend to adjust the sex of their offspring to ensure the birth of at least one male child. Enlarging the scope of existing research, the present study explores the phenomenon by studying the sex ratio at birth and sex selection at birth among migrants in Italy, focussing on birth order and the sex of the previous child. We perform a descriptive analysis of SRB by birth order (first, second and third), sex of the previous children, inter-birth interval and citizenship of the child. We analyse data from the Longitudinal register on reproductive histories from 1999 to 2017 (ISTAT). Results show significantly higher values of SRB for third births among Indian and Chinese communities when the first and second births are girls. A skewed SRB is also present among Indian babies born after a female firstborn. A more detailed analysis of SRBs for immigrants from China and India, by the sex of the previous children and inter-birth interval between second and third birth, did not indicate significant changes in SRB when the inter-birth interval is longer. Our study provides evidence for policymaking. However, further research is needed to address the causes of sex selection among immigrant communities. Efforts to alter gender norms and reduce son preference within communities are required to tackle gender discrimination against second-generation girls.