Health status and retirement decisions for older European couples

In this paper we use data the European Community Household Panel (ECHP) to describe and analyse the dynamics of joint labour force behaviour of older couples for the EU12 countries. We focus on three main issues: the relevance of joint retirement across EU12 countries, the existence of complementarities in leisure and/or assortative matting and the effects of health variables. Concerning the evidence, we first find that a working spouse is more likely to retire the more recently the other spouse has retired; this effect is stronger if the wife is the working spouse. Second, there is evidence of assortative mating and/or complementarities in leisure; the effects of all relevant factors on the retirement decision of one spouse depend strongly on whether the other one is working, unemployed, or retired. Third, besides the standard evidence that poor health increases the retirement probability, we find that the husband's health affects the couple's retirement decisions much more strongly than the wife's health does. Additional asymmetric effects are detected with respect to income related variables.joint retirement decisions ; labour force transitions ; health variables ; asymmetric effects

Health status and retirement decisison for older european couples.

In this paper we use data the European Community Household Panel (ECHP) to describe and analyse the dynamics of joint labour force behaviour of older couples for the EUI2 countries. We focus on three main issues: the relanvance of joint retirement across EUI2 countries, the existence of complementarities in leisure and/or assortative matting and the effects of health variables. Concerning the evidence, we first find that a working spouse is more likely to retire the more recently the other spouse has retired; this effect is stronger if the wife is the working spouse. Second, there is evidence of assortative mating and/or complementarities in leisure; the effects of all relevant factors on the retirement decision of one spouse depend strongly on whether the other one is working, unemployed, or retired. Third, besides the standard evidence that poor health increases the retirement probabiliby, we find that the husband's health affects the couple's retirement decisions much more strongly than the wife's health does. Additional asymmetric effects are detected with respect to income related variables.Joint retirement decisions; Labour force transitions; Health variables; Asymmetric effects;

An Empirical Analysis of the Demand for Physician Services Across the European Union

This paper presents parameter estimates for physician services equations using the European Community Household Panel for 12 countries covering the period 1994-1996. The focus is on two specific points: i) the identification of behavioural similarities and differences in the demand for health across the countries; ii) the variability of the demand for health captured through a joint model for all the countries. We find that there are significant differences across countries, although there are also similarities in the effect of variables such as the health stock, labour situation or family structure. An important fraction of the variability of the demand of health services across countries could be explained from differences in age, income, and the role of General Practitioners (GP) as a gatekeepers in the public health system. We also find some evidence of induced demand effects in both the decision to visit and the number of visits to specialists.count data; demand; physician services; latent class model; two-part model

Health status and retirement decisison for older european couples

In this paper we use data the European Community Household Panel (ECHP) to describe and analyse the dynamics of joint labour force behaviour of older couples for the EUI2 countries. We focus on three main issues: the relanvance of joint retirement across EUI2 countries, the existence of complementarities in leisure and/or assortative matting and the effects of health variables. Concerning the evidence, we first find that a working spouse is more likely to retire the more recently the other spouse has retired; this effect is stronger if the wife is the working spouse. Second, there is evidence of assortative mating and/or complementarities in leisure; the effects of all relevant factors on the retirement decision of one spouse depend strongly on whether the other one is working, unemployed, or retired. Third, besides the standard evidence that poor health increases the retirement probabiliby, we find that the husband's health affects the couple's retirement decisions much more strongly than the wife's health does. Additional asymmetric effects are detected with respect to income related variables

An empirical analysis of the demand for health using the European Community Household Panel

This paper estimates demand for health equations using three waves of data from the European Community Household Panel. The economic model is a typical specification of Grossman's [1] proposal. The paper focuses on three specific points: i) the existence of two stages in the demand for health decision process (to contact a physician and how often to visit him). ii) the analysis of this double-hurdle process in different scenarios (visits to the general practitioners, the specialists and the dentists). iii) the analysis of differences across countries due to the differences on the coverage of the National Insurance Systems. The results suggest that the contact and frequency decisions of visits to either the general practitioner, the specialist or even the dentist are governed by different stochastic processes. As expected, we find some differences in the behaviour of men and women, mainly in the decisions to visit and the number of visits to specialist. We also show that the behavioural differences across countries are not extremely important, being perhaps income a determinant of the decision to contact and the intensity of the treatment in poor countries

Desarrollo y validación del cuestionario de autoconfianza en competición CACD para deportes individuales y colectivos

El objetivo de este estudio fue construir y validar un cuestionario de autoconfianza en competición deportiva en Chile. Este fue administrado a una muestra de 307 deportistas de deportes individuales y colectivos en competición regular con edades que oscilaban entre los 11 y 35 años. Los análisis factoriales exploratorio y confirmatorio apoyan una estructuraunidimensional de autoconfianza en situación deportiva. La consistencia interna es adecuada y además las puntuaciones muestran correlaciones positivas y significativas con la dimensión de autoconfianza del CSAI II y con una medida de autoeficacia general de Schwarzer y Baessler (1996) que al utilizarse con deportistas también mostró valores adecuados

Online platform for cardiopulmonary resuscitation and automated external defibrillator training in a rural area: a community clinical trial protocol

Automated external defibrillator; Cardiopulmonary resuscitation; Out-of-hospital cardiac arrestDesfibril·lador extern automàtic; Reanimació cardiopulmonar; Atura cardíaca extrahospitalàriaDesfibrilador externo automatizado; Reanimación cardiopulmonar; Paro cardíaco extrahospitalarioSudden death resulting from cardiorespiratory arrest carries a high mortality rate and frequently occurs out of hospital. Immediate initiation of cardiopulmonary resuscitation (CPR) by witnesses, combined with automated external defibrillator (AED) use, has proven to double survival rates. Recognising the challenges of timely emergency services in rural areas, the implementation of basic CPR training programmes can improve survival outcomes. This study aims to evaluate the effectiveness of online CPR-AED training among residents in a rural area of Tarragona, Spain. Methods: Quasi-experimental design, comprising two phases. Phase 1 involves assessing the effectiveness of online CPR-AED training in terms of knowledge acquisition. Phase 2 focuses on evaluating participant proficiency in CPR-AED simulation manoeuvres at 1 and 6 months post training. The main variables include the score difference between pre-training and post-training test (phase 1) and the outcomes of the simulated test (pass/fail; phase 2). Continuous variables will be compared using Student's t-test or Mann-Whitney U test, depending on normality. Pearson's χ2 test will be applied for categorical variables. A multivariate analysis will be conducted to identify independent factors influencing the main variable

Raman phonons as a probe of disorder, fluctuations and local structure in doped and undoped orthorhombic and rhombohedral manganites

We present a rationalization of the Raman spectra of orthorhombic and rhombohedral, stoichiometric and doped, manganese perovskites. In particular we study RMnO3 (R= La, Pr, Nd, Tb, Ho, Er, Y and Ca) and the different phases of Ca or Sr doped RMnO3 compounds as well as cation deficient RMnO3. The spectra of manganites can be understood as combinations of two kinds of spectra corresponding to two structural configurations of MnO6 octahedra and independently of the average structure obtained by diffraction techniques. The main peaks of compounds with regular MnO6 octahedra, as CaMnO3, highly Ca doped LaMnO3 or the metallic phases of Ca or Sr doped LaMnO3, are bending and tilt MnO6 octahedra modes which correlate to R-O(1) bonds and Mn-O-Mn angles respectively. In low and optimally doped manganites, the intensity and width of the broad bands are related to the amplitude of the dynamic fluctuations produced by polaron hopping in the paramagnetic insulating regime. The activation energy, which is proportional to the polaron binding energy, is the measure of this amplitude. This study permits to detect and confirm the coexistence, in several compounds, of a paramagnetic matrix with lattice polaron together with regions without dynamic or static octahedron distortions, identical to the ferromagnetic metallic phase. We show that Raman spectroscopy is an excellent tool to obtain information on the local structure of the different micro or macro-phases present simultaneously in many manganites.Comment: Submitted to PR

Experiences of smoking and tobacco use during pregnancy: A qualitative study protocol

Pregnancy; Smoking cessation; Qualitative researchEmbarazo; Deshabituación tabáquica; Investigación cualitativaEmbaràs; Deshabituació tabàquica; Investigació qualitativaTobacco use during pregnancy is the main avoidable cause of morbidity and mortality both for pregnant women and their offspring. Between 12 and 22% of pregnant women in industrialized countries smoke during pregnancy, and 13% are unable to stop smoking. Pregnancy is considered an ideal opportunity to intervene and control tobacco use among smokers and their families. However, pregnant women experience barriers to quitting smoking, including social stigma and fear of being judged. Thus, it is necessary to develop interventions for smoking cessation adapted for pregnant women. This paper presents a qualitative study protocol to assess the barriers and facilitators of smoking cessation during pregnancy that female smokers encounter or perceive. It consists of a series of focus groups and individual interviews with female smokers who have been pregnant within the last five years. Participants will be recruited from the Sexual and Reproductive Health Care Services of the Camp de Tarragona. A group of 5-10 women who have been pregnant and tried to quit smoking over the last 5 years will be selected. The data will be collected by means of semistructured interviews. All interviews will be transcribed verbatim, coded and synthesized into categories and main themes. Thematic analysis will be conducted employing an iterative and reflexive approach. The results of this study will offer new perspectives on smoking interventions for pregnant women and enhance our comprehension of the main barriers to and facilitators of smoking cessation during pregnancy. This will contribute to the adaptation of the Tobbstop app, originally designed for the general public, to suit the needs of pregnant women. Consequently, the creation of targeted interventions will positively influence the health outcomes of both pregnant women and newborns.This study has been funded from Health Institute Carlos III, Ministry of Economy and Competitiveness (Spain), on the 2021 call under the Health Strategy Action 2021-2025, within the National Research Program oriented to Societal Challenges, within the Technical, Scientific and Innovation Research National Plan 2021-2025 (code reference PI21/01058), and Co-funded by the European Regional Development Fund (European Union). The funders did not and will not have a role in study design, data collection and analysis, decision to publish, or preparation of the manuscript