The future of global environmental assessments: Making a case for fundamental change

Since the late 1970s, over 140 global environmental assessments (GEAs) have been completed. But are they any longer fit for purpose? Some believe not. Compelling arguments have been advanced for a new assessment paradigm, one more focussed on problem-solving than problem-identification. If translated into new assessment practices, this envisaged paradigm could prevail for the next several decades, just as the current one has since the late 1970s. In this paper, it is contended that the arguments for GEAs 2.0 are, in fact, insufficiently bold. Solutions-orientated assessments, often associated with a ‘policy turn’ by their advocates, are undoubtedly necessary. But without a ‘politics turn’ they will be profoundly insufficient: policy options would be detached from the diverse socio-economic explanations and ‘deep hermeneutics’ of value that ultimately give them meaning, especially given the very high stakes now attached to managing human impacts on a fast-changing planet. Here we make the case for GEAs 3.0, where two paradigmatic steps forward are taken at once rather than just one. The second step involves the introduction of political reasoning and structured normative debate about existential alternatives, a pre-requisite to strategic decision-making and its operational expression. Possible objections to this second step are addressed and rebutted. Even so, the case for politically-overt GEAs faces formidable difficulties of implementation. However, we consider these challenges less a sign of our undue idealism and more an indication of the urgent need to mitigate, if not overcome them. In a world of ‘wicked problems’ we need ‘wicked assessments’ adequate to them, preparatory to so-called ‘clumsy solutions’. This paper is intended to inspire more far-reaching debate about the future of GEAs and, by implication, about the roles social science and the humanities might usefully play in addressing global environmental change. </jats:p

Experience of childhood abuse and later number of remaining teeth in older Japanese: a life-course study from Japan Gerontological Evaluation Study project

OBJECTIVES: From a life-course perspective, adverse childhood experiences (ACEs) such as childhood abuse are known risk factors for adult diseases and death throughout life. ACEs could also cause poor dental health in later life because they could induce poor dental health in childhood, initiate unhealthy behaviors, and lower immune and physiological functions. However, it is not known whether ACEs have a longitudinal adverse effect on dental health in older age. This study aimed to investigate the association between experience of childhood abuse until the age of 18 and current number of remaining teeth among a sample of older Japanese adults. METHODS: A retrospective cohort study was conducted using the data from the Japan Gerontological Evaluation Study (JAGES), a large-scale, self-reported survey in 2013 including 27 525 community-dwelling Japanese aged ≥65 years (response rate=71.1%). The outcome, current number of remaining teeth was used categorically: ≥20, 10-19, 5-9, 1-4, and no teeth. Childhood abuse was defined as having any experience of physical abuse, psychological abuse, and psychological neglect up until the age of 18 years. Ordered logistic regression models were applied. RESULTS: Of the 25 189 respondents who indicated their number of remaining teeth (mean age: 73.9; male: 46.5%), 14.8% had experience of childhood abuse. Distributions of ≥20, 10-19, 5-9, 1-4, and no teeth were as follows: 46.6%, 22.0%, 11.4%, 8.2%, and 11.8% among respondents with childhood abuse, while 52.3%, 21.3%, 10.3%, 6.6%, and 9.5% among respondents without childhood abuse. Childhood abuse was significantly associated with fewer remaining teeth after adjusting for covariates including socioeconomic status (odds ratio=1.14; 95% confidence interval: 1.06, 1.22). CONCLUSIONS: Childhood abuse could have a longitudinal adverse effect on later dental health in older age. This study emphasizes the importance of early life experiences on dental health throughout later life

Role of systemic T-cells and histopathological aspects after subcutaneous implantation of various carbon nanotubes in mice

ArticleCarbon. 44(6):1079-1092 (2006)journal articl

Association between social isolation and smoking in Japan and England

BACKGROUND: Existing evidence suggest that those who are socially isolated are at risk for taking up or continuing smoking. This study investigated country-based differences in social isolation and smoking status. METHODS: We performed a repeated cross-sectional study using two waves of data from two ongoing aging studies: the English Longitudinal Study of Ageing and the Japan Gerontological Evaluation Study. Participants from both studies aged ≥65 years old were included. We applied a multilevel Poisson regression model to examine the association between social isolation and smoking status and adjusted for individual sociodemographic characteristics. We used the social isolation index which comprises the following domains: marital status; frequency of contact with friends, family, and children; and participation in social activities. Interaction terms between each country and social isolation were also entered into the mode. RESULTS: After exclusion of never smokers, we analyzed 75,905 participants (7,092 for ELSA and 68,813 for JAGES, respectively). Taking ex-smokers as the reference, social isolation was significantly associated with current smoking; the prevalence ratios (PRs; 95% credible intervals [CrIs]) were 1.06 (1.05-1.08) for men and 1.08 (1.04-1.11) for women. Taking Japan as a reference, the interaction term between country and social isolation was significant for both sexes, with increased PRs (95% CrIs) of 1.32 (1.14-1.50) for men and 1.30 (1.11-1.49) for women in England. CONCLUSIONS: Older people who were less socially isolated were more likely to quit smoking in England than in Japan, possibly explained by the strict tobacco control policies in England

Association between social isolation and depression onset among older adults: a cross-national longitudinal study in England and Japan

OBJECTIVE: Social isolation is a risk factor for depression in older age. However, little is known regarding whether its impact varies depending on country-specific cultural contexts regarding social relationships. The present study examined the association of social isolation with depression onset among older adults in England, which has taken advanced measures against social isolation, and Japan, a super-aged society with a rapidly increasing number of socially isolated people. DESIGN: Prospective longitudinal study. SETTING: We used data from two ongoing studies: the English Longitudinal Study of Ageing (ELSA) and the Japan Gerontological Evaluation Study (JAGES). PARTICIPANTS: Older adults aged ≥65 years without depression at baseline were followed up regarding depression onset for 2 years (2010/2011–2012/2013) for the ELSA and 2.5 years (2010/2011–2013) for the JAGES. PRIMARY OUTCOME MEASURE: Depression was assessed with eight items from the Centre for Epidemiologic Studies Depression Scale for the ELSA and Geriatric Depression Scale for the JAGES. Multivariable logistic regression analysis was performed to evaluate social isolation using multiple parameters (marital status; interaction with children, relatives and friends; and social participation). RESULTS: The data of 3331 respondents from the ELSA and 33 127 from the JAGES were analysed. Multivariable logistic regression analysis demonstrated that social isolation was significantly associated with depression onset in both countries. In the ELSA, poor interaction with children was marginally associated with depression onset, while in the JAGES, poor interaction with children and no social participation significantly affected depression onset. CONCLUSIONS: Despite variations in cultural background, social isolation was associated with depression onset in both England and Japan. Addressing social isolation to safeguard older adults’ mental health must be globally prioritised