Income redistribution and mortality change : the Cuban case

Meeting: Population Association of America, Annual Meetings, 13-15 Apr. 1978, Atlanta, GA, USPaper suggesting a direct relationship between income and life expectancy levels due to the fact that higher average income levels are associated with better living conditions and access to social services. Includes annotated bibliography and demographic statistical data

Household studies : why, what and how

PhotocopyIDRC personnel. Paper on research problems related to new household studies area - includes research method

The remittances of migrant Tongan and Samoan nurses from Australia

BACKGROUND: Migration and remittances are of considerable importance in the small Pacific island states. There has been a significant migration of skilled health workers in recent decades to metropolitan fringe states, including Australia and New Zealand. This paper reports the findings of a re-analysis of survey of Samoan and Tongan migrants in Australia where the sample is split between nurse households and others. METHODS: The study analyzes the survey data with a view to comparing the remittance behaviour and determinants of remittances for nurses and other migrant households, using both descriptive, cross-tabulations and appropriate econometric methods. RESULTS: It is found that a significantly higher proportion of nurse households sent remittances home, and, on average remitted more. Remittances of nurse households did not decline significantly over time contrary to what has generally been predicted. This was in contrast to other migrant households in the sample, for whom remittances showed a sharp decline after 15 years absence. Remittances contribute much more to the income of migrant sending countries, than the cost of the additional human capital in nurse training. CONCLUSIONS: Given the shortage of nurses in Australia and New Zealand, and therefore the high demand for immigrant nurses, investment by Pacific island governments and families in nurse training constitutes a rational use of economic resources. Policies encouraging investment in home countries may be more effective than policies directly discouraging brain drain in contributing to national development

The development and experience of epidemiological transition theory over four decades : a systematic review

BACKGROUND: Epidemiological transition (ET) theory, first postulated in 1971, has developed alongside changes in population structures over time. However, understandings of mortality transitions and associated epidemiological changes remain poorly defined for public health practitioners. Here, we review the concept and development of ET theory, contextualising this in empirical evidence, which variously supports and contradicts the original theoretical propositions. DESIGN: A Medline literature search covering publications over four decades, from 1971 to 2013, was conducted. Studies were included if they assessed human populations, were original articles, focused on mortality and health or demographic or ET and were in English. The reference lists of the selected articles were checked for additional sources. RESULTS: We found that there were changes in emphasis in the research field over the four decades. There was an increasing tendency to study wide-ranging aspects of the determinants of mortality, including risk factors, lifestyle changes, socio-economics, and macro factors such as climate change. Research on ET has focused increasingly on low- and middle-income countries rather than industrialised countries, despite its origins in industrialised countries. Countries have experienced different levels of progress in ET in terms of time, pace, and underlying mechanisms. Elements of ET are described for many countries, but observed transitions have not always followed pathways described in the original theory. CONCLUSIONS: The classic ET theory largely neglected the critical role of social determinants, being largely a theoretical generalisation of mortality experience in some countries. This review shows increasing interest in ET all over the world but only partial concordance between established theory and empirical evidence. Empirical evidence suggests that some unconsidered aspects of social determinants contributed to deviations from classic theoretical pathways. A better-constructed, revised ET theory, with a stronger basis in evidence, is needed.Special Issue: Epidemiological Transitions – Beyond Omran’s Theory</p

Environmental justice in Cuba

'Environmental justice' refers to the human right to a healthy and safe environment, a fair share of natural resources, access to environmental information and participation in environmental decision-making. Some analysts have argued that environmental justice is undermined by the political economy of capitalism. This paper builds on this analysis by evaluating the environmental justice situation in Cuba, a country where there is little capitalist influence. Evidence is based on participant observation and interviews in Cuba, as well as secondary quantitative data. The research findings suggest that Cuba fares relatively well in terms of environmental justice, but still faces a number of challenges regarding the quality of its environment and some aspects of the environmental decision-making process. However, many of its ongoing problems can be attributed to global capitalist pressures. © The Author(s), 2011

Homeland engagement and host-society integration: A comparative study of new Chinese immigrants in the United States and Singapore

This article addresses three main questions through a comparative study of new Chinese immigrants in the United States and Singapore: (1) How do contexts of emigration and reception affect the ways in which new immigrants are tied to their homeland? (2) How do diasporic communities help members engage with the homeland? (3) What effects does transnationalism have on host-society integration? We develop an institutional approach to analyze how the state is involved in the transnational fields and how diasporic organizations serve as a bridge between individual migrants and state actors in transnational practices and integration processes. We find that new Chinese immigrants maintain emotional and tangible ties with China even as they are oriented toward resettlement in the hostland and that their transnational practices are similar in form but vary in magnitude, depending not only on diasporic positionality in the host society but also on bi-national relations. We also find that those who actively engage themselves in the transnational fields tend to do so through diasporic organizations. Finally, we find that homeland engagement generally benefits integration into host societies. These findings suggest that social forces at the macro-level – the nation-state – and at the meso-level – diasporic communities – are intertwined to affect processes and outcomes of immigrant transnationalism.Accepted versio