How fertility and union stability interact in shaping new family patterns in Italy and Spain

In this paper we investigate the interrelationships between fertility decisions and union dissolution in Italy and Spain. We argue that there might exist a spurious relationship between these two life trajectories. The analysis is based on the 1996 Fertility and Family Survey data for Italy and Spain. Results show that there is a spurious relationship between fertility and union dissolution in Italy but not in Spain. Nevertheless, in both countries, there is an evident direct effect of each process on the other: union dissolution decreases the risk of further childbearing, while childbirth decreases the risk of union dissolution.Italy, Spain, divorce rate, fertility

How fertility and union stability interact in shaping new family patterns in Italy and Spain

In this paper we investigate the interrelationships between fertility decisions and union dissolution in Italy and Spain. We argue that there might exist a spurious relationship between these two life trajectories. The analysis is based on the 1996 Fertility and Family Survey data for Italy and Spain. Results show that there is a spurious relationship between fertility and union dissolution in Italy but not in Spain. Nevertheless, in both countries, there is an evident direct effect of each process on the other: union dissolution decreases the risk of further childbearing, while childbirths decrease the risk of union dissolution.fertility, Italy, Spain, union dissolution

Fecundidad adolescente en los países desarrollados: niveles, tendencias y políticas

La salud sexual de los adolescentes sigue siendo una de las prioridades en los sistemas de salud pública tanto en los países en desarrollo como en los países desarrollados, debido a sus consecuencias negativas no solo en la salud física y psicológica y también en su impacto sobre el desarrollo del capital humano de las jóvenes. A pesar de estar caracterizados por niveles de embarazo adolescente muy bajo en comparación a los países en desarrollo, entre los países de ingreso alto se observa una muy alta variabilidad debida a sistemas sociales y culturales diferentes. El propósito de este documento es presentar niveles y tendencias de la fecundidad adolescente y sus determinantes próximos en particular la edad a la iniciación sexual, uso de métodos anticonceptivos y situación de pareja, incluyendo la prevaleciente al momento del debut sexual― en los países de ingreso alto de Europa, América del Norte y en los países anglófonos del área del Pacífico pertenecientes a la OCDE

Patrones emergentes en la fecundidad y la salud reproductiva y sus vínculos con la pobreza en América Latina y el caribe

Incluye BibliografíaResumen La relación existente entre fecundidad y pobreza en América Latina y el Caribe se enfrenta a una particularidad: los rápidos cambios demográficos (especialmente la disminución de la fecundidad) no han resultado claramente asociados con una reducción de la pobreza o un desarrollo económico sostenido en esta región. Los objetivos de este trabajo son: 1) analizar los patrones emergentes en América Latina y el Caribe en materia reproductiva y sexual y su relación con la condición socioeconómica y 2) estudiar en detalle la relación existente entre pobreza y comportamientos sexuales y reproductivos con el objetivo de incorporar esta relación en las políticas contra la pobreza. Para ello se utilizaron los datos de las Encuestas de Demografía y Salud para Bolivia, Colombia, Perú y República Dominicana. El análisis devela la existencia de nuevos modelos de comportamientos reproductivos y sexuales. Se observa un rejuvenecimiento en el calendario sexual, matrimonial y reproductivo; un aumento generalizado de las usuarias de métodos anticonceptivos; un aumento de los indicadores relacionados con la fecundidad adolescente; y una rápida disminución de los niveles de fecundidad que llega a superar el umbral de 2,1 hijos por mujer. Tales resultados están fuertemente relacionados con las desigualdades socioeconómicas en el acceso tanto a la información como a los medios para llevar a cabo comportamientos sexuales y reproductivos capaces de permitir el desarrollo(emocional, social, familiar, laboral, etc.) de cada individuo

Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants

Background Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18.5 kg/m2[underweight], 18.5 kg/m2to <20 kg/m2, 20 kg/m2to <25 kg/m2, 25 kg/m2to <30 kg/m2, 30 kg/m2to <35 kg/m2, 35 kg/m2to <40 kg/m2, ≥40 kg/m2[morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings We used 1698 population-based data sources, with more than 19.2 million adult participants (9.9 million men and 9.3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21.7 kg/m2(95% credible interval 21.3-22.1) in 1975 to 24.2 kg/m2(24.0-24.4) in 2014 in men, and from 22.1 kg/m2(21.7-22.5) in 1975 to 24.4 kg/m2(24.2-24.6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21.4 kg/m2in central Africa and south Asia to 29.2 kg/m2(28.6-29.8) in Polynesia and Micronesia; for women the range was from 21.8 kg/m2(21.4-22.3) in south Asia to 32.2 kg/m2(31.5-32.8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13.8% (10.5-17.4) to 8.8% (7.4-10.3) in men and from 14.6% (11.6-17.9) to 9.7% (8.3-11.1) in women. South Asia had the highest prevalence of underweight in 2014, 23.4% (17.8-29.2) in men and 24.0% (18.9-29.3) in women. Age-standardised prevalence of obesity increased from 3.2% (2.4-4.1) in 1975 to 10.8% (9.7-12.0) in 2014 in men, and from 6.4% (5.1-7.8) to 14.9% (13.6-16.1) in women. 2.3% (2.0-2.7) of the world's men and 5.0% (4.4-5.6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0.64% (0.46-0.86) in men and 1.6% (1.3-1.9) in women. Interpretation If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world's poorest regions, especially in south Asia

The contribution of specific non-communicable diseases to the achievement of the Sustainable Development Goal 3.4 in Peru

Background Non-communicable diseases (NCDs) have received political attention and commitment, yet surveillance is needed to measure progress and set priorities. Building on global estimates suggesting that Peru is not on target to meet the Sustainable Development Goal 3.4, we estimated the contribution of various NCDs to the change in unconditional probability of dying from NCDs in 25 regions in Peru. Methods Using national death registries and census data, we estimated the unconditional probability of dying between ages 30 and 69 from any and from each of the following NCDs: cardiovascular, cancer, diabetes, chronic respiratory diseases and chronic kidney disease. We estimated the contribution of each NCD to the change in the unconditional probability of dying from any of these NCDs between 2006 and 2016. Results The overall unconditional probability of dying improved for men (21.4%) and women (23.3%). Cancer accounted for 10.9% in men and 13.7% in women of the overall reduction; cardiovascular diseases also contributed substantially: 11.3% in men) and 9.8% in women. Consistently in men and women and across regions, diabetes moved in the opposite direction of the overall reduction in the unconditional probability of dying from any selected NCD. Diabetes contributed a rise in the unconditional probability of 3.6% in men and 2.1% in women. Conclusions Although the unconditional probability of dying from any selected NCD has decreased, diabetes would prevent Peru from meeting international targets. Policies are needed to prevent diabetes and to strengthen healthcare to avoid diabetes-related complications and delay mortality

Innovation in wastewater near-source tracking for rapid identification of COVID-19 in schools Comment

COVID-19 is one of the biggest global public health challenges of the century with almost 42 million cases and more than a million deaths to date. Until a COVID-19 vaccine or effective pharmaceutical intervention is developed, alternative tools for the rapid identification, containment, and mitigation of the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are of paramount importance for managing community transmission. Within this context, school closure has been one of the strategies implemented to reduce spread at local and national levels. [...