The epidemiology of aging: a further stage in the demographic transition

"Social and economic indicators depict Mexico as a country of intermediate development. It is also in intermediate stages of demographic and epidemiologic transitions. When these traits are translated into socio-demographic perspectives, all projections indicate that for the next fifty years we can expect: (i) percentage decreases in child and teen-age populations, (ii) large percentage and absolute increases in adult population, and (iii) important increases in the elderly population.... Among elders death due to infectious diseases is less common than within other sectors of [the] population. Mortality associated with chronic ailments has increased, with recent and remarkable changes during the last twenty years. This transformation is not evenly distributed. It is more accelerated in developed and urban areas as contrasted with the rural and less developed." (SUMMARY IN ENG)     

Population: malady or symptom?

The 1994 International Conference on Population and Development (ICPD) opened the dawn of a new era in discourse over population. A newfound consensus was reached between North and South which was not there during the two previous world population conferences in Bucharest and Mexico. While consensus was reached at the 1994 ICPD on the need for action, however, debate over population is far from settled. Causes of population growth, the links between population growth and economic development, and environmental degradation remain controversial topics. The authors analyze the basis of the ICPD consensus at the local, national, and global levels. They also compare the development discourse to the political discourse over population. Both discourses emphasize different aspects of a far more complex reality. The question is which discourse to choose as a basis for drawing policy recommendations. The emerging view on the way to Cairo was that consensus would be achieved on the basis of development discourse. Success on the action plan rests upon the belief that more contraceptives, more health services, and more schools will be enough to reduce fertility rates. The political discourse, however, is better than the development discourse as a basis for policy making because it stresses the need for integration rather than running the risk of exclusion. The political discourse is also more demanding.     

Tort reform proposals: a toolbox for change

Tort reform is controversial because of the need to balance cost considerations with the legitimate needs of plaintiffs who have suffered malpractice injury. In addition, proponents and opponents of the different proposals often formulate their positions based largely on anecdotal evidence and concerns of special interest groups rather than careful studies. As a result, it may be some time before malpractice reform is addressed comprehensively at the federal level, leaving the states to their own reform devices.     

Approaches to low-income groups' sexuality: a comparative study of women in three low-income contexts in Peru

"This work...examines the cultural dimension of sexuality and fertility of women from [low-income] sectors in Peru. It intends to explain the cultural processes that fall into the intermediate variables of fertility, such as marriage rate, contraception, breastfeeding and...abortion. These dimensions of sexual and reproductive life are analyzed according to two explanatory dimensions: generation and cultural context of socialization. The general hypothesis is that a cultural process of homogenization of the values and behaviors has been taking place over sexuality, in such a way that the younger generations will show similar standard behaviors and values no matter their context of socialization; in the meantime, in the older groups there will exist contextual differences in these dimensions." (SUMMARY IN ENG)     

Urban aspects of labor migration: the situation in the countries of origin

"A bibliographical review serves to analyze the role of urban growth in patterns of international labor-force migration, as well as the effect of this migration on the development of the countries of origin, especially on their cities. While the review confirms the general idea that international migrants are either peasants or highly qualified personnel, it also shows that qualified workers are increasingly involved in international labor movements and that a great part of them come from large cities. It is to be expected that in these circumstances large cities of the countries of origin will become more integrated to international migratory systems." (SUMMARY IN ENG)     

Are there environmental factors influencing the choice of death by drowning as a means of suicide in the Geneva canton?

123 out of 850 suicides that occurred in the Canton of Geneva between 1980 and 1989 were suicides by submersion. 75 women and 48 men committed this kind of suicide. 89 victims (57 women and 32 men) were older than 40 years. In all cases the spatial distance between the residence of the suicides and the nearest river or lake was determined; a correlation with the tendency to commit suicide by drowning was not evident. More than geographical factors, the psychological influences have to be considered.