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This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0.70-1.22)] in the first postnatal year. The greatest reduction was observed for adjustment disorders. The NPDI appears to be associated with fewer post-birth psychiatric disorders hospital admissions; this suggests earlier detection of psychiatric disorders resulting in early care of women at risk during their perinatal period.
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Hospitalização/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/terapia , Adolescente , Adulto , Fatores Etários , Austrália , Depressão Pós-Parto/diagnóstico , Depressão Pós-Parto/terapia , Feminino , Humanos , Anamnese , Transtornos Mentais/epidemiologia , Saúde Mental , Gravidez , Cuidado Pré-Natal/organização & administração , Índice de Gravidade de Doença , Fatores Socioeconômicos , Adulto JovemRESUMO
Previous research using US data suggests that height, as a marker for early investments in health, is associated with better cognitive functioning in later life, but this association disappears once education is controlled for. Using an English cohort of men and women older than 50 years, we find that the association between height and cognitive outcomes remains significant after controlling for education suggesting that height affects cognitive functioning not simply via higher educational attainment. Furthermore, the significant association between height and cognitive function remains even after controls for early life indicators have been included.
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Estatura , Cognição , Fatores Etários , Idoso , Escolaridade , Inglaterra , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-IdadeRESUMO
Modern technology empowers human beings to cope with various extreme weather events. Using Chinese historical data, we examine the impact of extreme weather on long-term human mortality in an environment where individuals had no access to modern technology. By combining life-course data on 5000 Chinese elites with historical weather data over the period 1-1840 AD, we find a significant and robust negative impact of droughts in childhood on the longevity of elites. Quantitatively, encountering three years of droughts in childhood reduces an elite's life span by about two years.
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Clima Extremo , China/epidemiologia , Secas , Humanos , Tempo (Meteorologia)RESUMO
We investigate how the marital age gap affects the evolution of marital satisfaction over the duration of marriage using household panel data from Australia. We find that men tend to be more satisfied with younger wives and less satisfied with older wives. Interestingly, women likewise tend to be more satisfied with younger husbands and less satisfied with older husbands. Marital satisfaction declines with marital duration for both men and women in differently-aged couples relative to those in similarly-aged couples. These relative declines erase the initial higher levels of marital satisfaction experienced by men married to younger wives and women married to younger husbands within 6 to 10 years of marriage. A possible mechanism is that differently-aged couples are less resilient to negative shocks compared to similarly-aged couples, which we find some supportive evidence for.
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Previous studies have shown that both height and weight are associated with wages. However, some gaps in our understanding of the relationship between body size and wages remain. For example, given a height premium and an obesity penalty, due to forces working in opposite directions, the current literature is unable to provide clear answers to questions such as whether a tall obese woman or a short healthy weight woman would earn a higher wage premium. Using Australian data and iso-contour wage curves derived from a semi-parametric wage regression model, this paper illustrates the complex nature of the relationship between height, weight and wages and how the nature of these differences depends on gender and age. As adult height is fixed, a key focus of the paper is illustrating for various height ranges whether there are any wage benefits in the labor market to increasing or decreasing one's weight. For individuals aged 25-54 as a whole, I find that there are strong effects of weight reduction at lower ends of the height distribution for females (between 1.50-1.70m) but not for males (<1.65m). For relatively taller men (>1.85m), a wage premium is found for being overweight. For relatively taller women (>1.72m), no penalty for being overweight is discernible.
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Estatura , Obesidade/epidemiologia , Salários e Benefícios/estatística & dados numéricos , Adulto , Fatores Etários , Austrália/epidemiologia , Índice de Massa Corporal , Peso Corporal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Fatores SocioeconômicosRESUMO
OBJECTIVE: To present percent body fat (PBF) charts based on body mass index (BMI) and waist circumference (WC) which can supplement current public health guidelines for obesity. METHODS: Based on data from the National Health and Nutrition Examination Survey (NHANES) III for 18- to 65-year-olds, a semi-parametric spline approach was utilized, in which no specific functional forms for BMI and WC are assumed, to depict graphically the relationship between BMI, WC, and PBF. Four distinct PBF charts were created, categorized by gender and ethnicity which are based on data from 2,170 white females, 1,902 African American females, 1,905 white males, and 1,635 African American males. RESULTS: PBF prediction based on the semi-parametric spline model outperformed competing linear models. For men, BMI is largely inconsequential, and WC plays a primary role in determining PBF levels. For women, the interaction between BMI and WC is more complex. To have low body fat, women would need to watch both their BMI and WC measurements carefully. CONCLUSIONS: PBF charts, which incorporate information from three dimensions that are as simple to read as a BMI chart to help determine a person's level of fatness, were proposed.
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Tecido Adiposo , Índice de Massa Corporal , Pesos e Medidas Corporais , Circunferência da Cintura , Adolescente , Adulto , Idoso , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Obesidade/classificação , Obesidade/diagnóstico , Valores de Referência , Adulto JovemRESUMO
Previous research has found that as a marker of childhood circumstances, height is correlated with cognitive functioning at older ages. Using data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) and about 17,000 respondents from 11 countries, we find that height is positively and significantly associated with cognitive functioning in later life despite controlling for a myriad of possible confounding factors. A 10 cm increase in height is associated with a 0.04 standard deviation increase in a summary cognitive score (mean 0.02, std. dev. 0.77). We find that being born in a country where the infant mortality rate at the time of birth is high has a negative and significant influence on cognitive functioning in later life. A 10% increase in the infant mortality rate is associated with a 0.1 standard deviation decrease in the summary cognitive score. We also find some evidence that height serves as a protective factor against age related deterioration in cognitive functioning. For persons of average stature, age related decreases in cognition scores are 3-5 percentage points smaller if they move up a quartile in the height distribution. Our results also suggest that there is a significant positive association between height and cognitive abilities across countries for this pre-1950 birth cohort of respondents, with correlations ranging from 0.4 to 0.8.
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Envelhecimento/fisiologia , Estatura/fisiologia , Cognição , Idoso , Idoso de 80 Anos ou mais , Europa (Continente) , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Mortalidade Infantil , Masculino , Pessoa de Meia-Idade , Fatores SocioeconômicosRESUMO
This paper focuses on estimating the magnitude of any potential weight discrimination by examining whether obese job applicants in Germany get treated or behave differently from non-obese applicants. Based on two waves of rich survey data from the IZA Evaluation dataset, which includes measures that control for education, demographic characteristics, labor market history, psychological factors and health, we estimate differences in job search behavior and labor market outcomes between obese/overweight and normal weight individuals. Unlike other observational studies which are generally based on obese and non-obese individuals who might already be at different points in the job ladder (e.g., household surveys), in our data, individuals are newly unemployed and all start from the same point. The only subgroup we find in our data experiencing any possible form of negative labor market outcomes is obese women. Despite making more job applications and engaging more in job training programs, we find some indications that they experienced worse (or at best similar) employment outcomes than normal weight women. Obese women who found a job also had significantly lower wages than normal weight women.
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Emprego , Obesidade , Preconceito/psicologia , Desemprego , Adolescente , Adulto , Índice de Massa Corporal , Feminino , Alemanha , Humanos , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Salários e Benefícios , Inquéritos e Questionários , Adulto JovemRESUMO
There exist remarkably large differences in body weights and obesity prevalence between black and white women in the United States; and crucially, these differences are a significant contributor to black-white inequalities in health. In this article, we investigate the most proximal explanations for the weight gap: namely, differences in diet and exercise. More specifically, we decompose black-white differences in body mass index and waist-to-height ratio into components reflecting black-white differences in energy intake and energy expenditure. The analysis indicates that overconsumption is much more important than a lack of exercise in explaining the weight gap, which suggests that diet interventions will have to play a fundamental role if the weight gap between black and white women is to decline.