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W C Robinson

Publications and source records attributed to W C Robinson.

At least 19 recordsLinked to original sources
PubMed1999

Mortality in North Korean migrant households: a retrospective study.

BACKGROUND: A deteriorating economy, coupled with a series of natural disasters in 1995-97, led to a severe food crisis in North Korea. Although the country has received substantial international aid since 1996, demographic assessments of crisis impact have been limited. We assessed mortality trends in North Korea since 1995. METHODS: At 15 randomly selected sites in China, 440 North Korean adult migrants were interviewed during July-September, 1998. Respondents were asked about births, deaths, and migration patterns in their households between mid-1994 and mid-1998, and about household food sources. The respondents also provided basic demographic information about the households of their relatives. We compared mortality rates from migrant households with data from the 1993 census and with data about households of non-migrant relatives. FINDINGS: Households that included a recent migrant to China showed increasing mortality: crude death rates rose from 28.9 per 1000 in 1995, to 45.6 per 1000 in 1996, and to 56.0 per 1000 in 1997 (p=0.0001), with a 3-year average rate of 42.8 per 1000. The crude 3-year birth rate was 11.0 per 1000. Average household size declined from 4.0 at the beginning of 1995 to 3.4 at the end of 1997 (p=0.0002). Among 259 households of non-migrant relatives, the crude death rate was 43.2 per 1000 and the crude birth rate was 8.8 per 1000. In these households, the 3-year trend of increasing mortality was significant (p=0.001), as was the decline in average household size from 4.3 at the beginning of 1995 to 3.7 at the end of 1997 (p=0.0001). INTERPRETATION: Among North Korean households that include a recent migrant to China, mortality has increased and household size has declined since 1995. This trend raises concern about the state of the general population, at least in the province of North Hamkyong, from where most of the migrants originated.

Adolescent↗
PubMed1997

The economic theory of fertility over three decades.

After a promising start some three decades ago, the application of micro-economic analysis to fertility studies has proved disappointing. It has not led to an increased understanding of fertility decisions nor to the policy insights which had been expected. This paper considers the reasons for this disappointment. It reviews briefly the development of the now dominant version of the economic approach to fertility analysis, the so-called "Chicago Model". It concludes that several basic conceptual and theoretical weaknesses of this approach have led it up a blind alley. The paper concludes with suggestions for new assumptions and approaches which may make the theory more relevant for policy programmes.

Economics↗
PubMed1990

Is development really the best contraceptive? A 20-year trial in Comilla district, Bangladesh.

"This article examines which public programmes and which socio-economic development indicators have had an impact on contraceptive practices and fertility in a selected group of villages in Comilla district of Bangladesh. It finds that equitable, even-handed development may be a good 'contraceptive', but is not a realistic alternative to family planning effort.... This research, undertaken in 1985, replicates a similar knowledge, attitudes and practice (KAP) type study undertaken in these same villages some 20 years earlier, in 1967/68....Thus, the two studies provide a unique look at demographic behavioural characteristics when these agricultural development programmes were in an early stage and then 20 years later."

Asia↗
PubMedDate not supplied

Demographic methods to assess food insecurity: a North Korean case study.

UNLABELLED: In complex emergencies, especially those involving famine and/or widespread food insecurity, assessments of malnutrition are critical to understanding the population's health status and to assessing the effectiveness of relief interventions. Although the Democratic People's Republic of Korea (DPRK) has benefited from some of the largest, most sustained appeals in the history of the World Food Program (WFP), the government in Pyongyang has placed restrictions on international efforts to gather data on the health and nutritional status of the affected population. QUESTION: Lacking direct means to assess the nutritional status of the North Korean populace, what other methodologies could be employed to measure the public health impacts of chronic food shortage? The paper begins with a review of methods for assessing nutritional status, particularly in emergencies; a brief history of the North Korean food crisis (1995-2001), and a review of the available nutritional and health data on the DPRK. The main focus of the paper is on the results of a survey of 2,692 North Korean adult migrants in China. Recognizing certain biases and limitations, the study suggests that sample households have experienced an overall decline in food security, as evidenced by both the decline in government rations from an average of 120 grams per person per day to less than 60 grams per day, and by the increase in the percentage of households relying on foraging or bartering of assets as their principal source of food. It also is apparent that the period 1995-1998 has been marked by elevated household mortality, declining fertility, and steadily rising out-migration. Taken together, the signs point toward famine, whether that is defined as a discrete event--that is, as a regional failure in food production or distribution leading to elevated mortality from starvation and associated disease--or as a more complex social process whose sub-states include not only elevated mortality, but declining fertility, eating of alternative 'famine foods', transfer of assets, and the uprooting and separation of families.

Adult↗