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The transition to nonmetropolitan population deconcentration.

A major aim of this study is to address our lack of understanding of rural-urban population change within nonmetropolitan counties of the United States. Specifically, we (a) examine trends between 1950 and 1975 in differential rural and urban growth rates within nonmetropolitan countries, and (b) examine the relationship between county location/function and within-county deconcentration. We show that the post-1970 period has not simply marked the net shift of population from metropolitan to nonmetropolitan areas, but has also ushered in a pattern of population deconcentration within most nonmetropolitan areas. It is also clear that traditional ecological base variables have been of diminishing utility in explaining deconcentration during the 1970s, suggesting that deconcentration is now evident in nonmetropolitan counties characterized by a broad spectrum of economic and sociodemographic traits.

Humans↗

Cardiovascular diseases in India.

India is undergoing an epidemiological transition and is on the threshold of an epidemic of cardiovascular disease. Cause-specific mortality data indicate that cardiovascular disease is already an important contributor to mortality. Demographic projections suggest a major increase in cardiovascular disease mortality as life expectancy increases and the age structure of the growing population changes. Surveys in urban areas suggest that coronary risk factors are already widespread and that urgent action is needed to prevent a further rise as socioeconomic development proceeds. It is vital to obtain epidemiological data from several regions in order to plan, initiate and monitor public health action.

Adolescent↗

Urban growth and decline: San Jose and St. Louis in the 1960's.

The population changes in San Jose and St. Louis between 1960 and 1970 exemplify the two broad trends-urban formation followed by metropolitan dispersal-that have shaped 20th-century urbanization in this country. The fact that these developmental trends were expressed through demographic processes found to be common to both cities, despite their contrasting recent experiences, suggests that generalizations can be made about the complex forces underlying urbanization. The formation of metropolitan San Jose's population parallels the traditional process whereby a region's growth comes to be focused, through migration, on a few urban centers. The modern variant is not characterized by a rural-to-urban shift, however, but by migration flows among urban areas, and particularly to a few most-favored areas, such as San Jose. Migratory growth has left a powerful demographic legacy in San Jose. This legacy is also instructive for studying the migratory formation of any new city's population. Its demographic character determines its demographic destiny, whose likely variations we can now perceive with some clarity. San Jose's population is both youthful and chronically migratory. The presence of many prospective parents and relatively few elderly persons lays a broad foundation for the population's continued growth through natural increase, despite the national downturn in fertility (14). Even without further net in-migration, the population of new cities like San Jose would continue to grow at an above-average rate. The hypermobility of San Jose's population (that is, its propensity for further migration) also has an important bearing on the future. With about 21 migrants entering and 17 departing each year per hundred residents, San Jose's rapid migratory growth rests (as it would in other new cities) on a precarious arithmetic balance. A significant dip in local employment growth could easily reduce net migration to a small fraction of its present high level. Even a slight decline would result in the inflow's no longer exceeding the high volume of outflow. Demographic analysis alone cannot foresee such an employment downturn, but if it happened, the migratory downturn probably would be swift. Hypermobility also works the other way; and given San Jose's focal position in California's expanding metropolitan structure (with its virtually endless supply of migratory growth), net migration could resume with equal swiftness. The outward dispersal of population from central cities that has occurred in St. Louis has been accelerating in other cities as well, and will remain a prominent feature of U.S. urban growth. It may seem paradoxical that in a period noted for something called "urban growth" there are so many declining central cities, but that is merely one indication that the "central city" no longer is the real city, except in name. Real city or not, the central city can expect to come into political conflict with other jurisdictions created in the process of dispersion. In cities like St. Louis, where population is dispersing but old political boundaries are fixed, the problems of the central city are separated from the resources in the suburbs. Transitional problems associated with persistent and severe outmigration also arise: accumulation of disadvantaged citizens, declining demand for city housing, and a diminished replacement capacity in the population. Carried far enough, the last of these problems results in natural decrease, and thereafter the population's decline acquires its own dynamic. As noted earlier, the white population in St. Louis has reached this point: The number of persons dying now exceeds the number being born. For two reasons, this natural decrease can do little other than intensify. First, a substantial proportion of whites are either entering or already within the high-mortality age brackets. The white population's crude death rate therefore will continue to rise. Second, prospective parents are becoming scarce among St. Louis's whites, and the national evidence that parents in general will choose to have smaller families continues to mount. The white population's crude birth rate is therefore likely to fall, barring a dramatic increase in fertility or a strong and sustained inflow of childbearing families. Nor is St. Louis's black population likely to grow substantially. It is expanding steadily through natural increase, but black migration out of the city is more than enough to cancel that increase.

Adolescent↗

Tuberculosis in West Bengal.

Inspite of the various curative and preventive measures the control of tuberculosis has not been effective. Today it persists as an endemic disease in many parts of India. The present study aims to map the spatial distribution of tuberculosis in West Bengal and to evaluate the spatial change over time between 1960 to 1980. The mortality data for the 16 districts of West Bengal have been used to map spatial distribution of tuberculosis for 1980 and the expected deaths have been calculated based on the mid-year population. The rural and urban sectors have been treated separately. Similarly a time space change in tuberculosis mortality has been calculated for the districts based on the quinquinneal population change between 1960, 1965, 1970, and 1980. In all cases the probability has been tested by Poissons Probability model at the significance levels of p less than 0.01 and p less than 0.05. The principal zones of tuberculosis endemicity are the Nn.Hill region and the adjoining plains, the central plains of Bankura district, and Calcutta. A wide rural urban difference is perceptible in spatial context as well as in time scale. Though tuberculosis is principally a disease of the male population, it is more prevalent among females of the lower age group. The declining trend of tuberculosis though observable from 1965 is not uniform for all districts. An increasing trend in Purulia is apparent in the present decade while in Calcutta the trend of decline is very gradual.

Adolescent↗

[8-year prospective study of acute cardiovascular pathology in an open population].

Changes in the incidence of myocardial infarction, and associated mortality and lethality rates are reviewed over a 8-year period in an Novosibirsk district. Data on late postinfarction outcomes, obtained in a WHO-sponsored study, "Acute myocardial infarction register", are also presented. The incidence, mortality and lethality rates are showing a stabilization trend at present; in late outcomes, the greatest mortality and lethality rates fall to the first postinfarction year.

Acute Disease↗

[Health transition in Spain from 1900 to 1990].

BACKGROUND: The concept of health transition is intended to define, from a plural point of view, the changes in health conditions that have contributed to a decrease in mortality associated with the demographic transition. The purpose of the study is to analyse the health transition in Spain during this century (1900-1990). METHOD: The study of the different components of the health transition (epidemiological transition, risk transition and health care transition) has been based on historical series relating to Natural Population Changes. Annual Statistics and Housing Census Reports. RESULTS: Overall Mortality and Child Mortality rates have tended to decrease over the entire period: overall mortality has decreased by 70%, while child mortality has dropped by 96%. Life expectancy has increased by 42 years from 1900 (35) to 1990 (77), which in relative terms represents an increase of 120%. There has been a 95% decrease in infectious disease-related deaths and a 134% increase in non-infectious disease-related deaths. It can therefore be said that the epidemiological transition in Spain concluded in the fifties with the end of the previous pattern, mainly characterised by a high mortality rate (especially with respect to children), when the main cause of death was due to infectious diseases, then giving way to a new situation in which mortality rates dropped considerably and non-infectious diseases became the main cause of death (the turning point was in 1945). CONCLUSIONS: The new epidemiological trend that took place over the period studied appears to be the result of improved sanitary infrastructure and increased spending as well as better medical services, however also includes new health problems related to working conditions, massive urban development (particularly as of the sixties) and changes in lifestyle.

Adult↗

The Gulf War and diabetes mellitus.

The Gulf war was a traumatic and stressful event for the inhabitants of Tel-Aviv and vicinity. The entire population changed its way-of-life. In order to evaluate the influence of the war stress on glucose control, we reviewed the charts of all diabetic patients attending the outpatient clinics at the Tel-Aviv Medical Centre, whose weight and glycated haemoglobin was determined between 15.1.91 and 2.5.91 (the war period), with comparative measurements within 4 1/2 months both before and after these dates. Sixty-six patients with non-insulin dependent diabetes mellitus (NIDDM) and 16 with insulin-dependent diabetes mellitus (IDDM) were examined. During the war, their glycated haemoglobin increased by 10.1 to 10.9% and from 9.6 to 10.2%, respectively. Weight increased from 76.1 to 77.5 kg in the NIDDM and from 63.2 to 64.7 kg in the IDDM patients. Both measurements returned to baseline after the war. No correlation was found between the changes in glycated haemoglobin and weight.

Adult↗

Cross-national comparison of population density.

The unresolved difficulties associated with defining and measuring population density strictly circumscribe the scope and nature of the conclusions that can be properly derived from differentials in man:land ratios. Any conclusions about human density will have meaning only to the extent that they are based on a recognition that this density must be viewed in both static and dynamic terms and that it cannot be isolated in analysis, from either the social and cultural setting, the demographic characteristics of the population, or the broader processes of social change within the society. In and of itself, the familiar man:land ratio says more about area than it does about either the human experience of density or the relation of population to resources. This ratio is therefore essentially meaningless as an indicator of comparative conditions of life among different countries and different geographic regions. The mere fact of having a relatively low average population density thus, does not automatically entitle a nation to complacency about its ability to adjust readily to future population change, either in terms of growth in numbers or in the geographic location of its people.

Environmental Pollution↗

Estimation of incidence of human leukaemia subtypes in an urban African population.

A rough estimate of the incidence rates (IR) of human leukaemia subtypes is provided for Ibadan, a large urban centre in the south-western rain-forest area of Nigeria. In view of the inavailability of recent census figures, the current population sizes of various 5-year age groups were projected from those of the last reliable census held in 1963, using various recommendations from national and international bodies on population changes in the area. On comparing the IR for the leukaemia subtypes in Ibadan subjects with those of Black and White Americans, we found no striking difference in chronic myeloid leukaemia for the 3 population groups. Leukaemia IR in Ibadan was low for all subtypes after 70 years, probably because of the thinness of the population after that age. IR of acute lymphoblastic leukaemia (ALL) in the first two quiquennia was low while that of acute myelogenous leukaemia (AML) in the second quinquennium was high in Ibadan compared with Black and White US subjects. IR of AML in Ibadan as well as in Black and White US subjects showed a stepwise increase in the 5-year age groups between 15 and 69 years, but unlike the observation in Americans, ALL was not observed after 40 years of age in Ibadan. Though the method used to estimate the leukaemia incidence rate in Ibadan was crude, it did reveal remarkable differences from those of inhibitants of a developed country like the US. These differences are believed to be related to environmental influences.

Adolescent↗

Epidemiology of schizophrenia in Salford, 1974-84. Changes in an urban community over ten years.

The prevalence and inception rates of treated schizophrenia in the population of inner-city Salford were compared with those from a similar survey, ten years earlier. Data were obtained from a computerised case register and a postal questionnaire sent to GPs, and case notes rated on the SCL and screened using ICD-9. The point-prevalence rate of 6.26 per 1000 adult population was higher than that previously reported (4.56), despite decreases in total inception rate and in the general population. Changes in rates are presumed to be related primarily to population movements and ageing of the schizophrenic sample. Compared with 1974, the numbers of in-patient days and long-stay in-patients had fallen substantially by 1984, although annual admissions increased over the decade; day-patient and out-patient attendances, and extramural contacts with psychiatrists, community psychiatric nurses, and social workers had also increased. Almost 62% of cases were maintained on depot injections as out-patients in 1984. Over 75% of identified schizophrenic patients were in contact with psychiatrists, but only 7 out of 557 were solely in contact with their GP. In spite of the emphasis on community care, responsibility for schizophrenic patients was still carried overwhelmingly by hospital psychiatric services.

Adolescent↗

Coronary artery disease trends in Japan.

Japan has experienced great socioeconomic development together with industrialization, urbanization and motorization since 1945. This has resulted in dramatic changes in both the frequency of disease and the spectrum of diseases, as well as in a rapid increase in the elderly population. Changes in eating patterns during the past 40 to 50 years seem to be a major factor in this evolution. Departure from the traditional Japanese diet, which was very high in salt and low in fat and protein (currently the diet is 25% calories from fat, 60% from carbohydrate and 15% from protein and 12 gm salt/day), has been associated with a reduced incidence of stroke, but not with an increase in coronary heart disease mortality. Therefore, the current Japanese diet may be an optimal eating pattern for maintaining health. However, since the exposure to increased fat calories is recent, future trends must be carefully monitored.

Adult↗

Monitoring the metropolitanization process.

Alternative approaches have led to different interpretations of the metropolitanization process in the United States. We identify and illustrate several methods and procedures for monitoring metropolitan-nonmetropolitan population change using the 1950-1980 U.S. decennial censuses. Two basic approaches are compared: constant area approaches and component methods. In addition, we assess the effects of changing metropolitan definitions on metropolitan-nonmetropolitan growth. The results clearly reveal that the underlying mechanics of metropolitanization not only are complex but have changed substantially during the 1950-1980 period. We conclude with observations regarding the use of these procedures in future research.

Humans↗

Is nonmetropolitan America being repopulated? The evidence from Pennsylvania's minor civil divisions.

We analyze population change and net migration, by age and sex, from 1940 to 1970, for 1,834 Nonmetropolitan Pennsylvania Minor Civil Divisions (MCD's) classified by residence, population potential, socioeconomic status, and distance from metropolitan centers. Our analysis indicates, as expected, reconcentration of residents from both urban and remoter nonmetropolitan localities into exurban peripheries 25 to 35 miles for metropolitan centers. Since 1960, however, a "turnaround" appears in many truly rural tracts, which have been experiencing an influx or retention of persons 35 years of age and older. Statistical explanations are strongest for males in poor, isolated places, weakest for more accessible, socioeconomically advanced places and their female inhabitants. Throughout the study period and area, nonurban MCD's register more positively than the rural.

Adolescent↗

Recent nonmetropolitan population change in fifty-year perspective.

Post-1970 nonmetropolitan population shifts are examined by dividing nonmetropolitan counties into ten cohorts based on the duration and direction of consistent population change since 1920. Analysis indicates that the post-1970 gains reported by Beale are pervasive in nonmetropolitan America, occurring even in a majority of the counties that lost population consistently from 1920 to 1970. Growth was greatest in countries adjacent to metropolitan areas but was more than urban spillover effect. In a clear break with traditional patterns, net inmigration contributed significantly to overall population gain and was particularly strong among countries without an urban center. The rate of natural increase continued to slow in the post-1970 period, with natural decrease becoming common among countries with protracted histories of population decline.

Humans↗

Population movement and city-suburb redistribution: an analytic framework.

This paper introduces an analytic framework that can be used to assess the relationships between individual movement differentials and place characteristics, on the one hand, and aggregate mobility levels and city-suburb population change (in size or composition), on the other. Application of this framework using census data for individual metropolitan areas allows the analyst to decompose population changes due to net migration into contributing mobility streams and their component rates which are subject to unique community and individual influences. The paper provides both theoretical and empirical rationale for the framework, illustrates its use with 1970 census data, and discusses its implications for empirical research on city-suburb population redistribution.

Humans↗

[Disappearance of ALS from Guam: implications for exogenous causes].

The author reports the disappearance of amyotrophic lateral sclerosis (ALS) from Guam over past 30 years, which coincided with rapid changes in the ecology, socioeconomy, and westernization of the life style. This slow but steady decline is believed to be the consequences of radical changes from food collection to wage-based life style and dietary improvement in recent years and elimination of exogenous factors. Those risk factor(s) are believed to be the environmental trace metals which must have triggered the accelerated oxidative stresses in the motor neurons of genetically susceptible population. Changing Epidermiology: 1. The annual incidence of 70/100,000 in 1960s down to 7/100,000 in 1990s, and remained unchanged for past 15 years. 2. Upward shift of age at onset by 10 years and at death by 8 years and even out of sex ratio. 3. Birth cohort analysis showed less risks for those born after 1920. No ALS cases born after 1945. 4. No increase in the incidence of ALS among non-Chamorros transients of Guam and Marianas during W.W.II. 5. Long-term resident non-Charmorro and half-Chamorros on Guam are also affected. 6. Charmorro migrants to U.S. Mainland are affected after long absence from Guam. 7. Incubation period for both ways is estimated to be 18 approximately 20 years. 8. Other forms of dementias like Alzheimer disease (AD) and vascular dementias are on the rise and the leading cause of death is cerebro- and cardiovascular diseases. 9. ALS is also declining in past 10 approximately 15 years in Kii peninsula, and West New Guinea. Changing Ecology of Guam: 1. One third of Island land was used for construction of huge military bases after W.W.II. 2. Urbanization of villages including concrete houses, deep well water supply, sewage, and electrification. 3. Tourism boom: high-rise hotels, development of 7 golf courses and other recreational facilities resulted in loss of flora and erosions of soil. Socioeconomic Changes: 1. Shift in population demography; Efflux of Chamorros and influx of aliens; Chamorros less than 50% by 1990. 2. Tourists passed 1 million in 1994. 3. Automobiles 1 car/1.5 person. 4. Westernization: After W.W.II, almost free access to Military Commissary for imported food and appliances. 5. Life style: from food collection to wage-based society. Genetic Studies: 1. Familial aggregations, but no clear-cut Mendelian inheritance. 2. Segregation analysis: no absolute genetic or environmental cause but additive gene component may play a role in genetic susceptibility and basis for geographical clustering. 3. Absence of Apo-E or Mu/Zn SOD genes. 4. Recent discovery of mtDNA Complex I deficiency in Parkinsonism-dementia cases suggests mitochondrial DNA abnormality. Comparative Environmental Studies: 1. Environmental studies in three hyperendemic areas in the Western Pacific--Kii, Marianas, and west New Guinea, where strikingly high incidences of ALS is known to occur, found the identical geochemical environment--low Ca, Mg, and Zn and high A1, Mn, Fe, Si, in the garden soil and drinking water. 2. Exogenous etiologic factors that are absent from primitive culture of Auyu and Jackai tribes in West New Guinea were eliminated. 3. Cycad neurotoxicity has been excluded. 4. Suspected exogenous agents that are common in these 3 hyperendemic areas are (a) locally grown vegetables, starchy roots, and reef fish; (b) surface water containing soluble organic minerals from red laterites; (c) rain water that is chemically pure and lack of essential minerals. Pathogenic Speculation: Chronic dietary deficiency since birth in Ca, Mg and Zn induced excessive absorption of divalent cations which accelerates oxidant-mediated neuronal degenerations in a genetically susceptible population. The process is probably carried through interactions between cytoskeletal abnormality of the neuron, aging process, abnormal proteins, and mitochondrial dysfunction.

Amyotrophic Lateral Sclerosis↗