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There is increasing concern over the mental distress of youth in recent years, which may impact mental healthcare utilisation. Here we aim to examine temporal patterns of mental healthcare expenditures in the Netherlands by age and sex in the period between 2015 and 2021.
Methods
Comprehensive data from health insurers in the Netherlands at the 3-number postal code level were used for cluster weighted linear regressions to examine temporal patterns of mental healthcare expenditure by age group (18–34 vs 35–65). The same was done for medical specialist and general practitioner costs. Additionally, we examined interactions with gender, by adding the interaction between age, year and sex to the model.
Results
Mental healthcare costs for younger adults (18–34) were higher than those for older adults (35–65) at all time points (β = 0.22, 95%-CI = 0.19; 0.25). Furthermore there was an increase in the strength of the association between younger age and mental healthcare costs from β = 0.22 (95%-CI = 0.19; 0.25) in 2015 to β = 0.37 (95%-CI = 0.35; 0.40) in 2021 (p < 0.0001) and this was most evident in women (p < 0.0001). Younger age was associated with lower general practitioner costs at all time points, but this association weakened over time. Younger age was also associated with lower medical specialist costs, which did not weaken over time.
Conclusions
Young adults, particularly young women, account for an increasing share of mental healthcare expenditure in the Netherlands. This suggests that mental distress in young people is increasingly met by a response from the medical system. To mitigate this trend a public mental health approach is needed.
This article explores three instances of the looping effect by studying colonial resistance in the Moluccas in 1817. It focuses on the relations between Dutch colonial officials and the sultan of Ternate in the North Moluccas, and between Dutch officials and the regents of Ambon in the Central Moluccas. The first instance of the looping effect revolves around how Ambonese regents, who adhered to Calvinism, used Christian principles to contest Dutch rule within the Moluccas. This became evident in 1817 when a revolt broke out against the reestablishment of Dutch rule within the Moluccas. The leaders of this revolt used religious precepts of Calvinism, previously introduced by the Dutch, to argue that the reestablishment of Dutch rule should be rejected. The article continues with a second instance of the looping effect, reconstructing how Ambonese rulers used instructions issued by the colonial state in 1818 to mitigate claims from the colonial government. Finally, a third instance of the looping effect can be perceived in how the sultan of Ternate used contracts, signed with the Dutch colonial state in 1817, to request Dutch military assistance against internal uprisings and thereby increased his authority throughout the region.
This article focuses on an alphabetically ordered collection titled The Lügat of İstanbul Fifty Years Ago, published in 1942 by the prolific Turkish historian and writer Reşad Ekrem Koçu. Despite its rich and lesser-known descriptions and stories of İstanbul’s historical spaces, people, and events in each entry with anecdotes, quotes, and comments, the Lügat has remained relatively unknown. Koçu drew on the memoirs and journalistic essays of Turkish journalist Ahmed Rasim, who vividly captured the essence of the city in his writings during the 1890s. This article examines Koçu’s endeavor to establish a methodology for urban historiography by rearranging and re-animating the depictions of the mundane urban past in a new encyclopedic genre, Lügat, while placing it within the wider framework of urban history literature in İstanbul. Through a critical analysis of the narratives portraying the perils and pleasures of İstanbul in the Lügat, this article illustrates how Koçu’s classifications are intertwined with subjective interpretations rather than rational objectifications.
Lobbying expenditures are widely used as a proxy variable for measuring lobbying activity. However, the validity of this approach has rarely been examined and existing justifications do not account for heterogeneity in expenditure formats across types of lobbyists. I address the question using unique lobbying disclosure data from Wisconsin, where lobbying organizations report both expenditures on lobbying-related activities and lobbyists’ hours worked. Strong overall correlations between changes in expenditures and hours worked within organization–lobbyist dyads indicate that lobbying expenditures can serve as a reasonable proxy. However, caution is warranted due to substantial heterogeneity, with contract lobbyist relationships exhibiting weaker correlations than in-house relationships. I conclude by providing suggestions to improve empirical analyses that rely on lobbying expenditures.
The essay argues that the idea of the United States as a classless society was never a faithful representation of the U.S. socioeconomic reality, but constituted a myth elaborated since the 1830s by the first generation of U.S. economists to oppose the insubordination of Northern white workers, their mobilization through strikes, their politicization of class, and their critique of wage labor. It was precisely to counter the workers’ discourse, the essay maintains, that the first U.S. economists, most importantly Henry Charles Carey (1793–1879), developed an ideological representation of U.S. society as a classless structure devoid of fixed boundaries, in which industrious individuals could improve their condition through labor and in which social positions reflected a scale of talents and merits. By studying the early writings of Carey, but also of Theodore Sedgwick (1780–1839), Francis Wayland (1796–1865), Henry Vethake (1791–1866), Alonzo Potter (1800–1865), and Francis Lieber (1800–1872), the essay shows how economists used the myth of the classless society to scientifically legitimize the coming of capitalism to the United States, as well as to delegitimize class conflict. This anti-labor reaction, the essay argues, marked the very emergence of political economy in the United States as a science aimed at justifying the order of society through a mystified representation of its power relations, while the myth of the classless society would persist as a fundamental ideological pillar in the legitimation and naturalization of American capitalism.
Having a brother or sister who has a chronic illness (lasting >6 months and requiring long-term care) or life-limiting condition (LLC; where cure is highly unlikely and the child is expected to die) has major impacts on siblings. Parent–sibling illness-related communication may contribute to siblings’ capacity to cope.
Objectives
In this study, we aimed to explore parent–sibling illness-related communication, from the perspectives of parents and siblings. We also aimed to qualitatively compare participants’ responses according to illness group (chronic illness vs. LLCs).
Methods
We collected qualitative data from siblings (32 with a brother/sister with a chronic illness, 37 with a brother/sister with an LLC) and parents of a child with a chronic illness (n = 86) or LLC (n = 38) using purpose-designed, open-ended survey questions regarding illness-related communication. We used an inductive qualitative content analysis and matrix coding to explore themes and compare across illness groups.
Results
Two-thirds of siblings expressed satisfaction with their family’s illness-related communication. Siblings typically reported satisfaction with communication when it was open and age-appropriate, and reported dissatisfaction when information was withheld or they felt overwhelmed with more information than they could manage. Parents generally favored an open communication style with the siblings, though this was more common among parents of children with an LLC than chronic illness.
Significance of results
Our findings show that while many siblings shared that they felt satisfied with familial illness-related communication, parents should enquire with the siblings about their communication preferences in order to tailor illness-related information to the child’s maturity level, distress, and age.
We investigate the dynamics of a columnar Taylor–Green vortex array under strong stratification, focusing on Froude numbers $0.125\leq Fr \leq 1.0$, with the aim of identifying and understanding the primary instabilities that lead to the vortices’ breakdown. Linear stability analysis reveals that the fastest-growing vertical wavenumber scales with $Fr^{-1}$, while the dimensionless growth rate remains approximately constant. The most unstable eigenmode, identified as the mixed hyperbolic mode by Hattori et al. (J. Fluid Mech., vol. 909, 2021, A4), bears significant similarities to the zigzag instability, first discovered by Billant & Chomaz (J. Fluid Mech., vol. 418, 2000, pp. 167–188). Direct numerical simulations further confirm that the zigzag instability is crucial in amplifying initial random perturbations to finite amplitude, with the flow structure and modal growth rate consistent with the linear stability analysis. In particular, the characteristic vertical length scale of turbulence matches that of the fastest-growing linear mode. These findings underscore the broader relevance of the zigzag instability mechanism beyond its initial discovery in vortex pairs, demonstrating its role in facilitating direct energy transfer from vertically uniform vortical motions to a characteristic vertical length scale proportional to $Fr$ in strongly stratified flows.
The ideological and issue positions of parties are known to shape citizens’ political attitudes and voting behaviour. One important way to obtain estimates of parties’ positions is to ask experts to place parties on salient ideological dimensions. The Chapel Hill Expert Survey (CHES) has been collecting such estimates for democracies in Europe and elsewhere. CHES Canada adds to this project by providing estimates of party positions and characteristics of Canadian federal parties and provincial parties in Ontario and Quebec. This note introduces this new data source, clarifies how the data were collected and illustrates how the data can be used to (comparatively) study party politics in Canada.
As the population of Aotearoa New Zealand ages, informal family carers will play an increasingly important role in caring for older adults at home. Multi-generational living arrangements are a growing trend, particularly among Māori communities, where caring for older relatives within the family home is widespread. This article uses in-depth, semi-structured interviews with Māori whānau (extended family members) caring for kaumātua (older family members) at home to explore how carers experienced care coordination in the broader care collective. The findings centred on three interconnected factors that described the collective organisation of care: (1) whānau care as normal; (2) whānau care as collective coordination; and (3) whānau carer knowledge and needs as unseen. The findings show that although whānau care of kaumātua is highly valued, ‘structural holes’ within care systems contribute to challenges in care coordination. Despite extensive whānau support for kaumātua, primary carers often felt that their knowledge, preferences and self-care needs remained unseen and not translatable to those outside the everyday care situation. Rather than assuming an artificial binary difference between ‘collective’ and ‘individually oriented’ care contexts and cultures, analysing the cultural norms surrounding whānau care-giving confirms that collective care system members face similar and different challenges to carers with smaller caring capacities.
Gilles Deleuze est, parmi les penseurs français contemporains, celui ayant démontré la plus grande sensibilité à l’égard de la culture québécoise en intégrant quelques-unes de ses forces révolutionnaires dans son œuvre. C'est ce qu'illustre la première partie de l'article en faisant référence à des figures culturelles marquantes discutées par Deleuze : Jack Kérouac, Pierre Perrault, Michèle Lalonde, Norman McLaren et Alexis le Trotteur. L'article explore ensuite la réception de Deleuze au Québec dans et à l'extérieur des milieux universitaires en montrant que la pensée deleuzienne a pris part à la contre-culture avant d'acquérir une visibilité au sein des départements de philosophie.
On 15 March 2019, a white supremacist gunman sequentially attacked two mosques in Christchurch, New Zealand, killing 51 people aged from 3 to 77 years and bullet-injuring 40 more. Approximately 250 people survived the atrocity, and many more family and community members have been directly or indirectly affected.
Aim
To develop an understanding of the personal experiences of some of those affected, including effects on daily life and well-being, in the 18–30 months following the attacks.
Method
Qualitative thematic analysis of semi-structured interviews with 21 men and women from September 2020 to August 2021 was performed. Participants were drawn from a larger quantitative study and included injured, bereaved, witnesses, family members and those from the wider Muslim community in Christchurch.
Results
Four superordinate themes were identified: being overwhelmed in the midst of chaos; experiencing silent and enduring impact; living similarly, but differently; and gaining meaning and growth. These themes captured ongoing distress inclusive of physical symptoms, family and community relationship dynamics and connectedness, secondary stressors, and diversity in coping and growth. For most, the centrality of Islam as a faith tradition was woven throughout.
Conclusion
Consistent with previous literature, post-trauma reactions were pervasive and varied. This appeared to be compounded by secondary stressors in this cohort, such as sociopolitical circumstances, demographic diversity, the COVID-19 pandemic and justice processes. Findings also revealed a strong spiritual thread in the experiences of this minority faith community, shedding light on a complex interaction between recovery and post-traumatic growth.
Seven decades after Brown v. Board, Black students continue to lag White students. This article analyzes six experiments conducted over three decades to study whether, consistent with social identity theory, White Americans are more supportive of funding increases for nonracially targeted educational programs that benefit their racial ingroup compared to race-targeted programs. We also ask whether racial prejudice is a factor, if implicit or explicit racial priming accounts for any observed differences, and if the effects have changed over time. Our results show that consistent with social identity theory, White Americans are more likely to favor funding increases for public schools or programs for poor children, categories that are majority White, than programs targeted to Black children. Furthermore, we find no evidence of implicit or explicit racial priming. Across all experiments and all years, interactions between racial priors and the treatments are null. We conclude that ingroup favoritism, not prejudice nor racial priming, explains racially discriminatory support for increases in education funding.
Let $r$ be any positive integer. We prove that for every sufficiently large $k$ there exists a $k$-chromatic vertex-critical graph $G$ such that $\chi (G-R)=k$ for every set $R \subseteq E(G)$ with $|R|\le r$. This partially solves a problem posed by Erdős in 1985, who asked whether the above statement holds for $k \ge 4$.
Our aim was to translate and culturally adapt three evidence-informed leaflets on the work–health interface from English into Norwegian. Integral to this aim was the exploration of the quality and acceptability of each of the adapted leaflets to Norwegian-speaking stakeholders; general practitioners, people who deal with health issues in the workplace, and the general population.
Background:
Common health problems, such as musculoskeletal pain, account for most workdays lost and disability benefits in Norway. To facilitate return to work, it may be important to have access to evidence-informed information on the work–health interface for stakeholders involved in sickness absence processes. However, there is limited information material available in Norwegian that is tailored for the different stakeholders. Cultural adaptation is an emerging strategy for implementing health information across different populations and regions. Guidelines on cultural adaptation are not well-suited for translating and adapting evidence-informed health information material.
Methods:
We conducted a pragmatic cultural adaptation process informed by existing guidelines. Our conceptual framework for adaptation is situated between adaptation and translation and comprises appraisal, forward- and back-translation, review in multiple steps, sense checking, and re-designing using a transcreation approach. Using an online survey, we aimed to evaluate the overall quality, value, acceptability, and clarity of each of the adapted leaflets to a total of 30 end-users.
Findings:
We translated and culturally adapted three leaflets from English to Norwegian. Adapted leaflets were found to be clearly presented, acceptable, and valued by 45 Norwegian end-users. No differences in key concepts between original and back-translated leaflets emerged through the review process by the original author and forward translators. We used a pragmatic approach in this study that might be useful to others culturally adapting evidence-informed health information material.
For too long, questions of racism and colonialism have not been part of historical sociology’s understanding of modernity. Yet, a new generation of scholars has begun to address this, placing racism and empire at the center of their inquiries. This new generation looks to previously marginalized scholars for guidelines and inspiration. In line with this shift in historical sociology, this paper brings the work of W.E.B. Du Bois and other writers in the Black Radical Tradition to bear on longer-standing analytic and methodological debates: How do these authors allow us to think about theory-building and comparison? What is the goal of explanation? How should we approach archives and sources? Building on these insights, this paper explains how the work of Du Bois and the Black Radical Tradition provides a model for a new historical sociology, and a framework that allows us to see the connections between racism, colonialism, and modernity.
We argue it is efficient/desirable for central banks to operate retail Instant Payments (IP) schemes and infrastructure, considering that (i) payment service providers (PSPs) face a problem of collective action, which limits their capacity to deliver a cheap, fast, open-architecture and interoperable IP scheme; and (ii) this problem may be overcome by a central bank (economically neutral actor) with a dual role of regulator and operator of IP schemes, especially by mandating participation of large PSPs and ensuring that the low cost of infrastructure is passed on to consumers. We corroborate with data from Brazil’s Pix and India’s UPI, where the efficiencies of central bank-led IP schemes also led to social gains through financial inclusion.
To examine the association between red and processed meat consumption and total food expenditures in US households and explore whether households could reduce food costs by substituting these meats with other protein sources such as poultry, seafood, eggs and plant proteins.
Design:
Cross-sectional study using data from the National Household Food Acquisition and Purchase Survey (FoodAPS). Using adult male equivalents (AME) for standardisation, we categorised red and processed meat purchases into quintiles. We used generalised linear models to explore the association between red or processed meat consumption and food expenditures and the cost effect of substituting meat with other proteins.
Setting:
United States.
Participants:
Data from 4739 households with valid acquisition information from FoodAPS, a stratified multistage probability sample of US households.
Results:
Higher red and processed meat consumption were both significantly associated with higher total weekly food expenditures, particularly among households with low income. Substituting red or processed meat with poultry, eggs or plant proteins did not significantly affect overall food expenditures, whereas replacing meat with seafood, especially varieties high in n-3 fatty acids, led to increased costs.
Conclusions:
Reducing red and processed meat consumption could offer savings for households, particularly those with low income. Although substitutions with seafood high in n-3 could increase expenses, alternative protein sources like poultry and plant proteins may serve as cost-neutral replacements. Public health strategies should emphasise dietary shifts’ economic, health and environmental benefits and aim to make nutritious yet affordable protein sources more accessible.
The study reviewed the applications of the water–energy–food (WEF) nexus for knowledge generation and decision-making in the Global South. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol identified 336 studies from the Web of Science and Scopus datasets. One hundred eighty-five articles applied WEF nexus tools to improve the understanding of WEF nexus interactions and to show the potential of nexus applications. The other articles (151) focused on nexus applications to guide planning and decision support for resource allocation and policy formulation. Environment, climate, ecosystems, land, and socio-economics were other popular nexus dimensions, while waste and economy were considered to a lesser extent. Limitations associated with nexus applications included unavailability of data, uncertainties from data sources, scale mismatch and bias. The inability of nexus tools to capture the complex realities of WEF interactions is hindering adoption, especially for policy formulations and investment planning. Data limitations could be solved using a sound scientific basis to correct uncertainties and substitute unavailable data. Data gaps can be bridged by engaging stakeholders, who can provide local and indigenous knowledge. Despite the limitations, applying nexus tools could be useful in guiding resource management. Limitations associated with nexus applications included – investment planning. Plausible pathways for operationalising the WEF nexus are discussed.