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This chapter explores how notions of reciprocity shape new fiscal subjectivities in Ghana’s capital Accra. Drawing on historical sources, public debates and observations in public tax forums, I first discuss the long-term dynamics of ‘tax bargaining’ in Ghana since the colonial times, premised on power holders providing sufficient evidence of recipocity and return for tax payments. Secondly, this chapter provides a portrait of the intimate stakes of reciprocity between the state and citizens that characterize the process of becoming a taxpayer. By zooming in on the aspirations of a single female trader who went through the bureaucratic journey of formalizing her business and becoming a taxpayer, I propose the notion of the “nurturing state” to illustrate the intimate, personalized qualities of reciprocity that characterise emerging fiscal subjectivities in Ghana.
Climate change is already harming the health and well-being of children across the world. In this chapter, we emphasize the need to go beyond the focus on negative psychological responses to climate change and consider its much broader impacts on psychological health – including increasing rates of psychiatric disorders – that overwhelmingly have their origins early in life. This requires taking a developmental life course perspective. Viewed in this way, we show that climatic stressors can affect healthy development from conception onwards by operating with additive, interactive and cumulative developmental effects to increase mental health vulnerability across the life course. In the second part of the chapter, we discuss issues of measurement and emphasize the value of employing longitudinal and multimethod approaches. We conclude with a discussion of adaptation and response planning in the context of current global inequities.
Depression is a common mental health disorder that often starts during adolescence, with potentially important future consequences including ‘Not in Education, Employment or Training’ (NEET) status.
Methods
We took a structured life course modeling approach to examine how depressive symptoms during adolescence might be associated with later NEET status, using a high-quality longitudinal data resource. We considered four plausible life course models: (1) an early adolescent sensitive period model where depressive symptoms in early adolescence are more associated with later NEET status relative to exposure at other stages; (2) a mid adolescent sensitive period model where depressive symptoms during the transition from compulsory education to adult life might be more deleterious regarding NEET status; (3) a late adolescent sensitive period model, meaning that depressive symptoms around the time when most adults have completed their education and started their careers are the most strongly associated with NEET status; and (4) an accumulation of risk model which highlights the importance of chronicity of symptoms.
Results
Our analysis sample included participants with full information on NEET status (N = 3951), and the results supported the accumulation of risk model, showing that the odds of NEET increase by 1.015 (95% CI 1.012–1.019) for an increase of 1 unit in depression at any age between 11 and 24 years.
Conclusions
Given the adverse implications of NEET status, our results emphasize the importance of supporting mental health during adolescence and early adulthood, as well as considering specific needs of young people with re-occurring depressed mood.
Despite significant evidence that age is an important factor in homelessness, life course considerations have not been systematically incorporated into the most influential theories of the factors that heighten the risk of becoming homeless. To address this oversight, this article examines variations in the risk of transitioning into homelessness among single adults in Dublin, Ireland. Consideration is given to how these transitions are shaped by the interaction between life course stage and changing personal circumstances, experiences, and relationships. It reveals that while some triggers of homeless, such as leaving institutional or private rented accommodation, are common experiences among all age groups, younger and older adults both experience distinct patterns of transition into homelessness. This understanding can help to strengthen the traditionally weak evidence base for homelessness prevention strategies, and in particular inform the design of targeted measures, that address the specific homelessness risks faced by some age groups.
Translational science (TS) teams develop and conduct translational research. Academic TS teams can be categorized under three constituency groups: trainees and faculty, clinical research professionals (CRP), and community partners. Our study objectives were to define individual and team competencies of these three constituency groups during their career life course and determine relative importance and the level of mastery of each of the competencies needed at different stages of their life course.
Methods:
Each group was composed of experts for their constituency group. We applied individual and team competencies in TS teams by Lotrecchiano et al. (2020) as a starting point for structured expert discussions following a modified Delphi approach that we adapted based on the emergent needs and insights per constituency group.
Results:
The degree of relevance and level of mastery for individual and team competencies varies for trainees and faculty members across the career life course based on opportunities provided and relative importance at that career stage. However, CRPs enter TS teams at various career stages with fundamental, skilled, or advanced levels of smart skills that may or may not be contextual to their role. Community partners equally possess and develop competencies in a non-linear and contextual fashion that are required to facilitate constructive, bi-directional collaboration with other members of TS teams.
Conclusions:
Team science competencies across the career life course do not develop linearly among different constituency groups and require an adaptive framework to enhance TS team effectiveness.
Epidemiologic research has increasingly acknowledged the importance of developmental origins of health and disease (DOHaD) and suggests that prior exposures can be transferred across generations. Multigenerational cohorts are crucial to verify the intergenerational inheritance among human subjects. We carried out this scoping review aims to summarize multigenerational cohort studies’ characteristics, issues, and implications and hence provide evidence to the DOHaD and intergenerational inheritance. We adopted a comprehensive search strategy to identify multigenerational cohorts, searching PubMed, EMBASE, and Web of Science databases from the inception of each dataset to June 20th, 2022, to retrieve relevant articles. After screening, 28 unique multigenerational cohort studies were identified. We classified all studies into four types: population-based cohort extended three-generation cohort, birth cohort extended three-generation cohort, three-generation cohort, and integrated birth and three-generation cohort. Most cohorts (n = 15, 53%) were categorized as birth cohort extended three-generation studies. The sample size of included cohorts varied from 41 to 167,729. The study duration ranged from two years to 31 years. Most cohorts had common exposures, including socioeconomic factors, lifestyle, and grandparents’ and parents’ health and risk behaviors over the life course. These studies usually investigated intergenerational inheritance of diseases as the outcomes, most frequently, obesity, child health, and cardiovascular diseases. We also found that most multigenerational studies aim to disentangle genetic, lifestyle, and environmental contributions to the DOHaD across generations. We call for more research on large multigenerational well-characterized cohorts, up to four or even more generations, and more studies from low- and middle-income countries.
Cardiovascular diseases (CVDs) are a major health concern for women. Historically there has been a misconception that men are at greater risk because CVD tends to occur earlier in life compared to women. Clinical guidelines for prevention of heart disease are currently the same for both sexes, but accumulating evidence demonstrates that risk profiles diverge. In fact, several CVD risk factors confer an even greater risk in women relative to men, including high blood pressure, obesity, diabetes and raised triglycerides. Furthermore, many female-specific CVD risk factors exist, including early menarche, pregnancy complications, polycystic ovary syndrome, reproductive hormonal treatments and menopause. Little is known about how diet interacts with CVD risk factors at various stages of a woman’s life. Long chain (LC) n-3 polyunsaturated fatty acid (PUFA) intakes are a key dietary factor that may impact risk of CVD throughout the life course differentially in men and women. Oestrogen enhances conversion of the plant n-3 PUFA, alpha-linolenic acid, to LCn-3 PUFA. Increasing the frequency of oily fish consumption or LCn-3 PUFA supplementation may be important for reducing coronary risk during the menopausal transition, during which time oestrogen levels decline and the increase in CVD risk factors is accelerated. Women are under-represented in the evidence base for CVD prevention following LC n-3 PUFA supplementation. Therefore it is not clear whether there are sex differences in response to treatment. Furthermore, there is a lack of evidence on optimal intakes of LC n-3 PUFA across the lifespan for CVD prevention in women.
This study assesses the relationship between adverse childhood experiences (ACE) occurring before the age of 18 years and patterns of fast-food consumption and sugary beverage consumption in adulthood. The study also examines how perceived stress and socio-economic status (SES) (college educational attainment and income) in adulthood mediate this relationship.
Design:
Using data from the National Longitudinal Study of Adolescent to Adulthood Health (N 8599), multinomial logistic regression analyses were carried out to assess the association between ACE and unhealthy dietary behaviours in adulthood. Karlson–Holm–Breen mediation analysis is used to determine the mediating effects of SES and perceived stress.
Setting:
Persons living in the USA in 2016–2018.
Participants:
Adults (n 8599) aged 33–44 years.
Results:
The findings show an association between four or more ACE and high fast-food (relative risk ratio (RRR) = 1·436, 95 % CI = 1·040, 1·983) and high sugary beverage consumption (RRR = 1·435, 95 % CI = 1·002, 2·055). The association between ACE and high fast-food consumption is partially mediated by college educational attainment, and the association between ACE and high sugary beverage consumption is partially mediated by perceived stress and college educational attainment.
Conclusions:
ACE can have long-term consequences for unhealthy dietary behaviours in adulthood, and this relationship is partially due to a lower likelihood of higher perceived stress and college educational attainment among ACE-exposed persons. Future research is needed to understand further the influence of ACE on dietary patterns over the life course.
Old English poems frequently present death and deathlike states as synonymous with a loss of strength and social usefulness. Given the omnipresence of death in the corpus, this chapter explores a broader range of texts than previous chapters, but it focuses particularly on poems concerned with cosmic order and disorder: wisdom catalogues – including The Fortunes of Men, Maxims I and II, and Solomon and Saturn II – and poetry on Doomsday, especially Christ in Judgement and Judgement Day II. All these texts suggest death’s resemblance to dormant physical states which ostensibly belong to the living, such as sleep and drunkenness, attributing a strangely lively quality to the condition of death itself. Death emerges as a true part of the life course, not purely in terms of continued social identity, but continued embodied experience – physically, it is marked by the kind of restriction and uselessness which accompany sleep and drunkenness, suggesting a kind of spectrum of usefulness and wastefulness which cuts across life and death.
Old English poetry sometimes suggests that normative life phases are experienced by each person in the same way, but it also disrupts this idea, directing our attention to the contingencies, surprises, and sudden shifts which shape each person’s life course. This study’s introductory chapter advances this central argument and establishes the literary-critical scope of the wider monograph. It also provides a theoretical grounding in sociological and philosophical approaches to the life course, as well as the theories of the nonhuman which inform this study’s inclusion of narratives of the lives of objects, animals, and other natural phenomena in its discussion of human ageing – illustrated by a case study of the ‘oyster’ riddle of the Exeter Book (Riddle 74). Relevant material-cultural and linguistic contexts are then surveyed, and the structure of the rest of the book outlined.
When the Riddles of the Exeter Book depict early life in the world, they show a striking lack of interest in birth imagery – rather than focusing on a moment of parturition (like many aenigmata in the Latin tradition), these texts instead present early life as a time of gradual growth, contingent on continued care provided by others. To contextualise these scenes in the Riddles, this chapter considers other Old English poems such as The Fortunes of Men, contemporary embryological thought, prose accounts of the ages of man and the world, and plastic art, including carved scenes of animals nurturing their young on an eleventh-century baptismal font and the depiction of Romulus and Remus on the Franks Casket. In the chapter’s later stages, it stresses another kind of transformation as the riddle-creatures take up a variety of social roles, frequently involving the perpetration, witnessing, and suffering of violence.
Medieval and modern accounts of old age are notable for the sheer abundance and diversity of the characteristics they identify. This chapter contemplates how contrasting qualities associated with old age actually connect in Old English poetry, dwelling particularly on the relationship between wisdom and sorrow, and introducing a new theoretical framework in the form of trauma theory. It points out the considerable presence of aged poets in the corpus, focusing particularly on Beowulf and Cynewulf’s epilogues. These texts stress that living into old age inevitably constitutes a kind of survival, one which involves witnessing destruction and terrible losses. The subsequently heightened intellectual, verbal, and creative capacity of the elderly sometimes resembles a kind of post-traumatic growth as understood within trauma theory. The parts of old age that are broadly positive (especially wisdom) and those that are negative (grief and loss) therefore emerge as inseparable.
Constructions of adulthood tend to be under-studied and under-theorised. In the face of this challenge, this chapter focuses on three vernacular verse hagiographies – commonly known as Guthlac A, Juliana, and Andreas – as well as Judith, which centres on a deuterocanonical Old Testament figure. In different ways, these poems all depict maturity as associated with increased social usefulness. Masculine youthful waywardness seems to be more of a source of interest to poets than similar behaviour in women, but it is an underappreciated quality of Old English poetry that unruly youth in women is represented; in particular, St Juliana rebels against societal expectations in a manner that is explicitly linked with her youth. Nonetheless, the seemingly later poems, Andreas and Judith, both problematise – in different ways–the idea that growth through adulthood is always, or even commonly, a linear, teleological drive towards physical and intellectual excellence.
Summarising this study’s findings, this concluding chapter explores a little-discussed and much-maligned text in their light: the relatively late, formally innovative, and greatly enigmatic Rhyming Poem of the Exeter Book. This poem is known for its apparently disorganised structure and ambiguous subject matter, moving rapidly between human and nonhuman referents, and operating on both a microcosmic and macrocosmic level. Yet The Rhyming Poem gains a great deal of clarity when approached as an articulation of a human life course, blurring with that of the world itself. Drawing on arguments built throughout the book, this final chapter sets out a new account of the poem, finding more coherence to its structure than scholars have previously detected, and pointing particularly to key connections between form and content in the poet’s bold use of rhyme to accentuate the sudden shifts and transformations of the life course.
In the first book-length study of the whole lifespan in Old English verse, Harriet Soper reveals how poets depicted varied paths through life, including their staging of entanglements between human life courses and those of the nonhuman or more-than-human. While Old English poetry sometimes suggests that uniform patterns shape each life, paralleling patristic traditions of the ages of man, it also frequently disrupts a sense of steady linearity through the life course in striking ways, foregrounding moments of sudden upheaval over smooth continuity, contingency over predictability, and idiosyncrasy over regularity. Advancing new readings of a diverse range of Old English poems, Soper draws on an array of supporting contexts and theories to illuminate these texts, unearthing their complex and fascinating depictions of ageing through life. This title is part of the Flip it Open Programme and may also be available Open Access. Check our website Cambridge Core for details.
We examined the association between food insecurity and positive childhood experiences (PCE).
Design:
Outcome measure was number of PCE and seven PCE constructs. Food insecurity was assessed with a three-category measure that ascertained whether the respondent could afford and choose to eat nutritious food. We then used bivariate and multivariable Poisson and logistic regressions to analyse the relationship between food insecurity and the outcome measures. The analyses were further stratified by age (≤ 5, 6–11 and 12–17 years).
Setting:
The National Survey of Children’s Health (NSCH) from 2017 to 2020, a nationally representative sample of children and adolescents in the USA.
Participants:
Parents/caregivers who reported on their children’s experiences of PCE and food insecurity from the 2017–2020 NSCH (n 114 709).
Results:
Descriptively, 22·13 % of respondents reported mild food insecurity, while 3·45 % of respondents reported moderate to severe food insecurity. On multivariable Poisson regression analyses, there was a lower rate of PCE among children who experienced mild (incidence rate ratio (IRR) = 0·93; 95 % CI 0·92, 0·94) or moderate/severe food insecurity (IRR = 0·84; 95 % CI 0·83, 0·86) compared with those who were food secure. We found an inverse relationship between food insecurity and rate of PCE across all age categories.
Conclusions:
Our study finding lends evidence to support that interventions, public health programmes, as well as public health policies that reduce food insecurity among children and adolescents may be associated with an increase in PCE. Longitudinal and intervention research are needed to examine the mechanistic relationship between food insecurity and PCE across the life course.
Older brain age – as estimated from structural MRI data – is known to be associated with detrimental mental and physical health outcomes in older adults. Social isolation, which has similar detrimental effects on health, may be associated with accelerated brain aging though little is known about how different trajectories of social isolation across the life course moderate this association. We examined the associations between social isolation trajectories from age 5 to age 38 and brain age assessed at age 45.
Methods
We previously created a typology of social isolation based on onset during the life course and persistence into adulthood, using group-based trajectory analysis of longitudinal data from a New Zealand birth cohort. The typology comprises four groups: ‘never-isolated’, ‘adult-only’, ‘child-only’, and persistent ‘child-adult’ isolation. A brain age gap estimate (brainAGE) – the difference between predicted age from structural MRI date and chronological age – was derived at age 45. We undertook analyses of brainAGE with trajectory group as the predictor, adjusting for sex, family socio-economic status, and a range of familial and child-behavioral factors.
Results
Older brain age in mid-adulthood was associated with trajectories of social isolation after adjustment for family and child confounders, particularly for the ‘adult-only’ group compared to the ‘never-isolated’ group.
Conclusions
Although our findings are associational, they indicate that preventing social isolation, particularly in mid-adulthood, may help to avert accelerated brain aging associated with negative health outcomes later in life.
This chapter describes some of the issues to be considered when dealing with longitudinal data. Longitudinal data can be defined as data gathered on a set of units over multiple time periods. Longitudinal data can be collected either prospectively or retrospectively, and data can be either qualitative or quantitative. Different ways of deriving repeated observations generate the three main types of longitudinal design: repeated cross-sectional surveys, panel surveys, and retrospective surveys. The world of longitudinal research is thus very heterogeneous. This chapter provides both a summary of advantages and disadvantages of each longitudinal design and some guidelines for authors and researchers.
Chapter 9 examines how the lifestyles of the Love Jones Cohort shape their decision-making when it comes to choosing a neighborhood and how they interact with their neighbors. The choices the Cohort members make as partner- and child-free individuals are of great relevance in terms of understanding the present situation and future direction of the Black middle class. Aside from affordability, Chapter 9 discusses several factors the Love Jones Cohort consider when selecting a neighborhood, including racial composition, safety (physical and psychological), amenities, sense of community, and neighborhood demographics. Chapter 9 shows that even if they were not consciously making their neighborhood choices based on their membership in the Love Jones Cohort, it plays a key role in how they view their residential options. Generally, the Love Jones Cohort are largely unconcerned with how their neighbors regard them; yet they express how they are subject to psychological pressures related to race, class, gender, and their single status.
Discussion of the implications of precarious work for individual workers remains hesitant and often confused. A clear conceptualisation would separate out five analytical levels: precariousness in employment, precarious work, precarious workers individually and as an emerging class, and precarity as a general condition of social life. To illustrate the need to avoid slippage between the concepts of precarious work and precarious workers, we present one ‘theory-relevant’ example – full-time secondary school students in Australia who hold part-time jobs in the retail sector. Their part-time jobs are indeed precarious but the negative effects on the student-workers are modest, both because participation in precarious work is limited (moderate weekly hours and intermittent work within the framework of a brief stage of the life course) and because many (though not all) of the associated risks are cushioned by structural forces such as access to alternative income sources and career paths. At the same time, however, a longitudinal perspective reveals that the same group of student-workers faces major risks in the future, as a result of increasingly insecure labour markets. Reflections on this example help to identify conceptual tools that can be applied to a wide range of other examples of precarious work.