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Health transition: The cultural, social and behavioural determinants of health in the Third World

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  • Caldwell, John C.

Abstract

The paper defines 'health transition' and outlines the development of recent research programmes. Evidence is reviewed as to the cultural, social and behavioural determinants of health in the Third World, and the extent to which they interact with the provision of health services in reducing mortality. Specific attention is given to the impact on mortality of education, and the historic experience of the now developed countries is compared with contemporary developing countries. Consideration is also given to the role of cultural factors and to radicalism, egalitarianism and the role of women in traditional society as well as fertility control and various forms of deleterious behaviour in contemporary society. The extent to which all these changes are facets of a single social transformation is discussed. Finally, the future of health transition research and its value for planned health interventions are summarized.

Suggested Citation

  • Caldwell, John C., 1993. "Health transition: The cultural, social and behavioural determinants of health in the Third World," Social Science & Medicine, Elsevier, vol. 36(2), pages 125-135, January.
    • Handle: RePEc:eee:socmed:v:36:y:1993:i:2:p:125-135
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    Cited by:

    1. Matthew Sanderson, 2010. "International Migration and Human Development in Destination Countries: A Cross-National Analysis of Less-Developed Countries, 1970–2005," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 96(1), pages 59-83, March.
    2. Adnan Fakir & M Khan, 2015. "Determinants of malnutrition among urban slum children in Bangladesh," Health Economics Review, Springer, vol. 5(1), pages 1-11, December.
    3. Borooah, Vani K., 2004. "Gender bias among children in India in their diet and immunisation against disease," Social Science & Medicine, Elsevier, vol. 58(9), pages 1719-1731, May.
    4. Frank Young, 2001. "Structural Pluralism and Life Expectancy in Less-Developed Countries: The Role of Women's Status," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 55(2), pages 223-240, August.
    5. Tolhurst, Rachel & Amekudzi, Yaa Peprah & Nyonator, Frank K. & Bertel Squire, S. & Theobald, Sally, 2008. ""He will ask why the child gets sick so often": The gendered dynamics of intra-household bargaining over healthcare for children with fever in the Volta Region of Ghana," Social Science & Medicine, Elsevier, vol. 66(5), pages 1106-1117, March.
    6. Foggin, Peter M. & Torrance, Marion E. & Dorje, Drashi & Xuri, Wenzha & Marc Foggin, J. & Torrance, Jane, 2006. "Assessment of the health status and risk factors of Kham Tibetan pastoralists in the alpine grasslands of the Tibetan plateau," Social Science & Medicine, Elsevier, vol. 63(9), pages 2512-2532, November.
    7. David P. Baker & William C. Smith & Ismael G. Muñoz & Haram Jeon & Tian Fu & Juan Leon & Daniel Salinas & Renata Horvatek, 2017. "The Population Education Transition Curve: Education Gradients Across Population Exposure to New Health Risks," Demography, Springer;Population Association of America (PAA), vol. 54(5), pages 1873-1895, October.
    8. Venkatanarayana Motkuri & Udaya S. Mishra, 2020. "Human Resources in Healthcare and Health Outcomes in India," Millennial Asia, , vol. 11(2), pages 133-159, August.
    9. Maria Laura Di Tommaso, 2006. "Measuring the well being of children using a capability approach An application to Indian data," CHILD Working Papers wp05_06, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY.
    10. Ryan Masters & Robert Hummer & Daniel Powers & Audrey Beck & Shih-Fan Lin & Brian Finch, 2014. "Long-Term Trends in Adult Mortality for U.S. Blacks and Whites: An Examination of Period- and Cohort-Based Changes," Demography, Springer;Population Association of America (PAA), vol. 51(6), pages 2047-2073, December.
    11. Borooah, Vani K., 2005. "The height-for-age of Indian children," Economics & Human Biology, Elsevier, vol. 3(1), pages 45-65, March.
    12. Saha, U.R., 2012. "Econometric models of child mortality dynamics in rural Bangladesh," Other publications TiSEM f734b639-9696-480e-96f0-8, Tilburg University, School of Economics and Management.
    13. Spicer, Neil J., 2005. "Sedentarization and children's health: Changing discourses in the northeast Badia of Jordan," Social Science & Medicine, Elsevier, vol. 61(10), pages 2165-2176, November.
    14. Saifuddin Ahmed & Andreea A Creanga & Duff G Gillespie & Amy O Tsui, 2010. "Economic Status, Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries," PLOS ONE, Public Library of Science, vol. 5(6), pages 1-6, June.
    15. Lauren Gaydosh, 2015. "Childhood Risk of Parental Absence in Tanzania," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1121-1146, August.
    16. Jon Anson, 2004. "The Migrant Mortality Advantage: A 70 Month Follow-up of the Brussels Population," European Journal of Population, Springer;European Association for Population Studies, vol. 20(3), pages 191-218, September.
    17. Borooah, Vani, 2009. "Maternal Literacy and Child Malnutrition in India," MPRA Paper 19833, University Library of Munich, Germany.
    18. Osmani, Siddiq & Sen, Amartya, 2003. "The hidden penalties of gender inequality: fetal origins of ill-health," Economics & Human Biology, Elsevier, vol. 1(1), pages 105-121, January.
    19. Adnan M. S. Fakir, 2016. "Revisiting the child health-wealth nexus," Health Economics Review, Springer, vol. 6(1), pages 1-13, December.
    20. Vani K. Borooah, 2002. "The Role of Maternal Literacy in Reducing the Risk of Child Malnutrition in India," ICER Working Papers 31-2002, ICER - International Centre for Economic Research.
    21. Lloyd-Sherlock, Peter, 2000. "Old Age and Poverty in Developing Countries: New Policy Challenges," World Development, Elsevier, vol. 28(12), pages 2157-2168, December.
    22. Jengher Chen, 2013. "Does Global Fertility and Cultural Transition Affect Human Development? The Neglected Role of the Demographic Transition," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 113(3), pages 941-971, September.
    23. Matthew Kelly & Lyndall Strazdins & Tarie D Ellora & Suwanee Khamman & Sam-ang Seubsman & Adrian C. Sleigh, 2010. "Thailand's work and health transition," International Labour Review, International Labour Organization, vol. 149(3), pages 373-386, September.
    24. Konstantinos N. Zafeiris, 2020. "Gender differences in life expectancy at birth in Greece 1994–2017," Journal of Population Research, Springer, vol. 37(1), pages 73-89, March.
    25. Grignon, Michel, 2008. "The role of education in health system performance," Economics of Education Review, Elsevier, vol. 27(3), pages 299-307, June.

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