Postmenopausal function in context: biocultural observations on Amish, neighboring non-Amish, and Ifugao household health.

Ecological approaches to female post-reproductive function must consider the social context and microenvironment of the household. A model integrating these environmental factors into the analysis of late-life well-being (operationally defined as household health) is presented and explored in three settings: an Old Order Amish community, the neighboring community of non-Amish, and an Ifugao community in the Philippine highlands. Intensive interview and observation of function were completed in a sample of at least 25 households in each community. The complex interaction of social and biological factors is explored in case studies and through multiple regression analysis with household health as the dependent variable. The results emphasize the importance of social support and assessing capabilities within the household. The results also suggest the need for natural field observation of work to better understand the influence of pacing and scheduling, necessity of work, and the role of environmental modification in postmenopausal function.

Mapping toxin exposure risk due to children's play: a case study.

During the 1920's and 1930's, a Niagara County, New York residential community, Belden Center, developed in tandem with two adjacent toxic waste disposal sites. During the period that they were in use, both sites were classified as public health hazards. Particularly between 1944 and 1979, as toxins were deposited, neighborhood children swam and played throughout the industrial waste sites. By reference to a large-scale map of the dumps, present residents described locations and types of play during their childhood. Assuming that a child would play away from home between 8 and 19 years of age, this allowed identification of cohorts that used the sites during different periods. An outcome map showing sites, dates, and types of play is the primary product of this investigation. More boys than girls played in the dumpsites, and we identified a subsample that did not use them for play. We conclude that children's play should be considered a major source of risk where communities lie next to toxic waste sites.

The China Productivity Project: results and conclusions.

Experiments were conducted to determine what factors cause variation in individual work output (economic productivity). Forty-five young male Chinese cycle haulers from Beijing were assessed for physiological work capacity, size and body composition, health, nutritional status, cold resistance, household social environment, and motivation. Experiments were conducted in the laboratory as well as under actual working conditions; ethnographic observations were made in the household and on the job during the Beijing winter of 1992. Overall work motivation correlated to actual monthly distance/load measures of productivity the most strongly (r = 0.518), followed by physiological capacity estimated by heart rate:speed ratio during field experiments (r = -0.473). Alcohol consumption (a negative factor), household health, and carbohydrate intake were all moderate predictors. Maximum oxygen uptake showed lower correlation (r = 0.261), and among anthropometric values only relatively long lower legs were predictive (r = 0.298). Since many of these variable categories were relatively independent of each other, multiple regression analysis showed that together they explained 61.6% of the work output variance. Simultaneous prediction by FASEM (LISREL) is also very strong.

An universal model of health and work output: theoretical structure and testing strategy.

The model proposed in this paper presents a broad range of factors to predict individual human work output. The predictors include aerobic capacity, body size, motivation, work pattern, social environment and social network, caloric intake, drug and alcohol use, stress resistance and thermoregulation. Health is a major intervening variable, and its relationship to work output is a special concern of this research. We suggest that this model may be used as a template to explain human productivity in most societies. Its universality can be subjected to rigorous testing in a range of settings from tropical upland swidden horticulturalists to urban workers in a northern industrialized country. Observations are offered on some of those testing sites and on methodological issues implicit in research of this breadth. A major pilot study of urban Chinese workers has already demonstrated the predictive power of the model in one setting.

Biocultural approaches to health and mortality in an Old Order Amish community.

The assumption that Amish cultural value of cooperation leads to greater longevity, prosperity and well-being among elders was examined using historical demographic and ethnographic analysis in a conservative Old Order Amish community. Migration, fertility, mortality and morbidity data since 1948 were used to identify population structure. The population pyramid in the Amish community (3% of the population over age 60, compared to 18% of the neighboring non-Amish rural area) is largely determined by natural fertility with low infant mortality. Household ethnography explored health beliefs, access to health care, caregiving patterns, and economic strategies. The perception that community cooperation and altruistic behavior were of benefit to Amish health is supported by mortality rates. Amish age standardized death rates were 19% below the US death rate in 1960. Migrating to form new communities and selectively utilizing acute (but not preventive or public) health care services, emerged as strong cultural patterns that facilitate reproductive success among the Amish.

Work performance of Chinese cycle haulers: controlled field experiments in normal work conditions.

Forty-five male Chinese cycle haulers performed a controlled field experiment under mild winter conditions. The objective was to gain insight into factors that affect work performance. Each man hauled the same 481-kg load around a Beijing street course of 14.18 km. The experiment was a measured sample of the same work they do routinely, on the same roads, using similar human powered hauling cycles (modified only enough to carry observers and instruments). The course was completed at a mean speed of 10.4 kph and mean time of 84.2 min. While there was considerable variation in individual pace and in pace change during work, the haulers performed at relatively high output in reference to their capacities. Mean heart rate was 156.8 +/- 16.1 bpm, 83.9% of maximum. The men had average body build and were average in size for the general Chinese population (X stature = 169.7 cm) although they showed relatively high aerobic capacity (determined in laboratory tests). Performance levels during experiments appear to match habitual work patterns, and self-pacing emerged as a major behavioral finding of this research. Speed, a primary index of job performance, showed significant correlation to heart rate, VO2max, variation in windchill, self-reported health and other variables, with a multiple regression coefficient of 0.811. Similar patterns were seen for heart rate relative to speed, except that physical size, education, and other behavioral variables were also predictors.