Adolescent undernutrition is a persisting public health problem in low and lower middle income countries (LLMICs). Nutritional trajectories are complexly interrelated with socio-cultural and economic (SCE) trajectories. However, a synthesis of the SCE determinants or consequences of undernutrition in adolescents is lacking. We undertook a narrative review of published literature to provide a narrative overview of the SCE determinants and consequences associated with undernutrition among adolescents in LLMICs. We identified 98 articles from PubMed, SCOPUS, and CAB-Abstracts on determinants and consequences of undernutrition as defined by stunting, underweight, thinness, and micronutrient deficiencies. At the individual level, significant determinants included age, sex, birth order, religion, ethnicity, educational and literacy level, working status, and marital status. At the household level, parental education and occupation, household size and composition, income, socioeconomic status, and resources were associated with undernutrition. Only a few determinants at the community/environmental level, including residence, sanitation, school type, and seasonality, were identified. The consequences of adolescent undernutrition were mostly related to education and cognition. This review underscores the importance of the broad range of context-specific SCE factors at several levels that influence adolescent nutritional status and shows that further research on SCE consequences of undernutrition is needed.
This article examines pathways to adulthood among Dutch cohorts born in the second half of the nineteenth century. Although largely overlooked by previous studies, theory suggests that life courses of young adults born during this period were already influenced by a process of standardization, in the sense that their life courses became more similar over time. Using data from a Dutch registry-based sample, we examine household trajectories: that is, sequences of living arrangements of young adults aged 15-40. Our study shows that for successive cohorts, household trajectories became more similar. We identified six types of trajectories: early death, life-cycle service, early family formation, late family formation, singlehood, and childless but with partner. Overtime, early family formation gradually became the "standard" trajectory to adulthood. However, late family formation and singlehood, common pathways within the preindustrial western European marriage pattern, remained widespread among cohorts born in the late nineteenth century. Laboring class youths, farmers' daughters, young people of mixed religious background, and urban-born youngsters were the nineteenth century forerunners of a standard pathway to adulthood.
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Given the paucity of information on historical kin relations, this study uses survey data in order to investigate how different family forms influenced the size and composition of social networks and the relationships among elderly siblings born in farming families between 1903 and 1937 in three regions of the Netherlands. In the area with stem families, impartible inheritance, and a custom of neighbor help, social networks are largest and contain the most siblings. Multilevel analyses show that even when controlling for other factors, this particular family form positively affects contact frequency in sibling relationships. Our results not only show the persistence of differential kinship values, but since respondents' networks were linked back to their families of socialization in the early twentieth century, findings also reflect regional disparities in kin relations in the past.
This article investigates the determinants of kin marriage on the basis of a large-scale database covering a major rural part of The Netherlands during the period 1840-1922. We studied three types of kin marriage: first cousin marriage, deceased spouse's sibling marriage, and sibling set exchange marriage. Almost 2% of all marriages were between first cousins, 0.85% concerned the sibling of a former spouse, while 4.14% were sibling set exchange marriages. While the first two types generally declined across the study period, sibling set exchange marriage reached a high point of almost 5% between 1890 and 1900. We found evidence for three mechanisms explaining the choice for relatives as spouses, centering both on preferences and on opportunities for kin marriage. Among the higher and middle strata and among farmers, kin marriages were commonly practiced and played an important role in the process of social class formation in the late nineteenth century. An increased choice for cousin marriage as a means of enculturation was observed among orthodox Protestants in the Bible Belt area of The Netherlands. Finally, all studied types of kin marriage took place more often in the relatively isolated, inland provinces of The Netherlands. Sibling set exchange marriages were a consequence of the enlarged supply of same-generation kin as a result of the demographic transition.
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