This article contributes to the ongoing debate on the forms and characteristics of social investment policies and their potential trade-off with social security schemes by assessing developments of welfare spending profiles in 23 European welfare states in the 2000s. I argue that if a social investment turn has indeed occurred, it is not necessarily at the cost of the "old" compensatory policies. Instead, social investment policies and their relation to compensating welfare policies alter with regard to policies targeted at different life-stages and to the type of welfare regime. Therefore, the results attest to a path-dependent trend within the welfare regimes, the Nordic countries remaining clear forerunners both in terms of level and dynamics of social investment policies. European social investment strategies manifest mainly in policies targeting childhood and youth, while a trade-off between social investment and compensating policies is evident in working age policies to some degree.

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In this paper, we analyze gender and socioeconomic differences in the length of working lives and pension income in Finland. Based on internationally unique data covering 50 years of recorded information on individual employment histories and first-year old-age pension income of a cohort retiring in 2011, we trace life-time work histories and their relation to pension income with greater precision than previous studies. While gender and socioeconomic income differences in the lengths of working lives are modest, differences in pension income are more pronounced. The residence-based national pension targeted at those with no or only low earning-related pension accrual plays an important role in cushioning old-age income differences. The results suggest that unequal life-time earnings and occupational segregation remain main challenges for equalizing pension income in old age.

Summary This article demonstrates the potential of the disaggregated expenditure approach in comparative welfare state analysis by applying it for comparing patterns of welfare spending across 28 European countries. An initial factor analysis shows that welfare states differ primarily along their emphasis either on cash transfers for the elderly or on social services and cash transfers for the working-age population. European welfare states cluster along these two spending dimensions in a way that to a great extent coincides with the well-known delineation of welfare regimes based on institutional characteristics. Furthermore, the results attest to the emergence of a variety of welfare arrangements in the post-communist region, yet with a general orientation toward a Bismarckian or conservative model. The results of this analysis demonstrate that disaggregated welfare expenditure measures retain considerable importance in elucidating the realities of contemporary welfare policy.

Aim The introduction of the human papillomavirus (HPV) vaccine enables for the first time in the history of cancer prevention the possibility of combating the major cause of a cancer even before its onset. The secondary prevention measure of cervical cancer screening has thus been complemented by a primary prevention measure. The aim of this study is to analyse the determinants of uptake of preventive measures against cervical cancer as a basis for comparing the determinants of screening attendance with those of HPV vaccination attendance. Subject and methods A population-based representative survey comprising 760 randomly selected women aged 14 to 65 was performed in the German federal state of Mecklenburg-Western Pomerania. Prevention behaviour, attitudes towards cervical cancer screening and HPV vaccination, and knowledge about cervical cancer and HPV were investigated by means of a structured questionnaire. Descriptive analyses and multivariate logistic regression analyses were conducted to identify the determinants of screening and HPV vaccine uptake. Results Attendance both at screening and at HPV vaccination was best predicted by attitudinal factors. Positive connotations of cancer prevention measures and utility expectations, fear of cancer and high subjective risk perception were conducive to attendance at screening and HPV vaccination. Screening attendance was less regular among women of lower socioeconomic status. In contrast, HPV vaccination uptake was higher for young women with lower educational attainment and lower social class. Knowledge did not impact prevention behaviour significantly. There is no trade-off between screening and vaccination attendance; the vast majority of respondents was aware of the necessity of regular screening attendance even when vaccinated against HPV. Conclusions Uptake rates for existing primary and secondary prevention measures against cervical cancer can be enhanced by fostering perceptions of utility and positive connotations of regular screening and becoming vaccinated against HPV. Elderly women in particular should be encouraged to attend screening by means of a recall system. Given the low overall level of knowledge about cervical cancer and its risk factors, there is a need for education about the necessity and utility of prevention to reach women of all social classes.