Academic literature on the topic 'Population aging – economic aspects – united states'

<p><strong>Abstract.</strong> The topic of shrinking cities has been one of the most important urban issues in the past three decades. Couch and Cocks (2013) reviewed studies on the outcomes of recent shrinking cities: (1) rapid out-migration from post-socialist countries such as the movement from East Germany to West Germany in the 1990s; (2) economic -decline as an additional trigger for out-migration such as in old industrial areas in Northern England and the Rust Belt of the United States; and (3) rapid demographic changes such as low fertility and longevity-led ageing of the society leading to shrinking regions in the European countries and Japan. Although many studies have been conducted in East Germany, the old industrial cities, and the aging European countries (Nordvik and Gulbrabdsen 2009, Hoekstra et al. 2018, Hollander 2018), little is known about shrinkage in Japanese cities. Over recent decades, the debates on shrinking cities have been widely studied; these studies can be classified into three categories: (1) studies to understand the background reasons that caused shrinkage, (2) those to analyze the effects or outcomes of shrinkage (e.g., increase in housing vacancies or vacant lots, growth of crime rate or political challenges), and (3) those to propose policy implications or practical solution strategies to overcome shrinkage (Hollander and Nemeth 2011).</p><p>First, Hollander (2018) and other studies identified the relationship between the neighborhood life cycle (Hoover and Vernon 1959, or studies by the Chicago schools) and urban shrinkage, with regards to old industrial cities such as those in the Rust Belt of the United States and erstwhile mining towns in North England. Hoover and Vernon (1959) proposed that a neighborhood follows a five-stage cycle, comprising the stages of development, transition, downgrading, shrinkage, and renewal; this five-stage model is linked to the discriminative housing policies from the 1930s until the 1970s in the United States (Metzger 2000). In addition to these neighborhood cycles, other factors such as economic decline, outmigration and population loss, demographic changes (Nordvik and Gulbrabdsen 2009, Couch and Cocks 2013), social transition, globalization and neo-liberalization have transformed housing, welfare, and family relations in many countries (Yui et al. 2017, Ronald and Lennarts 2018). In East Germany, housing oversupply during the post-socialist shrinking periods acted as a catalyst to form a new residential segregation pattern in Leipzig (Grobmann et al. 2015). Some neighborhood conditions can lead to an increase in the number of housing abandonments or long-term housing vacancies in specific neighborhoods, as demonstrated by various studies mentioning oversupply of housing during the housing bubble periods and longitude low demand neighborhoods in the United States (Molloy 2016), the high ratio of poverty (Immergluck 2016), and the conditions of the surrounding neighborhoods (Morckel 2014). Second, the population loss caused by massive out-migration and a rise in housing abandonment or housing vacancies were the most common outcomes of urban shrinkage. Out-migration was triggered by the movement to seek better job opportunities or quality of life, urban life cycles with growth and decline (Couch and Cocks 2013), and the longitudinal decline process of population (Alves et al. 2016). Nordvik and Gulbrandsen (2009) analyzed aging-led shrinkage with a case study in Norway and found a spatial characteristic of shrinkage that occurs more often in suburbs than in city-centers, and the positive relation between the rise in the vacant property ratio and an increase in the elderly population in a region. The out-migration of the younger generation, arising from the desire to move away from parental homes in suburbs, and the deaths among the parental generation that have occurred in the last 30 to 50 years have led to a gradual increase in vacant housing in the suburb in Norway (Nordvik and Gulbrabdsen 2009). Apparently, the Japanese suburban neighborhoods have experienced the rise in housing vacancies and ageing population through the similar mechanism with that in Norway, but the reality and spatial patterns of shrinking-related problems vary reflecting the urban and housing policies, housing market characteristics, and embedded relationship between housing and family in society. According to Couch and Cocks (2013), the rise in housing vacancies in a region arises due to several factors, as follows. The first factor is that of short-term vacancies for which there is no demand in the local housing market; this issue can be resolved through public intervention in terms of reinvestment in inner-city social housing, such as in the United Kingdom in the 1980s. The second factor is that of oversupply of housing as compared to the housing demand in a region; this is caused by lower satisfaction among residents in their residential environment or inequality in public investment and access to private financial resources by local residents. Moreover, shrinking cities with a high ratio of long-term housing vacancies tend to experience an increase in crime such as burglary. This is because the rise in housing vacancies causes a decline in neighbourhood vitality required to protect social disorder; vacant housing is used to store stolen goods or sell drugs, and there is a “broken window effect” with regard to abandoned housing vacancies (Jones and Pridemore 2016).</p><p>There have recently been more meaningful discussions on how to handle the problems of shrinking cities. As Hoekstra et al. (2018) mentioned, there have been two main approaches in these discussions: one approach has focused on increasing the population in shrinking cities again, whereas, the other accepts longitudinal shrinkage patterns and aims to increase the quality of life of present and future residents (Hollander and Nemeth 2011). The former approach advocates entrepreneurial policies to attract new residents, resulting in an increase in inequality within a region, unsold housing, and a lack of affordable housing (Hoekstra et al. 2018). The latter approach employs methodologies such as selective demolition of abandoned housing to control the housing stock of a region, promoting down-sizing or right-sizing to meet the changes in the housing demands of residents, or densification of urban buildings to recreate walkable neighborhoods (Hoekstra et al. 2018). Hollander and Nemeth (2011) proposed smart decline strategies based on the concept of social justice, with an emphasis on the following aspects: accepting voices from diverse actors, utilizing different types of technology to share information about citizens to problematize uneven power structure, transparent decision-making processes with clear evaluation, and paying attention to the scale of decision making (e.g., the total planning burden is shared among regional levels, and the required interventions are conducted at local levels). Compared to the rich accumulation of literature on shrinking cities in Western countries, the Japanese situation has not been discussed sufficiently and there is an absence of strategies to resolve the issues in Japan. Research on shrinkage and housing has clarified that factors related to housing, welfare, and family relations are embedded in the social fabric, and the relationships vary by region or by country (Ronald and Lennerts 2018). Therefore, it is necessary to obtain deeper understanding of the housing challenges in shrinking and aging Japanese cities. The present study aims to review the above-mentioned three categories of shrinking city debates in Japan, to propose practical countermeasures for shrinking and aging Japanese cities. First, we review the reasons that caused the shrinkage in Japanese cities. Second, we analyze the increase in housing vacancies as an outcome of this shrinkage. Third, we examine the political countermeasures that have been adopted in Japan and evaluate their efficacy in the Japanese situation. Finally, through these analyses, we propose policy implications to deal with the problems of aging and shrinking cities in Japan. The major findings of the study are as follows: First of all, existing systems that had been established during the economic and urban growth periods of Japan are not suitable to address the new demands of the shrinking and aging era. Therefore, a great divide in terms of residential environments has occurred within a metropolitan area or between cities. Lesser access to financial resources to reinvest in old suburban neighborhoods or local cities accelerates the divide or inequality in terms of residential environments. Second, an increase in housing vacancies can decrease the quality of life of older adults in these shrinking neighborhoods. Third, these problems could be resolved by adopting a strategy of smart decline, with selective investment to control housing stock, and by accepting aging in place in shrinking neighborhoods. We discuss the challenges in implementing these possible solutions in Japanese cities.</p>

Abstract The United States is experiencing rapid aging and increasing racial and ethnic diversity. Nevertheless, political rhetoric about immigrants has stoked negative assumptions and beliefs adding to fear and cultural misperceptions. Among those most affected are people of Hispanic/LatinX ethnicity, who comprise approximately 18% of the population. To address negative stereotypes, we sought to test how framing affected attitudes about Hispanic/LatinX immigrants and how people in different generations across the political spectrum respond to framing. As part of the “Latinos and Economic Security (LES),” a national research project funded by the Ford Foundation, we launched the “Well Being 501 Latino Economic Security” survey through the American Life Panel of RAND Corporation in 2018. Before answering the survey questions, participants (n=739) were randomly assigned to three different conditions: a 100-word priming statement focused on Hispanic/LatinX work ethic/religiosity/patriotism (33.29%), a 100-word priming statement focused on justice/equity/fairness (32.75%), and a control group with no priming statement (33.96%). We used multiple linear regression to examine relationships among demographic variables, age, political affiliation, and priming statements and attitudes toward Hispanic/LatinX immigrants. Key findings include: 1) age, political affiliation, education level, race and ethnicity, and gender explained 47.5% of the variance in attitudes; 2) baby boomers and generation X were significantly less tolerant of Hispanic/LatinX; 3) priming statements played a salient mediating role in neutralizing negative attitudes. By employing a developmental perspective, we proposed six recommendations from the aspects of reframing policy narrative and developing educational programs targeted at improving attitudes toward Hispanic/LatinX immigrants.

Abstract Background In recent years, China's per capita income has reached the upper limit of developing countries and is about to become a high-income country. However, with the acceleration of China's aging process and the deepening of the technology embargo against the United States, some studies show that China's economic growth has slowed down. Academia began to explore whether China has fallen into the middle-income trap, and tried to explore the middle-income trap from the perspective of psychosocial reconstruction. Theme and Methods Under the background of China entering the era of monopoly economy, this paper analyzes the aging population, the polarization between the rich and the poor, and the guidance and control of vested interest groups on China's economic slowdown. This paper uses the neoclassical economic model to explain the middle-income trap. At the same time, this paper studies the impact of income changes on the emotional regulation of middle-income families. This study refers to the existing literature and adopts the emotion regulation scale to select eight emotions: happiness, love, satisfaction, anger, anxiety, tension, frustration and helplessness. The first three are positive emotions and the last five are negative emotions; Using Likert's 5-point rating method, give a rating of 1-5 points from “never” to “always”. The higher the score, the higher the frequency of experiencing the emotion in classroom teaching. In this study, the 0 coefficients of positive emotion and negative emotion were 0.83 and 0.80 respectively. Results The vested interest groups represented by monopoly groups no longer carry out technological innovation under the constraint of unable to obtain foreign advanced technology, but strive to make use of institutional defects, or even create institutional defects. They guide public opinion and exercise psychological and social control over government officials and the public, which is beneficial to them and safeguard and strengthen their own economic interests. The study found that the main reason for China's economy falling into the middle-income trap is the adverse impact of vested interest groups on economic development in terms of system and social psychology. As the economy enters the era of monopoly, this impact has changed from positive to negative. Through the research, we found that when the ownership income changes, the emotion and behavior will also change to the corresponding positive stage and depression level. Therefore, we can think that groups with high internal psychological capital can alleviate the psychological pressure, anxiety and depression brought by psychological capital to a great extent through their own psychological quality. Farmers with high level of individual psychological capital are relatively less affected by family factors, work and life, traffic safety, their own health and future fear. Farmers with high level of psychological capital can better deal with the impact of family factors. They are full of hope for the future, optimistic about life and less worried about the impact of life. Conclusion This paper points out the institutional risk factors faced by China's middle-income trap, and puts forward some suggestions on how to reform China's middle-income trap: reposition the government function from promoting economic construction to night watchman function; Reform the income distribution system in the aspects of inheritance tax, gift tax and real estate tax as soon as possible; Establish a rule of law economy, effectively protect intellectual property rights, implement anti-monopoly laws and anti-monopoly measures as soon as possible, reform the current system, reshape social psychology, and strengthen inter provincial political and economic exchanges and communication. With the further reform of China's current system, especially the real establishment of a society ruled by law and the further development of democratic politics, China's economy will cross the middle-income trap. Acknowledgements Supported by a project grant from Shandong Provincial Bureau of Statistics: Research on the current situation and Countermeasures of high-quality development of private economy in Shandong Province under the background of the transformation of old and new kinetic energy SDJJPC15.

In the coming decades, the most powerful states in the international system will face a challenge unlike any experienced in the history of great power politics: significant aging of their populations. Global aging will be a potent force for the continuation of U.S. economic and military dominance. Aging populations are likely to produce a slowdown in states' economic growth at the same time that governments will face substantial pressure to pay for massive new expenditures for elderly care. This economic dilemma will create such an austere fiscal environment that the other great powers will lack the resources necessary to overtake the United States' huge power lead. Moreover, although the U.S. population is growing older, it is doing so to a lesser extent and less quickly than all of the other major actors in the system. Consequently, the economic and fiscal costs created by social aging—as well as their derivative effects on military spending—will be significantly lower for the United States than for potential competitors. Nevertheless, the United States will experience substantial new costs created by its own aging population. As a result, it will most likely be unable to maintain the scope of its current international position and will be less able to realize key international objectives, including preventing the proliferation of weapons of mass destruction, funding nation building, and engaging in military humanitarian interventions.

The scope of this paper is limited to an overview of mutilingualism in the U.S. from 1980 to the present. During this period, discussions of language diversity in the U.S. have been largely dominated by an effort to exert the hegemony of English. This effort has been brought on by changes in the demographic makeup of the U.S. population and supported by a commonly held belief that the economic strength of the U.S. in the international sphere is declining. A dramatic increase in the number of immigrants from Central and South America and the Pacific Rim, coupled with increasing economic competition from industrialized European and Asian nations, has resulted in widespread support for the exclusive use of English in the U.S. This emphasis on English is seen as a way to minimize the threat of the “foreign” influences that are believed to be undermining both the internal unity of the U.S., and its economic world dominance. Whereas nativism is nothing new in the U.S., its current intensity has been fueled by global aspects of migration and economic trade.

This essay provides an overview of immigration from Latin America since 1960, focusing on changes in both the size and composition of the dominant streams and their cumulative impact on the U.S. foreign-born population. We briefly describe the deep historical roots of current migration streams and the policy backdrop against which migration from the region surged. Distinguishing among the three major pathways to U.S. residence – family sponsorship, asylum, and unauthorized entry – we explain how contemporary flows are related both to economic crises, political conflicts, and humanitarian incidents in sending countries, but especially to idiosyncratic application of existing laws over time. The concluding section highlights the importance of investing in the children of immigrants to meet the future labor needs of an aging nation.

The extent of demographic changes in Europe is much more drastic than in the United States. This paper studies the effects of population aging on the interactions between economic growth and living standards in Europe with labor market and pension reform, behavioral adaptations, and international capital flows. Our analysis is based on an overlapping generations model with behavioral reactions to reform which is extended to the multi-country situation typical for Europe. While the negative effects of population aging on growth in Europe can in principle be compensated by reforms and economic adaptation mechanisms, they may be partially offset by behavioral reactions.

A qualitative study was designed as an attempt to overcome the limitations of previous studies of successful aging, which included biased sample population, ignorance of subjective perception of successful aging, and a restrictive definition. The purpose of this study was to explore older immigrants’ perceptions toward successful aging and to indicate the important predictors to determine successful aging. In addition, this study aimed to identify significant factors influencing willingness to become successful agers among older immigrants in the United Sates. The research design was a cross-sectional key informant interview. One hundred and two (N=102) older Koreans in Los Angeles, CA, participated in this study. Interestingly, their children’s successful life was one of the heavily influential factors to become a successful ager among them. Implications are directed to social work researchers and practitioners to help educate the ethnic older adults in the community on the social and behavioral importance of the positive aspects of aging such as successful aging and healthy aging to increase the chance of longevity.

Summary AbstractThe book identifies the three distinct but related aspects of Educational Gerontology, specifically, educational opportunities for older people, education about aging for the general population, and education of professionals and para-professionals who work with the elderly. The first aspect, education for older people—including pre-retirement preparation—is emphasized. The volume has an international character with contributions from Britain, the United States, Denmark and Canada.

Major population shifts shape both economic and physical landscapes of nations because demographic and economic drivers are inextricably linked. This study follows a three essay approach focused on the impact of population aging on two broad categories, physical and economic development in the United States. Specifically, this dissertation investigates later life entrepreneurship, elder housing choices and the impact of aging on rural prosperity. It appears that age is a factor in later life labor force participation choices, with 61 to 70 year olds and those over 70 years of age exhibiting a greater tendency toward self-employment than their 50 to 60 year old counterparts. However, individuals over age 60 are more likely to retire than transition to self-employment. Still, economic developers should consider small business development programs that include even those ahead of the baby boomer cohort. Amongst recent mover households, age influences dwelling selection. Households headed by 50 to 69 year olds are more likely to move to single family dwellings of 1,000 to just under 3,000 square feet. Conversely, households headed by individuals aged 70 years or more, are more likely to select multi-family dwellings and in particular, smaller units (under 1,000 square feet). Thus, oldest individuals are more likely to relocate to the smallest, highest density units even after controlling for increased housing costs, shocks, income and children. These results suggest that older households are not homogenous in their housing preferences. As expected, population aging impacts rural prosperity. The effect is not significant for the proportion of the population aged 70 to 79 years. However, the greater the percentage of the population that is 50 to 59 years of old or 60 to 69 years old, the less likely a rural county is to be prosperous. Contrary to this finding, the greater the proportion of the population that is 80 years of age or older, the greater the likelihood of rural prosperity. It was originally hypothesized that rural areas may fall short of prosperity because of a mismatch between an aging labor force and the prevalence of physically demanding occupations - this is likely not the case.
Ph. D.

Challenging a long-held attachment to the medical model, this research develops a cultural model placing local governments at the center of policy making and refocusing policy attention on mobility, housing, the built environment and services. To examine the phenomenon of age friendly policy adoption by cities and the magnitude of adoption, a 21-question web-based survey was administered to a sample of 1,050 cities from the U.S. Census having a population over 10,000 and having at least 14% of their population aged 65 years and over. The goal of the questionnaire was to help identify what kind of policy objectives cities establish to facilitate the opportunity for older adults to live healthy and independent lives in their communities as they age. Multiple linear and ordinal regression models examined the likelihood of policy action by cities and provide evidence as to why some cities support more age friendly policy actions than others. Evidence illustrates theoretical advancement providing support for a cultural model of aging. The cultural model includes multiple factors including bureaucratic responsiveness reflected in the management values of the administration. Findings show variation in the integration of a cultural awareness of aging in the municipality's needs assessment, strategic goals, citizen engagement strategies, and budgetary principles. Cities with a cultural awareness of aging are more likely to adopt age friendly policies. Findings also provide support for the argument that the public administrator is not the driving sole factor in decision making. A shared spaced with mobilized citizen need of individuals 65 and over is identified.

This chapter divides the economic history of humans into technological eras and uses a population multiplied by per capita income approach to estimate gross world product in each era and, therefore, for the history of humankind. It also provides an overview of the major technologies that introduced each era and supported growth during the era. The chapter uses a model developed by the authors to predict gross world product during the remainder of the 21st century (2021-2100). It also considers which economies might have been the largest in the world since the dawn of civilisation about 6,000 years ago. The chapter concludes with the prediction that China, India, and the United States will remain the dominant economic powers during the remainder of the 21st century, that the gross domestic product (GDP) of India will pass that of the United States in the late 2030s and the GDP of China in the late 2040s, and will be more than 50% larger than that of second-placed China by 2100.

Abstract Abstract: The economic and social consequences of population aging depend in large part on how employers respond to an aging workforce. Although previous research offers aspirational suggestions about what management and labor organizations should do to help older workers, remarkably little is known about what they are actually doing to manage an older workforce. We use both survey data and in-depth qualitative interviews at manufacturing firms to explore the organizational response to workforce aging in the United States and Germany. We find that organizations do not see workforce aging as a major threat to human capital. As a result, organizational responses are largely ad hoc, limited, and reactive. They tend to focus on strategically important workers, thus increasing occupational inequalities in retirement flexibility. However, we also find that older workers in Germany have more flexibility in later working lives than those in the United States due to institutional differences in worker representation, working time arrangements, and social policy, demonstrating that productive responses to workforce aging are possible.

The representation of African Americans in the media has been a major concern in mainstream American culture and is also a component of media bias in the United States. Representation, in itself, refers to the construction in any medium of aspects of “reality” such as people, places, objects, events, cultural identities, and other abstract concepts. Such representations may be in speech or writing as well as still or moving pictures. Media representation of minorities is not always seen in a positive light; therefore, representation of African Americans in particular propagates somewhat controversial and misconstrued images of what African American represent. According to Potter, research on the portrayal of African Americans in prime-time television from 1955 to 1986 found that only 6% of the characters were African Americans, while 89% of the TV population was white. Among these African-American characters, 19% lacked a high school diploma, and 47% were low in economic status.

Abstract In response to the global #MeToo movement launched in the United States in late 2017, two public initiatives—“16 Days, 16 Stories” by the United Nations Population Fund, Sri Lanka, and #CreateAScene (#සද්දයක්දාන්න, #குரல்எழுப்புவோம் in Sinhala and Tamil vernacular) by the Oxford Committee for Famine Relief, Sri Lanka, and its partners—were launched in 2018 and 2019, respectively. These were aimed at urging the “victims” and bystanders to respond to sexual and verbal harassment in the public transport system in Sri Lanka. This chapter attempts to explore the different sociocultural, economic, and political aspects of these initiatives by exploring: (a) how “16 Days, 16 Stories” and #CreateAScene attempt to (re)define feminist activist interventions in Sri Lanka, particularly in relation to the global #MeToo movement; (b) how these initiatives influences “victims” and bystanders at the intersections of different power hierarchies; and (c) how these initiatives define/mobilize concepts such as consent, autonomy, and the decision-making ability of “victims” and bystanders in Sri Lanka. This research uses a critical feminist studies framework to analyze videos, social media content, and other available campaign material.

Abstract Abstract: This chapter analyzes the implications of the unexpected 2020-2021 COVID-19 pandemic for work and retirement in the United states. The pandemic induced the greatest loss of jobs in the shortest period of time in U.S. history. A slow economic recovery would surely have endangered work longer/retire later policies that seek to adjust the finances of Social Security retirement to an aging population. Boosted by the huge CARES (March 2020) and ARPA (April 2021) rescue packages, the early recovery from the COVID-19 recession was faster and stronger than the recovery from the 2007-2009 Great Recession. Even so, the pandemic greatly altered the job market, with workers suffering from long COVID having difficulty returning to work and more workers working from home. In its immediate effect and potential long-run impact, the pandemic recession/recovery is a wake-up call to the danger that shocks from the natural world pose to work and retirement. Realistic planning for the future of work and retirement should go beyond analyzing socioeconomic trends to analyzing expected unexpected changes from the natural world as well.

Approximately one-third of all persons reaching the age of 70 will receive a cancer diagnosis. By 2022, there will be 18 million cancer survivors in the United States, and approximately 63% will be 65 or older. Among the population 65 and older, cancer is the second leading cause of death. These increasing incidence rates combined with longer survival will place new demands on the cancer delivery system. The single largest payers for healthcare, Medicare and Medicaid, will experience increased stress as immunologic and other costly therapies become the standards of care. It is important to understand how to manage care for older persons with cancer, many of whom may already be dealing with other chronic health problems. Factors beyond chronological age must be considered when care decisions are made. Given the increased life expectancy resulting from improved treatment of cancer, as well as management of other chronic diseases, cancer and aging are important areas of concern for the future of healthcare. Older patients, even those with few or no comorbid conditions, are less likely to receive treatment with a curative intent. Older cancer patients face the challenge of finding individualized, patient-centered cancer care that considers how physiological, social, psychological, and, more recently, economic parameters interact with treatment options to attain outcomes that manage the disease while preserving quality of life. This chapter discusses these parameters as they pertain to cancer and cancer treatment in the older individual.

Palliative care of persons with HIV and AIDS has changed over the course of the first three decades of the pandemic. The most radical shifts occurred in the second decade with the introduction of combination antiretroviral therapy and other advances in HIV care. In the United States and throughout the world, progress in prevention of HIV transmission has not kept pace with progress in treatment, thus the population of persons living with AIDS continues to grow. Furthermore, economic, psychiatric, social, and political barriers leave many persons without access to adequate HIV care. As a result, persons who lack access to care may need palliative care for late-stage AIDS while persons with access to AIDS treatments are more likely to need palliative care for multimorbid medical illnesses such as cardiovascular disease, cancer, pulmonary disease, and renal disease. Palliative care of persons with HIV and AIDS cannot be confined to the end of life. We present palliative care on a continuum as part of an effort to alleviate suffering and attend to pain, emotional distress, and existential anxiety during the course of the illness. We will provide guidelines for psychiatric and palliative care and pain management to help persons with AIDS cope better with their illnesses and live their lives to the fullest extent, and minimize pain and suffering for them and their loved ones. This chapter reviews basic concepts and definitions of palliative and spiritual care, as well as the distinct challenges facing clinicians involved in HIV palliative care. Finally, issues such as bereavement, cultural sensitivity, communication, and psychiatric contributions to common physical symptom control are reviewed. The terms palliative care and palliative medicine are often used interchangeably. Modern palliative care has evolved from the hospice movement into a more expansive network of clinical care delivery systems with components of home care and hospital-based services (Butler et al., 1996; Stjernsward and Papallona, 1998). Palliative care must meet the needs of the “whole person,” including the physical, psychological, social, and spiritual aspects of suffering (World Health Organization, 1990).

This final chapter opens with Toussaint Louverture in Santo Domingo in 1802, preoccupied with the possibility of a new French invasion. In February, General Leclerc invaded Cape Haitian in the north; Toussaint was captured by French troops and taken to France as prisoner. Although his demise occurred for various reasons, most problematic are the tactics he embraced during the period of 1793-1799, wherein he neglected the interests of the former enslaved people and instead allied himself with the upper class and military interests. The rallying cry of “freedom for all” for the population of the former French colony did not imply that formerly enslaved masses could enjoy autonomy or freely cultivate edible crops on their own properties. While not all rebel leaders fit into the same social category, they did have different interests than the former slaves. Trouillot reminds readers that a true revolution produces profound social changes, inverting the old social order; and thus formerly-enslaved people should have all become property owners. However, the competing revolutionary leaders (including Rigaud, Beauvais, and Toussaint) stunted this possibility, neglecting the needs of the poor majority. It was chiefly the economic aspect of independence that divided Toussaint from the masses. After taking control of the former colony, Toussaint imposed import and export taxes that benefited European countries and the United States instead of Haitians; U.S.-built warehouses popped up on the capital’s wharf, and Saint-Domingue remained economically dependent. The former slaves benefited in no way from growing the sugar, coffee or cotton that they were required to produce during Toussaint’s reign; they were punished for planting food crops. Worse still, Toussaint required that the ex-slaves “respect” the integrity of former plantations by staying and working on them, while he distributed free land to rebel officers. The idea of “freedom” thus lost its resonance amongst the masses. Although members of the State of Saint-Domingue and the ruling class gained economically, it was at the expense of the former enslaved workers. From this point, the behavior of the Haitian State was that of sitting heavily upon the new nation, since their economic and political interests were at odds with one another. A host of contradictions emerged: Dependence/ Independence, Plantations/Small Farms, Commodity/Food crops, White/Black, Mulatto/Black, Mulatto/White, Catholic/Vodou, and French/Creole. Although the Constitution of 1801 abolished slavery and supposedly “guaranteed freedom” to all, it reinforced these fundamental contradictions. The “Moyse Affair” in late 1801 illustrates Trouillot’s understanding of Toussaint’s betrayal of the Haitian people. Moyse, Toussaint’s adopted nephew, had populist political ideas that attracted the black masses. Fearing his potentially subversive ambitions, Toussaint had Moyse judged by a military commission that included Christophe, Vernet, and Pageaux. Moyse was condemned to death and executed, effectively crushing the interests of the masses. Throughout the Revolution Toussaint maintained power by crafting coalitions amongst a wide variety of social classes and competing interests. The dominance of the new military class was a social contradiction that had to be masked, and Toussaint’s actions showed a will to conceal it. Aspects of this problematic behavior and ideology have reappeared in Haiti under Dessalines, Christophe, Salomon, Estimé, Duvalier and others. Official discourse is grounded in several central notions that are easily manipulated by Haitian leaders: first, the notion of “family,” allowing the concealed dominance of one group and the privileging the organized Catholic religion; second, the idea that Haitians should “respect property”; and, the myth of nèg kapab (“capable people”) who possess an inherent right to govern and oppress the people. The political concept of “family,” common throughout Africa and countries with African descendants, was employed by Toussaint as a form of social control: throughout the revolution Toussaint refers to the new Haitian society as a family in order to advance his own “paternal” political objectives and conceal its many contradictions. The state—which his ideology came to epitomize—began to take advantage of the people; it was akin to a vèvè, a matrix holding society together, and a Gordian knot, where complex and twisted socio-economic contradictions favoring a certain class were inscribed. Although Toussaint was kidnapped by the invasion of Leclerc in 1802, this motivated the Haitian masses to stand up and fight for independence from France, which ultimately led to freedom. Thus, living up to the surname of “Louverture” that was given him, Toussaint indeed opened the barrier to independence and warrants appreciation for that. When one revisits the ideology of Toussaint Louverture, and concurrently that of the state of Saint-Domingue, one must not forget that, in spite of all its weaknesses, libèté jénéral (“freedom for all”, or “universal freedom” in today’s terms) was originally a powerful unifying factor, which merits recognition: it helped Toussaint’s troops defeat the British, crush Hédouville, etc. Toussaint was betrayed by plantation owners and French and American commissioners alike, and he always maintained some faith in France, even if the masses did not. Trouillot implies that Toussaint understood the direction in which he wanted to go, but he got lost on the way. To his credit, Toussaint’s experience demonstrated that liberty without political independence was a senseless notion, and others (such as Dessalines) were able to break with his approach and capitalize on this lesson. The book closes with Grinn Prominnin declaring that he is exhausted and that everyone must return to discuss the situation tomorrow to reach a conclusion. The scene remains peaceful, the people complacent. Trouillot suggests that, more than 170 years after the revolution, the task of bringing about real social change in Haiti—and seeing the ambitions of the Revolution fulfilled—remains starkly inert. Readers easily infer that Haiti’s stagnant socio-economic and political situation (in 1977) is due not only to the as yet unfulfilled promises of the Revolution and War for Independence, but also to the escalating damages wreaked upon the Haitian nation by the Duvalier regime and its manipulative cronyism coupled with its totalitarian indigenist ideology.

Objective: The aim of this study was to evaluate indicators of opportunistic mammographic screening performed in the state of Goiás, according to technical, social, and economic aspects. Methods: Ecological study, where the Diagnostic Centers that performed mammography, were observed. Data were collected on the characteristics of the equipment, production, value, and sources of payment for the examinations. For the 2019 data, the following variables were analyzed: imaging technology, availability of mammography devices and estimated production, mammography expenditures, and mammographic coverage in the female population aged 40–69 years. The ratio of non-Unified Health System (SUS) and SUS examinations and the Composite Annual Growth Rate (CAGR) were also calculated to compare the indicators of opportunistic screening between 2008 and 2019. Results: In 2019, 164 mammography machines were identified, and of these, 66 met the SUS. This year, 400,896 examinations were produced at a cost of R$41,931,120.00. The ratio of expenses between non-SUS and SUS care was 10.3, and the number of tests performed for non-SUS and SUS was 3.87. Opportunistic screening coverage was 69.8%, with the share of non-SUS services being 56.3% and SUS only 13.5%. When compared with the results of the 2008 study, a reduction in CAGR was observed: 16.3% for conventional mammography and 17% for digital mammography. The CAGR of the female population was 1.9%, and those aged 40–69 years showed an annual increase of 3.5%. There was an increase in the number of equipment used with a CAGR of 4.3% per year and an increase in the number of examinations of 2.5% per year; the CAGR of mammography coverage was -0.9% per year. Conclusion: The indicators show improvement in the technology park. The annual growth of the female population demonstrates an aging population, and the increase in the number of examinations was just enough to maintain mammography coverage.

With an expanding global population, we must take care of our aging infrastructure to meet current needs, and at the same time, move it into the future with innovative technologies and capabilities that will enable us to combat the problems of tomorrow. In this presentation, ASCE President Maria C. Lehman will share how we need to prepare future civil engineers to meet these challenges. As the oldest engineering society in the United States, ASCE represents 150,000 members in 177 countries. ASCE stands at the forefront of a profession that plans, designs, constructs, and operates society’s economic and social engine – the built environment – while protecting and restoring the natural environment.

Sports broadcasting companies have been actively advancing various information visualization technologies in recent years. The current technologies and related literature predominantly focus on the professional aspects of sports instead of the general audience. According to statistical data, as much as 49% of the population in the United States are not fans of the National Basketball Association (NBA). Therefore, this study aims to broaden the NBA audience base by exploring the preferences and understanding of individuals with low experience regarding the basketball broadcast interface and the five visualized information elements. The goal is to enhance the viewing experience and economic benefits of NBA broadcasts. This study utilizes three NBA broadcasting platforms, Bally Sports, ESPN, and TNT as experimental samples. Each sample comprises 10 participants. Through an online survey, we selected 30 participants with low basketball experience for the experiment. The assessment steps included: (1) Participants watched broadcast videos and employed the think-aloud protocols. (2) Applied comprehension quizzes to assess participants' understanding. (3) Participants will fill out scales including the Evaluation of Media Entertainment Experience, NASA-TLX, Hedonic and Utilitarian Attitudes, and Re-viewing Intention, reflecting their evaluations and experiences regarding the broadcast visuals. (4) Conduct semi-structured interviews to gather insights and suggestions regarding participants' thoughts on broadcast interfaces and the five visualized informational elements. Results revealed that: In comparing the three sports broadcasting platforms, TNT performed the best on the Evaluation of Media Entertainment Experience scale, Hedonic and Utilitarian Attitudes scale, and Re-viewing Intention scale. ESPN was rated next, followed by Bally Sports. According to the NASA-TLX scale results, Bally Sports scored the highest in workload, followed by ESPN, and TNT scored the lowest. Most participants indicated that TNT's interface is simple and easy to understand, and ESPN's interface presents information clearly. In contrast, Bally Sports' interface has an excess of visual elements, which leads to a suboptimal viewing experience and a higher viewing workload. In the five visualized information elements, participants' preferences for viewing information were ranked as follows: (1) on-court shot clock, (2) lower third-player stats, (3) player position tracking, (4) shot probability, and (5) three-point shot distance. Most participants believed that the on-court shot clock provides excitement and a sense of engagement, while the lower third-player stats allow for a better understanding of each player. The player position tracking was regarded as an essential tool for the participants' understanding of team tactics, player positioning, and basketball movements. Most participants considered shot probability less important and most expressed a reluctance to see information about three-point shot distance, deeming it challenging to understand and lacking significance. This study provides insights into the perspectives and evaluations of NBA broadcast interfaces from individuals with low basketball experience and their preferences and comprehension levels regarding visualized information. The findings can guide future designs of basketball broadcast interfaces.