Journal articles on the topic 'Women – France – Social conditions'

SummaryThis study uses sets of historical family reconstitutions from all of Quebec and from four villages of the Haut-Jura, France—first marriages of 2226 and 994 women, respectively—to investigate the physiological and social factors affecting age of mother at last birth before and during fertility transition. Age remained high throughout the period covered in Quebec, under ‘natural’ conditions, but showed a steady decline in the French material which extends to late 19th century generations practising family limitation.Age at marriage had no influence in Quebec; in France, however, women with the most surviving children at age 35 continued childbearing the latest. There was no link between biological ability to achieve a live birth, or in health status or aging rhythm, and age at last birth. Behaviour of mothers and daughters showed no relation. The variability in age at last birth thus appears to be random under natural conditions; with the onset of controls, social differences seem to influence not only the end of childbearing, but all aspects of behaviour governing final family size and child survival.

The positive association of smiling on helping behavior is well established in social psychology. Nevertheless, no study was found for the effect of smiling on hitchhiking success. An experiment was carried out in France where hitchhiking is a legal and common practice. Four confederates, 2 young men and 2 young women, selected for their “average attractiveness” hitchhiked, signaled to 800 (503 men and 297 women) motorists driving along the road on a peninsula. In half of the cases, the confederate smiled at the motorist. Analysis showed that, when hitchhiking women were smiling, motorists stopped more frequently but not when hitchhikers were men. Also, in all conditions, motorists who stopped were male.

Previous studies have shown that pleasant weather conditions can improve people's mood and facilitate positive social relationships. The current study tested the effect of sunshine on drivers' willingness to give hitchhikers a ride. Four confederates (2 men, 2 women; M age = 20 yr.) acted as hitchhikers on the roadside in France, on sunny and cloudy days. To minimize the influence of other important variables, hitchhiking was conducted only when it was not raining and only when the external temperatures were between 20° and 24 °C. Motorists' behavior in 2,864 hitchhiking events was analyzed. The results showed that both male and female drivers stopped more on sunny days than on cloudy days for both male and female hitchhikers. Perhaps the positive mood induced by the sunshine promotes helping behaviors.

In recent decades, the living conditions of young breast cancer (BC) survivors have garnered increasing attention. This population-based study aimed to identify the clinical, social and economic determinants of Health-Related Quality of Life (HRQoL), and to describe other living conditions of young long-term BC survivors. Women with non-metastatic BC diagnosed between 2006 and 2015, aged 45 years and younger at the time of diagnosis, were identified through the Breast and Gynecologic Cancer Registry of the Côte d’Or, France. Participants completed self-report questionnaires including standardized measures of HRQoL, anxiety, depression, social deprivation, social support and sexuality. Fertility and professional reintegration issues were also assessed. The determinants of HRQoL were identified using mixed regression model. In total, 218 BC survivors participated in the survey. The main determinants of poor HRQoL were anxiety, depression, comorbidities, social deprivation and menopausal status. Among 72% of women who did not receive information about fertility preservation, 38% of them would have liked to have been informed. Finally, 39% of survivors reported a negative impact of BC on their professional activity. This study showed that BC stage or treatments did not have an impact on HRQOL of young long-term BC survivors. Fertility, sexuality and professional reintegration remained the main concerns for survivors. Specific interventions in these population should focus on these issues.

In this paper, we will explore how contrasting national discourses relating to women, and gender equality have been incorporated into and reflected in national policies. In the first section, we will outline the recent history of EU equal opportunities policy, in which positive action has been replaced by a policy of 'mainstreaming'. Second, we will describe the evolution of policies towards women and equal opportunities in Britain and France. It will be argued that whereas some degree of positive action for women has been accepted in Britain, this policy is somewhat alien to French thinking about equality - although pro-natalist French policies have resulted in favourable conditions for employed mothers in France. In the third section, we will present some attitudinal evidence, drawn from national surveys, which would appear to reflect the national policy differences we have identified in respect of the 'equality agenda'. In the fourth section, we will draw upon biographical interviews carried out with men and women in British and French banks in order to illustrate the impact of these cross-national differences within organizations and on individual lives. We demonstrate that positive action gender equality policies have made an important impact in British banks, while overt gender exclusionary practices still persist in the French banks studied. In the conclusion, we reflect on the European policy implications of our findings.

In this text, the gender dimension of low fertility is considered on the basis of the relevant literature and statistical data regarding the impact of employment on reproductive behaviour in postmodern societies. A review of fertility rates and employment rates of women with young children from 2010 onwards leads to several interesting observations. For example, during the period of study, the birth rate in Hungary increased, while it decreased in Finland by 0.4 children per woman. The most stable and relatively high fertility rates are observed in France and Sweden. At the same time, the employment rate of women with children aged three to five grew in Hungary, but the employment rate of those with children under the age of three was extremely low. In countries with higher fertility, the lowest employment rates for women with children under the age of three are in Finland and France, but they are about four times higher than the rate in Hungary. During the observed period, the employment of mothers remained stable at a relatively high level in Sweden, Norway, and the Netherlands, without differences in female employment according to the age of their children. The fertility rates in these countries are relatively high. The results of empirical research in European countries suggest that the gender dimension of low fertility cannot be understood outside the specific social context, nor without considering the conditions at the micro level. Central to this consideration is the link between low fertility and women?s employment, as raising children is still gender-specific to an extent. However, men can participate in parenthood not only in terms of their reproductive behaviour, but also their right to participate in raising children. In addition, this text identifies negative perceptions of employment that refer to the modalities of worklife balance and the uncertainty regarding female and male employment. Both aspects produce certain effects on the socioeconomic position of the family, which can influence decisions relating to parenthood and the number of children the parents would like to have. In terms of taking action on low birth rates, it could be concluded that endangering families? economic status and reproducing patriarchal gender regimes are not favourable outcomes. This article provides a framework for more concrete research into these issues in Serbian society.

Background The aim of this research was to investigate the impact of the first COVID-19 lockdown (March 17th—May 11th 2020) on violence against women in France. Methods A prospective survey was conducted online between April 2th 2020 and July 5th 2020. Female respondents were recruited from social media networks using the snowball sampling method. Data were collected three times: during (2–19 April) and at the end (11–25 May) of the first lockdown, and following the first lockdown (20 June– 05 July). Sociodemographic variables, lockdown living conditions, financial impact of COVID, and history of psychiatric disorder were evaluated, together with changes in psychological distress over the lockdown period, and the risk of being assaulted post lockdown. Results Psychological distress was elevated and remained stable for most of the 1538 female respondents during lockdown. More than 7% of women were affected by physical or sexual violence post lockdown. Unwanted sexual contact accounted for the majority of abuse, but physical and sexual assault were also prevalent. The risk of being abused was higher for participants who had changed anxiety/insomnia symptoms over the lockdown period, and a history of abuse. Discussion Women who experienced changes in anxiety/insomnia symptoms during the COVID-19 lockdown were at higher risk than others of being assaulted post lockdown, especially when they were already socially vulnerable. While social and psychological factors accounting for these changes warrant further investigation, communication and preventive measures during pandemics should include initiatives tailored to women more vulnerable to violence.

This study aims to describe the socio-demographic profile of so-called “key workers” during the first lockdown in France and to assess their potential occupational exposure to SARS-CoV-2 under routine, pre-pandemic working conditions. We used the French list of essential jobs that was issued during the first lockdown to identify three subgroups of key workers (hospital healthcare, non-hospital healthcare, non-healthcare). Based on the population-based “Conditions de travail-2019” survey, we described the socio-demographic composition of key workers and their potential work-related exposures (to “infectious agents,” “face-to-face contact with the public,” and “working with colleagues”) using modified Poisson regression. In general, women, clerical and manual workers, workers on temporary contracts, those with lower education and income, and non-European immigrants were more likely to be key workers, who accounted for 22% of the active population. Non-healthcare essential workers (57%) were the most socially disadvantaged, while non-hospital healthcare workers (19%) were polarized at both extremes of the social scale; hospital healthcare workers (24%) were intermediate. Compared to non-key workers, all subgroups had greater exposure to infectious agents and more physical contact with the public. This study provides evidence of accumulated disadvantages among key workers concerning their social background, geographical origin, and potential SARS-CoV-2 exposure.

Without seeking to be exhaustive, this paper offers an overview of the different ways in which workers’ autobiographies have been analysed in France in the human sciences. In the first phase, a social and political approach was dominant. Through workers’ autobiographies written in the nineteenth and twentieth centuries, researchers have attempted to grasp the relationship to politics, and especially in the twentieth century the acceptance or rejection of the communist model in the reconstruction of their political and trade union trajectories. At the same time, in a cultural approach, they have tried to understand the educational and literary influences which marked these self-taught workers who, unusually in the workers’ world, crossed over from practices of reading to practices of writing. Over the last ten years, workers’ autobiographies have become sources particularly used in the framework of labour history and workers’ history. Indeed they make it possible to grasp how men and women articulate their working conditions: the atmosphere in the workshop, gestures in work and relations between the body and the work, perception of noises and smells, relationships with hierarchy and trade-unions. These autobiographies can be considered as constituting real “political acts” which contribute to class struggle. Finally, at the intersection of anthropological researches about “ordinary writings” and literary studies about the writing of work and writing at work, they pose a question about the means and the meaning of writing experiences by paying more attention to the form of the writings and to the workers’ literary ambitions, which are often revealed in interviews.

"Women's issue" in French society remains unresolved after granting of voting rights to women which actually made them equal with men. Discrimination on the basis of gender in France took place in traditional thinking, the main thesis of which was the stereotypical perception of women as second-rate persons and weak individual in the family and society. So, women needed protection and approval of their rights. International organizations took the responsibility to protect women from discrimination and pursue policies to improve conditions of their life. Several declarations, conventions, pacts were adopted by the Organization of the United Nations and the International Labour Organization. They have been directed to change the relationship between members of society by providing equal rights in all spheres of life regardless of their gender, nationality, religion, property belonging or any other possible human characteristics. Formation of the French public policy conducted in accordance with the decisions of international organizations, in which she was a permanent member. Overcoming discrimination policy of women was aimed for destruction stereotypical attitudes that concern the role of women in French society, economic, social, political and daily life.

ObjectiveAlthough social inequalities in COVID-19 mortality by race, gender and socioeconomic status are well documented, less is known about social disparities in infection rates and their shift over time. We aim to study the evolution of social disparities in infection at the early stage of the epidemic in France with regard to the policies implemented.DesignRandom population-based prospective cohort.SettingFrom May to June 2020 in France.ParticipantsAdults included in the Epidémiologie et Conditions de Vie cohort (n=77 588).Main outcome measuresSelf-reported anosmia and/or ageusia in three categories: no symptom, during the first epidemic peak (in March 2020) or thereafter (during lockdown).ResultsIn all, 2052 participants (1.53%) reported anosmia/ageusia. The social distribution of exposure factors (density of place of residence, overcrowded housing and working outside the home) was described. Multinomial regressions were used to identify changes in social variables (gender, class and race) associated with symptoms of anosmia/ageusia. Women were more likely to report symptoms during the peak and after. Racialised minorities accumulated more exposure risk factors than the mainstream population and were at higher risk of anosmia/ageusia during the peak and after. By contrast, senior executive professionals were the least exposed to the virus with the lower rate of working outside the home during lockdown. They were more affected than lower social classes at the peak of the epidemic, but this effect disappeared after the peak.ConclusionThe shift in the social profile of the epidemic was related to a shift in exposure factors under the implementation of a stringent stay-at-home order. Our study shows the importance to consider in a dynamic way the gender, socioeconomic and race direct and indirect effects of the COVID-19 pandemic, notably to implement policies that do not widen health inequalities.

IntroductionTransgender identity is poorly accepted in France, and data on living conditions and the daily difficulties transgender people encounter are scarce. This lack of data reinforces their invisibility in social life, contributes to their stigmatisation and probably increases the burden of HIV infection, especially for HIV-positive transgender people (TRHIV). The main objective of the community-based research study ANRS Trans&HIV is to identify personal and social situations of vulnerability in TRHIV, the obstacles they encounter in terms of access to and retention in medical care, and their gender affirmation and HIV care needs.Methods and analysisANRS Trans&HIV is a national, comprehensive, cross-sectional survey of all TRHIV currently being followed in HIV care units in France. TRHIV women are exclusively included in the quantitative component, and TRHIV men in the qualitative component. Data are collected by community-based interviewers and will be analysed to explore patient care pathways and living conditions in the TRHIV population with regard to gender affirmation and HIV. Data collection began in October 2020 and should be completed in December 2021. The statistical analyses techniques used will be adapted to each of the study’s objectives and to the type of data collected (cross-sectional (questionnaires) and retrospective (biographical trajectory)). The study’s results will provide a greater understanding of TRHIV health needs in order to suggest possible national recommendations for comprehensive HIV and gender affirmation medical care.Ethics and disseminationANRS Trans&HIV was approved by Inserm’s Ethical Evaluation Committee (no 20-694 on 12 May 2020) and is registered with the National Commission on Informatics and Liberty under number 2518030720. Potential participants are informed about the study through an information note provided by their attending HIV physician. All results published in peer-reviewed journals will be disseminated to the HIV transgender community, institutional stakeholders and healthcare providers.Trial registration numberNCT04849767.

Surrogate motherhood is an arrangement in which a woman agrees to carry and deliver a child for another couple who ordered the pregnancy. This procedure is applied today in Great Britain, Holland (although without legal regulations), Israel, Greece, Ukraine, Armenia, Georgia, the USA and Australia, and it is forbidden in France, Austria, Spain, Germany, Switzerland and Slovenia. There are two types of surrogacy, one when the woman gives birth to a child who is genetically her own ("partial", genetic surrogacy), and the other where the surrogate mother only carries and gives birth to a child, whereby the child is genetically from the couple that wanted the child, or the fertilized egg is from a third woman (donor), or the embryo was donated ("full", "total", gestational surrogacy). In these cases two women take part in conception and birth of the child while in the last case there is a third woman who will raise the child. Biologically observed, the woman whose egg has been fertilized may be called the genetic mother, while the woman who carried the pregnancy and gave birth to the child - the gestational carrier. Taking into consideration that the Preliminary Draft of the Serbian Civil Law anticipates the introduction of surrogate motherhood into domestic law, we believe restrictive solutions should first be taken into consideration. This would mean that only full surrogating should be allowed, namely the egg should be from the woman who wants the child and not the surrogate mother. In domestic conditions, genetic surrogation should not be allowed as it leads to confusion in family relations, and kinships still have an important social and legal significance in our country. The surrogate mother should be a woman who has already given birth, because in that way any possible shocks which might arise after birth when the woman who has to handover the child to the intended couple would be avoided. The next condition would be that persons involved in this procedure should have usual residency in Serbia so as to prevent any international complications or problems. As far as compensation is concerned, only compensation of so-called reasonable expenses which the surrogate mother would incur should be allowed. The surrogate contract should be approved by a court judge, who would have the obligation to determine if all legal conditions have been fulfilled for surrogate motherhood, and to explain the contract effects to the contracting parties. Apart from that, psycho-social counselling of all persons involved in the procedure should be anticipated.

IntroductionAt the end of the treatment, many young breast cancer (BC) survivors face difficulties related to fertility and sexuality, mainly due to the side effects of treatment. Integrating patient needs into medical decisions is becoming increasingly essential for high quality care. To this end, there is a compelling need to elicit patients’ perspectives through qualitative studies, to understand their experiences and needs in the aftermath of cancer. We aim to: (1) identify clinical, social and economic determinants of sexuality and fertility, and describe other living conditions of young BC survivors in France; and (2) explore young women’s experience after BC in relation to clinical and information needs about fertility preservation and sexual health.Methods and analysisThis is a mixed-methods, cross-sectional, population-based study. In the quantitative component, women diagnosed with non-metastatic BC between 2009 and 2016 and aged 40 years or younger at diagnosis will be identified through the French network of cancer registries (FRANCIM). Participants will complete self-report questionnaires including standardised measures of sexuality, health-related quality of life (HRQoL), anxiety, depression, social deprivation and social support. Fertility and professional reintegration issues will also be assessed. Sexuality profiles will be identified by ascending hierarchical classification and fertility profiles will be identified by latent class models. Determinants of sexuality, fertility and HRQoL will be identified using a mixed regression model. Subsequently, semistructured interviews will be performed with a sample of 30 women who participated in the quantitative study. Interviews will be recorded, transcribed synthetically and content analysis will be performed, with the aid of NVivo software.Ethics and disseminationThis study will be performed in accordance with the declaration of Helsinki. The protocol was approved in October 2020 by the Committee for the Protection of Persons North-West III (20.07.16.44445) and by the French national data protection authority (CNIL-MR003 No1989764-v0).The results of this project will be communicated to the scientific community through publications in international scientific peer-reviewed journals and communications to national and international congresses. Popularised results will also be provided to patient associations. The results of Candy project will also be published on the website of the sponsor, www.cgfl.fr.

This article describes the experience of setting up a psychosocial and therapeutic support project in the French Calais refugee camp, by a group of family therapists and clinical psychologists from the United Kingdom. This came about in response to reports of a humanitarian crisis unfolding on our doorstep, with the British government’s lack of support for the growing numbers of refugees gathering along the UK border with France. The project involved working alongside other agencies in the camp to provide psychosocial and resilience-based therapeutic support to unaccompanied young people, women, children and their families and also to many volunteers in the camp. The process of setting up the work is described, as well as the challenges and dilemmas of offering an intervention in extremely unsafe and insanitary conditions, where for most the experience of trauma was ongoing. The project was informed by systemic–narrative practice and community/liberation psychology, which incorporate the political and social context. A narrative framework offered a way of drawing on people’s strengths and resources, rooted in their cultural and social histories and helping them connect with preferred identities, which we found to be essential in the context of ongoing crisis.

Background Individuals frequently turning to social media to discuss medical conditions and medication, sharing their experiences and information and asking questions among themselves. These online discussions can provide valuable insights into individual perceptions of medical treatment, and increasingly, studies are focusing on the potential use of this information to improve health care management. Objective The objective of this infodemiology study was to identify social media posts mentioning paracetamol-containing products to develop a better understanding of patients’ opinions and perceptions of the drug. Methods Posts between January 2003 and March 2019 containing at least one mention of paracetamol were extracted from 18 French forums in May 2019 with the use of the Detec’t (Kap Code) web crawler. Posts were then analyzed using the automated Detec’t tool, which uses machine learning and text mining methods to inspect social media posts and extract relevant content. Posts were classified into groups: Paracetamol Only, Paracetamol and Opioids, Paracetamol and Others, and the Aggregate group. Results Overall, 44,283 posts were analyzed from 20,883 different users. Post volume over the study period showed a peak in activity between 2009 and 2012, as well as a spike in 2017 in the Aggregate group. The number of posts tended to be higher during winter each year. Posts were made predominantly by women (14,897/20,883, 71.34%), with 12.00% (2507/20,883) made by men and 16.67% (3479/20,883) by individuals of unknown gender. The mean age of web users was 39 (SD 19) years. In the Aggregate group, pain was the most common medical concept discussed (22,257/37,863, 58.78%), and paracetamol risk was the most common discussion topic, addressed in 20.36% (8902/43,725) of posts. Doliprane was the most common medication mentioned (14,058/44,283, 31.74%) within the Aggregate group, and tramadol was the most commonly mentioned drug in combination with paracetamol in the Aggregate group (1038/19,587, 5.30%). The most common unapproved indication mentioned within the Paracetamol Only group was fatigue (190/616, with 16.32% positive for an unapproved indication), with reference to dependence made by 1.61% (136/8470) of the web users, accounting for 1.33% (171/12,843) of the posts in the Paracetamol Only group. Dependence mentions in the Paracetamol and Opioids group were provided by 6.94% (248/3576) of web users, accounting for 5.44% (342/6281) of total posts. Reference to overdose was made by 245 web users across 291 posts within the Paracetamol Only group. The most common potential adverse event detected was nausea (306/12843, 2.38%) within the Paracetamol Only group. Conclusions The use of social media mining with the Detec’t tool provided valuable information on the perceptions and understanding of the web users, highlighting areas where providing more information for the general public on paracetamol, as well as other medications, may be of benefit.

Introduction A growing number of international studies have highlighted the adverse consequences of lived experience in the first thousand days of pregnancy and early life on the probability of stillbirth, child mortality, inadequate growth and healthy development during both childhood and adulthood. The lived experience of the fetus inside the womb and at the birth is strongly related to both maternal health during pregnancy and maternal exposure to a set of environmental factors known as ‘exposome’ characteristics, which include environmental exposure, health behaviours, living conditions, neighbourhood characteristics and socioeconomic profile. The aim of our project is to explore the relationships between exposome characteristics and the health status of pregnant women and their newborns. We are particularly interested in studying the relationships between the social inequality of adverse pregnancy outcomes and (1) short-term exposure to atmospheric pollution (MobiFem project) and (2) pregnancy lifestyle (EnviFem project). Methods and analysis Ours is a prospective, observational and multisite cohort study of pregnant women, involving one teaching hospital across two sites in the Strasbourg metropolitan area. The research team at University Hospital of Strasbourg (HUS) Health collects data on outcomes and individual characteristics from pregnancy registries, clinical records data and questionnaires administered via email to study participants. Recruitment began in February 2021 and will be complete by December 2021. Participants are recruited from first trimester antenatal ultrasound examinations (conducted on weekdays across both sites); each woman meeting our inclusion criteria enters the cohort at the end of her first trimester. Study participants receive a total of three online questionnaires covering sociodemographic characteristics, travel behaviour patterns and lifestyle. Participants complete these questionnaires at recruitment, during the second and third trimester. The level of personal exposure to air pollution is characterised using a dynamic spatiotemporal trajectory model that describes the main daily movements of pregnant women and the time spent in each place frequented. Univariate, multilevel and Bayesian model will be used to investigate the relationships between exposome characteristics and the health status of pregnant women and their newborns. Ethics and dissemination Our research was approved by the Commission de Protection des Personnes (CPP) Ile de France VI (Paris) on 9 December 2020 (File reference No. 20.09.15.41703 ID RCB: 2020-A02580-39 and No. 20 080–42137 IDRCB 2020-A02581-38). The Agence Nationale de Sécurité du Médicament was informed of it on 15 December 2020. Findings from the study will be disseminated through publications and international conferences and through presentation at meetings with local stakeholders, researchers and policy-makers. Trial registration numbers NCT04705272 NCT04725734

The Source of the Douix in Châtillon-sur-Seine, France, has been visited by local inhabitants for over 2000 years and served as a watery focal point for the ritual deposition of various types of offerings. While water deposits are by no means uncommon across Europe, the continued use of a single space over multiple millennia is. An examination of the preserved offerings at the Douix indicate there are three phases of depositional activity: late Hallstatt to early La Tène periods, late La Tène to Gallo-Roman periods, and the early modern period. Despite being separated by hundreds of years there are similarities across depositional phases including the importance of modified metallic objects, personal ornamentation, and possible connections to women. Could the persistence of these ritual practices be the result of behavioural and ideological continuities? If not, how can we interpret this complex record of intermittent deposition? We examine the deposits from each phase in their wider social and ritual contexts, including the Douix’s connection to the Hallstatt princely centre of Mont Lassois, Gallo-Roman ritual traditions, and the historic folklore surrounding springs. We then explore the inter-depositional phases and discuss the conditions that could lead to the persistence of ideas despite the dearth of material evidence and summarise what these patterns mean for the history of ritual activity at the Source of the Douix.

The education of children as future elites after the Restoration was a persistent concern for French émigrés after the Revolution of 1789. Focusing on discourse on émigré education and émigré schools in Britain and the Holy Roman Empire of the German Nation, this article examines how, in the 1790s, the émigrés' rejection of the Republic and their quest for monarchical restoration resonated in pedagogical activities. Under difficult living conditions and unclear prospects of political exile, education became a consolidating strategy of combating the Revolution with pedagogical means. The social composition, educational programmes, and public representations of émigré schools reveal their pivotal role in émigré community life, involving priests, women, writers, politicians, local supporters – and children. Comparison between Britain and the Holy Roman Empire allows for differentiating strategies of integration into the host societies and of immunization against revolutionary influences. Education contributed to strengthening the émigrés' identity and mobilizing their hosts for the ideological, military, and humanitarian struggle against the Revolution. The students' later careers call for reconsidering experiences of exile education among the elites of Napoleonic and Restoration France.

The scope of social policy today is extensive. With the changing global scenario there is a rediscovery of “social” in it. Indubitably, there is a gender perspective on social policy globally. The world Economic Forum states that there are only six countries in the world (Belgium, Denmark, France, Latvia, Luxembourg and Sweden) where women have equal work rights to men. It is noted that the situation in different countries vary when it comes to the working benefits of different genders whether for native or expatriate workers in those places. Though there are rooms to enjoy attractive income and favorable working conditions such as job security, generous retirement plan, and other welfare benefits, there are still various factors that might lead to gender-based differences or gender discrimination in the unique labor market context of the GCC countries. The scenario is distinct in many Scandinavian nations like Sweden. Those countries are often considered as the role model for gender equal work allowances. When it comes to India there is still disparity and difference in many areas despite of the social security system the country offers in its policies. This paper aims at a descriptive and qualitative study on the causes, consequences and conclusion of the gender disparity in employee allowances of these nations. The study would imply simple random method of interrogations to examine gender differences empirically within the labor market of the mentioned nations. The economic benefits of a gender equal nation in the framing of social policy will be emphasized and focused.

In this article, we appraise an idea of human dignity (HD) as pragmatically oriented to support social rights claims. By analysing the role of dignitarian arguments in the constitutional-like case law of four European jurisdictions (France, the UK, Italy and Germany), we demonstrate that caution prevails about the possibility of using HD in each of these countries as an ultimate yardstick for upholding social policies. Such findings challenge the assumption that one can grasp HD as a legal notion through a foundational approach. In our view, neither HD reflects any natural or social essence of men and women, nor can it consequently be conceived as the source of universal fundamental rights. Instead, (1) we recommend a notion of HD as a status primarily conceived as a political-institutional (conventional) artefact. Thus, (2) we consequently sustain that dignity may pertain to states too, and we can see it as a way of reciprocating the duty to fair cooperation in a just society. In the same vein, (3) HD works best in the social realm when an expressive function, rather than a defining one, is recognised as its proper function. This aspect helps explain why HD is often called to support other principles in judicial argumentation. This notion of HD seems to us coherent with social rights as relying on a complex institutional arrangement centred on political responsibility and a commitment to social justice. Concerning the assessment of the conditions attached by the states to the enjoyment of welfare benefits, HD tells us that disproportionate sanctions, whose objective appears to be more a way of blackmailing welfare recipients than pursuing an ideal of fair reciprocity, do violate both the institutional dignity of public authorities and that of the persons affected.

ObjectiveTo report data concerning the reality of work-related mental diseases (WRMD) in France, their acknowledgment as occupational diseases and some socio-economic data.MethodsData were collected from the French National Health Insurance Fund (NHIF) and from the database of the French national occupational surveillance and prevention network (rnv3p). Rnv3p collects data from French Occupational Disease Centers to identify and describe risks and/or emerging work-related diseases.ResultsData from NHIF indicate that the number of requests for acknowledgment of WRMD has increased significantly from 2012 to 2017 (200 to 1500). About 50% are acknowledged and compensated as occupational diseases. Within these affections, the share of depressions is the majority. Durations of work stoppages (more than 400 days on average) were much longer than for other occupational diseases.Mental disorders related to psychosocial risk factors may also be compensated as work injuries. In 2016, NHIF compensated over 10 000 mental disorders as work injuries, mostly caused by external events or inadequate working conditions. The proportion of people with permanent disability was 4.6%. Finally, the management of WRMD acknowledged will have represented € 230 million for the Work Injuries-Occupational Diseases branch of the NHIF.Rnv3p data are globally consistent with NHIF concerning compensated occupational mental diseases, highlighting the increase of WRMD in some sectors such as public administration, health and social action, retail business and education. Over 18000 WRMD (33% men, 67% women; mean age=46.0±8.9) were recorded in the database between 2010 and 2016, and 1833 cases of burnout situations currently non acknowledged as occupational diseases by the NHIF. Rnv3p data also illustrate the importance of under-reporting of WRMD as occupational diseases.ConclusionThen, RNV3P provides important data to assist in the acknowledgment of WRMD and to carry out preventive actions in the sectors and enterprises most concerned.

Jussi Simpura & Thomas Karlsson: Trends in drinking patterns among adult population in 15 European countries, 1950 to 2000: a review Under the auspices of the European Comparative Alcohol Study (ECAS), data was compiled on trends in drinking patterns from 15 European countries (EU member countries, Luxembourg excluded, and Norway) from 1950 to 2000. This review is based on existing survey data on adult population. It turned out that (a) only a few countries (Finland, the Netherlands, Norway, and Sweden) have data on drinking patterns in the 1950s and 1960s, but (b) an increasing number of countries have drinking habit surveys from the 1970s and 1980s onwards (Austria, Denmark, Germany, Spain, United Kingdom) and (c) in the 1990s, almost all EU member countries have conducted surveys with data on drinking patterns (France, Greece, Italy, and Portugal, while Belgium remains the only country with very little data available). The data is, however, too scarce to say anything very certain about trends and the possible homogenisation of drinking patterns. Six indicators were studied in more detail. Abstinence rates fell in the 1960s in the traditionally abstinent Northern European countries, and later among women in the Mediterranean countries. Women's share of drinking also increased in the Northern European countries in the 1970s, but not necessarily elsewhere. With decreasing alcohol consumption in the Mediterranean countries, this means that per capita alcohol consumption among women may well have decreased, too. With a few exceptions, 30 to 50-year-olds were the age group with the highest alcohol consumption. The age distribution showed no general trends. Data on the shape of the population distribution of alcohol consumption was scarce, except for a few countries where the shape did not suggest any systematic changes. Also, data on binge drinking (high intake per single occasion) was mostly scarce, and again, the findings from the few countries with sufficient data showed remarkable stability. Remarkably slow changes were also evident in specific drinking contexts. There may be some signs of slow homogenisation of drinking patterns between the 15 European countries, but the differences are still notable. The main conclusion is that changes in drinking patterns are slow, even amidst rapidly changing living conditions. The natural time scale for such changes is not a few years or even a decade, but a generation.

Background and Aim: Abortion has always posed challenges in the areas of ethics, law, religion, philosophy, and reproductive health. Some countries have had different approaches to abortion at different times. Today, abortion is a major challenge in Iran. Social developments and increasing level of health literacy, awareness and participation of women in social and economic fields have led to incompatibility of theoretical and practical aspects in these areas. Women sometimes have abortions without attention to the national law. In Iran, the reasons for legal abortion are the life-threatening conditions of the mother and the fetus. During the Coronavirus Disease 2019 (COVID-19) pandemic, some countries have revised their abortion laws and regulations. In some countries, such as France and Finland, these revisions are permanent; in countries such Portugal and Norway, the changes are temporary; and in other countries such as Germany and Belgium, it is unclear whether the changes are permanent or temporary. In this study, we aim to review the abortion laws and regulations in Europe and Iran. Then, by discussing the new guidelines for the COVID-19 pandemic, we evaluate the effects and consequences of this pandemic on abortion. Methods & Materials: The search was conducted in PubMed/MEDLINE, ScienceDirect, Scopus and Google Scholar as well as national databases such as SID, MagIran, and IranMedex on studies published from 2002 to 2020 using the following keywords:Abortion, illegal abortion, induced abortion, and COVID-19. Due to the onset of SARS-COV1 epidemic in 2002, all articles published between these two outbreaks were searched. Ethical Considerations: All ethical principles were observed in this article. Results: During the COVID-19 pandemic, some European countries revised the abortion laws and regulations, mostly due to realize the reproductive health right. It seems that, this revision has not yet been taken place in Iran. Conclusion: With the emergence of COVID-19, some countries had revised their abortion laws and regulations to reduce unsafe abortions. It seems that during the Covid19 pandemic, due to changes in lifestyle such as social distancing and economic and social lockdowns, it needs to revise medical laws and regulations in health-oriented and time-dependent areas (such as abortion) so that the principles of medical ethics such as beneficence and maleficent, can be applied. Having COVID-19 and consequently abortion during the pandemic is one of the most challenging issues that should be addressed in terms of ethical, jurisprudential and legal aspects. Development of regulations based on ethical principles during the COVID-19 pandemic is necessary to prevent illegal and unsafe abortions.

During the early years of the nineteenth century children laboured in factories, down mines, up chimneys, at sea – and in the theatre. In this article, David Haldane Lawrence discusses the portrayal of child labour in the drama of the 1830s and 1840s, concentrating on five plays: The Factory Girl, The Factory Boy, The Dumb Man (or Boy) of Manchester, The Climbing Boy, and The Cabin Boy, whose child heroes extricate themselves from appalling conditions to confront their villainous oppressors, and through coincidental circumstances are elevated to a higher social position. But the realities of child labour are not fully portrayed on the stage, and the working boys of the period remain idealized figures. Here, a comparison is made between this idealization and the actual working conditions of child labourers. The theatricality inherent in the stage representation of child labour is further enhanced by the fact that the leading ‘boy roles’ were usually played by women, and the performances of the cross-dressed specialists in ‘boy roles’ is also discussed, as is the influence on ‘factory boy’ drama of socially relevant fiction, particularly Frances Trollope's novel about child labour, The Life and Adventures of Michael Armstrong the Factory Boy, published in 1840.

In this paper, the authors present the institute of anonymous childbirth which is not regulated by the Republic of Serbia positive laws, but it is in a small number of other European countries. Contrary to the usual review of this issue, through the prism of the child?s right to know its origin, which has become the usual way of reviewing any question from the domain of paedo-centric family law, the authors hereby attempt to shed the light from another angle ? the right of woman (mother) to a private life and the right of a child to be born in medically accepted conditions, which is the interest of the society as a whole. The authors also point out to the possibility of positive demographic effects of introducing this institute which have been the case in the countries which regulate this matter. The arguments in favor of introducing this institute can be found both in comparative law and in the practice of European Court of Human Rights in Strasbourg whose rulings reshape the legislation of European countries, thus actually becoming the sources of law. There is an example from French legislation, which, according to the Court?s opinion, established a fair balance between conflicted rights and interests, which was the key point for reaching the famous decision in the case Odi?vre v. France. This decision set a precedent for the following rulings in similar cases, which proved that this decision was not incidental, but represented a long-term orientation of this Court in solving similar cases. In concluding remarks, the authors emphasize that introduction of this institute into Serbian legislation would not mean complete exclusion of the child?s right to know the facts related to his origin, which today is the key argument against its introduction. In any case, this regulation would represent a more advanced solution from the point of view of child?s protection if compared to some that already exist in Republic of Serbia positive law, which completely prevent a child to learn the facts of his origin.

Introduction: The measurement of quality of life is an increasingly important issue, particularly in regard to treatment of severe and chronic diseases. The aim of this pilot study was to assess potentially divergent profiles of quality of life in persons with two different pathologies: moderate dementia and cancer. Method: This pilot study was carried out in the neurology and cancer services of the medical school in Montpellier, France (Hôpital Gui de Chaulliac and CRLC Val d'Aurelle). The cumulative self-reporting test WHOQOL 100 (World Health Organization Quality of Life with 100 questions) was administered in 57 patients with either moderate senile dementia (27 cases with a Mini-Mental State Examination score > 15; mean age of 73) or cancer (30 cases, mainly women with breast cancer; mean age of 53). The stability of responses was tested in a 2-week period. Results: Results of the study showed clear and significant differences between the two groups in the domains of mobility and psychology. Further, eight questions and six facets with a significant difference in responses were found. Responses seemed more stable in the domains of autonomy, social relationship, and religion for the cancer group, and in autonomy and psychology for the dementia group. The age difference may be an important factor in the different quality of life measured but did not significantly influence responses to the test questions. Conclusion: The WHOQOL 100 seems a powerful instrument to assess quality of life in diseases such as cancer and moderate dementia. In this study, interesting differences in responses to the test questions between the two pathologic conditions were identified. Items that were unreliable on retesting are singled out. These results will be applied and reevaluated in the development of future, illness-specific and shorter versions of the WHOQOL 100.

Osteoporosis and its complications - bone fractures - represent a significant medical and social problem. Due to osteoporosis, bone fractures occur annually in 1.3 million Americans and 40 thousand Canadians. In France, one in two, and in Australia, one in five women aged about 70 years, suffer from fractures caused by osteoporosis. The occurrence of osteoporosis in old women is due to a decrease in estrogen production. However, a decrease in bone mineral density occurs not only with age, but even more so with all conditions leading to a change in the balance of hormones of the hypothalamic-pituitary system, thyroid and parathyroid glands, and adrenal glands. In connection with the stated purpose of this work was a synthesis of literature data on the effect of hormones on the occurrence and development of osteoporosis. Bone tissue is a dynamic metabolically active system. Depending on the function performed, cortical and trabecular bone are distinguished. The first makes up three quarters of the entire skeletal mass, forms the diaphysis of the tubular bones, has a low porosity, performs the function of supporting soft tissues and transmitting muscle contraction from one part of the body to another. Trabecular bone tissue makes up one fourth of the mass of the skeleton, forms the bones of the axial skeleton and the epiphysis of the tubular bones, has high porosity and ensures normal vital activity of the bone marrow. To do this, in the trabecular bones there are cavities ranging in size from 500 to 1000 microns, located between bone plates 100-150 microns thick. The basis of the vital activity of bone tissue is the functioning of two types of cells: osteoclasts resorbing the bone, and osteoblasts responsible for its formation. The ancestors of these cells are not fully understood, although hematopoietic monocyte macrophages are considered the most probable for osteoclasts, and stromal cells for osteoblasts, from which preosteoblasts arise. Throughout life, there is a constant renewal of bones, manifested in the resorption of individual, very small sections of tissue, with the almost simultaneous formation of a new bone. This process is of great evolutionary importance, since it allows you to remove microtrauma and bone microcracks that arise during the life process. Annually 25% of the mass of the trabecular bones and only 2-3% of the cortical bones are renewed.

Background:Patients with inflammatory arthritis (IA) like (ankylosing spondylitis (AS), rheumatoid arthritis (RA), and psoriatic arthritis (PsA) are more prone to physical inactivity but derive specific benefits from regular physical activity (PA) (1). Barriers and facilitators to PA are key elements that have not yet been well described.Objectives:To assess if barriers and facilitators for PA in patients with IA are mostly related to disease, psychological, social or environmental factors.Methods:A list of the most important barriers and facilitators was derived from a systematic review of barriers and facilitators to PA in rheumatoid arthritis (2). This list was assessed for face validity by 11 experts from Rheumatology or physiotherapy then tested by 10 patients through structured interview.The list of barriers and facilitators was completed in a binary way: “barriers or facilitators are relevant to me” yes or no, for 66 patients in a monocentric, cross-sectional study. Then, patients assessed the level of each barrier or facilitator on a 0-10 scale. Statistics were descriptive. There was no imputation of missing data.Results:The study included 66 patients (27 axial spondyloarthritis, 26 rheumatoid arthritis, 13 psoriatic arthritis), mean age 52.0 (standard deviation (SD) 16.6) years, mean disease duration 14.3 (SD 11.7) years, 53% women. Disease activity was moderate (mean DAS28 2.1 (SD 1.1), mean BASDAI 2.8 (SD 1.4)), and 75.4% received a biologic. The main factors described by patients were related to the knowledge of the benefits of PA and symptoms (table 1). Psychological factors were more reported and social factors less reported as influential for PA.Table 1.Barriers and facilitators for physical activity reported by patients with inflammatory arthritis.Barriers or facilitatorsCategoriesModifiableN (%) reporting this barrier or facilitatorLevel of patients reporting this item (0-10) (mean (SD))Knowledge of benefits of physical activity for healthPsychYes49 (78)6.6Knowledge of benefits of physical activity for moodPsychYes47 (75)6.8 (3.4)Level of symptoms (pain, fatigue, lack of mobility)PhyYes44 (69)5.7 (2.8)External reminders (eg: from health professionals, calendars…)SocYes36 (57)6.2 (3.1)Presence or absence of activity facilities (ex: green area for walking, gym …)EvmtNo34 (56)6.3 (3.7)Lack of motivationPsychYes34 (55)5.7 (3.2)Weather conditionsEvmtNo33 (52)5.7 (3.2)Confidence on how to exercise safelyPsychYes31 (49)6.0 (2.6)Contact and proximity with others during physical activitySocNo29 (47)6.1 (3.7)Presence or absence of support from others (friends, family)SocNo26(42)6.5 (3.9)Lack of timeEvmtNo35 (40)5.4 (3.4)Presence or absence of support and/or advice from healthcare professionalsSocYes25 (40)6.0 (3.7)A belief that physical activity will make symptoms worsePsychYes17 (27)4.8 (3.3)Lack of knowledge on which exercises to do and how muchPsychYes17 (27)4.7 (3.0)Psych = psychological, Evmt = environmental, Phy = physical, Soc = socialConclusion:The main factors that influence PA in patients with IA were mostly related to psychological aspects, and could be modifiable. The role of health professionals supporting patient PA is key. Interventions should be further explored to meet these important barriers and facilitators.References:[1] O’Dwyer T, Physical activity guidelines: is the message getting through to adults with rheumatic conditions? Rheumatol U K. 2014[2] Davergne T, Thu0716-Hpr Major Barriers and Facilitators to Physical Activity in Rheumatoid Arthritis Are Related to Physical and Psychological Health, Setting and Social Environmental Factors: A Systematic Literature Review. Ann Rheum Dis. 2019Disclosure of Interests:Thomas Davergne: None declared, Rikke Helene Moe: None declared, Bruno Fautrel Grant/research support from: AbbVie, Lilly, MSD, Pfizer, Consultant of: AbbVie, Biogen, BMS, Boehringer Ingelheim, Celgene, Lilly, Janssen, Medac MSD France, Nordic Pharma, Novartis, Pfizer, Roche, Sanofi Aventis, SOBI and UCB, Laure Gossec Grant/research support from: Lilly, Mylan, Pfizer, Sandoz, Consultant of: AbbVie, Amgen, Biogen, Celgene, Janssen, Lilly, Novartis, Pfizer, Sandoz, Sanofi-Aventis, UCB

Abstract Background: Breast cancer (BC) incidence increases with age, as well as the incidence of many other chronic diseases. Between 42 and 68% of BC patients suffer from other chronic conditions -comorbidities- at BC diagnosis. Comorbidities may be associated with the intake of chronic medications -comedications. The French health insurance system routinely collects health care reimbursements of almost 98% of the population: hospital abstracts, long-term diseases, outpatient care (medical consults, drug purchases under prescription⋯) and death status. The project ADRENALINE (Atlas for DRug and brEast caNcer survivAL INtEraction) analyzes the impact of comedications at diagnosis on BC survival on a French cohort using data from the French social security system. Methods: We identified all women diagnosed with an incident BC treated with surgery in France from 2011 to 2017 and affiliated to the general health insurance scheme. Women with concomitant cancer or metastases at diagnosis were discarded from the analyses. Comedication intake was defined as the delivery in pharmacy of at least 3 months of full treatment (e.g. 90 pills) the 6 months preceding BC diagnosis. The analysis was restricted to drugs taken by at least 300 women. A Cox proportional hazard model was used to estimate the hazard ratio (HR) for each molecule. The model was adjusted on more than 100 confounding variables: social factors, comorbidities and other comedications. Two adjustment methods were tested: Inverse Probability of Treatment Weighting (IPTW) and matching. We assumed that the adjustment was sufficient to control for confounding if the standardized mean difference of each confounder after adjustment did not exceed 0.1. Molecules which did not pass the adjustment quality test were discarded. Results: 235,375 patients were included in the study. Among 219 selected drugs, 91 and 171 passed the adjustment quality test for IPTW and for matching, respectively. The full set of results is available on a web application. Among main findings, several drugs or drug classes were associated with an improved survival: proton-pump inhibitors (IPTW; HR=0.93; p=0.002); statins (e.g. rosuvastatin, IPTW, HR=0.65, p<0.001); beta-blocking agents (atenolol, IPTW, HR=0.78, p=0.003); alverine (IPTW, HR=0.78, p<0.001). Conversely, imidazoline receptor agonists may be deleterious (moxonidine; matching; HR=2.12; p = 0.001). Conclusion: ADRENALINE reports the impact on BC survival of 219 widely prescribed drugs. It can be used to identify molecules with a potential protective or deleterious effect relative to BC. Some of them are currently under mechanistical investigation within a drug screening program. This atlas highlights candidates to drug-repurposing trials or pharmacovigilance warnings, and will be extended to cancers of other localizations in a near future. Citation Format: Elise Dumas, Beatriz Grandal, Lucie Laot, Eric Daoud, Lidia Delrieu, Marc Espié, Sophie Houzard, Christine Le Bihan-Benjamin, Philippe-Jean Bousquet, Elodie Anthony, Aurélien Latouche, Nadir Sella, Thierry Dubois, Annabelle Ballesta, Amyn Kassara, Elaine Del Nery, Benjamin Marande, Samar Alsafadi, Paul Gougis, Chloé-Agathe Azencott, Fabien Reyal, Anne-Sophie Hamy. ADRENALINE, an atlas for drug and breast cancer survival interaction: Comedications at diagnosis and impact on breast cancer mortality of the French breast cancer cohort (n=235,375) [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 4101.

Background: Among the achievements of modern fertility technologies available to contemporary humans, we could mention the freezing technique to fertility preservation, and subsequently, unmarried childbearing. The only way for having children was having sexual intercourse with the opposite gender in the past years; however, with the advent of this technology, even without such a relationship, it is possible to have a child. This process could be termed unmarried childbearing or single-status fertilities. This is one of the resent subjects in medical fertility; however, there is no research in this field, in Iran. Methods: This was an applied and theoretical research in the theology field; thus, no research material was implemented. The main method of this research was the bookcase approach. Result: In countries such as the USA, UK, and Australia, where there are more coherent laws about employing modern fertility techniques, this issue is addressed and specific laws exist in this regard. However, despite widespread use of this technique in Iran, we have no law in this respect except for the Fetal Donation Act of 2003, which only covers the general issues. In other words, the social fertility mandate has remained silent given permission, prohibition, and its conditions and effects on the child lineage in Iran's laws. Freezing gametes is practiced in our country for a wide range. Besides, single-status fertility is occurring worldwide. Accordingly, this seems to be among the problems facing our society, and may also be illegally conducted in some cases, in Iran. In Islamic law, the permissible instances of reproductive rights include births through marriage, not otherwise, as well as births employing reproductive aids in terms of meeting the Islamic law. On the other hand, some individuals believe that this case can be regarded as some kind of inoculation with the involvement of a donor agency, and some jurists have voted to allow it. Therefore, these jurists explicitly accepted the use of donor gamete in the form of marital relations. The legislature of the Islamic Republic of Iran also emphasizes on donation to lawful couples in the law of donation approach. Therefore, using donated gametes for childbearing is excluded in singles. Additionally, Judaism and all branches of Christianity, except for the liberal protestant denomination prohibit unmarried childbearing. While the approach to the issue differs from one country to another, the USA Supreme Court has recognized and protected free relationships, family formation, and decisions on births, as freedom rights. The UK law has subjected the provision of services to single women to the welfare of children resulting from the process. However, in France, the provision of infertility treatment services to single individuals is prohibited. According to Australia law, any single or heterosexual individual without receiving medically-assessed services, i.e., referred to as ‘‘clinically infertile’’ cannot use this technology for having children. Conclusion: In some countries, like the USA, bearing a child at a single status is legal; however, in some other regions, like the UK and Australia, it is permitted under special conditions. In some countries, like France, this action is prohibited. There is no law about this matter in Iran. The 167 article of the constitution addresses considering the Islamic verses and narrations on preserving the destination of the generation or acquiring the benefits and disposing of the corruption. In conclusion, the only way to have a child and to realize the principle of reproduction is permitted in the framework of religious marriage; thus, bearing a child at a single status is illegal and prohibited, in Iran.

Sectoral agreements are an important link in the system of social partnership, since the stipulated obligations of the parties increase the responsibility of employers for the employee health, decent wages and their timely indexing, as well as assistance to working women with children, support for workers to purchase housing, employment of youth, etc. others. The aim of the article is to analyze the content of the General and sectoral agreements in force as of 2020, in connection with the included national goals defined in the Decree of the President of the Russian Federation of July 21, 2020 No. 474 and characterizing their achievement of target indicators. The authors studied the practice of setting the minimum wage in industry agreements. They revealed that guarantees for minimum wage are applied in 43 sectoral agreements out of 61. The majority of sectoral agreements do not consider the decisions of the Constitutional Court of the Russian Federation about excluding individual compensation payments in the minimum wage. Also, less than half of the sectoral agreements include the guarantee for the tariff part of wages: it was only in 24 out of 61 sectoral agreements, while in 17 of them it was at the level of 60-70%. Due to the fact that in Article 134 of the Labor Code of the Russian Federation, the subject to indexation is not specified - the wage fund, wages or the tariff part of it - industry agreements present different options for indexing wages at rates higher than inflation. The authors analyzed sectoral agreements on the application of compensation and incentive payments, measures to improve the housing conditions of workers (payment of compensation, provision of loans / loans on favorable terms), as well as assistance to young workers (up to 35 years old) to purchase housing and set up a household. The paper considers solving these issues in the sectoral agreements of Germany and France. The conclusion is that the sectoral agreements provide for a significant list of guarantees that contribute to the implementation of the Decree of the President of the Russian Federation "On the national development goals of the Russian Federation for the period up to 2030".

Ten articles and a rich selective bibliography demonstrate the vitality of Historical Demography research in Belgium. In the introductory article, the editors sum up the main progress of the discipline in Belgium since 1981 and present an updated impressive commented bibliography. Belgian researchers have broken down many stereotypes. For instance, the process of industrialization in mid-nineteenth-century Belgium did not affect the traditional urban network in a spectacular way. Old-established cities and towns like Ghent, Leuven, Verviers, and Charleroi—that receive a special attention in this volume—continued to be important urban centers as they were well before the Industrial Revolution. The stereotype of a massive rural exodus generated by the industrialization is definitively overcome. By adopting a micro-research approach, Katleen Dillen shows that migration was mostly a positive choice and less disruptive than usually considered because it took place in a dense and vivid social network (“From One Textile Centre to Another: Migrations from the District of Ghent to the City of Armentières (France) During the Second Half of the Nineteenth Century,” pp. 431–52). This absence of dramatic change in migration pattern during the industrialization—which is therefore opposite to the situation observed in the Ruhr during the same period—explains why there was no difference in fertility intensity and calendar between migrant people and the sedentary population of the industrial area of Charleroi. Interestingly Flemish migrants to Charleroi adopted the same demographic behavior as the native Walloon people. So, according to Thierry Eggerickx, the main determinant of fertility behavior is the living conditions at the place of arrival rather than the geographical and cultural origin. Eggerickx also emphasizes that the beginning of the demographic transition coincided with the economic crisis of 1873–1892. However, until now the relationship between changes in demographic behavior and economic upheaval remains unclear (“The Fertility Decline in the Industrial Area of Charleroi During the Second Half of the Nineteenth Century”). The social network should probably have played a key role during that period of economic crisis. Indeed, the importance of a dense social network clearly appears as far as the illegitimate fertility in Leuven during the economic crisis of the mid-nineteenth century is concerned. Jan Van Bavel demonstrates that the risks of pregnancy before age 26 and subsequent marriage chances did not result from isolation in town (Leuven), but that sexual activity of unmarried women of courtship age was, on the contrary, a sign of integration within the local community. However what was the role of the economic crisis on the behavior of these women? (“Malthusian Sinners: Illegitimate Fertility and Early Marriage in Times of Economic Crisis: A Case Study in Leuven, 1846–1856”). Leuven's urban society in the nineteenth century is also the place to explore the relation between age homogamy and the increasing importance of romantic love. Bart Van de Putte and Koen Matthijs question Shorter's theory by demonstrating that romantic love did not involve the lower classes. The only clear cultural change in Leuven was the spread of what is today called “a conservative model of marriage life” in which the patriarchal tradition was mixed with new family centered values (“Romantic Love and Marriage. A Study of Age Homogamy in Nineteenth Century Leuven”). This model of marriage behavior seems to correspond to the Catholic Church's doctrine on matrimonial matters. The Belgian Catholic Church managed quite well to adapt itself to social changes of the nineteenth century (Paul Servais, “The Church and the Family in Belgium, 1850–1914”). Mortality has attracted fresh research. Michel Oris and George Alter explore the relationship between migration to the city and mortality pattern. In industrial towns, migration had a positive impact on mortality in the short-term, because the newcomers were healthier than natives of the same age. However, the place of arrival—the new industrial milieu—rapidly affected the children of the migrants who were disproportionately exposed to urban epidemiological conditions. Alter and Oris stress the existence of a "epidemiological depression" between 1846 and 1880, which will need further investigation. Moreover, migration to the industrial cities was at the origin of a specific pattern of mortality: high level of infant and child mortality, lower level of adult mortality (“Paths to the City and Roads to Death: Mortality and Migration in East Belgium During the Industrial Revolution”). The persistent high level of infant mortality at the turn of the twentieth century is confirmed by Marc Debuisson's enquiry covering the whole territory of Belgium (“The Decline of Infant Mortality in the Belgian Districts at the Turn of the Twentieth Century”), meanwhile Jeroen Backs observes an increasing discrepancy between upper classes and poor people in front of death. The inequality results from a growing infant and child mortality (“Mortality in Ghent, 1850–1950: A Social Analysis of Death”).

In this article, the author attempts to make an assessment of some of the most important French contributions to social gerontology, isolating the main characteristics of the works encountered. We successively review some of the few studies concerning old women as well as studies dealing more generally with the social and economic aspects of aging. These lines show social gerontology in France as a forum for specialists from various disciplines; it is a specialty still in its infancy, but its multi-disciplinary approach will, no doubt contribute to its fruitfulness.

In my postgraduate formation during the last years of the 80’s, we had close to thirty hospital beds in a pavilion called “sépticas” (1). In Colombia, where abortion was completely penalized, the pavilion was mostly filled with women with insecure, complicated abortions. The focus we received was technical: management of intensive care; performance of hysterectomies, colostomies, bowel resection, etc. In those times, some nurses were nuns and limited themselves to interrogating the patients to get them to “confess” what they had done to themselves in order to abort. It always disturbed me that the women who left alive, left without any advice or contraceptive method. Having asked a professor of mine, he responded with disdain: “This is a third level hospital, those things are done by nurses of the first level”. Seeing so much pain and death, I decided to talk to patients, and I began to understand their decision. I still remember so many deaths with sadness, but one case in particular pains me: it was a woman close to being fifty who arrived with a uterine perforation in a state of advanced sepsis. Despite the surgery and the intensive care, she passed away. I had talked to her, and she told me she was a widow, had two adult kids and had aborted because of “embarrassment towards them” because they were going to find out that she had an active sexual life. A few days after her passing, the pathology professor called me, surprised, to tell me that the uterus we had sent for pathological examination showed no pregnancy. She was a woman in a perimenopausal state with a pregnancy exam that gave a false positive due to the high levels of FSH/LH typical of her age. SHE WAS NOT PREGNANT!!! She didn’t have menstruation because she was premenopausal and a false positive led her to an unsafe abortion. Of course, the injuries caused in the attempted abortion caused the fatal conclusion, but the real underlying cause was the social taboo in respect to sexuality. I had to watch many adolescents and young women leave the hospital alive, but without a uterus, sometime without ovaries and with colostomies, to be looked down on by a society that blamed them for deciding to not be mothers. I had to see situation of women that arrived with their intestines protruding from their vaginas because of unsafe abortions. I saw women, who in their despair, self-inflicted injuries attempting to abort with elements such as stick, branches, onion wedges, alum bars and clothing hooks among others. Among so many deaths, it was hard not having at least one woman per day in the morgue due to an unsafe abortion. During those time, healthcare was not handled from the biopsychosocial, but only from the technical (2); nonetheless, in the academic evaluations that were performed, when asked about the definition of health, we had to recite the text from the International Organization of Health that included these three aspects. How contradictory! To give response to the health need of women and guarantee their right when I was already a professor, I began an obstetric contraceptive service in that third level hospital. There was resistance from the directors, but fortunately I was able to acquire international donations for the institution, which facilitated its acceptance. I decided to undertake a teaching career with the hope of being able to sensitize health professionals towards an integral focus of health and illness. When the International Conference of Population and Development (ICPD) was held in Cairo in 1994, I had already spent various years in teaching, and when I read their Action Program, I found a name for what I was working on: Sexual and Reproductive Rights. I began to incorporate the tools given by this document into my professional and teaching life. I was able to sensitize people at my countries Health Ministry, and we worked together moving it to an approach of human rights in areas of sexual and reproductive health (SRH). This new viewpoint, in addition to being integral, sought to give answers to old problems like maternal mortality, adolescent pregnancy, low contraceptive prevalence, unplanned or unwanted pregnancy or violence against women. With other sensitized people, we began with these SRH issues to permeate the Colombian Society of Obstetrics and Gynecology, some universities, and university hospitals. We are still fighting in a country that despite many difficulties has improved its indicators of SRH. With the experience of having labored in all sphere of these topics, we manage to create, with a handful of colleagues and friend at the Universidad El Bosque, a Master’s Program in Sexual and Reproductive Health, open to all professions, in which we broke several paradigms. A program was initiated in which the qualitative and quantitative investigation had the same weight, and some alumni of the program are now in positions of leadership in governmental and international institutions, replicating integral models. In the Latin American Federation of Obstetrics and Gynecology (FLASOG, English acronym) and in the International Federation of Obstetrics and Gynecology (FIGO), I was able to apply my experience for many years in the SRH committees of these association to benefit women and girls in the regional and global environments. When I think of who has inspired me in these fights, I should highlight the great feminist who have taught me and been with me in so many fights. I cannot mention them all, but I have admired the story of the life of Margaret Sanger with her persistence and visionary outlook. She fought throughout her whole life to help the women of the 20th century to be able to obtain the right to decide when and whether or not they wanted to have children (3). Of current feminist, I have had the privilege of sharing experiences with Carmen Barroso, Giselle Carino, Debora Diniz and Alejandra Meglioli, leaders of the International Planned Parenthood Federation – Western Hemisphere Region (IPPF-RHO). From my country, I want to mention my countrywoman Florence Thomas, psychologist, columnist, writer and Colombo-French feminist. She is one of the most influential and important voices in the movement for women rights in Colombia and the region. She arrived from France in the 1960’s, in the years of counterculture, the Beatles, hippies, Simone de Beauvoir, and Jean-Paul Sartre, a time in which capitalism and consumer culture began to be criticized (4). It was then when they began to talk about the female body, female sexuality and when the contraceptive pill arrived like a total revolution for women. Upon its arrival in 1967, she experimented a shock because she had just assisted in a revolution and only found a country of mothers, not women (5). That was the only destiny for a woman, to be quiet and submissive. Then she realized that this could not continue, speaking of “revolutionary vanguards” in such a patriarchal environment. In 1986 with the North American and European feminism waves and with her academic team, they created the group “Mujer y Sociedad de la Universidad Nacional de Colombia”, incubator of great initiatives and achievements for the country (6). She has led great changes with her courage, the strength of her arguments, and a simultaneously passionate and agreeable discourse. Among her multiple books, I highlight “Conversaciones con Violeta” (7), motivated by the disdain towards feminism of some young women. She writes it as a dialogue with an imaginary daughter in which, in an intimate manner, she reconstructs the history of women throughout the centuries and gives new light of the fundamental role of feminism in the life of modern women. Another book that shows her bravery is “Había que decirlo” (8), in which she narrates the experience of her own abortion at age twenty-two in sixty’s France. My work experience in the IPPF-RHO has allowed me to meet leaders of all ages in diverse countries of the region, who with great mysticism and dedication, voluntarily, work to achieve a more equal and just society. I have been particularly impressed by the appropriation of the concept of sexual and reproductive rights by young people, and this has given me great hope for the future of the planet. We continue to have an incomplete agenda of the action plan of the ICPD of Cairo but seeing how the youth bravely confront the challenges motivates me to continue ahead and give my years of experience in an intergenerational work. In their policies and programs, the IPPF-RHO evidences great commitment for the rights and the SRH of adolescent, that are consistent with what the organization promotes, for example, 20% of the places for decision making are in hands of the young. Member organizations, that base their labor on volunteers, are true incubators of youth that will make that unassailable and necessary change of generations. In contrast to what many of us experienced, working in this complicated agenda of sexual and reproductive health without theoretical bases, today we see committed people with a solid formation to replace us. In the college of medicine at the Universidad Nacional de Colombia and the College of Nursing at the Universidad El Bosque, the new generations are more motivated and empowered, with great desire to change the strict underlying structures. Our great worry is the onslaught of the ultra-right, a lot of times better organized than us who do support rights, that supports anti-rights group and are truly pro-life (9). Faced with this scenario, we should organize ourselves better, giving battle to guarantee the rights of women in the local, regional, and global level, aggregating the efforts of all pro-right organizations. We are now committed to the Objectives of Sustainable Development (10), understood as those that satisfy the necessities of the current generation without jeopardizing the capacity of future generations to satisfy their own necessities. This new agenda is based on: - The unfinished work of the Millennium Development Goals - Pending commitments (international environmental conventions) - The emergent topics of the three dimensions of sustainable development: social, economic, and environmental. We now have 17 objectives of sustainable development and 169 goals (11). These goals mention “universal access to reproductive health” many times. In objective 3 of this list is included guaranteeing, before the year 2030, “universal access to sexual and reproductive health services, including those of family planning, information, and education.” Likewise, objective 5, “obtain gender equality and empower all women and girls”, establishes the goal of “assuring the universal access to sexual and reproductive health and reproductive rights in conformity with the action program of the International Conference on Population and Development, the Action Platform of Beijing”. It cannot be forgotten that the term universal access to sexual and reproductive health includes universal access to abortion and contraception. Currently, 830 women die every day through preventable maternal causes; of these deaths, 99% occur in developing countries, more than half in fragile environments and in humanitarian contexts (12). 216 million women cannot access modern contraception methods and the majority live in the nine poorest countries in the world and in a cultural environment proper to the decades of the seventies (13). This number only includes women from 15 to 49 years in any marital state, that is to say, the number that takes all women into account is much greater. Achieving the proposed objectives would entail preventing 67 million unwanted pregnancies and reducing maternal deaths by two thirds. We currently have a high, unsatisfied demand for modern contraceptives, with extremely low use of reversible, long term methods (intrauterine devices and subdermal implants) which are the most effect ones with best adherence (14). There is not a single objective among the 17 Objectives of Sustainable Development where contraception does not have a prominent role: from the first one that refers to ending poverty, going through the fifth one about gender equality, the tenth of inequality reduction among countries and within the same country, until the sixteenth related with peace and justice. If we want to change the world, we should procure universal access to contraception without myths or barriers. We have the moral obligation of achieving the irradiation of extreme poverty and advancing the construction of more equal, just, and happy societies. In emergency contraception (EC), we are very far from reaching expectations. If in reversible, long-term methods we have low prevalence, in EC the situation gets worse. Not all faculties in the region look at this topic, and where it is looked at, there is no homogeneity in content, not even within the same country. There are still myths about their real action mechanisms. There are countries, like Honduras, where it is prohibited and there is no specific medicine, the same case as in Haiti. Where it is available, access is dismal, particularly among girls, adolescents, youth, migrants, afro-descendent, and indigenous. The multiple barriers for the effective use of emergency contraceptives must be knocked down, and to work toward that we have to destroy myths and erroneous perceptions, taboos and cultural norms; achieve changes in laws and restrictive rules within countries, achieve access without barriers to the EC; work in union with other sectors; train health personnel and the community. It is necessary to transform the attitude of health personal to a service above personal opinion. Reflecting on what has occurred after the ICPD in Cairo, their Action Program changed how we look at the dynamics of population from an emphasis on demographics to a focus on the people and human rights. The governments agreed that, in this new focus, success was the empowerment of women and the possibility of choice through expanded access to education, health, services, and employment among others. Nonetheless, there have been unequal advances and inequality persists in our region, all the goals were not met, the sexual and reproductive goals continue beyond the reach of many women (15). There is a long road ahead until women and girls of the world can claim their rights and liberty of deciding. Globally, maternal deaths have been reduced, there is more qualified assistance of births, more contraception prevalence, integral sexuality education, and access to SRH services for adolescents are now recognized rights with great advances, and additionally there have been concrete gains in terms of more favorable legal frameworks, particularly in our region; nonetheless, although it’s true that the access condition have improved, the restrictive laws of the region expose the most vulnerable women to insecure abortions. There are great challenges for governments to recognize SRH and the DSR as integral parts of health systems, there is an ample agenda against women. In that sense, access to SRH is threatened and oppressed, it requires multi-sector mobilization and litigation strategies, investigation and support for the support of women’s rights as a multi-sector agenda. Looking forward, we must make an effort to work more with youth to advance not only the Action Program of the ICPD, but also all social movements. They are one of the most vulnerable groups, and the biggest catalyzers for change. The young population still faces many challenges, especially women and girls; young girls are in particularly high risk due to lack of friendly and confidential services related with sexual and reproductive health, gender violence, and lack of access to services. In addition, access to abortion must be improved; it is the responsibility of states to guarantee the quality and security of this access. In our region there still exist countries with completely restrictive frameworks. New technologies facilitate self-care (16), which will allow expansion of universal access, but governments cannot detach themselves from their responsibility. Self-care is expanding in the world and can be strategic for reaching the most vulnerable populations. There are new challenges for the same problems, that require a re-interpretation of the measures necessary to guaranty the DSR of all people, in particular women, girls, and in general, marginalized and vulnerable populations. It is necessary to take into account migrations, climate change, the impact of digital media, the resurgence of hate discourse, oppression, violence, xenophobia, homo/transphobia, and other emergent problems, as SRH should be seen within a framework of justice, not isolated. We should demand accountability of the 179 governments that participate in the ICPD 25 years ago and the 193 countries that signed the Sustainable Development Objectives. They should reaffirm their commitments and expand their agenda to topics not considered at that time. Our region has given the world an example with the Agreement of Montevideo, that becomes a blueprint for achieving the action plan of the CIPD and we should not allow retreat. This agreement puts people at the center, especially women, and includes the topic of abortion, inviting the state to consider the possibility of legalizing it, which opens the doors for all governments of the world to recognize that women have the right to choose on maternity. This agreement is much more inclusive: Considering that the gaps in health continue to abound in the region and the average statistics hide the high levels of maternal mortality, of sexually transmitted diseases, of infection by HIV/AIDS, and the unsatisfied demand for contraception in the population that lives in poverty and rural areas, among indigenous communities, and afro-descendants and groups in conditions of vulnerability like women, adolescents and incapacitated people, it is agreed: 33- To promote, protect, and guarantee the health and the sexual and reproductive rights that contribute to the complete fulfillment of people and social justice in a society free of any form of discrimination and violence. 37- Guarantee universal access to quality sexual and reproductive health services, taking into consideration the specific needs of men and women, adolescents and young, LGBT people, older people and people with incapacity, paying particular attention to people in a condition of vulnerability and people who live in rural and remote zone, promoting citizen participation in the completing of these commitments. 42- To guarantee, in cases in which abortion is legal or decriminalized in the national legislation, the existence of safe and quality abortion for non-desired or non-accepted pregnancies and instigate the other States to consider the possibility of modifying public laws, norms, strategies, and public policy on the voluntary interruption of pregnancy to save the life and health of pregnant adolescent women, improving their quality of life and decreasing the number of abortions (17).

Do migrants adopt the contraceptive norms dominant in their destination context? To explore this question, the authors adopt a multisited analysis in which they standardize and integrate data on women’s contraceptive use from two different sources: the Trajectoires et Origines survey collected in France (the receiving country) and the Demographic and Health Survey collected in Turkey (the sending country). Descriptive analyses indicate that contraceptive use of migrant women from Turkey in France is more comparable with that of nonmigrant women in France compared with nonmigrant women in Turkey. To address migrant selectivity on observed characteristics in multivariate analyses, nonmigrant groups in France and Turkey are reweighted with entropy balancing to resemble migrants on observed characteristics. Multivariate results indicate that there are sizable differences in contraceptive use between Turkish migrants and nonmigrant Turkish women, which undermines the hypothesis of selection on observables. Yet there are no significant differences between migrants and nonmigrant French women in contraceptive methods, thus supporting an adaptation perspective. Supplementary analyses highlight several pathways that could help explain these findings.

Lebanon is defined as a country of emigration and immigration. Whereas previously, emigration was considered a male migration. Gradually, in recent years emigration has evolved and is becoming feminine also. Independent female migration is a growing phenomenon in the Lebanese society although men still play an important role in the migration project.In the past, women were emigrating most often in the context of family reunification, accompanying their husbands to join a member of their families. The majority of migrant women today are leaving the country for so many reasons (further education, work, etc.) and not only to join their husbands. This article examines highly skilled female migration from Lebanon.In France, the migration of skilled workers from Lebanon has experienced very rapid growth in the last decade. However, female migration does not seem to have been the subject of a sociological reading. The study includes qualitative analysis of twenty five cases studied of Lebanese skilled migrant women in France, especially a university degree or equivalent (nurses, architects, teachers, doctors, engineers, lawyers, researchers ...) who were not married or go join their family when they have emigrated, and they have a good command of French language, and who were not dual nationality holders.This article aims to fill some gaps in this area, examining the reasons for change: migration path, the link with the country of origin, the impact of female migration on their personal, social, cultural and family, their return project, exchanges on the remittances levels, career transition path and entrepreneurship, adaptations, their social networks, their identity reconstruction, etc. Besides, there are also non-measurable aspects noted as the autonomy of women to discuss.

This lecture should also have a sub-title, perhaps something like ‘a study in ambiguity’, because I want to use it as a particular example of the great paradox which seems to lie at the core of the relationship between women and the Church. On the one hand, as is well known, most varieties of Christianity have been marked by a more or less powerful misogynist strain which, understandably, has been the focus for feminist denunciations of the Church as one of the principal enemies of women’s rights. On the other hand, as ecclesiastical historians perhaps know better than others, Christianity cannot be viewed crudely as a force invariably responsible for women’s oppression, since from its beginnings it has proved itself specially attractive to women, allowing them to find inner peace and deep fulfilment through Church-related activities. I hope to show tliat the history of women’s involvement in the social Catholic movement in France in the period before the First World War is a perfect illustration of the paradoxical situation in which, within the framework of a potentially restrictive Christian discourse, women have been able to make a distinctive contribution both to their religion and to society in general.

Population aging in France in the nineteenth century concerned mainly women, as men's life spans increased only after World War I. The article assesses the impact of this gender-differentiated aging process on wealth distribution, using individual data on bequests collected for the period 1800-1939. Over time, more women died without assets. But those who owned assets were richer. As a result, women's aging contributed both to a more unequal wealth distribution and to narrowing the gender gap between asset owners.

During the past decade, political researchers have devoted growing attention to women's political involvement and, to a somewhat lesser extent, their political attitudes in Western cultures. This interest has been a response in part to contemporary feminist movements and, more specifically, to the increasingly visible role of women as social activists, partisan elites and governmental decision makers in Western European and North American society.