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Intervention study, investigating whether the use of EPR-Youth, an interdisciplinary used electronic child health record contributes to interdisciplinary collaboration between professionals in youth care and child healthcare. A mixed methods design combined baseline and follow-up questionnaires with focus group interviews. Professionals completed questionnaires about interdisciplinary collaboration before introduction of EPR-Youth (N=117) and 24 months thereafter (N=127). After 14 months, two focus group interviews were held with professionals (N=12). Both logging and data are in Dutch.

Previous research on transnational migration and information and communication technologies (ICTs) demonstrated how ICTs shape transnational social relationships. What remains less explored is how ICTs shape spatial dimensions of such relationships. Also, international educational migrants constitute a substantial part of transnational migration flow, yet their everyday lives are not well studied. Building upon material semiotic scholarship, we examine how ICTs shape socio-spatial dimensions of transnational relationships in the lives of educational migrants, and the impacts that such relationships have on their everyday lives. This research is based on the empirical exploration of 21 in-depth interviews with educational migrants who came from Central Asian and African countries to the Netherlands. We show that spatial relationships, such as co-presence and distance, are not naturally ‘given’ but are instead enacted in heterogeneous communication practices of educational migrants, and these relationships produce both enabling and constraining effects on their everyday lives.

Food geographies have long grappled with the interplay between\ud production and consumption. Theories of practice offer productive\ud new ways of conceptualising the mutual implication of supply and\ud demand in shaping food consumption, yet little work has approached\ud the subject of novel foods from this perspective. This paper applies\ud practice-theoretic analysis to two novel foods, aiming to demonstrate\ud the utility of the approach for a number of substantive areas and to\ud extend conceptual and theoretical debates within food geographies.\ud The paper compares sushi (a novel food successfully established in\ud the US in the 1960s) and insects (a novel ‘sustainable’ protein source\ud for Western markets, which to date has been relatively unsuccessful).\ud Many accounts portray sushi’s success as the result of marketing\ud efforts and the role of a ‘gateway dish’, arguing that insects – as ‘the\ud new sushi’ – can follow this model to achieve widespread acceptance.\ud It is argued that sushi’s initial Western establishment was instead\ud due to pre-existent practices ‘carried’ to a new location, where the\ud practices’ relevant constituent elements were also present. Conversely,\ud European food insects are not clearly assimilable within pre-existing\ud practices; instead, integration into existing food practices has been\ud attempted. Such efforts are demonstrably problematic.

This paper investigates the associations between fertility decline in Western Europe since the nineteenth century and the most elementary institution through which relationships between kin are defined: the family. Fertility levels in Western Europe declined strongly since the mid-nineteenth century but also show marked regional variations, comparable to developments in sub-Saharan Africa in the world today. Recent explanations of fertility decline point at the role of social relationships with kin and non-kin in the diffusion of family limitation. Based on the classification of family systems by Emmanuel Todd, theoretical connections between family systems and the level and speed of fertility change are made. Non-authoritarian family systems are expected to be more open towards change since non-kin are more likely to enter the social network. Authoritarian family systems on the other hand are expected to maintain higher levels of fertility due to the dense kinship networks. The findings in this paper show no clear association between family systems and reproductive outcomes during the course of the demographic transition. Fertility outcomes are more strongly associated with past fertility levels and the level of fertility in neighbouring regions., Historical Social Research / Historische Sozialforschung Vol. 44, No. 3 (2019): Special Issue: Islamicate Secularities in Past and Present. Starting Point and Frequency: Year: 1979, Issues per volume: 4, Volumes per year: 1

This article is reviewing how the use of patient-accessible health records is contributing to patient-centred care. A model for patient-centered care is used to describe the several dimensions that are impacted by the use of a patient-accessible health record.

Malnutrition is a decisive factor that could detain individual and societal advancements. It may not only reduce individual well-being, but at macro level, could also be a burden for the national health expenditure and the labour productivity. Aside from the economic context, the sociocultural settings a person lives in may influence his/her nutritional status and their significant others. In this case, sociocultural factors operate “invisibly” by influencing people’s beliefs, attitudes, and behaviour toward food and other health inputs. Unlike the extensive efforts that many have put to understand the linkage between economic factors and nutrition, fewer works have been done to reveal the role and mechanisms by which sociocultural factors may affect child nutritional status.Chapter 1 described the main research objective of this thesis, that is “to examine how sociocultural factors (e.g., gender, religion, and ethnicity) may influence nutritional status in childhood and adolescence (0–19 years of age)”. Indonesia, the world’s fourth largest country in terms of population, is strategically selected for the study site. In response to the main research objective, empirical Chapters 2–5 were then produced. Each chapter studied a specific theme, covering the influence of women’s empowerment (e.g., mother’s education, mother’s bargaining power, and mother’s working status) on adolescent nutritional status (10–19 years of age) in Chapter 2, the role of mother’s education in sibling inequalities (e.g., by gender, birth order, and the number of siblings) in child overweight (0–19 years of age) in Chapter 3, and the effects of maternal Ramadan fasting on the nutritional status of Muslims during childhood and adolescence (0–19 years of age) in Chapter 4, and finally, the influence of ethnicity on dietary diversity—one measure of dietary intake—of school-aged children (7–12 years of age) by gender and household socioeconomic status (SES) in Chapter 5.Chapter 2 found a positive association between mother’s education and adolescent height-for-age Z-scores (HAZ). Regarding mother’s working status, the chapter showed that adolescents of blue-collar mothers were shorter compared to adolescents of mothers that were housewives. Most likely, the shorter stature was related to the lower food provision and supervision that mother could deliver, considering the long and typically less flexible working hours of blue-collar jobs. There was no influence of mother’s bargaining power on adolescent nutritional status. Gender inequality emerged as boys had on average a lower BMI (body mass index) for-age Z-scores (BAZ) than girls. Mother’s education compensated for boys’ lack in body mass. However, an unhealthy compensating mechanism was likely at work because boys’ consumption of high-calorie foods increased along with more years of mother’s education.Chapter 3 found that the eldest, the youngest, and children from smaller families were more likely to be overweight. The chapter showed that the risk of being overweight increased with more years of mother’s education, especially for boys and eldest children. Further analyses showed that sons of educated mothers consumed more often high-calorie foods than did their daughters. This gender gap in consumption of high-calorie foods became greater from late childhood onwards (5–19 years of age). Referring to the Global Nutrition Transition, the chapter suggested that the openness to new diets and nutrition innovations of Indonesian educated mothers might take its form in introducing high-calorie foods rather than promoting a healthy diet and an active lifestyle to their children.Chapter 4 found that prenatal exposure to Ramadan affected the stature of Indonesian children and adolescents. Children and adolescents of religious Muslim mothers who were prenatally exposed to Ramadan were shorter and thinner than their unexposed siblings. This lack in stature developed over time and depended on the timing of the exposure. A cautious analytical design made certain that the cause of the stature deficiency was related more to maternal Ramadan fasting rather than other factors (e.g., alternating diet and sleeping disturbance). Aside from this result, two surprising findings emerged. First, prenatal exposure to Ramadan improved the nutritional status of children and adolescents of less-religious Muslim mothers. Second, negative effects of prenatal exposure to Ramadan on HAZ arose for those who were born to non-Muslim mothers. This occurred in early childhood only (0–4 years of age) but not in later life stages. Both findings were discussed in the light of Indonesia’s context, including food price spikes during Ramadan and the timing of the annual bonuses or Tunjangan Hari Raya (THR).Chapter 5 found that dietary patterns of school-aged children differed by ethnic group. Gendered dietary patterns emerged more in children of ethnic groups with a unilineal kinship system, i.e., the patrilineal Batak and the traditionally matrilineal Minangkabau, rather than in the bilateral Javanese. While boys and girls were similar in how frequent they consumed animal-source foods and dairy products, boys of the two unilineal ethnic groups differed in their diet to girls by consuming less often the “low-status” foods (e.g., tubers and vegetables), thus reducing their dietary diversity. The chapter also highlighted how, among Batak children with low-SES, consuming the culturally preferred but expensive animal-source foods was met at the expense of dietary diversity: a behaviour that risked their nutritional status.Chapter 6 discussed findings of Chapters 2–5 in relation to the main research objective. This led to the following main conclusions. First, Indonesian boys were more likely to experience malnutrition than girls, specifically in BAZ. Second, the mother’s education positively influenced HAZ. However, the same indicator of women’s empowerment inflated gender inequality in BAZ by exposing boys more to overweight. Third, food culture may be differently related to dietary intake and nutritional status between and within social groups (e.g., religious and ethnic groups).In terms of policy recommendations, this thesis suggests that alongside the traditional focus on girls, improving the nutritional status of boys should also be on policymakers’ agendas. Raising the awareness of educated mothers to better supervise the dietary intake of their sons similarly to that of their daughters is as important. Lastly, the social context of food consumption should also be considered when assessing nutritional status and designing nutrition interventions.

Background Worldwide, patient-centered care is becoming a widely used concept in medical practice, getting more and more attention because of its proven ability to improve quality of care and reduce costs. Although several studies show that patient-accessible electronic health records (PAEHRs) influence certain aspects of patient-centered care, the possible contribution of PAEHR implementation to patient-centered care as a comprehensive concept has not, to our knowledge, been structurally evaluated to date. Objective The objective of this study is to review whether and how the use of PAEHRs contributes to patient-centered care both in general and among specific population groups. Methods We followed PRISMA Extension for Scoping Reviews reporting guidelines. We identified literature in 5 databases, using the terms “patient-accessible medical records,” “patient experiences,” and “professional experiences” as key concepts. A total of 49 articles were included and analyzed with a charting code list containing 10 elements of patient-centered care. Results Studies were diverse in design, country of origin, functionalities of the investigated PAEHR, and target population. Participants in all studies were adults. Most studies reported positive influence of PAEHR use on patient-centered care; patient accessible health records were appreciated for their opportunity to empower patients, inform patients about their health, and involve patients in their own care. There were mixed results for the extent to which PAEHRs affected the relation between patients and clinicians. Professionals and patients in mental health care held opposing views concerning the impact of transparency, where professionals appeared more worried about potential negative impact of PAEHRs on the patient-clinician relationship. Their worries seemed to be influenced by a reluctant attitude toward patient-centered care. Disadvantaged groups appeared to have less access to and make less use of patient-accessible records than the average population but experienced more benefits than the average population when they actually used PAEHRs. Conclusions The review indicates that PAEHRs bear the potential to positively contribute to patient-centered care. However, concerns from professionals about the impact of transparency on the patient-clinician relationship as well as the importance of a patient-centered attitude need to be addressed. Potentially significant benefits for disadvantaged groups will be achieved only through easily accessible and user-friendly PAEHRs.

Human fertility rates showed a marked decline in Western Europe from the mid-nineteenth century until the beginning of the twentieth century. The causes of this decline have been studied extensively, but no complete explanation to the observed patterns during this ‘First Demographic Transition’ has yet been given.Following recent literature, this study examines the fertility decision-making process at the level of the individual. In particular it focusses on the role of other people - specifically family members - in shaping perceived constraints and preferences regarding parenthood. Family members can increase or reduce offspring survival chances and fertility outcomes by providing resources and support, or through social influences as social learning, social pressure, subjective obligations and social contagion.The outcomes of this study show that family members influenced fertility outcomes in Western Europe during the first demographic transition. Their influence however varied depending on the type of kin and over time.

Orchid gathering in the Southern Highlands of Tanzania became an income generating strategy for HIV/AIDS-affected households, particularly for children orphaned by HIV/AIDS. Being orphaned might have implications for children's local ecological knowledge leading to indiscriminate harvesting of both preferred and non-preferred orchids. Using qualitative and quantitative mixed methods, we assessed the knowledge of wild orchid species among gatherers in four categories: Children orphaned by HIV/AIDS, children not affected by HIV/AIDS, HIV/AIDS-affected adults, and non-HIV/AIDS-affected adults. Data collection took place from February 2006 until February 2007. More than 70% of the children orphaned by HIV/AIDS relied on tuber taste and texture to distinguish preferred and non-preferred species. HIV/AIDS-affected adults were competent at using orchid morphology to distinguish preferred from non-preferred orchid species. Gatherers stated preferred orchid species were primarily found in restricted areas, and non-preferred species were widespread. Cramer's V analysis revealed an association between the HIV/AIDS status of a gatherer and the gatherer's views on the conservation status of preferred and non-preferred species. Gatherers perceived non-preferred species as having higher natural regeneration potential than preferred species. Cramer's V analysis also showed a difference in gathering knowledge acquisition between HIV/AIDS-affected double orphans who emigrated from urban settings, and those residing in their natal rural village under guardian care. Both types of orphans relied primarily on other children for gathering knowledge, but those with guardians also gleaned knowledge from guardians. Across categories, children also gained knowledge from middlemen, who buy and resell the preferred orchids.

A nascent subfield within food geographies research investigates edibility, or how things ‘become food’. In the context of efforts to create more sustainable foodways in Europe and the US (the ‘West’), this question is pertinent. One proposed contribution to these efforts is the Western adoption of insects as human food. Related scientific and commercial activity in the Netherlands has been prominent in this area. This paper draws on research with people involved in the development of a Dutch edible insect network, and with the production, supply and consumption of a range of insect-based foods. It explains how this network arose out of the interaction between heterogeneous, mutually-influential actors, and acts to delimit the ‘horizon of possibility’ for insect-based foods. The paper then presents a case study of a range of insect-based foods, arguing that the food products themselves, and their edibility, can similarly be understood as a network effect. Agency in both the design of foods and the construction of edibility is conceptualised as distributed, multiple and contingent. The paper also discusses the disjuncture between edibility (in principle) and routine consumption (in practice): new foods may be successfully positioned as ‘edible’, but this does not mean that people will eat them. Implications for debates on the conceptualization of edibility are discussed.

Adolescent undernutrition is a persisting public health problem in low and lower middle income countries. Nutritional trajectories are complexly interrelated with socio-cultural and economic (SCE) trajectories. However, a synthesis of the SCE determinants or consequences of undernutrition in adolescents is lacking. We undertook a narrative review of published literature to provide a narrative overview of the SCE determinants and consequences associated with undernutrition among adolescents in LLMICs. We identified 98 articles from PubMed, SCOPUS, and CAB-Abstracts on determinants and consequences of undernutrition as defined by stunting, underweight, thinness, and micronutrient deficiencies. At the individual level, significant determinants included age, sex, birth order, religion, ethnicity, educational and literacy level, working status, andmarital status. At the household level, parental education and occupation, household size and composition, income, socioeconomic status, and resources were associated with undernutrition. Only a few determinants at the commu-nity/environmental level, including residence, sanitation, school type, and seasonality, were identified. The consequences of adolescent undernutrition were mostly related to education and cognition. This review underscores theimportance of the broad range of context-specific SCE factors at several levels that influence adolescent nutritional status and shows that further research on SCE consequences of undernutrition is needed.

This paper discusses how informal structures intersect with women's participation in formally created decision-making spaces for managing domestic water at the village level in Tanzania. The results reveal the influence of the informal context on women's access to and performance in the formal decision-making spaces. Overall, there is low community involvement in local governance structures, and in most village assemblies that of women is even less. Only in the Social Welfare Committee women are fairly well represented, presumably because of its linkage with the traditional division of labour and women's practical gender needs. In the Village Water Committees, women's representation is regulated by a quota system but women rarely occupy leadership positions. Even when husbands are supportive, patriarchal culture, scepticism and negative stereotypical assumptions on female leadership frustrate the government's effort to enlarge women's representation in the local decision-making spaces. Three entry points for change were identified: successful women leaders as role models; women's passive participation in village meetings that could develop into active participation; and women's membership of social and economic groups which strengthens their skills and bargaining position.

This paper propounds the concept of the moral household economy in order to understand and explain gender performances in food practices of sharing and caring in the socio-cultural domain of unpaid food work. Households are the immediate context for meeting people’s food and nutrition needs and for everyday practices of caring and sharing, which are based on moral responsibilities. By applying the concept of moral economy to households, the boundary that separates abstract morality from the morality acknowledged and implied by social practices is challenged. Since the household is a gendered sphere, moral household economies are gendered. We integrate these notions into one theoretical construct, drawing on illustrative cases to exemplify linkages and processes. The paper offers a novel theoretical framework for understanding the relationship between gender and food by looking at food practices of sharing and caring in the context of the household as a space of gendered morality.

Successful transmission of tuberculosis depends on the interplay of human behavior, host immune responses, and Mycobacterium tuberculosis virulence factors. Previous studies have been focused on identifying host risk factors associated with increased transmission, but the contribution of specific genetic variations in mycobacterial strains themselves are still unknown., This study was funded by the Portuguese Foundation for Science and Technology (FCT) (SFRH/BD/33902/2009 [H.N.-G.]).

In recent decades there has been a large migration stream of single women from the north to Accra in Ghana. Existing studies have focused on young migrant women’s livelihood strategies in their place of destination. However, once-married women – divorced and widowed women and neglected wives – also migrate, and their motivations for migration are less known. Drawing on qualitative and quantitative methods, the authors investigate the effects of gender norms, age, marital status, socio-economic status, and position in households on women’s decisions to migrate. The results revealed that migrant women from resource-poor households, regardless of age, marital status and position in households, commonly cited a gain in autonomy as an important motivation for their migration. From a differentiated perspective, young unmarried women aspired to prepare themselves for often expensive religious marriage ceremonies, whereas once-married women invest in their children’s education and build their own housing. By paying attention to the effects of gender norms, age, marital status, socio-economic status, and position in households on women’s decisions to migrate, the study illuminates the contradictory ways in which their migration practices are both shaped by and shape gender ideologies in parts of contemporary northern Ghana.

Solar cookers have been tested and studied in various settings, but despite their envisioned benefits – reduction of deforestation, economic benefits, improved health, and empowerment of women – results have been modest at best. This article performs a critical review of the literature on solar cooking (SC), to scrutinise the assumptions and methodological choices that may explain this conundrum. The literature review yielded 32 articles on solar cookers in Sub-Saharan Africa, where most SC projects can be found. Four recurrent types of issues stand out: local needs are often not sufficiently considered, existing cooking and fuelwood practices are seen as obstacles, many articles show a prosolution bias and there is a lack of methodologically sound impact studies. To overcome these issues, practice theory – which analyses the practice of cooking from the logic of the practice, rather than from an external point of view – is proposed to guide and focus future SC projects and studies. Furthermore, ethnographical methods can provide new and grounded evidence and allow for a stronger focus on local needs. These approaches can provide a fruitful evidence base to analyse the role of solar-cooking in achieving sustainable and long-term development benefits in the Global South.

BackgroundThe growing number of community-dwelling older adults and the increased risks of adverse health events that accompany ageing, call for health promotion interventions. Nurses often lead these interventions. The views and experiences of older adults participating in these interventions have rarely been studied. To understand the views of targeted older adults, qualitative studies are essential. The aim of this study was to investigate the views and experiences of older adults on their participation in a nurse-led intervention, taking into account their views on healthy aging.MethodsIn a qualitative study, nineteen Dutch older adults aged 62 to 92 years participated in semi-structured interviews. These were transcribed verbatim and coded with the Qualitative Data Analysis Miner software program. The Qualitative Analysis Guide of Leuven was used for data analysis.ResultsBased on the analysis of the interviews, the following main themes emerged from the data reflecting the experiences of the participants: 1) awareness of aging, 2) experienced interaction with the nurse, and 3) perception of the consultations as a check-up and/or personal support.ConclusionsThis study underscores the importance of nurse-led interventions that match older adults' personal views concerning healthy living, and their views and experiences concerning these interventions. Older adults' holistic views of healthy living were not always assessed and valued by the nurses. Also, our study shows a wide variety of expectations, views and experiences among the participating older adults. This implies that health professionals should adjust their working and communication methods to the older adult's views on life.

Background: Despite the importance of dietary diversity for nutritional status, studies on issues surrounding ethnicity and dietary diversity in developing countries are limited. Objective: We analyzed cross-ethnic differences in dietary diversity and examined the roles of gender and household socioeconomic status (SES) in 3 Indonesian ethnic groups with different kinship systems: Javanese (bilateral), Batak (patrilineal), and Minangkabau (matrilineal). Methods: Data were from the Indonesian Family Life Survey 2000-2015 that consisted of 6478 school-aged children (7-12 years of age) born to 3878 mothers. The children’s dietary diversity was measured using a Berry-Index. We used cluster-robust multivariate linear regression models. Results: Gendered dietary diversity occurred for ethnic groups with unilineal kinship but was less evident for ethnic with bilateral kinship. Batak and Minangkabau girls, rather than boys, had higher dietary diversity because boys from these 2 ethnic groups consumed low-status foods (eg, tubers and vegetables) less often. Household SES influenced ethnic-related dietary diversity differently, perhaps because of food culture. Batak children from lower SES households consumed fruits and dairy products less often, most likely to enable them to consume the pricier but culturally preferable animal-source foods. This lowered their dietary diversity. Conclusion: The overall results indicate gendered and household SES-related effects of ethnicity on dietary diversity. Nutrition interventions targeting boys should be on policy-makers’ agendas. Boys should be advised to consume healthy low-status foods more often to improve their dietary diversity. The Batak case shows that children from lower SES backgrounds should depend less on the pricier foods to enable them varying their diet better.

Many studies on nutrition that include gender do not take it further than observing male-female differences. In this review, I use the concept in the sociological sense and I conceptualize nutrition as embedded in household food security and pertaining to (gendered) performances that require resources. Using both quantitative data on associations and trends as well as qualitative findings that reveal mechanisms and subjectivities, I structure the discussion along three subject clusters of gender-nutrition interfaces, i.e. 'women's nutrition and gender inequalities'; 'food care'; and 'sons and daughters'. Regarding the first cluster, I found that because of women's hegemonic role in family food care and their often being relationally defined as mothers, their own nutritional needs tend to be considered instrumentally rather than as a matter in its own right. Gender inequalities affect women's nutrition through unfavourable intra-household food distribution patterns and poor access to crucial resources such as safe water and health care. They have an impact on women's care-giving abilities, and cause unequal treatment of sons and daughter. There is ample evidence that gender inequalities can propel an intergenerational cycle of female undernutrition. Because of the inequalities' entrenchment in daily life and in institutional frameworks, there are no easy solutions. However, female education (typically referred to as 'maternal' education) has been proven to alleviate the undernutrition of women and children. Finally, I conclude that gender inequality is a neglected aspect in defining sustainable nutrition and the relationship between women's nutrition and their reproductive rights a missing topic in the literature.

Background: The experience of scarcity provides an explanation for the relatively unhealthy diets of people with low income. Causal evidence for an effect of direct experiences of scarcity on eating behaviour is lacking. Methods: Two studies (N = 81, N = 115) tested and refined a self‐developed trade‐off task, in which participants' resources were restricted (scarcity condition) or unrestricted (no‐scarcity condition), for manipulating experiences of scarcity. Two further studies (N = 95, N = 122) were performed to test whether scarcity results in greater calorie consumption from snacks and lower self‐reported self‐regulation of eating. Results: The scarcity manipulation appeared successful. A significant main effect of scarcity on eating was not found; however, an interaction effect between hunger and scarcity bordered on significance, such that those in the scarcity condition consumed more calories under low hunger. In the second experiment, participants were instructed to eat prior to participation to lower their hunger level. No difference between conditions was found in calorie consumption and self‐regulation of eating. Conclusion: Although the trade‐off task appeared to evoke scarcity experiences, the present research could not support the notion that these result in unhealthier eating. A more nuanced view of the influence of scarcity on eating is needed.

Feminist scholars are deeply involved in current global debates surrounding natural resource management. Looking at feminists’ engagement through the entry point of the commons and commoning, feminists’ voices are diverse. Somewhat separate from feminist discussions on the commons and commoning, scholars of postcapitalist community economies have recently linked their scholarship to the study of the commons and commoning. This essay expands feminist political ecology’s approaches to the study of the commons and commoning by integrating some insights from existing eco- and autonomist Marxist feminisms as well as postcapitalist community economies. We first discuss a postcapitalist feminist political ecology’s perspective. After introducing our site and methods, we explore the productivity of this framework through an examination of the case of a women-led cooperative that has been producing agave syrup in rural Mexico for the last two decades. To conclude, we discuss several insights this approach may offer for transformative politics.

Purpose Adolescents are at a stage in their life course in which they increasingly become choosers, buyers and preparers of food. Hence, they develop and employ required competences. Current food-related competences of adolescents are shaped in an environment with an abundance of convenience foods. Simultaneously food education has been limited in many western countries. The purpose of this paper is to scrutinize how young practitioners engage with the notion of convenience in a context with a strong presence of convenience foods. Design/methodology/approach Empirical data for this paper have been collected in a Dutch high school context following a participatory approach in focus group discussions. Data have been gathered from different food-related exercises within a classroom context. Findings The findings indicate that adolescents’ food competences and meanings are heavily shaped by the abundant presence of convenience foods. Adolescents perceive a nuanced picture of a skilful consumer that incorporates convenience foods in ways that minimize time efforts, preserves some preparatory tasks for fun cooking and has knowledge about health effects of fatty and salty foods. Originality/value The investigation takes a novel look on convenience food consumption from a practice perspective scrutinizing competences through the lens of adolescent practitioners. The authors make a plea for tapping into the potential of research on children and adolescents as novice performers of practices to understand how practices are shaped and changed and how practices recruit new practitioners.

In many parts of the world, the food security of households and the nutrition security of individual household members, in particular that of children, are still at risk, in spite of the progress made in combatting hunger at the global level. The prevailing opinion among scientists and development practioners alike is that women’s empowerment is the key to household food security and good nutrition of children. Similarly, it is thought that gender inequalities manifest themselves in dietary discrimination of women resulting in their lesser access to sufficient and nutritious food. To investigate the credibility of these ‘common truths’, empirical evidence on women’s roles in the social practices that aim at realizing household food security and good family nutrition was reviewed. It can be concluded that women definitely yield and wield power through their involvement in and responsibility for these practices, but that – at the same time – enhancing women’s capabilities by improved access to critical resources would benefit their household’s food security and their children’s nutrition. Furthermore, except for the region of South Asia, gender inequalities do not visibly result in a gender gap in nutrition, although women’s specific dietary needs in relation to pregnancy and motherhood are not always recognized.

In this article we aim to study how Dutch children’s individual destinies result from the complex interplay of family setting and local conditions in a rural environment. We focus on their final move from the parental home, and we will analyse not only timing and incidence of leaving, but also the destinations. To do this, we propose a multi-level competing risk analysis of migration destinations. We focus on two groups: the children of farmers and those of rural workers. Dutch farmers and workers differ in the type of family economy in which children were integrated, and contrasting them will allow us to explain the speed, the directions, and the individual and family backgrounds of the process of leaving agriculture. We make use of the Historical Sample of the Netherlands to analyse last migrations of 8,338 children of farmers and rural workers. As we cover the entire country, we can study the full impact of regional differences on type of agriculture and inheritance, in combination with the family composition. Our results indicate significant effects of specialised versus traditional, mixed farming on the migration behaviour of farmers’ and rural workers’ children, as well as the importance of the number of siblings of the same sex and birth order. The variations in the effects of the sibship among regions with different agricultural systems demonstrate the importance of gender-specific divisions of labour on leaving home.

What was the role of the family in individual reproductive decisions during state socialism? Can the family help to understand regional variations in fertility decline? This study provides an in-depth analysis of family relationships and their influences on individual reproductive decisions during the transition from first to second birth in Soviet Ukraine. Life history interviews are used to compare the western and eastern borderland cities of Lviv and Kharkiv, respectively, around 1950–1975. The findings reveal that regional differences in intergenerational ties and spousal cooperation shaped two reproductive strategies of transition to second birth, specifically postponing in Kharkiv and spacing in Lviv.

In this paper, we scrutinise the sharing economy from a moral householding perspective and evaluate the moral justifications for a sustainable form of the sharing economy. We consider the emergence of normative moral justifications through householding practices that rest on local mobilisation of people in defence of communities and commitments against the adverse impacts of neoliberal market capitalism. Our perspective draws on Karl Polanyi's conceptualisation of householding, that is, autarchic, communistic provision in a closed community. Using timebanking as an example, we illustrate how a moral sharing economy can be mobilised in collective battles against the current neoliberal system of economic crisis. We contribute to the amassing sharing economy literature emphasising a central, yet missing element of the current discourse: householding as practices creating self-sufficiency and autonomy as well as combining both kin and stranger.

This book provides critical perspectives on contemporary collaborative consumption, a recent societal phenomenon shaking up previously fixed socio-economic categories such as the producer and the consumer. The contributors discuss the role of trust and reciprocity in collaborative consumption through seven case studies. The chapters advance debates on the contradictions of positioning collaborative consumption as possible solutions for a more sustainable development and exacerbating new forms of inequalities and injustice. The book contributes a nuanced appraisal of social and economic activity for reflecting socio-technological changes in contemporary societies.

This book provides critical perspectives on contemporary collaborative consumption, a recent societal phenomenon shaking up previously fixed socio-economic categories such as the producer and the consumer. The contributors discuss the role of trust and reciprocity in collaborative consumption through seven case studies. The chapters advance debates on the contradictions of positioning collaborative consumption as possible solutions for a more sustainable development and exacerbating new forms of inequalities and injustice. The book contributes a nuanced appraisal of social and economic activity for reflecting socio-technological changes in contemporary societies.

The recent decade has seen unprecedented societal challenges. Since the beginning of the economic and social crisis in the global North a decade ago, consumers have started rethinking their everyday lives. Consumers have not only become more mindful in their spending habits, but also more ingenious in living on a limited budget.

Sushi first achieved widespread popularity in the United States in\ud the mid-1960s. Many accounts of sushi’s US establishment foreground\ud the role of a small number of key actors, yet underplay\ud the role of a complex web of large-scale factors that provided the\ud context in which sushi was able to flourish. This article critically\ud reviews existing literature, arguing that sushi’s US popularity\ud arose from contingent, long-term, and gradual processes. It examines\ud US newspaper accounts of sushi during 1945–1970, which\ud suggest the discursive context for US acceptance of sushi was\ud considerably more propitious than generally acknowledged.\ud Using California as a case study, the analysis also explains\ud conducive social and material factors, and directs attention to\ud the interplay of supply- and demand-side forces in the favorable\ud positioning of this “new” food. The article argues that the US\ud establishment of sushi can be understood as part of broader\ud public acceptance of Japanese cuisine.

In large parts of South Asia, gendered inequalities in intra-household food allocation cause a gender gap in food and nutrition security. Such inequalities are revealed in customary practices relating to food, health and care. This study is about the relationship between intra-household food allocation and women’s vulnerability to food and nutrition insecurity in Nepal. It highlights the differential effects of family type, household composition and ethnicity on this relationship and on the impact of social change on women’s vulnerability to food and nutrition insecurity. The study uses the moral household economy framework and applied a mixed-methods approach with an emphasis on qualitative methods. Thirty women from a Hindu and a Buddhist community in Humla, one of the poorest districts in Nepal, were interviewed about their perspectives on food and nutrition security. Their nutritional status was assessed as well. While in both communities, practices of food allocation and consumption were highly gendered, only in the Hindu households gender inequality was reflected in women’s vulnerability to food and nutrition insecurity. Buddhist women had more decision-making power than the Hindu women had, were less affected by deeply rooted cultural practices that disfavour pregnant and lactating women, and seemed to benefit more from social change.

In large parts of South Asia, gendered inequalities in intra-household food allocation cause a gender gap in food and nutrition security. Such inequalities are revealed in customary practices relating to food, health and care. This study is about the relationship between intra-household food allocation and women’s vulnerability to food and nutrition insecurity in Nepal. It highlights the differential effects of family type, household composition and ethnicity on this relationship and on the impact of social change on women’s vulnerability to food and nutrition insecurity. The study uses the moral household economy framework and applied a mixed-methods approach with an emphasis on qualitative methods. Thirty women from a Hindu and a Buddhist community in Humla, one of the poorest districts in Nepal, were interviewed about their perspectives on food and nutrition security. Their nutritional status was assessed as well. While in both communities, practices of food allocation and consumption were highly gendered, only in the Hindu households gender inequality was reflected in women’s vulnerability to food and nutrition insecurity. Buddhist women had more decision-making power than the Hindu women had, were less affected by deeply rooted cultural practices that disfavour pregnant and lactating women, and seemed to benefit more from social change.

Food waste is increasingly seen as a social problem. The “foodsharing” collaborative consumption initiative is an attempt to mitigate this societal challenge. This chapter investigates the community structure and consumer culture associated with “foodsharing”. As a collaborative consumption movement, food consumption is politicized in the “foodsharing” movement. With a growing community, the “foodsharing” community in Berlin (Germany) faced a conflict with the executive branch of consumer policy, the local food authorities. This chapter is in general interested in how the “foodsharing” community is set up and how the community organisation is combined with particular consumer identities. The chapter further investigates how politicization and a conflict with local food authorities lead to consumer activism against consumer policy. The chapter concludes with a theoretical reflection on collaborative consumption movements, highlighting how the boundaries between individual and collective action are continuously blurred and what consumer policy can learn from this contemporary empirical example.

This article deliberates on strategies of consumption governance toward more sustainable consumption. We discuss theoretical concepts stemming from various social science perspectives to (1) promote more sustainable consumption, (2) compare strategies stemming from individualist understanding of consumer behavior, and (3) call for a mix of strategies acknowledging collective dimensions of consumption to change consumer behavior in order to advance sustainable consumption. We thereby criticize overtly individualistic approaches and plea for acknowledging the collective dimensions of consumption that should be recognized in order to promote more sustainable consumption. We outline possible contributions of the collective dimensions in lifestyle movements and a mix of stakeholders that assist in achieving more sustainable consumption.

SummaryIn contrast to the extensive knowledge on the association between women’s empowerment and the nutritional status of children under the age of five, relatively little is known about the influence of women’s empowerment on adolescents’ nutritional status. This study aimed to assess the association between women’s empowerment and gender inequalities in adolescent nutritional status. Data were from the Indonesian Family Life Survey (IFLS) covering the period 1997 to 2015, and consisted of 16,683 observations from 13,396 adolescents between the ages of 10 and 19 years born in 6781 families. Three indicators of women’s empowerment were used: mother’s education, mother’s bargaining power and mother’s working status. Multivariate linear regression with robust standard errors was used to examine whether and how these indicators of women’s empowerment influenced adolescent nutritional status. Interaction terms were added to analyse how the association between women’s empowerment and adolescent nutritional status differed by gender. The results showed that mother’s education and mother’s working status were significantly associated with adolescent nutritional status, particularly with height-for-age. Adolescents of well-educated mothers had a higher height-for-age while those who were raised by mothers with a blue-collar job had a lower height-for-age. Although no gender differences were found for height-for-age, gender differences for BMI-for-age were obvious, with boys having a lower BMI-for-age than girls. Interactions between indicators of mother’s empowerment and gender showed that the gender gap in BMI-for-age was smaller for adolescents of more educated mothers. However, further analyses of food consumption patterns showed that boys whose mothers were more educated consumed more fast food and had higher instant noodle consumption than girls, thus suggesting gender bias in new disguise.

Although gender has become an established research topic in tourism studies over the last decades, the role of religion in relation to women participating in tourism has been less explored. Moreover, gender has been mainly discussed from a Western perspective, while other viewpoints have received little attention. By focusing on women participating in the tourism industry in Zanzibar we make a contribution to both voids in tourism studies. This article provides an account of how Zanzibari women working in tourism are confronted with particular constraints brought about by the Islamization of Swahili culture. Moreover, it is argued that whereas women find themselves bound up by particular Islamic norms and values, they are able through the enactment of their environments to challenge, negotiate, and resist these. In so doing they create the freedom to make their own choices, which, as will be shown, reach beyond their labor position. The research findings are discussed in terms of the concept of enactment as proposed by Weick in 1995 and explore the ability of women to participate in the construction of their own environment. The article concludes by arguing that women enact their environments in diverse ways, and how these environments are understood by them as either constraining or enabling them in taking over agency over their lives.

Many people throughout the world live with incontinence; however, they infrequently make themselves heard. In the current discourse regarding patient empowerment, this poses a dilemma as empowerment is usually believed to emerge from an individual or collective voice. A common response is that the existing taboo needs to be confronted. However, the metabolic functions of the body are a private affair for most people and ‘coming out’ as being incontinent is not necessarily empowering. Hence, solely focusing on the breaking of taboos to improve empowerment will not suffice. On the basis of nine biographic interviews with Dutch people with incontinence, we examine alternative forms of empowerment in everyday practices. Three strategies are detected: creating predictability; learning how to hide incontinence products; and confronting the incontinent body in encounters with others. Above all, it appears that sharing experiential knowledge on all these matters with peers can lead to more promising forms of empowerment for this group of people than the more usual discourse on voice and taboo.

Since the 1990s, Tanzania has been implementing health sector reforms including decentralization of primary healthcare services to districts and users. The impact of the reforms on the access, quality and appropriateness of primary healthcare services from the viewpoint of users is, however, not clearly documented. This article draws on a gendered users’ perspective to address the question of whether the delivery of gender-sensitive primary health services has improved after the reforms. The article is based on empirical data collected through a household survey, interviews, focus group discussions, case studies and analysis of secondary data in two rural districts in Tanzania. The analysis shows that the reforms have generated mixed effects: they have contributed to improving the availability of health facilities in some villages but have also reinforced inter-village inequalities. Men and women hold similar views on the perceived changes and appropriateness to women on a number of services. Gender inequalities are, however, reflected in the significantly low membership of female-headed households in the community health fund and their inability to pay the user fees and in the fact that women’s reproductive and maternal health needs are as yet insufficiently addressed. Although over half of users are satisfied with the services, more women than men are dissatisfied. The reforms appear to have put much emphasis on building health infrastructure and less on quality issues as perceived by users.

In this editorial, we contemplate how the politics of the everyday in consumption and consumer lifestyles emerge. Foundational here is the overarching question why, how and where do people come to share common spaces, meaning, identity, practice and goals in dispersed lifestyles aiming for (social) change. This special issue is an original endeavour to generate an understanding of the issues, problems and potential for change emerging from individual and collective efforts in and around consumption and lifestyles. The editorial presents principles and commonalities of the intersectional study of consumption, lifestyle and social movements. We connect these principles with the papers that make up the special issue and conclude with an outlook for future research.

In some survey research settings, it may be not attainable or optimal to interview individual respondents without involving bystanders or third parties in the interview. Due to complex living circumstances or group culture, respondents may be helped by others in answering questions. However, this involvement of third parties raises questions about data quality and poses a challenge to the data collection process. Recognizing this, a natural field experiment was embedded in an urban resettlement study in the Philippines that allowed for spontaneous third-party help during certain parts of the interview. Using an event history calendar, data were gathered on numbers (of household-related transitions), names (of community leaders), and dates (years of public services). Quality of data was assessed and compared for the “ with help” and “ without help” conditions. The results showed that third-party help did not negatively affect data quality but rather improved it for most issues.

Relatives play an important role in human reproduction according to evolutionary theories of reproductive behavior, but previous empirical studies show large differences in the effects of kin on fertility outcomes. In our paper we examine the effect of co-resident kin and non-kin on the length of birth intervals over the reproductive life course of Dutch women born between 1842 and 1920. We estimate Cox proportional hazard models for parity progression based on the presence of kin and non-kin in the household while controlling for a large number of individual and community-level characteristics. We find that couples living with their brothers experienced shorter birth intervals whereas couples residing with a widowed father had relatively longer birth intervals. The effects of these types of kin on reproduction were most pronounced up to the birth of the fifth child, but not thereafter. We found no effect for mothers or other types of kin.

The current study analysed trends in the time spent preparing and consuming food and the frequency of outsourcing (going out for dinner and take-out) in the Netherlands from 1975 to 2005. We investigated differences between trends on week and weekend days and for different socio-demographic groups. Analyses using pooled data from the Dutch Time Use Survey ( N=13,421) revealed a downward trend in minutes preparing and consuming food and an increase in outsourcing. This overall downward trend could not be accounted for by controlling for structural changes (e.g. increased labour force participation). Moreover, we found that the decrease in time was stronger for days during the week than during the weekend. And we found that the trends differed by household type and sex: e.g. for food preparation there is an overall decrease, except for men with a partner; they showed an increase in time spent preparing food.

In this paper we elaborate how the framing of lifestyle-based collaborative consumption impacts local mobilisation. We present time banking as a collaborative consumption lifestyle emerging from literatures on collaborative consumption and lifestyle movements. The cultural processes of meaning making and practices of framing, through which time banks mobilise constituents and entice collective action, are examined through naturally occurring text interpreted for diagnostic, prognostic and motivational framing. These three framing tasks further illuminate the change aimed for in local lifestyles. The data were collected from time banks in three European metropolitan areas. The findings highlight framing as a practice that challenges traditional monetised ideology of exchange in orthodox economic theory and the hegemonic understandings of consumption. This paper advances the recent discussions on lifestyle movements engaging in meaning creation practices impacting the everyday actions of consumers in local communities.

This unique Feature article comprises a collage of contributions submitted by family and consumer sciences (FCS) practitioners from around the world (also called home economics, human ecology, and human sciences). As Interim Editor (this is my last issue), I reached out to FCS/home economists from all generations (Millennial, Generation X, and Boomers) and asked them to share their thoughts on the future of the profession. Their ideas (represented in their own words) are showcased here. May their musings stimulate your thoughts about ensuring our future. We have a responsibility to future-proof the profession and the discipline, which entails anticipating future developments so actions can be taken now to minimize negative consequences and seize opportunities

Since the 1980s, maternal mortality in Indonesia has declined. However, it has always been high by regional standards, and its decline is now stalling. This makes it unlikely that by 2015 Indonesia will have reduced maternal mortality to the level set by the fifth United Nations Millennium Development Goal. In Indonesia, the role of the traditional birth attendant (TBA) in childbirth has been the subject of debate and controversy since colonial times. In efforts to reduce maternal mortality, subsequent health administrations have tried to replace TBAs with modern-trained midwives. Contrary to expectations, however, even in the present era certified midwives have not fully replaced TBAs. Particularly in rural areas, the TBA remains a key actor in birthing care, although now more often in collaboration with the modern midwife. Taking an anthro pological and a historical perspective, the involvement of the TBA in birthing and maternal care, at different times and in different areas of Indonesia, is investigated and, where relevant, compared to that of TBAs in other parts of Southeast Asia. The emergent picture does not support the opinion that the TBA is to blame for high maternal mortality. Poor referral facilities, bad infra structure and insufficient means are the more likely causes. To resolve the maternal mortality problem, governmental health policies should treat the TBA as an ally. How ever, such policies, and promising approaches such as partnerships and village maternity houses, can only be effective when their implementation is adequately backed up by resources.