Philip Kreager – författare

The anthropological demography of health, as a field of interdisciplinary population research, has grown from the 1990s, extending to a remarkable range of key human and policy issues, including: genetic disorders; nutrition; mental health; infant, child, and maternal morbidity; malaria; HIV/AIDS; disability and chronic diseases; new reproductive technologies; and population ageing. By observing group formation and change over time, tracking people's networks, and observing variance between what people say and do, anthropological demography goes beyond the characteristically top-down formal methodologies of most mainstream socio-economic demography and population health. This path-breaking volume charts and integrates the growing body of research that combines ethnography with quantitative models and methods in the field of population health. It offers a clear agenda based on important conceptual and methodological advances, and often working in close collaboration with medical and historical research. Approaches to population that are grounded in sustained ethnographic and historical research provide more than substantive knowledge of how cultural and social formations interact with health. They enable understanding of how local institutions and experience of vital events come to be translated into the demographic and health measures on which survey and clinical programmes rely. This, in turn, makes possible critical evaluation of the empirical adequacy of such translation, reflection on what happens when these models and measures become standardised evaluations of health statuses, and what this implies for governance. The combination of anthropological, demographic, historical, and biological research has gone beyond the initial demographic prioritisation of fertility regulation, to take on an expanded range of key health policy issues, and locate them in the context of the inequalities that so frequently give rise to major health differentials. The Anthropological Demography of Health offers a clear agenda for the application and extension of combined anthropological and demographic thinking in population health, and will provide a point of reference for the field.

The Human Sciences address problems in nature and society that often require coordinated approaches of several scientific disciplines and scholarly research, embracing the social and biological sciences, and history. When we wish, for example, to understand how some sub-populations and not others come to be vulnerable, why a disease spreads in one part of a population and not another, or which gene variants are transmitted across generations, then a remarkable range of disciplinary perspectives need to be brought together, from the study of institutional structures, cultural boundaries, and social networks down to the micro-biology of cellular pathways, and gene expression. The need to explain and address differential impacts of pressing contemporary issues like AIDS, ageing, social and economic inequalities, and environmental change, are well-known cases in point. Population concepts, models, and evidence lie at the core of approaches to all of these problems, if only because accurate differentiation and identification of groups, their structures, constituents, and relations between sub-populations, are necessary to specify their nature and extent. The study of population thus draws both on statistical methodologies of demography and population genetics and sustained observation of the ways in which populations and sub-populations are formed, maintained, or broken up in nature, in the laboratory, and in society. In an era in which research needs to operate on multiple levels, population thinking thus provides a common ground for communication and critical thought across disciplines.Population in the Human Sciences addresses the need for review and assessment of the framework of interdisciplinary population studies. Limitations to prevailing postwar paradigms like the Evolutionary Synthesis and Demographic Transition were becoming evident by the 1970s. Subsequent decades have witnessed an immense expansion of population modelling and related empirical inquiry, with new genetic developments that have reshaped evolutionary, population, and developmental biology. The rise of anthropological and historical demography, and social network analysis, are playing major roles in rethinking modern and earlier population history. More recently, the emergence of sub-disciplines like biodemography and evolutionary anthropology, and growing links between evolutionary and developmental biology, indicate a growing convergence of biological and social approaches to population.

Rapid fertility declines and improved longevity are now shifting the overall balance of population towards older ages in many parts of the world. Within this growing population of older people there are many groups with particular needs about which relatively little is known. This collection focuses on one such sub-population, the elderly without children. Few would deny that childlessness poses potential human and welfare problems for older people without them. What is less well known is that comparative anthropological and historical demographic research indicates that childlessness is a recurring social phenomenon that has affected 1 in 5 older women in many cultures and historical periods. High levels of childlessness arise not solely or primarily from biological factors like primary sterility, but from a combination of actors. Many, like non-marriage, delayed childbearing , and pathological sterility, reflect the interaction of social and biological influences.Also of major importance are factors that remove the support of children from elders' lives: migration, mortality, divorce, remarriage, family enmity, social mobility, and the pressing demands of family and career on younger generations. The papers collected in this volume employ a mixture of quantitative and qualitative methods to define and characterize the experience of ageing without children.

In the last forty years anthropologists have made major contributions to understanding the heterogeneity of reproductive trends and processes underlying them. Fertility transition, rather than the story of the triumphant spread of Western birth control rationality, reveals a diversity of reproductive means and ends continuing before, during, and after transition. This collection brings together anthropological case studies, placing them in a comparative framework of compositional demography and conjunctural action.  The volume addresses major issues of inequality and distribution which shape population and social structures, and in which fertility trends and the formation and size of families are not decided solely or primarily by reproduction.