Leaving Spain

Since the beginning of the economic crisis of 2008, Spain, like other Southern European countries, has witnessed a mass departure of mostly young people looking for opportunities abroad. Leaving Spain is based on 58 autobiographical narrative interviews with recent Spanish migrants who went to the UK and Germany, and sometimes returned. By presenting a combination of in-depth case studies and comparative analyses, the author demonstrates the potential of biographical research and narrative analysis in studying contemporary Europe, including its overlapping crises. The scope of the sociological study is not limited to examining how those who left Spain experienced single phases of their migration. Instead, it focuses on the significance of migration projects in the context of their life histories and how they make sense of these experiences in retrospect. This book will not only be of great interest to social scientists and students in different disciplines and interdisciplinary studies such as sociology, anthropology, human geography, European studies, education, and social work, but also to professionals, European and national policy makers, and those interested in learning more about migrants’ experiences, perspectives, and (often invisible) contributions.

Between-Class Earnings Inequality in 30 European Countries

This article studies earnings inequality between social classes across 30 European countries. Class inequality in earnings is found across the board although there are some exceptions. However, the degree of class inequality varies strongly across countries being larger in Western and Southern European countries and smaller in Eastern and Northern European countries. Furthermore, we find that differences in class composition in terms of observed characteristics associated with earnings account for a substantial proportion of these between-class differences. Differences between classes in the returns to education and other characteristics play less of a role. In all these respects there is a sizeable cross-national variation. This points to important differences between countries in how earnings are structured by social class.

Economic crisis and stillbirth ratios: Evidence from Southern Europe

In this paper we assess the impact of the recent European recession on stillbirth indices over the course of the 2000s and 2010s; the analysis focuses on four Southern European countries (Greece, Italy, Spain, Portugal), which were seriously affected by the sovereign debt crisis from around 2008 to 2017. We use national vital statistics and established economic indicators for the period 2000–2017; stillbirth ratios (stillbirths per 1000 livebirths) are the chosen response variable. For the purpose of the study, we employ correlation analysis and fit regression models. The overall impact of economic indicators on the stillbirth indices is sizeable and statistically robust. We find that a healthy economy is associated with low and declining levels of stillbirth measures. In contrast, economic recession appears to have an adverse effect (Greece, Italy and Spain), or an unclear impact (Portugal), on the stillbirth outcome. This study provides evidence of the adverse effect of the European sovereign debt crisis and ensuing period of austerity on a scarcely explored aspect of health.

Association between antibiotic resistance in intensive care unit (ICU)–acquired infections and excess resource utilization: Evidence from Spain, Italy, and Portugal

Background: Intensive care unit (ICU)–acquired infections with antibiotic-resistant bacteria have been associated with substantial health and economic costs. Moreover, southern Europe has historically reported high levels of antimicrobial resistance. Objectives: We estimated the attributable economic burden of ICU-acquired infections due to resistant bacteria based upon hospital excess length of stay (LOS) in a selected sample of southern European countries. Methods: We studied a cohort of adult patients admitted to the ICU who developed an ICU-acquired infection related to an invasive procedure in a sample of Spanish, Italian, and Portuguese hospitals between 2008 and 2016, using data from The European Surveillance System (TESSy) released by the European Centers for Disease Control (ECDC). We analyzed the association between infections with selected antibiotic-resistant bacteria of public health importance and excess LOS using regression, matching, and time-to-event methods. We controlled for several confounding factors as well as time-dependent biases. We also computed the associated economic burden of excess resource utilization for each selected country. Results: In total, 13,441 patients with at least 1 ICU-acquired infection were included in the analysis: 4,106 patients (30.5%) were infected with antimicrobial-resistant bacteria, whereas 9,335 patients (69.5%) were infected with susceptible bacteria. The unadjusted association between resistance status and excess LOS was 7 days (95% CI, 6.13–7.87; P < .001). Fully adjusted models yielded significantly lower estimates: 2.76 days (95% CI, 1.98–3.54; P < .001) in the regression model, 2.60 days (95% CI, 1.66–3.55; P < .001) in the genetic matching model, and a hazard ratio of 1.15 (95% CI, 1.11–1.19; P < .001) in the adjusted Cox regression model. These estimates, alongside the prevalence of resistance, translated into direct hospitalization attributable costs per ICU-acquired infection of 5,224€ (95% CI, 3,691–6,757) for Spain, 4,461€ (95% CI, 1,948–6,974) for Portugal, and 4,320€ (95% CI, 1,662–6,977) for Italy. Conclusions: ICU-acquired infections associated with antibiotic-resistant bacteria are substantially associated with a 15% increase in excess LOS and resource utilization in 3 southern European countries. However, failure to appropriately control for significant confounders inflates estimates by ∼2.5-fold.

Deviations From Standard Family Histories and Subjective Wellbeing at Older Ages

Life course research emphasizes that health and wellbeing at older ages are influenced by experiences occurred in the previous stages of life. Several studies have focused on fertility and partnership histories and health at older ages, but fewer have examined subjective wellbeing (SWB), especially using a holistic approach. Another strand of the literature demonstrated that non-standard family behaviors negatively influence SWB. We contribute to these strands of the literature by examining the association between non-standardness of family histories and SWB at older ages. We argue that individuals who experienced non-standard trajectories have been exposed to social sanctions throughout their life course which could exert negative long-term influence on their SWB.We apply sequence analysis and optimal matching on retrospective data from the seventh wave of the Survey of Health Ageing and Retirement in Europe (SHARE) to calculate the degree of non-standardness of family histories between age 15 and 49. Subsequently, we estimate linear regression models to assess the association between non-standardness of family histories and older people's SWB. Our results show a negative association between non-standardness of family histories and SWB, which is stronger for lower educated individuals and in Southern European countries.

Rural Territories and Food Tourism – Exploring the Virtuous Bonds Through a Systematic Literature Review

Although studies on food and tourism have gained terrain within tourism research, especially in the last decade, the connections of food tourism with rural territories have remained underexplored. This is particularly significant in the context of an increasing recognition that food should be understood as a distinguishing feature of rural tourism destinations, at the same time as displaying specific heritage and traditions as and contributing to the development of rural territories. The intention of this article is to shed light on the connection between food tourism and rural territories by exploring its potential through a systematic literature review on this untapped topic. Based on 73 articles focusing on those connections, the paper reviews and further explores what is already known on the topic, examining the different research methodologies and approaches used, as well as the dimensions analysed and results obtained. Research on the links between food tourism and rural territories seems to be geographically marked and particularly relevant in Southern European countries (such as Spain and Italy), as well as in North America (mainly the USA). Impacts on local development, together with production and commercialization strategies, are the main dimensions analysed by the articles, revealing indeed some of the potential virtuous bonds deriving from the connection between tourism, food and rural territories.

A techno-economic analysis of floating photovoltaic systems, for southern European countries

In the last few decades, the vast majority of world states have faced increased energy consumption using more environmentally friendly production technologies. The use of traditional renewable energies like hydro, wind and solar has been the solution found. Despite this, new technical solutions and strategies are beginning to emerge, of which Floating Solar Photovoltaic (FSPV) systems are part. In this framework, southern European countries have excellent climate conditions for reinforcing the use of solar energy. This research assess the existing Portuguese potential for floating PV systems and its integration in the power grid. A floating solar power plant of 1MW in Gouvães dam included in the Tâmega hydroelectric complex, under construction in northern Portugal was sizing and evaluated its energy potential. A techno-economic feasibility study was also carried out taking into account the current investment costs and energy tariffs in the Iberian liberalized market. This integrated analysis allowed to obtain important results on the current state of the art, types of technologies available, their costs and the payback period for this type of projects.

Elections will determine Germany’s fiscal direction

Significance The debt brake, which places a strict limit on the issuance of public debt and reflects Germany's innate fiscal conservatism, is being challenged given COVID-19 disruption, a housing crisis and the commitment to transition to a net-zero emissions economy. Impacts The chances of a coalition excluding the CDU/CSU have increased in recent weeks following the CDU’s decline in the polls. The European Commission will be sympathetic to the demands of southern European countries when considering fiscal reforms. A substantial reduction in German debt issuance could see the ECB exceed its debt limits.

A Study of the Association between the Stringency of Covid-19 Government Measures and Depression in Older Adults across Europe and Israel

Background: The COVID-19 pandemic is having major adverse consequences for the mental health of individuals worldwide. Alongside the direct impact of the virus on individuals, government responses to tackling its spread, such as quarantine, lockdown, and physical distancing measures, have been found to have a profound impact on mental health. This is manifested in an increased prevalence of anxiety, depression, and sleep disturbances. As older adults are more vulnerable and severely affected by the pandemic, they may be at increased psychological risk when seeking to protect themselves from COVID-19. Methods: Our study aims to quantify the association between the stringency of measures and increased feelings of sadness/depression in a sample of 31,819 Europeans and Israelis aged 65 and above. We hypothesize that more stringent measures make it more likely that individuals will report increased feelings of sadness or depression. Conclusions: We found that more stringent measures across countries in Europe and Israel affect the mental health of older individuals. The prevalence of increased feelings of sadness/depression was higher in Southern European countries, where the measures were more stringent. We therefore recommend paying particular attention to the possible effects of pandemic control measures on the mental health of older people.