Question 29
Autism is a disorder characterized by impairments in communication, social interaction, and repetitive behaviors. Over the past 40 years, the measured prevalence of autism has multiplied roughly 10-fold. While progress has been made in understanding some of the factors associated with increased risk and rising prevalence, no one knows with certainty what causes autism or what caused autism prevalence to rise so precipitously. There is, however, a growing awareness among scholars that focusing solely on individual risk factors such as exposure toxicants, prenatal complications, or parental education is insufficient to explain why autism prevalence rates have increased so stunningly. Social and institutional processes likely play an important role. For example, changes in diagnostic criteria and an influx of resources dedicated to autism diagnosis may be critical to understanding why prevalence rates have risen. Increased awareness and social influence have been implicated in the rise of autism and a variety of comparable disorders, where social processes mimic the effects of contagion. Studies have examined the contribution of changes in diagnostic criteria and diagnostic substitution to rising autism prevalence rates, but the importance of institutional factors, resources for diagnosis, and greater awareness have not been systematically assessed. The sociological literature on health and inequality, however, provides substantial motivation for exploring how individual- and community-level effects operate to shape the likelihood of an autism diagnosis.
Requires active subscription!
Question 30
We live in an ageing world. While this has been recognized for some time in developed countries, it is only recently that this phenomenon has been fully acknowledged. Global communication is “shrinking” the world, and global ageing is “maturing” it. The increasing presence of older persons in the world is making people of all ages more aware that we live in a diverse and multigenerational society. It is no longer possible to ignore ageing, regardless of whether one views it positively or negatively. Demographers note that if current trends in ageing continue as predicted, a demographic revolution, wherein the proportions of the young and the old will undergo a historic crossover, will be felt in just three generations. This portrait of change in the world’s population parallels the magnitude of the industrial revolution traditionally considered the most significant social and economic breakthrough in the history of humankind since the Neolithic period. It marked the beginning of a sustained movement towards modern economic growth in much the same way that globalization is today marking an unprecedented and sustained movement toward a “global culture”. The demographic revolution, it is envisaged, will be at least as powerful. While the future effects are not known, a likely scenario is one where both the challenges as well as the opportunities will emerge from a vessel into which exploration and research, dialogue and debate are poured. Challenges arise as social and economic structures try to adjust to the simultaneous phenomenon of diminishing young cohorts with rising older ones, and opportunities present themselves in the sheer number of older individuals and the vast resources societies stand to gain from their contribution.
