We examine the partner choice patterns of second-generation Turks in 13 European cities in seven countries. We not only compare intermarriage versus endogamous marriage, but also explicitly include the choice of a second-generation partner of the same origin and of a partner of other migrant origin as important alternatives. In Europe, populations are made up increasingly of migrants and their descendants resulting in new alternative partner options not open before. Findings suggest that second-generation Turks who choose a second-generation partner seem to be located between the partner choice of a first-generation and native partner in terms of family values and contact to non-coethnic peers. The choice of a partner of other migrant origin hardly differs in these characteristics from the choice of a native partner. Context variables such as group size and type of integration policies seem to play a role for the likelihood of having a first-generation versus a second-generation partner of Turkish origin but not for the likelihood of exogamous partner choice. A second-generation partner is the most popular choice in Germany but represents a minor option in the other countries. Furthermore, a partner of other migrant origin is more common among men but is in some countries more popular than a native partner among Turkish second-generation men and women.
BackgroundJAK-inhibitors (JAKi), recently approved in rheumatoid arthritis (RA), have changed the landscape of treatment choices. We aimed to compare the effectiveness of four current second-line therapies of RA with different modes of action, since JAKi approval, in an international collaboration of 19 registers.MethodsIn this observational cohort study, patients initiating tumour necrosis factor inhibitors (TNFi), interleukin-6 inhibitors (IL-6i), abatacept (ABA) or JAKi were included. We compared the effectiveness of these treatments in terms of drug discontinuation and Clinical Disease Activity Index (CDAI) response rates at 1 year. Analyses were adjusted for patient, disease and treatment characteristics, including lines of therapy and accounted for competing risk.ResultsWe included 31 846 treatment courses: 17 522 TNFi, 2775 ABA, 3863 IL-6i and 7686 JAKi. Adjusted analyses of overall discontinuation were similar across all treatments. The main single reason of stopping treatment was ineffectiveness. Compared with TNFi, JAKi were less often discontinued for ineffectiveness (adjusted HR (aHR) 0.75, 95% CI 0.67 to 0.83), as was IL-6i (aHR 0.76, 95% CI 0.67 to 0.85) and more often for adverse events (aHR 1.16, 95% CI 1.03 to 1.33). Adjusted CDAI response rates at 1 year were similar between TNFi, JAKi and IL-6i and slightly lower for ABA.ConclusionThe adjusted overall drug discontinuation and 1 year response rates of JAKi and IL-6i were similar to those observed with TNFi. Compared with TNFi, JAKi were more often discontinued for adverse events and less for ineffectiveness, as were IL-6i.
This paper examines the influence of contact outside one's own ethnic group on four different aspects of union formation among the Turkish and Moroccan second generation in the Netherlands. Non-coethnic networks offer potentially different views on union formation compared to the families of origin and may thus be relevant for the choices young adults make in this domain. We distinguish between strong ties (close non-coethnic friends) and weak ties (ethnic composition of secondary school) and study the effects of these types of ties on four aspects of union formation, namely the timing of starting a first union, the timing of first marriage, the type of union (marriage versus cohabitation) and the ethnic origin of the partner. Using data from "The Integration of the European Second Generation" (TIES) survey for the Netherlands collected in 2007, we find that a higher level of embeddedness into noncoethnic networks, in particular having many close friends, influences each of the four union formation choices studied. Weak ties affect the timing of a first union and a first marriage. Effects of weak ties were not found for other aspects of union formation. These results points to the importance of social actors outside the family. Our findings suggest that in particular strong ties with non-coethnics are relevant for union formation choices.
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