The marital satisfaction of differently aged couples

We investigate how the marital age gap affects the evolution of marital satisfaction over the duration of marriage using household panel data from Australia. We find that men tend to be more satisfied with younger wives and less satisfied with older wives. Interestingly, women likewise tend to be more satisfied with younger husbands and less satisfied with older husbands. Marital satisfaction declines with marital duration for both men and women in differently aged couples relative to those in similarly aged couples. These relative declines erase the initial higher levels of marital satisfaction experienced by men married to younger wives and women married to younger husbands within 6 to 10 years of marriage. A possible mechanism is that differently aged couples are less resilient to negative shocks compared to similarly aged couples, which we find some supportive evidence for.     

Educational attainment as a selective factor in marital status transitions in the United States

Data on marital status from the 1940, 1950, and 1960 censuses of the United States are organized to show (1) trends in percentages of men and women who were single, by age and education (grades of school completed); (2) relative education levels of husbands and wives for selected groups of couples in 1940 and I960 with comparisons for the two years; and (3) education levels of women in 1950 by marital status, controlling for age and year of entry into the 1950 marital status. The rate at which single persons married for the first time increased markedly during the decade of the 1940's but much less in the next decade. The 1940's increases occurred for both sexes at all educational levels and at all ages except the oldest. However, the rate of increase was greatest for both sexes in the ages from about 20 to 34 for women and 22 to S4for men (modal age for first marriage is 18 for women and 21 for men). The distribution of percents single by age was about the same in all three censuses for persons with elementary schooling.A trend toward smaller proportions of the single, both men and women, among young persons with college education continued for the entire twenty-year period, despite the lack of such a trend in the 1950's at other age and education levels. However, the available data on education of first-married husbands and wives indicate that the ratio of college-educated husbands to college-educated wives was higher in 1960 than in 1940. Part of the explanation may lie in the relatively high proportions of college-educated women found in the marital statuses "divorced" and "married more than once" in the 1950 Census, particularly at the younger ages and shorter durations; but the data are not adequate for a very satisfactory explanation. For the younger first-married for whom education of partners was cross-tabulated in 1940 and 1960, the proportions of college-educated persons were so much higher in 1960 than in 1940 that the proportions also increased of both husbands and wives at all educational levels who were married to college-educated partners. There was a marked decline in proportions of couples with only elementary schooling.Finally, based on data from the 1950 Census for women (15-59 years of age), the separated group included more with only elementary schooling, as did the widowed. Those remaining single and those married once usually included the highest proportions of college-educated women.     

Perceptions of “Impingement” and Marital Satisfaction Among Wives of Retired Husbands

ABSTRACT

Initial pilot interviews with women whose husbands were in the first year of retirement revealed that problems of “impingement”—perceptions of husbands as intruders into their worlds-as-lived—were cited, in response to open-ended items, as the most difficult aspect of husbands' retirement. An impingement index, consisting of items constructed from those responses, was administered to the original panel of 83 women whose husbands were now in the fourth year of retirement, and to a new panel of 61 women whose husbands had been retired for one year. Paired T-tests revealed one significant difference in perceptions of impingement between the two groups of wives, and not in the expected direction. Indeed, wives in year 4 were more often bothered by some impingement conditions than wives in year 1, and these were significantly related to self-assessments of marital satisfaction. Results have implications for “adjustment” to life transitions, including situations that may inhibit initiation of adaptive responses, degree of investment in social roles, and issues of expectation.     

Cognitive Adaptation and Women's Adjustment to Conjugal Bereavement

ABSTRACT

Conjugal bereavement is experienced by the majority of older women in enduring relationships. Although most experience considerable distress in the immediate aftermath of this loss, the majority adjusts over the course of time. The current study of self-selected participants applies the theory of cognitive adaptation in an attempt to distinguish between women who have successfully adjusted to the death of their husbands versus those who exhibit prolonged distress. Results of this study suggest that positivity biases in personally relevant information processing (i.e., self-deception, marital aggrandizement, dispositional optimism) are significantly associated with life satisfaction and the absence of psychiatric distress. The contribution of cognitive adaptation is maintained over and above that provided by personality variables (i.e., neuroticism, extraversion, openness to experience). Intervention strategies to treat enduring distress among widowed women are considered on the basis of these findings.     

Exploring the Basis for Gender Differences in the Demand-Withdraw Pattern

During marital conflict, wives tend to demand and husbands tend to withdraw. These behaviors were historically thought to stem from essential differences between men and women. An alternative explanation implicates one form of power differences—wives desire more change and, therefore, demand; husbands desire less change and withdraw to maintain status quo. Studying same-sex as well as cross-sex couples enables an evaluation of both explanations. We examined demand-withdraw behaviors in 63 heterosexual, gay, and lesbian couples. The demand-withdraw pattern was seen regardless of type of couple. Further, for all couples, differences in the amount of change desired in partners during a conflict interaction predicted differences in demand and withdraw behaviors. These results offer further evidence that an often-observed difference in heterosexual relationships may result from social conventions that afford men greater power and women less power.     

Unclaimed Treasures: Older Women's Reflections on Lifelong Singlehood

ABSTRACT

Ever-single, older women are a diverse group, whose experiences of singlehood have received little attention from researchers. In this qualitative study, eight women between the ages of 65 and 77 living in a mid-sized Southwestern Ontario city were interviewed about being ever single, including their perspectives of the benefits and drawbacks of this status at their current age. Data were collected in semi-structured interviews, and the constant comparative method was used for data analysis. Emergent themes illustrated how the women's stories of singlehood were affected by the sociopolitical contexts of their youth. Upon reflection, the women articulated the benefits of lifelong singlehood, strongly emphasizing their independence and “ability to be alone,” which was viewed as very important as they aged. The drawbacks of singlehood focused on loneliness and the absence of a social support network, which took on particular importance as the women experienced increasing age and frailty. Overall, the participants expressed satisfaction with their marital status and defied common stereotypes about older, single women. Implications of these findings relate to the social structure of marital status and its impact upon the lives of women who remain single.     

Women,Marital Status,and Symptoms of Depression in a Midlife National Sample

ABSTRACT

Previous studies of the correlates of depression among women have not generally been based on adequate midlife samples or precision in the specification of marital status categories. The present analysis is designed to address these deficiencies and is based on data from the Health and Retirement Survey-Wave 1 (i.e., respondents 51 to 61 years old). Results indicate that married women are less likely to report symptoms of depression than their unmarried counterparts. The mental health benefits of marriage are greater for men than for women. Moreover, other variables, such as marital satisfaction, self-rated health, and employment status are more powerful predictors of emotional well-being in midlife than marital status per se. The quality of marriage affects depressive symptoms more strongly for women than men.     

Reporting of fertility events by men and women in rural Gambia

We conducted a survey of male and female fertility in rural villages in The Gambia and compared men and women's reports of recent pregnancy events in the aggregate and of children ever born for matched couples. Despite widespread polygyny and sex differences in fertility, men's and women's reports were similar. Small sex differences in reports of recent stillbirths and neonatal deaths were found. For matched couples, husbands reported 0.23 more children ever born than their wives on average, but discordant reporting had little effect on recent marital fertility rates. Modeling of discordant reports indicates that fertility reports are more likely to be underestimated by both men and women for their earliest marriages. Reliable fertility data can be collected from men in this population.     

The effect of antenatal pelvic floor muscle exercise on sexual function and labour and birth outcomes: A randomised controlled trial

BackgroundPelvic floor muscle exercises (PFME) are recommended for treatment of urinary incontinence with less evidence available about the effect on female sexual function (FSF) and childbirth.AimTo investigate the effect of antenatal PFME on FSF during pregnancy and the first three months following birth as a primary outcome, and on labour and birth outcomes as a secondary outcome.Method200 nulliparous women were randomised to control (n = 100) and intervention (n = 100) groups. The women in the intervention group (IG) undertook PFME from 20 weeks gestation until birth and had routine antenatal care, while those in the control group (CG) received routine antenatal care only. The Female Sexual Function Index (FSFI) was used to measure FSF at 36 weeks gestation and three months postnatal. Baseline characteristics and childbirth data were also collected and analysed using SPSS.ResultsThere were no statistically significant differences between the two groups in terms of FSF scores during pregnancy and on childbirth outcomes. Sexual satisfaction was slightly higher in the CG [Mean ± SD, CG: 4.35 ± 1.45 vs. IG: 3.70 ± 1.50, (P = 0.03)] at three months after birth. However, 50% of women adhered to the PFME, and 40% of women did not resume sex by three months after the birth.ConclusionThough some trends were observed, the results showed no effect of PFME on sexual function or labour and birth outcomes. This needs to be interpreted considering the 50% adherence to PFME. More research is recommended.     

Effects of the COVID-19 pandemic on perinatal mental health in Spain: Positive and negative outcomes

BackgroundPrevious studies have shown that perinatal distress has a negative influence on pregnancy outcome and the physiological development of the baby.ObjectiveThe aim of this study was to describe the effects of the COVID-19 pandemic on maternal perinatal mental health in Spain.MethodsSeven hundred and twenty-four women (N = 450 pregnancy, N = 274 postpartum) were recruited online during the pandemic. The Edinburgh Postnatal Depression Scale, the Positive and Negative Affect Schedule, and the Satisfaction With Life Scale were administered. Variables related to sociodemographic information, the COVID-19 pandemic, and perinatal care were also assessed.FindingsThe results showed that 58% of women reported depressive symptoms. Moreover, 51% of women reported anxiety symptoms. On the other hand, a regression analysis for life satisfaction showed that besides the perception about their own health, marital status or being a health practitioner were also significant predictors during pregnancy. However, perception about baby’s health and sleep, perception about their own health, and marital status were significant predictors of life satisfaction during the postpartum stage.DiscussionWomen assessed during the COVID-19 pandemic reported high rates of psychological distress.ConclusionThese results highlight the need of clinical support during this period. Knowing the routes to both distress and well-being may help maternity services to effectively cope with the pandemic.     

Spousal Support of Older Women with Osteoporotic Pain: Congruity of Perceptions

ABSTRACT

Thirty-four couples were interviewed to assess the congruity of husbands' and wives' perceptions of the wives' osteoporotic pain and the exchange of instrumental support within the marital relationship. Moderate correlations were found between the husbands' and wives' ratings of two specific dimensions of the wives' pain experience: interference with daily life and pain severity. Wives who perceived their pain as more severe but as having a lesser impact on their personal lives provided the most frequent help to their husbands. The wives' pain perceptions were not predictive of the amount of assistance they perceived receiving from their spouses. Husbands' perceptions of their wives' pain experience were not predictive of the frequency of instrumental support they either received from or gave to their wives.     

Midwife-led continuity of care increases women’s satisfaction with antenatal,intrapartum, and postpartum care: North Shoa,Amhara regional state,Ethiopia: A quasi-experimental study

BackgroundThe provision of midwife-led continuity of care (MLCC) is effective in high-resource settings in improving maternal satisfaction. This study aimed to evaluate the effect of MLCC on women’s satisfaction with care in a low-income/resource setting.MethodA study with a quasi-experimental design was conducted from August 2019 to September 2020 in four primary hospitals in the north Shoa zone, Amhara regional state, Ethiopia. A total of 1178 low-risk women were allocated to one of two groups; the MLCC (intervention group) that received all antenatal, intrapartum, and immediate postnatal care from a primary midwife or backup midwife) (n = 589) and the shared model of care (SMC) group that received care following established practice in Ethiopia, care from different staff members at different times) (n = 589). Data for this paper were collected using face-to-face interviews at the women’s home at the end of the postpartum period. The study’s outcome was the mean sum-score of satisfaction with care through the antenatal, intrapartum, and postnatal period continuum, where mean sum-scores range from 1 (lowest) to 5 (highest).FindingsCompared with SMC, MLCC was associated with statistically significantly higher satisfaction with all continuity of care (4.07 vs. 2.79 adjusted mean difference 1.27, 95% CI 1.18–1.35; p < 0.001), during antenatal care (4.14 vs. 2.81 adjusted mean difference 1.33 (95% CI 1.22–1.52), intrapartum care (3.83 vs. 2.71 adjusted mean difference 1.06 (95% CI 0.88–1.23) and postnatal care (5.46 vs. 3.71 adjusted mean difference 1.75 (95% CI 1.54–1.94)).ConclusionMLCC increased women's satisfaction with maternity care for women at low risk of medical complications. These findings confirm that the MLCC model will be applicable in the Ethiopian health care system with similar settings.     

生计策略对农村留守妇女婚姻满意度的影响①——性生活质量的调节作用

构建性生活质量调节下的生计策略对婚姻满意度影响分析框架,利用安徽巢湖问卷调查数据,本文以非留守妇女和准留守妇女为参照,描述了农村留守妇女的生计策略、性生活质量和婚姻满意度现状,并采用有序回归方法对生计策略和性生活质量对婚姻满意度的影响进行了分析。结果表明：家庭再生产策略对非留守妇女婚姻满意度有显著的积极影响;工资性工作和家庭再生产策略对准留守妇女婚姻满意度有显著的消极影响;农业生产策略对留守妇女婚姻满意度有显著的积极影响,家庭经营和工资性工作策略则对留守妇女婚姻满意度有显著消极影响。此外,性生活质量不仅本身对非留守妇女和留守妇女的婚姻满意度有较强的促进作用,同时也在生计策略对婚姻满意度的影响过程中发挥不同的调节作用。上述发现对提高农村留守妇女婚姻福利有重要启示。     

Marital relations and fertility control decisions among lebanese couples

This study examines how marital relations affect fertility control decisions among couples who want no further pregnancies. Marital relations studied include the degree of communication between husbands and wives, the extent that couples report marital tension, conflict, and separation, and the amount of intimacy and mutuality achieved in their sexual relations. Findings are based upon the responses of 530 Middle Eastern women who used the facilities of the University Hospital Family Planning Program of the American University of Beirut, Lebanon; 257 women were interviewed in their homes throughout Lebanon, and the remaining 273 were interviewed at the clinic. Three decisions were studied: (1) IUD/pill use; (2) tubal sterilization use; and (3) consideration of and refusal to use tubal sterilization. Women were interviewed using a standardized questionnaire prepared in colloquial Arabic. The decision to choose a reversible versus a permanent method was primarily sociodemographically determined. Among women who considered a permanent method, however, differences in their decisions were mainly attributable to their marital relations rather than to their demographic characteristics. Wife's attitude toward marriage and educational attainment were important and interactive components in the explanation of the association between marital relations and tubal sterilization use.I appreciate the assistance and critical comments offered by Drs. Joseph Veroff and George Simmons of the University of Michigan, and Dr. Joseph Chamie of Population Division, UN, New York. This article is a modified section of my doctoral dissertation which was recently completed at the University of Michigan. The anonymous reviewers' comments on the organization of this paper are greatly appreciated.     

Empowerment-Oriented Social Work Practice: Impact on Late Life Relationships of Women

SUMMARY

Empowerment interventions promote egalitarian, strengths-based relationships through education, self-help, mutual support, consciousness raising, and social action activities. In this paper we describe the influence of empowerment-oriented group intervention on the relationships of older women. We conducted qualitative interviews with the women who participated in the group and the social workers who staffed the intervention activities. The findings suggest that, in addition to other empowerment outcomes, the older women participants developed sustaining relationships with each other and often seriously considered the nature of their other late life relationships. Thus, empowerment-oriented interventions can enhance the quality of life for older women, including the development and support of meaningful interpersonal relationships.     

Enhanced Antenatal Care: Combining one-to-one and group Antenatal Care models to increase childbirth education and address childbirth fear

BackgroundWe designed and implemented a new model of care, Enhanced Antenatal Care (EAC), which offers a combined approach to midwifery-led care with six one-to-one visits and four group sessions.AimTo assess EAC in terms of women’s satisfaction with care, autonomy in decision-making, and its effectiveness in lowering childbirth fear.MethodsThis was a quasi-experimental controlled trial comparing 32 nulliparous women who received EAC (n = 32) and usual antenatal care (n = 60). We compared women’s satisfaction with care and autonomy in decision-making post-intervention using chi-square test. We administered a Fear of Birth Scale pre- and post-intervention and assessed change in fear of birth in each group using the Cohen’s d for effect size. To isolate the effect of EAC, we then restricted this analysis to women who did not attend classes alongside maternal care (n = 13 in EAC and n = 13 in usual care).FindingsWomen’s satisfaction with care in terms of monitoring their and their baby’s health was similar in both groups. Women receiving EAC were more likely than those in usual care to report having received enough information about the postpartum period (75% vs 30%) and parenting (91% vs 55%). Overall, EAC was more effective than usual care in reducing fear of birth (Cohen’s d = −0.21), especially among women not attending classes alongside antenatal care (Cohen’s d = −0.83).ConclusionThis study is the first to report findings on EAC and suggests that this novel model may be beneficial in terms of providing education and support, as well as lowering childbirth fear.     

Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study

ProblemWomen increasingly present to hospital in early labour, but admission before active labour contributes to overuse of interventions, poorer clinical and psychological outcomes, and higher healthcare costs.BackgroundInnovative models of early labour care have so far not improved birth outcomes.AimTo examine if reconfiguring the early labour service in a large Australian maternity service improved (1) the birth outcomes of women who presented in early labour and (2) alleviated bed blockages by decreasing length of stay in the Pregnancy Assessment and Observation Unit.MethodsPre-post intervention design, using routinely collected clinical data before and after the implementation of the reconfigured early labour service.FindingsThere were 527 women in pre-intervention cohort and 747 in the post-intervention cohort. The two groups were similar in age, body mass index, marital status, education level and gestation at birth. Post intervention, epidural use did not change significantly, but rates of amniotomy (35.7% vs. 49.9%, p = <0.001), meconium-stained liquor (20.1% vs 26.1%, p = 0.04), and neonatal nursery admission (2.7% vs. 5.8% p = 0.01) increased. The proportion of women staying in the Assessment unit more than two hours decreased, but not significantly.ConclusionChanging the location and model of early labour care did not influence epidural use, nor improve women’s birth outcomes. For women in early labour, admission to any location within the hospital may be as problematic as admission to birth suite specifically.     

Gender role equity and marital satisfaction among Korean couples

This study examines gender role behaviors and attitudes related to marital satisfaction. Nontraditional attitudes and behaviors are expected to affect negatively marital satisfaction due to the lack of guidelines and due to the other positive alternatives to marital roles. DAta, collected from a survey of 291 married couples in Seoul, Korea in 1991, largely support the hypotheses, which are fairly consistent with the results of studies of American couples. Nontraditional gender role attitudes and wife's employment are related to lower marital satisfaction. However, the housekeeper role has changed somewhat more than the male provider role, so that nontraditional tendencies, in attitudes and behaviors, with respect to the housekeeper role have been related to higher marital satisfaction. Findings of this study show that measures of actual division of household labor are better related to marital satisfaction than are measures of perceived division of household labor. The consistent trends in marital satisfaction in Korea compared with those in the US suggest a further high marital instability in Korea.