Fertility history, health, and health changes in later life: a panel study of British women and men born 1923-49

We investigated associations between later-life health and fertility history for women and men, using the British Household Panel Survey. We modelled health and its rate of change jointly with sample retention over an 11-year period. For women, childlessness is associated with limitation of activity for health reasons and faster acquisition of the limitation. High parity (four or more children) is associated with poorer health for both women and men. For the parous, this association is also found when age at first birth is controlled. Early parenthood is associated with poorer health. For parents of two or more children, a birth interval of less than 18 months is associated with having a health limitation and an accelerated rate of acquiring it. We conclude that biosocial pathways link parenthood careers and the later-life health of both women and men, and that implications of closely spaced births for parents merit further attention.     

To have or not to have? Australian women’s childbearing desires,expectations and outcomes

Australia’s low fertility rate is commonly attributed to deliberate decisions by women to avoid having children. Existing theoretical explanations of fertility decision-making mostly view childbearing as a rational, voluntary process and focus on the ‘costs’ to women of having children. Although this may help explain why women do not have children, it contributes very little to understanding why women do have children. This study describes childbearing desires, expectations and outcomes in a population-based sample of 569 30–34-years-old Australian women recruited from the Australian Electoral Roll in 2005. Most women surveyed wanted to have children, and their childbearing outcomes were associated with biological, psychological and social factors including the lack of a partner and adverse health conditions. The factors and their relative importance varied by parity. Most women had fewer children than they desired, and many would have children, or more children, if their circumstances were different. These data challenge prevailing assumptions about women’s childbearing behaviour that women are able to choose when and if they have a child. Based on the findings, a conceptual framework of childbearing behaviour is proposed which builds on existing theoretical explanations to explain why women do and do not have children, differences by parity, and the role of circumstances in women’s childbearing behaviour. The findings and conceptual framework have implications for public policies, and indicate that multiple approaches are required which are sensitive to and address the barriers women face in family formation.     

Early Childbearing Patterns and Women's Labor Force Behavior in Later Life

ABSTRACT

The purpose of this research is to evaluate the consequences of early childbearing decisions for women's labor force activity in later life. Within a life course framework, women's early child-bearing activities may be linked to later life decisions. Women between ages 55 and 64 are evaluated from the 1984 Survey of Income and Program Participation. Two measures of early family roles are considered: total fertility (number of children ever born) and timing of first-birth (childless, prior to age 30, and 30+). Results provide some limited support that early childbearing roles do in fact have a long-term impact on the employment decisions of women. Women who delay childbearing are somewhat more likely to remain in the labor force during their later years whereas women who remain childless are more likely to have exited the labor force.     

Parity and the expected consequences of childbearing

In this study 163 young married women with 0, 1, or 2 children described the advantages and disadvantages of having a (another) child in the next three years and the expectations of significant others regarding their childbearing behavior. Childless women were more likely than women at first and second parity to mention self-fulfillment, pleasing parents, strengthening their marriage, less time and freedom, interference with career and education, being emotionally unprepared, and creating friction in their marriage. Women with one child were most likely to mention companionship and achieving family size goals. For women with two children gender preference and less time for present children were particularly salient consequences. Women with one child report experiencing the strongest pronatalist normative pressures but the perceived preferences of significant others were most closely related to own childbearing plans for childless women. The results are discussed in terms of a parity specific approach to the study of motivations for parenthood.The research reported here was supported by Grant HD 10391-01, Center for Population Research, National Institute of Child Health and Human Development. Robyn Boyer is now an independent research consultant in Sacramento, California. Requests for reprints should be addressed to Thomas J. Crawford, Program in Social Ecology, University of California, Irvine, California, 92717.     

甘肃省农村已婚育龄妇女人工流产状况分析

本文通过对甘肃省农村已婚育龄妇女的人工流产状况的分析,建议加强对农村育龄妇女的生殖健康教育,降低非意愿妊娠率及人工流产率,提高育龄妇女的生殖健康水平。     

生育文化概念研究

生育文化是人口文化的一部分 ,它本身又分为内涵生育文化和外延生育文化。内涵生育文化是指从受孕至出生后婴儿期的文化现象的总和。它又分为六类 :观念生育文化、科技生育文化、规范生育文化、信息生育文化、行为生育文化、组织生育文化。外延生育文化 ,即内涵生育文化之外 ,而对生育观产生影响的文化现象 ,诸如婚姻文化、妇女文化、养老文化、养育文化、家庭文化、社区文化等等 ,它是一个开放系统     

欧美女性非婚生育现象研究评介及启示

非婚生育是指发生在法定婚姻之外的生育行为。经济及非经济因素共同导致欧美非婚生育在黑人妇女和没有大学文凭的妇女中增加更多;与低收入未婚母亲相比,中产未婚母亲多提前为非婚生育构建了适当支持系统;非婚生育对未婚母亲及儿童福祉可能具有不利影响。鉴于我国学界对日趋普遍之非婚生育现象的重大忽视,希望通过回顾欧美研究成果,促进我国本土研究意识及进展。     

Long-term effects of childbearing on mortality: Evidence from pre-industrial Sweden

This paper presents an analysis of the impact of childbearing history on later-life mortality for ever-married men and women using historical micro-level data of high quality for southern Sweden. The analysis uses a Cox proportional hazards model, estimating the effects on old-age mortality of number of births and timing of first and last births. By studying the effects of previous childbearing on mortality by sex and social status, we also gain important insights into the mechanisms relating childbearing to mortality in old age. The results show that number of children ever born had a statistically significant negative impact on longevity after age 50 for females but not for males. Analysis by social group shows that only landless women experienced higher mortality from having more children, which seems to indicate that the main explanations are to be found in social or economic conditions specific to females, rather than in the strictly biological or physiological effects of childbearing.     

一孩与二孩家庭育龄妇女生育意愿比较

基于江苏苏南某农村790户家庭的抽样调查数据,比较一孩与二孩家庭育龄妇女的生育意愿,并运用回归模型对影响两类家庭育龄妇女生育意愿的因素进行研究。结果显示,两类家庭育龄妇女的意愿生育数量、意愿生育性别和意愿生育间隔没有显著差异,仅在对"女性生育的最大年龄"的认识上二孩妇女明显低于一孩妇女。但两类家庭育龄妇女在生育意愿的影响因素上存在着较大的差异。     

Childbearing and Women's Survival: New Evidence from Rural Bangladesh

Effects of childbearing on women's mortality and the implications of family planning programs in reducing these effects are examined in a 20‐year prospective study of more than 2,000 women in Matlab, Bangladesh. Maternal mortality is defined as a death occurring in the six weeks after childbirth. But childbearing may affect women's survival beyond this brief period. Additional hypotheses considered relate to 1) cumulative exposure to childbearing, whether measured by parity or pace of childbearing, 2) age at first birth, and 3) effects beyond the reproductive ages. The results offer no support to cumulative exposure hypotheses, showing no link between parity or pace of childbearing and mortality risk. Instead, we identify an extended period of heightened mortality risk associated with each birth—the year of the birth and the two subsequent years. Family planning programs, by reducing the number of children and therefore a woman's exposure to extended maternal mortality risk, potentially increase survival. Research is needed to identify and address the specific causes of extended maternal mortality risk so that appropriate ameliorative programs may be developed.     

The Effects of Children’s Migration on Elderly Kin’s Health: A Counterfactual Approach

Recent studies of migration and the left-behind have found that elders with migrant children actually experience better health outcomes than those with no migrant children, yet these studies raise many concerns about self-selection. Using three rounds of panel survey data from the Indonesian Family Life Survey, we employ the counterfactual framework developed by Rosenbaum and Rubin to examine the relationship between having a migrant child and the health of elders aged 50 and older, as measured by activities of daily living (ADL), self-rated health (SRH), and mortality. As in earlier studies, we find a positive association between old-age health and children’s migration, an effect that is partly explained by an individual’s propensity to have migrant children. Positive impacts of migration are much greater among elders with a high propensity to have migrant children than among those with low propensity. We note that migration is one of the single greatest sources of health disparity among the elders in our study population, and point to the need for research and policy aimed at broadening the benefits of migration to better improve health systems rather than individual health.     

20世纪90年代我国婚育模式的初步分析

20世纪90年代以来,中国女性人口的平均初婚年龄平稳缓慢上升,育龄妇女平均初育年龄在波动中小幅度上升,已婚育龄妇女的平均初婚初育间隔呈波动式扩大。     

The links between women’s employment and children at home: Variations in low- and middle-income countries by world region

As fertility declines in low- and middle-income countries, the time women devote to childbearing and rearing may also be reduced. This shift has been described as one of the positive consequences of the demographic transition, as it opens opportunities for women to pursue educational and employment opportunities that were previously constrained by the demands of bearing and raising children. We estimate the numbers of children residing at home (with their mother) for women in 58 countries in Asia, Latin America, the Middle East and North Africa, and sub-Saharan Africa. We then examine the association between women’s employment and having children at home. Finally, we assess trends over recent decades in the relationship between employment and childbearing, and differences in this relationship by mother’s occupation. We find a negative association between women’s employment and having children at home; this association varies substantially by world region, age of child, and mother’s occupation.     

The Importance of Spousal Education for the Self-Rated Health of Married Adults in the United States

Education’s benefits for individuals’ health are well documented, but it is unclear whether health benefits also accrue from the education of others in important social relationships. We assess the extent to which individuals’ own education combines with their spouse’s education to influence self-rated health among married persons aged 25 and older in the United States (N = 337,846) with pooled data from the 1997–2010 National Health Interview Survey. Results from age- and gender-specific models revealed that own education and spouse’s education each share an inverse association with fair/poor self-rated health among married men and women. Controlling for spousal education substantially attenuated the association between individuals’ own education and fair/poor self-rated health and the reduction in this association was greater for married women than married men. The results also suggest that husbands’ education is more important for wives’ self-rated health than vice versa. Spousal education particularly was important for married women aged 45–64. Overall, the results imply that individuals’ own education and spousal education combine to influence self-rated health within marriage. The results highlight the importance of shared resources in marriage for producing health.     

Is Stepfamily Status Associated With Cohabiting and Married Women’s Fertility Behaviors?

Children from prior relationships potentially complicate fertility decision-making in new cohabitations and marriages. On the one hand, the “value of children” perspective suggests that unions with and without stepchildren have similar—and deliberate—reasons for shared childbearing. On the other hand, multipartnered fertility (MPF) research suggests that childbearing across partnerships is often unintended. Using the 2006–2010 National Survey of Family Growth and event-history models, I examine the role of stepfamily status on cohabiting and married women’s fertility and birth intendedness, with attention to union type and stepfamily configuration. Adjusting for covariates, women in stepfamily unions are more likely to have a first shared birth in a union than women in unions in which neither partner has children from past relationships, but stepfamily births are less likely to be intended than unintended. Further, this association varies by union type: married women have similar birth risks across stepfamily status, but births are less likely to be intended in marital stepfamilies. For cohabitors, women in a stepfamily are more likely to have a birth than women in nonstepfamily unions, with no differences in intendedness. Configuration (whose children and how many) also matters; for instance, women with one child from a past relationship are more likely to have a birth and to have an intended than unintended birth than women with other stepfamily configurations. It appears that children from either partner’s prior relationships influences subsequent fertility decision-making, undermining the utility of the “value of children” perspective for explaining childbearing behaviors in complex families.     

State-level Welfare Policies and Nonmarital Subsequent Childbearing

Using discrete time event history analyses of data from the Panel Study of Income Dynamics (PSID), we examine the association between state-level welfare waiver policies implemented before the 1996 welfare reform legislation and the risk of a nonmarital subsequent birth. Our study makes a unique contribution to the existing literature by using a national-level sample of unmarried mothers who ever received welfare. This high-risk sample represents the women of most interest to policymakers, as it is the exact group to whom welfare reform is targeted—welfare mothers at risk of having nonmarital additional births. The state policies we study include: family cap, earnings disregard, work exemptions, work requirements, and sanctions. We conclude that, although reducing the number of nonmarital births is a key goal of welfare reform, state-established welfare waiver policies do not have any influence on women’s childbearing behaviors in this sample, net of women’s individual characteristics and state economic environments. Even the family cap policy, which was designed for the sole purpose of reducing additional births, has no significant association with nonmarital subsequent childbearing. Instead, personal characteristics, not public policies, are stronger determinants of women’s childbearing decisions. Age, race/ethnicity, marital status, number of previous children, education level, and welfare receipt are significantly associated with nonmarital subsequent births. Overall, this paper contributes to an expanding body of research that shows minimal effects of welfare waivers on fertility. Our work suggests that more targeted policies are necessary to be able to influence individual family formation behaviors.     

The Differential Mortality of Undesired Infants in Sub-Saharan Africa

With high rates of infant mortality in sub-Saharan Africa, investments in infant health are subject to tough prioritizations within the household, in which maternal preferences may play a part. How these preferences will affect infant mortality as African women have ever-lower fertility is still uncertain, as increased female empowerment and increased difficulty in achieving a desired gender composition within a smaller family pull in potentially different directions. I study how being born at a parity or of a gender undesired by the mother relates to infant mortality in sub-Saharan Africa and how such differential mortality varies between women at different stages of the demographic transition. Using data from 79 Demographic and Health Surveys, I find that a child being undesired according to the mother is associated with a differential mortality that is not due to constant maternal factors, family composition, or factors that are correlated with maternal preferences and vary continuously across siblings. As a share of overall infant mortality, the excess mortality of undesired children amounts to 3.3 % of male and 4 % of female infant mortality. Undesiredness can explain a larger share of infant mortality among mothers with lower fertility desires and a larger share of female than male infant mortality for children of women who desire 1–3 children. Undesired gender composition is more important for infant mortality than undesired childbearing and may also lead couples to increase family size beyond the maternal desire, in which case infants of the surplus gender are particularly vulnerable.     

Intention and uncertainty at later stages of childbearing: the united states 1965 and 1970

While births may be dichotomous, fertility intentions are not inherently so. Intentions are predictions about the future and, as such, are couched in considerable uncertainty. Ignoring this uncertainty hides much of what could be learned from data on fertility intentions. This paper presents a model which allows analysis of the full range of intentions. After selecting a sample of women in the later stage of childbearing (e.g., those who intend fewer than two additional children) from the 1965and 1970 National Fertility Studies, it is shown that: (1) substantial portions of women at this stage of the reproductive life cycle were indeed uncertain of their parity-specific intention; (2) this certainty, like more firm intentions, varies by age and parity as the model predicts; and (3) there were significant shifts in the level of certainty between 1965 and 1970. Specifically, while intentions for third, fourth, and fifth births declined, more women “didn’t know” if they intended to have another child or not. Among those not intending another child, more seemed uncertain of this intention in 1970 than did comparable women in 1965. In contrast, those intending another child seemed more certain. These changes in intention and uncertainty indicate that the observed decline in intended parity was tentative. Post-1970 evidence suggests that this tentative decline has become an unequivocal one.     

Living Arrangements and the Well-Being of Single Mothers in Japan

The goal of this study is to evaluate the extent to which the well-being of single mothers in Japan is related to coresidence with other adults. Using data from a representative survey of households headed by single mothers, we examine two measures of subjective well-being: perceived economic circumstances and self-rated health. One-fourth of the single mothers surveyed were coresiding with another adult(s) and it is clear that these women fare significantly better than their non-coresiding counterparts on both measures of well-being. Net of several theoretically relevant sociodemographic, family, and employment characteristics, single mothers living with others were significantly less likely to report somewhat difficult/difficult economic circumstances or fair/poor health. Efforts to account for potential endogeneity between well-being and living arrangements suggested that self-rated health, but not subjective economic well-being, is related to selection into coresidence. Single mothers in fair/poor health appear more likely to coreside with others and, accounting for this selection, intergenerational coresidence appears to be very beneficial for self-rated health. We discuss the implications of these findings for processes of stratification in Japan in light of the limited public income support available to single mothers.     

Comparing Self-Rated Health, Satisfaction and Quality of Life Scores Between Diabetics and Others Living in The Bella Coola Valley

Objective: To investigate the relative effect that diabetes has on self-rated health, satisfaction with various specific domains of life, and satisfaction with quality of life operationalized as happiness, satisfaction with life as a whole, and satisfaction with overall quality of life. Design: Mixed methods – mailed survey and chart review. Study Population: All people aged 17 years or older, residing in the Bella Coola Valley in September 2001 and having a chart at the Bella Coola Medical Clinic. Main outcome measures: Self-rated health, self-rated stress, rating of self-care received, global life satisfaction (Life as whole; Overall standard of living; Overall quality of life; and Overall happiness); and satisfaction with various domains of life. Results: A total of 968 useable surveys were returned for a response rate of 56 (968/1734). Age was negatively related to General Health, but positively related to Life Satisfaction. Not being of Aboriginal descent was positively related to all of the four global health indicators and to Subjective Well-Being. After accounting for age, race, and weight, we found that diabetics report significantly poorer self-rated health, and lower satisfaction with health scores compared to people without diabetes. Participants with diabetes who were the least compliant with their treatment regimens rated their current health significantly lower than those who were the most compliant. People with diabetes were, however, no more likely to be unhappy or dissatisfied with their lives as a whole or with the overall quality of their lives compared to people without diabetes. Among people with diabetes, however, those who used insulin did report significantly less satisfaction with the overall quality of their lives than those who didn’t use insulin. Conclusion: Diabetics understand they have poorer health than others, but they do not have poorer global life satisfaction scores. This may explain why it is difficult to get diabetics to adopt behaviours which may lower their quality of life – e.g., diet plans, lose weight, engage in exercise programs, or take medications.