Sibling loss and fertility desires in the high-mortality context of Peru

Despite demographers’ long-standing preoccupation with the effects of child mortality on women’s fertility desires, scholars continue to know little about the consequences of other pervasive mortality exposures. We use nationally representative data from the high-mortality context of Peru to examine whether the desire to have a(nother) child varies as a function of sibling loss and to assess heterogeneity in this association by women’s current number of children and a range of conditions related to siblings’ deaths. Women who have experienced sibling bereavement and have two or more children report higher odds of desiring another child. These effects are not contingent on the age or sex of the deceased sibling but are only significant if the sibling died during the respondent’s lifetime (not before). These findings highlight the theoretical and empirical import of investigating the relationship between fertility desires and a wider range of familial mortality exposures beyond own child mortality.     

Unhealthy Weight in Indian Families: The Role of the Family Environment in the Context of the Nutrition Transition

India faces a dual burden of increasing obesity and persistent underweight as it experiences the nutrition transition—the dietary and lifestyle changes that accompany globalization, economic development, and technological change. Yet, the nutrition transition is not solely a top-down process; rather, global forces converge with local practices at multiple levels of the social ecology. The family environment, a key site for the transmission of local customs and norms, remains largely unexplored in India. We examined the extent to which opposite-gender siblings and mother–child pairs were concordant or discordant in body weight, and whether domains of the family environment, specifically, food practices, food-related gender norms, and household resources, were associated with patterns of unhealthy weight within and between families. Multilevel dyadic analysis and logistic regression were conducted using survey data from a representative sample of 400 families in a Southern Indian city. We identified substantial clustering of weight among opposite-gender sibling pairs (ICC = 0.43) and mother–child pairs, as well as important patterns of discordance, including 11% of families experiencing a dual burden of underweight and overweight. Household resources, including mother’s education and income, were salient in explaining the distribution of body weight within and between families. Importantly, less examined domains of the family environment were also relevant, including food practices (e.g., grocery shopping frequency), and food-related gender norms (e.g., mother’s control of food served at home). Continued exploration of how global and local practices converge in households will be necessary to develop programming that effectively addresses India’s dual burden of unhealthy weight.     

Early-life mortality clustering in families: A literature review

Research on early-life mortality in contemporary and historical populations has shown that infant and child mortality tend to cluster in a limited number of high-mortality families, a phenomenon known as ‘mortality clustering’. This paper is the first to review the literature on the role of the family in early-life mortality. Contemporary results, methodological and theoretical shortfalls, recent developments, and opportunities for future research are all discussed in this review. Four methodological approaches are distinguished: those based on sibling deaths, mother heterogeneity, thresholds, and excess deaths in populations. It has become clear from research to date that the death of an older child harms the survival chances of younger children in that family, and that fertility behaviour, earlier stillbirths, remarriages, and socio-economic status all explain mortality clustering to some extent.     

Consanguinity and child mortality: The risk faced by families

Previous research reveals that the characteristics and practices of a child's family are important determinants of its chances of surviving beyond childhood. This study investigates the effects of consanguinity on a family's odds of experiencing the death of a child in Pakistan, a society in which marriage among close relatives is common. Analysis of data from the 1991 Pakistan Demographic and Health Survey reveals that first cousin marriages increase a couple's risk of enduring the death of one or more of their children. These couples are 1.18 times as likely to have a child die by its fifth birthday than couples not related by blood net of other factors associated with child mortality. Elimination of first cousin marriages would contribute to a modest decrease in the proportion of Pakistani families suffering the death of a child.     

Quality of Parent–Child Relationship, Family Conflict, Peer Pressure, and Drinking Behaviors of Adolescents in an Asian Context: The Case of Singapore

Analyzing data from a probability sample representative of secondary school students in Singapore (N = 1,599), this study examined the independent impact between the quality of mother–child relationship, the quality of father–child relationship and family conflict on the frequency of drinking and drunkenness, and whether each dyadic parent–child relationship quality and family conflict moderate the effect of direct peer pressure on the frequency of drinking and drunkenness among Singaporean adolescents. A series of ordered logit analyses revealed the following results: The quality of father–child relationship had no main effect on either drinking behavior, yet had a moderating effect on the association between direct peer pressure and drunkenness, with the stronger effect of direct peer pressure for adolescents on good terms with their fathers than for those on poor terms with their fathers. Family conflict had a main effect on drunkenness and a moderating effect on the association between direct peer pressure and the frequency of drinking, with the stronger effect of direct peer pressure on the frequency of drinking for adolescents experiencing high family conflict than those experiencing low family conflict. The importance of the father–child relationship quality and family conflict for adolescents’ well-being in Singapore as an Asian context was discussed.     

Disparities in Children’s Family Experiences by Mother’s Socioeconomic Status: The Case of Finland

A well-known argument claims that socioeconomic differentials in children’s family structures have become increasingly important in shaping child outcomes and the resources available to children in developed societies. One assumption is that differentials are comparatively small in Nordic welfare states. Our study examines how children’s experiences of family structures and family dynamics vary by their mother’s educational attainment in Finland. Based on register data on the childbearing and union histories of women in Finland born from 1969 onwards, we provide life-table estimates of children’s (N?=?64,162) experiences of family dissolution, family formation, and family structure from ages 0–15 years, stratified by mother’s education level at the child’s birth. We find huge socioeconomic disparities in children’s experiences of family structures and transitions. Compared to children of highly educated mothers, children of mothers with low levels of education are almost twice as likely to be born in cohabitation and four times as likely to be born to a lone mother. They are also much more likely to experience further changes in family structure—particularly parental separation. On average, children of low-educated mothers spend just half of their childhood years living with both their parents, whereas those of high-educated mothers spend four-fifths of their childhood with both parents. The sociodemographic inequalities among children in Nordic welfare states clearly deserve more scholarly attention.     

Resolved Parental Infertility and Children’s Educational Achievement

Although difficulty conceiving a child has long been a major medical and social preoccupation, it has not been considered as a predictor of long-term outcomes in children ultimately conceived. This is consistent with a broader gap in knowledge regarding the consequences of parental health for educational performance in offspring. Here we address that omission, asking how resolved parental infertility relates to children’s academic achievement. In a sample of all Swedish births between 1988 and 1995, we find that involuntary childlessness prior to either a first or a second birth is associated with lower academic achievement (both test scores and GPA) in children at age 16, even if the period of infertility was prior to a sibling’s birth rather than the child’s own. Our results support a conceptualization of infertility as a cumulative physical and social experience with effects extending well beyond the point at which a child is born, and emphasize the need to better understand how specific parental health conditions constrain children’s educational outcomes.     

中国失独妇女总量、结构及变动趋势计算机仿真研究

在回顾以往对独生子女死亡和失独家庭研究的基础上，文章从基本概念、分析方法和关键研究问题等方面指出以往研究中存在的问题，提出终身失独概率估计方法和失独育龄妇女再生育可能性等，指出用独生子女死亡概念近似失独妇女，其结果有可能大大高估时期失独妇女的总量。由于受计划生育政策影响，中国育龄妇女二孩生育水平和生育模式发生巨大变化，将失独育龄妇女再生育看做是1－＞2递进生育也有可能高估失独妇女的总量。通过人口普查、抽样调查数据和计算机微观人口系统仿真分析技术，估计目前35岁及以上失独妇女数量在140万左右，2050年前中国时期失独妇女总量超过600万的可能性不大，失独家庭达到或超过1000万的可能性也不大。     

Birth Spacing and Child Survival: A Cautionary Note Regarding the Evidence from the WFS

In this paper results recently published in this journal concerning the influence of birthspacing on child survival are reviewed, and two reasons are suggested why the statistical associations observed in the data collected in the World Fertility Survey may be, at least in part, spurious. Where reporting is poor, it is argued that errors may often be responsible for a substantial portion of the association between interval length and mortality, and also for the apparent influence of the death of one child on the survival prospects of a younger sibling. Where the reported dates of birth and death are reliable but contraceptive prevalence is high, there is the problem that contraceptive practice is apt to be closely associated with other behaviour likely to have a direct effect on mortality.     

Understanding the effects of siblings on child mortality: evidence from India

Given the intrinsically sequential nature of childbirth, timing of a child’s birth has consequences not only for itself but also for its older and younger siblings. The paper argues that prior spacing and posterior spacing between consecutive siblings are thus important measures of intensity of sibling competition for limited parental resources. While the available estimates of child mortality tend to ignore the endogeneity of sibling composition, we use a correlated recursive model of prior and posterior spacing and child mortality to correct it. There is evidence that uncorrected estimates under-estimate the effects of prior and posterior spacing on child mortality.

Maternal union instability and childhood mortality risk in the Global South, 2010–14

Efforts to improve child survival in lower-income countries typically focus on fundamental factors such as economic resources and infrastructure provision, even though research from post-industrial countries confirms that family instability has important health consequences. We tested the association between maternal union instability and children’s mortality risk in Africa, Latin America and the Caribbean, and Asia using children’s actual experience of mortality (discrete-time probit hazard models) as well as their experience of untreated morbidity (probit regression). Children of divorced/separated mothers experience compromised survival chances, but children of mothers who have never been in a union generally do not. Among children of partnered women, those whose mothers have experienced prior union transitions have a higher mortality risk. Targeting children of mothers who have experienced union instability—regardless of current union status—may augment ongoing efforts to reduce childhood mortality, especially in Africa and Latin America where union transitions are common.     

Birth Intervals and Health in Adulthood: A Comparison of Siblings Using Swedish Register Data

A growing body of research has examined whether birth intervals influence perinatal outcomes and child health as well as long-term educational and socioeconomic outcomes. To date, however, very little research has examined whether birth spacing influences long-term health. We use contemporary Swedish population register data to examine the relationship between birth-to-birth intervals and a variety of health outcomes in adulthood: for men, height, physical fitness, and the probability of falling into different body mass index categories; and for men and women, mortality. In models that do not adjust carefully for family background, we find that short and long birth intervals are clearly associated with height, physical fitness, being overweight or obese, and mortality. However, after carefully adjusting for family background using a within-family sibling comparison design, we find that birth spacing is generally not associated with long-term health, although we find that men born after very long birth intervals have a higher probability of being overweight or obese in early adulthood. Overall, we conclude that birth intervals have little independent effect on long-term health outcomes.     

Infant mortality and fertility in three Bavarian villages: An analysis of family histories from the 19th century

Abstract Family history data derived from the records of three parishes in Bavaria provide evidence for several important demographic questions when analysed in conjunction with information concerning the prevalent breast-feeding practices. The results suggest strongly that breast feeding can prolong birth intervals substantially. The evidence concerning the independent influence of infant deaths on subsequent birth intervals is inconclusive. It is clear, however, that even if such an influence did exist it was relatively small, compared to the effect of lactation. In addition the results do not lend support to the hypothesis that couples experiencing low child mortality practised family limitation more than couples experiencing high child mortality. In all three parishes, however, fertility appeared to influence infant mortality. Infants born after short intervals were subject to considerably higher mortality risks than infants following longer intervals.     

Control of population by economic means]

Education alone cannot effectively control population growth. Benefit to the individual must be coordinated with the benefit to the community and the country. It is absolutely necessary and possible to control population by economic means. The economic policy in Tienjing includes: 1) give preference to single child families in child care, health benefits, education, and employment, and financially punish families with more than two children; 2) establish a better rationing policy, one not based on a per capita ration, and give preference to single child families; 3) establish retirement benefits and guarantee higher living standards for retirees who have either no children or only 1 or 2 children, and give paid sick leave to people experiencing complications following sterilization operations; 4) establish equal inheritance rights for both male and female offspring; and 5) give bonuses to units with excellent family planning results and to medical personnel with fewer complications during sterilization operations, and financially punish groups with poor family planning results. In order to effectively implement the economic means, coordinate bonuses with punishment, and coordinate local policies with those of the entire society. The key is strong leadership, but the voluntary and active involvement of the public insures success.     

Social Policies and Families in Stress: Gender and Educational Differences in Work–Family Conflict from a European Perspective

In modern welfare states, family policies may resolve the tension between employment and care-focused demands. However these policies sometimes have adverse consequences for distinct social groups. This study examined gender and educational differences in working parents’ perceived work–family conflict and used a comparative approach to test whether family policies, in particular support for child care and leave from paid work, are capable of reducing work–family conflict as well as the gender and educational gaps in work–family conflict. We use data from the European Social Survey 2010 for 20 countries and 5296 respondents (parents), extended with information on national policies for maternity and parental leave and child care support from the OECD Family Database. Employing multilevel analysis, we find that mothers and the higher educated report most work–family conflict. Policies supporting child care reduce the level of experienced work–family conflict; family leave policy appears to have no alleviating impact on working parents’ work–family conflict. Our findings indicate that family policies appear to be unable to reduce the gender gap in conflict perception and even widen the educational gap in work–family conflict.     

The unintended effects of cash transfers on fertility: evidence from the Safe Motherhood Scheme in India

India launched the Safe Motherhood Scheme (Janani Suraksha Yojana or JSY) in 2005 in response to persistently high maternal and child mortality rates. JSY provides a cash incentive to socioeconomically disadvantaged women for childbirth at health facilities. This study explores some unintended consequences of JSY. Using data from two large household surveys, we examine a policy variation that exploits the differential incentive structure under JSY across states and population subgroups. We find that JSY may have resulted in a 2.5–3.5 percentage point rise in the probability of childbirth or pregnancy over a 3-year period in states already experiencing high population growth.     

Aging in Japan: population policy implications

This article was prepared for the International Conference on Aging in the East and West in 1995. The focus is on trends in aging in Japan and demographic determinants and consequences. Findings are presented from a 1990 study conducted by the Institute of Population Problems on acceptance of alternative population policies aimed to slow population aging in Japan. Japan is the seventh most populous country in the world, and the current growth rate is around 0.3%. Declines in fertility and mortality have contributed to the low growth rate. Population aging accelerated over the decades. The present share of aged population is 14.1%. The aged population is expected to continue to increase from 14.9 million in 1990 to 32.7 million in 2020 (25.8% in 2025). Decreases in the aged population are not expected until after the mid-2040s. The proportion of very old (ages 75 years and older) will dramatically increase to 14.5% in 2025. The primary demographic determinant of population aging and fertility decline is identified as the higher proportion of never-married and the higher age at marriage. One of the consequences of population aging is the increase in the age dependency ratios and the aged-child ratios. The proportion of intergenerationally extended households declined over time, but the pace of decline has slowed recently. The proportion of aged in one person or couple only households has risen but not to the same extent as the West. The majority of older old still live with a married child. Logistic analysis of 1985 survey data reveal that the custom of the elderly living with the eldest child remains. The 1985 survey also revealed much indecision about a pronatalist policy or a fertility policy. Logistic analysis of 1990 public opinion survey data shows acceptance of immigration as a policy alternative to slowing population aging. Acceptance varied by socioeconomic, demographic, and regional factors. A pronatalist policy received stronger acceptance. However, reference is made to Kojima's literature review, which suggests that indirect policies on fertility and a comprehensive family policy would be more effective in raising fertility than a population policy.     

二孩对城镇青年平衡工作家庭的影响--基于中国妇女社会地位调查数据的实证分析

运用中国妇女社会地位调查数据和二分类Logistic回归分析方法,对“二孩”给城镇青年平衡工作家庭带来的影响进行研究。结果发现,孩子数量和孩子年龄对城镇青年平衡工作家庭具有显著影响。在公共托幼服务短缺情况下,生育二孩和有3岁以下孩子的城镇青年女性,家庭冲击工作的比例更高,性别差距更大,部分女性被迫中断工作。该发现对二孩政策的启示在于,增加公共托幼服务对于促进符合政策的城镇青年生育二孩、平衡工作家庭具有重要现实意义。     

Rainfall variations and child mortality in the Sahel: results from a comparative event history analysis in Burkina Faso and Mali

Over the last 40 years, the Sahel has seen a long-term downward trend in rainfall. The importance of ecological variables as factors affecting child survival in rural subsistence societies has already been emphasized, but little empirical evidence has been gathered to support this. This paper presents a comparative event history analysis aimed at understanding how rainfall variations may influence child mortality in two neighbouring countries, Burkina Faso and Mali. These countries are similar in terms of population dynamics, economy, livelihood, child mortality and rainfall conditions (i.e. strong south–north decreasing rainfall gradient). Individual data for both countries came from two detailed nationally representative retrospective surveys conducted in 2000. Rainfall data for the 1960–1998 time period were obtained from the Climatic Research Unit. This study shows that child survival in each country is related to specific patterns of rainfall variation across livelihood regions, highlighting the complex nature of environmental causality of child mortality.     

Coming Out Experiences of Hispanic Sexual Minority Young Adults in South Florida

Sexual minority youth and young adults (SMYYA) have higher prevalence of mental and behavioral health problems potentially linked to experiences of discrimination, stigma, and rejection. Among Hispanics, the intersection of stressors related to being an ethnic and sexual minority may result in compounding adverse outcomes. Coming out may play an important role in experiencing discrimination, stigma, and rejection. However, limited research examines coming out among Hispanic SMYYA (HSMYYA). This qualitative study seeks to understand the coming-out experiences of HSMYYA living in South Florida. Twenty participants between 18 and 28 years old were interviewed. Qualitative content analysis generated codes, which were grouped into categories to generate themes. This study presents data highlighting reasons for disclosing and not disclosing sexual orientation and the perceived consequences of those decisions. Additionally, we discuss unique cultural elements that impact HSMYYA’s decisions to reveal sexual orientation.