A survey of fertility in specialized households in Tianjin city with one child in the countryside]

This report addresses the trend among specialized households which has evolved from the assumption that more children meant a happier life to the opinion that a smaller number of children will have a better upbringing. It addresses problems in family planning and ways to improve these problems as well. Since the economic reform which drastically changed the economic system in China (especially in rural areas), the ideas of the people regarding family planning began to change just as their lifestyles were changing. When production had been controlled by communes, everybody received the same income and thus, low incentive resulted in low production. Life was difficult and people still retained the traditional notion that a larger family guaranteed happiness as well as security for their old age. Moreover, women were tied to the home and were economically dependent upon their husbands. The new economic reforms have brought about changes in these attitudes. Women now want less children and a higher quality of life. They have bettered their status in society and now have higher incomes. They are encouraged to work more and children are less of a concern. In one case, a woman was kicked out of her own house by her mother-in-law for giving birth to a girl. Later, the woman purchased the house after raising a protest in the village. She has now gained the respect of her mother-in-law who lives in the house and takes care of the child. Old notions, such as those maintaining that low productivity requires more labor and that a larger income will permit a larger family, are now less accepted. Today's trend focuses more on improvements in family planning through better promotional campaigns and aims to enhance productivity through government assistance.     

The Effects of Breastfeeding and Nutrition on Fecundability in Rural Bangladesh: A Hazards-Model Analysis

Data taken from the ‘Determinants of Natural Fertility’ study, Bangladesh, are used with multivariate hazard models to study variations in fecundability between women, especially the relationship between nutritional status, breastfeeding practices, and the monthly probability of conceiving. It is found that fecundability varies both between women of a given age and, for a particular woman, by age. The variation is related to four variables: separation, which affects coital frequency; age, which represents biological changes; lactation practices; and the duration of amenorrhoea. Nutrition above famine or starvation levels is not a significant determinant of fecundability. The most surprising finding is the effect of the pattern of breastfeeding on fecundability: as a menstruating woman begins to wean her child, her probability of conceiving increases as her serum prolactin, which inhibits ovulation, decreases. Thus, those menstruating women who are most likely to conceive are those who have completely weaned their infants in the very recent past.     

The living arrangements of separated,widowed, and divorced mothers

When her marriage is disrupted a woman must make some decision about where to live. A basic component of residential choice is the decision whether to live alone as the head of a household, to move in with other relatives, or to share a household with nonrelatives. Such a choice is constrained by the availability of relatives, and by whether or not the woman can afford to live alone. The question of living arrangements is one important component of the economic status of women experiencing marital disruption, and the choice between heading a household or sharing someone else’s household influences the differential incidence among population subgroups of the female-headed family. The living arrangements of mothers without husbands are investigated cross-sectionally using the 1/1000 sample of the 1960 census. Attention is focused on what characteristics (age, family composition, education, race, and income) are associated with household headship. Among women who are not household heads, we examine the type of living arrangement from data on “relationship to head of household”. The paper includes some discussion of the ambiguity of the income-living-arrangements relationship, and some discussion of the “tenure” status (owner versus renter) of women in disrupted marital statuses.     

Latin American hospitals improve postabortion care. Maternal health

Approximately 4 million women undergo illegal abortions each year in Latin America and the Caribbean, and hundreds of thousands of women with postabortion medical emergencies or incomplete abortions seek hospital care. Once in an emergency ward, a woman may await treatment for 24 hours, bleeding, frightened, and in pain. A woman in such a situation may also experience nurses who chastise her for becoming pregnant or committing a sin, be examined with several staff members observing, undergo unexplained treatment without anesthesia, and/or leave the service facility without knowing whether she is still fertile or how to avoid pregnancy. INOPAL, Population Council's operations research program on family planning and reproductive health in the region, is working to find the best ways, medically and financially, for hospitals to deliver high-quality, comprehensive services to postabortion patients. Most maternal deaths and injuries could be prevented by access to family planning services and information about contraceptive use. The Population Council and colleagues from hospitals, governments, and nongovernmental organizations are conducting studies in Guatemala, Peru, and Mexico on the emergency treatment of incomplete abortions with the goal of improving and standardizing postabortion services.     

Gender differences in factors that influence time spent planning for retirement

Retirement research has shown that planning activities are influenced by a variety of demographic and psychological variables. However, few investigations have focused on how demographic and psychological factors influence the time and effort men and women allocate to retirement preparation. In the present study, 184 individuals completed a survey designed to assess future time perspective (FTP), worry about retirement, age, and income level. Hierarchical regression techniques were used to examine how these variables influenced the amount of time men and women spent planning for and thinking about retirement. Results revealed that women spent less time thinking about retirement than men, and gender was differentially related to the factors predictive of this activity. From an applied perspective, these findings suggest that separate retirement intervention programs are warranted that meet the unique needs of working men and women.     

Male sterilization as a contraceptive method in Canada an empirical study

Abstract In 1851-61, the crude birth rate in Canada was 45. In 1972, it was approximately 16. Not only have birth rates decreased but the average family size has declined from five or six children per family at the turn of the century to two or three children in the 1970'S. In addition, women are completing their childbearing at an earlier age. 50 years ago, it was not uncommon for a woman to have a child in her late thirties or early forties. To-day, this is a relatively rare event. In fact, it is estimated that approximately 80% of all families have the number of children desired before the woman is 30 years of age. This new demographic pattern creates an important and crucial situation for Canadian couples. At age 30, with all the desired children and 15 more years of potential childbearing ahead of them, what can they do to prevent the occurrence of additional pregnancies?     

Impact of demographic variables on women’s economic empowerment: An ordered probit model

The present study aimed to empirically examine the demographic variables that determine women’s economic empowerment. A sample of 500 married women between 21 and 49 years old (M_age = 35.49, SD = 7.66) was conveniently selected from district Multan (Pakistan). Control over economic resources was used as a proxy for women’s economic empowerment. Ordered probit regression was run to assess the demographic determinants (i.e., age, education, paid job, income, and property) of economic empowerment of the least empowered, moderately empowered, and highly empowered women. Paid job, age, income, and property appeared as positive and significant predictors of women’s economic empowerment. Implications of the study were also discussed.     

Mental health issues: a comparison of lesbian, bisexual and heterosexual women

This study examines mental health issues among women of different sexual orientations. An anonymous survey was administered at 33 health care sites across the United States; the sample (N = 1304) included lesbians (n = 524), bisexual (n = 143) and heterosexual women (n = 637). Not only did sexual orientation influence the probability of experiencing emotional stress, but also whether a bisexual woman or lesbian had disclosed her sexual orientation (was "out") impacted the likelihood of having or having had mental health problems. Bisexual women and lesbians experienced more emotional stress as teenagers than did heterosexual women. Bisexual women were more than twice as likely to have had an eating disorder compared to lesbians. If a bisexual woman reported being out she was twice as likely to have had an eating disorder compared to a heterosexual woman. Lesbians who were not out and bisexual women who were out were 2-2.5 times more likely to experience suicidal ideation in the past 12 months. Lesbians and bisexual women who were not out were more likely to have had a suicide attempt compared to heterosexual women. Lesbians used psychotherapy for depression more commonly than did heterosexual or bisexual women. This is one of the few studies that compares lesbians, bisexual and heterosexual women. The implications of these findings are discussed.     

How female education affects reproductive behavior in urban Pakistan

Although Pakistan remains in a pretransitional stage (contraceptive prevalence of only 11.9% among married women in 1992), urban women with post-primary levels of education are spearheading the gradual move toward fertility transition. Data collected in the city of Karachi in 1987 were used to determine whether the inverse association between fertility and female education is attributable to child supply variables, demand factors, or fertility regulation costs. Karachi, with its high concentration of women with secondary educations employed in professional occupations, has a contraceptive prevalence rate of 31%. Among women married for less than 20 years, a 10-year increment in education predicts that a woman will average two-fifths of a child less than other women in the previous 5 years. Regression analysis identified 4 significant intervening variables in the education-fertility relationship: marriage duration, net family income, formal sector employment, and age at first marriage. Education appears to affect fertility because it promotes a later age at marriage and thus reduces life-time exposure to the risk of childbearing, induces women to marry men with higher incomes (a phenomenon that either reduces the cost of fertility regulation or the demand for children), leads women to become employed in the formal sector (leading to a reduction in the demand for children), and has other unspecified effects on women's values or opportunities that are captured by their birth cohort. When these intervening variables are held constant, women's attitude toward family planning loses its impact on fertility, as do women's domestic autonomy and their expectations of self-support in old age. These findings lend support to increased investments in female education in urban Pakistan as a means of limiting the childbearing of married women. Although it is not clear if investment in female education would have the same effect in rural Pakistan, such action is important from a human and economic development perspective.     

Natural family planning: A comparison of continuers and discontinuers

Little research has been done on social-psychological variables related to the use of natural family planning. The objective of this study was to analyze variables that differentiated between continuers and discontinuers of natural family planning (NFP). Questionnaires were obtained from couples who had received instruction in the sympto-thermal method of natural family planning at a large urban hospital. Subjects who were attempting to become pregnant or who were using other methods of contraception in conjunction with NFP were deleted from the analysis, leaving N of 74. With Pearson correlation, variables significantly related (p<.05) to NFP continuance were: religiosity, planning more children, perceived severity of pregnancy, support from spouse and relatives, dissatisfaction with other contraceptive methods, attitudes toward NFP, perceived effectiveness of NFP, attitudes toward abstinence, and importance of intercourse.     

Multivariate relationships between modernity value orientations and family planning indicators

Using canonical correlation techniques in the analysis of data collected from interviews with 1,737 married women of three Indian states, this paper evaluated three modernity value orientations—subjective efficacy, openness to change, and propensity to plan—as predictors of a set of four family planning indicators. The analysis revealed that, in Haryana, both subjective efficacy and openness to change were related to family planning knowledge and attitudes as well as to favorability toward small family size. Propensity to plan was related to adoption. In rural Tamil Nadu, subjective efficacy and openness to change were related essentially to family planning attitudes, whereas in urban Tamil Nadu they were strongly related to adoption. In the latter area, the best linear association between the modernity variables (predictor set) and the family planning variables (criterion set) resulted when the criterion set was so weighted that it involved a large amount of adoption and a moderate amount of contraceptive knowledge and attitudes. Thus, in urban Tamil Nadu, the four family planning variables seemed to cohere, reflecting cognitive, attitudinal, and behavioral consistency. Except in Meghalaya, it appears that married women with higher subjective efficacy, openness to change, and planning tendency may be more likely than others to translate their family planning knowledge and favorability toward small family size into action, under suitable conditions. Some of the implications of the findings are discussed.The author is affiliated with the Council for Social Development, 53 Lodi Estate, New Delhi, 110003, India.     

Using the Shapley Decomposition to Disentangle the Impact of Circumstances and Efforts on Health Inequality

Following previous work on inequality in health opportunity, this paper attempts to determine the contribution of circumstances, efforts and lifestyle, and demographic variables to the overall inequality in health in Luxembourg. Health is measured via the answers given to a question on self-assessed health and is considered as an ordinal variable. The educational level of each parent, the financial situation of the family during childhood, the area of birth of the individual, and of his/her parents, and the year of immigration are considered as circumstances. Effort and lifestyle variables are proxied by information on the educational level of the individual, whether he/she smoked and whether he/she had a physical activity on a regular basis. Sex and age are considered as demographic variables. To solve the issue of correlation between circumstances and effort and lifestyle the estimation is implemented in two stages. In the first stage, each effort and lifestyle variable is regressed in a separate equation against the vector of circumstances and demographic variables and, in a second stage, the individual health status is regressed against the vector of circumstances and demographic variables along with the estimated residuals of the effort equations described previously. The respective impacts of the three categories of explanatory variables (circumstances, effort and lifestyle and demographic variables) on health inequality are derived via a Shapley decomposition of the likelihood ratio of the health ordered logit regression. It appears that differences in circumstances and effort and lifestyle explain each around a quarter of this likelihood ratio.     

Family configuration and adolescent sexual attitudes and behavior

Several measures of family configuration, derived from the number, age, and sex of siblings and the number of parents, were related to adolescent sexual attitudes and behavior in a sample of 836 high school-aged teenagers from two Western states. Zero-order correlations showed that sexual intercourseexperience was less common among adolescents who lived with both parents and also among those who had younger siblings. Similarly, the zero-order correlations showed least permissiveattitudes among adolescents who had more siblings, especially younger siblings, and among those who lived with both parents. Controlling for adolescents' age, sex, race, religion, church attendance, and parents' educational attainment, however, essentially eliminated the relationships between family configuration variables and sexual attitudes and behavior. Only parents' marital structure, reflecting whether adolescents lived with both original parents or not, continued to be weakly related to adolescents' sexual attitudes and behvior.     

The effects of preconception desires and intentions on pregnancy wantedness

Do preconception intentions to conceive add to the prediction of pregnancy wantedness beyond the effect of preconception desires? This paper addresses that question, using data regarding the most recent pregnancy of 2,299 women respondents to the 2002 U.S. National Survey of Family Growth. We test a structural equation model predicting a woman’s pregnancy wantedness with her preconception desires, her perception of her partner’s preconception desires, and her preconception intentions. In this multivariate setting, preconception intentions do not predict pregnancy wantedness in the overall sample. However, they do predict wantedness in certain demographic contexts. We identify three patterns of change in our model that occur in selected contexts. We then use these patterns to hypothesize three psychosocial mechanisms by which preconception intentions may increase the wantedness of a pregnancy beyond that resulting from the woman’s preconception desires to get pregnant and her perception of her partner’s preconception desires.     

Demographic aspects of fertility in Thailand

Abstract Data from a national rural and urban sample survey are analysed in order to examine various demographic aspects of fertility in Thailand. Marital fertility rates found for Thailand are among the highest in Asia. Particularly noteworthy is the persistence of high fertility at older ages of childbearing for rural women. Cumulative fertility shows a pronounced relationship with age at marriage and current marital status. Women who marry at an older age or who experience disruption of their marriages are clearly more likely to have fewer children ever born. Differences in both current and cumulative fertility are strongly associated with residence. Rural women who constitute the vast majority of Thai women, experience the highest fertility, Bangkok-Thonburi women experience the lowest fertility and provincial urban women are characterized by an intermediate fertility level which is closer, however, to the experience of their counterparts in the capital than in the countryside. Rural-urban fertility differences are mitigated but by no means eliminated by differences in infant mortality. In both rural and urban areas a positive association between cumulative fertility and infant morality is evident. Breast-feeding, commonly practised for extended periods-among both rural and urban Thai women, undoubtedly serves to some extent as an intervening variable in this relationship. A comparison of current fertility with cumulative fertility strongly suggests that a decline in marital fertility has been under way recently among urban women, especially those residing in the capital, but not at all among rural women. Although it seems safe to assume that the urban fertility decline results in large part from an increasing use of contraception among urban women, those still in the reproductive ages who were using or had previously used birth control were characterized by higher cumulative fertility than women who had never practised contraception. Evidently couples resort to family planning only late in the family building process after they have already achieved or exceeded the number of children they wish to have.     

The Role of Contraceptive Supply and Demand in Mexican Fertility Decline: Evidence from a Microdemographic Study

This paper uses retrospective life history data to assess the impact of family planning services on contraceptive use in a rural Mexican township. Between 1960 and 1990 contraceptive use rose and fertility declined dramatically. Both contraceptive supply and demand factors were influential in these trends. The start of the government-sponsored family planning programme in the late 1970s was associated with a sharp rise in female sterilization and use of the IUD. However, once we controlled for the changing socio-economic and demographic characteristics of the sample, the presence of family planning services had no significant effect on the likelihood that women used modern reversible methods compared to traditional methods. Men and women expressed concerns about the safety of modern methods such as the pill and the IUD. Efforts to increase modern contraceptive use should place greater emphasis on communicating the safety of these methods and improving the quality of services.     

The role of contraceptive supply and demand in Mexican fertility decline: evidence from a microdemographic study

This paper uses retrospective life history data to assess the impact of family planning services on contraceptive use in a rural Mexican township. Between 1960 and 1990 contraceptive use rose and fertility declined dramatically. Both contraceptive supply and demand factors were influential in these trends. The start of the government-sponsored family planning programme in the late 1970s was associated with a sharp rise in female sterilization and use of the IUD. However, once we controlled for the changing socio-economic and demographic characteristics of the sample, the presence of family planning services had no significant effect on the likelihood that women used modern reversible methods compared to traditional methods. Men and women expressed concerns about the safety of modern methods such as the pill and the IUD. Efforts to increase modern contraceptive use should place greater emphasis on communicating the safety of these methods and improving the quality of services.     

Family sizes of children and family sizes of women

This paper demonstrates the relation that obtains between the average family size of women and the average family size of offspring of those women. It estimates the value of these two measures for cohorts of American women aged 45–49 in various years from 1890 to 1970. It shows that children born during the post-war baby boom actually derived from smaller families than those born during the low-fertility 1930’s; that under current patterns a woman would have to bear an average of almost two children fewer than were borne by her mother merely to keep population fertility rates constant from generation to generation; and that average family size for nonwhite children exceeds that for white by 50 percent, although the racial difference in family sizes of women is only 19 percent.