Self-perceived health status,gender, and work status

ABSTRACT

This study analyzes the relationship between gender and self-perceived health status in Spanish retirees and housewives from a sample of 1,106 community-dwelling older adults. A multivariate linear regression model was used in which self-perceived health status was measured by the EQ-5D visual analogue scale and gender according to work status (retired men and women and housewives). Retired males reported a significantly better health status than housewives. Self-perceived health status was closely associated with physical, mental, and functional health and leisure activities. Finally, being a woman with complete dedication to domestic work is associated with a worse state of self-perceived health.     

A cast of 40: population and family planning agencies at work in the Philippines

This is a compilation of 42 agencies, both government and private, participating in the Philippine population program. Each listing includes: the purpose of the organization; a summary of its activities for fiscal year 1974-1975; the name of the project director; and the address. A large number of these agencies are engaged primarily in population or family planning work. Others, such as the medical schools at the University of the Philippines and the University of Santo Tomas, have family planning programs as part of a broader effort.     

Race,work, and welfare: Attitudes toward the required employment of young mothers who use welfare

This study examines the views of blacks and whites toward the required employment of mothers who have young children and who use welfare. Using national survey data collected in 1988, attitudes toward these women are analyzed as a function of sociodemographic characteristics and various measures of inequality-related beliefs. Findings indicate that blacks are more likely than whites to agree that mothers using welfare should work in exchange for their benefits, although neither racial group overwhelmingly approves of such an exchange. Further, black attitudes are influenced more by economic self interest and other sociodemographic attributes than by stratification beliefs and the perceived consequences of welfare, the reverse is true for whites. The policy implications of these and other results for research on policy attitudes are discussed.This article is based on a paper, presented at the Southern Sociological Society meetings in Chattanooga, TN, 3 April 1993.     

Dual tracks: part-time work in life-cycle employment for British women

Forty percent of working women in the UK work part-time; does part-time work support a woman’s labour market career or frustrate it? Cohort data on women’s labour market involvement to age 42 show highly varied pathways through full-time/part-time/non-employment. Part-time work can be part of two different pathways in women’s labour supply for persistent workers and marginal workers. A history of full-time work, even including part-time or non-employment spells, tends to lead back to full-time work, indicating that part-time work supports a career. However, part-time work combined with non-employment is a trap against the resumption of full-time work.     

Born in another country: Women's experience of labour and birth in Queensland,Australia

BackgroundWomen born outside Australia make up more than a fifth of the Queensland birthing population and like migrants in other parts of the world face the challenges of cultural dislocation and possible language barriers. Recognising that labour and birth are major life events the aim was to investigate the experiences of these women in comparison to native-born English speaking women.MethodsSecondary analysis of data from a population based survey of women who had recently birthed in Queensland. Self-reported clinical outcomes and quality of interpersonal care of 481 women born outside Australia who spoke a language other than English at home were compared with those of 5569 Australian born women speaking only English.ResultsAfter adjustment for demographic factors and type of birthing facility, women born in another country were less likely to be induced, but more likely to have constant electronic fetal monitoring (EFM), to give birth lying on their back or side, and to have an episiotomy. Most women felt that they were treated as an individual and with kindness and respect. However, women born outside Australia were less likely to report being looked after ‘very well’ during labour and birth and to be more critical of some aspects of care.ConclusionIn comparing the labour and birth experiences of women born outside the country who spoke another language with native-born English speaking women, the present study presents a largely positive picture. However, there were some marked differences in both clinical and interpersonal aspects of care.     

Female employment and fertility in peninsular Malaysia: The maternal role incompatibility hypothesis reconsidered

Multivariate analysis of the 1974 Malaysian Fertility and Family Survey tests the hypothesis that an inverse relationship between women’s work and fertility occurs only when there are serious conflicts between working and caring for children. The results are only partly consistent with the hypothesis and suggest that normative conflicts between working and mothering affect the employment-fertility relationship in Malaysia more than spacio-temporal conflicts do. The lack of consistent evidence for the hypothesis, as well as some conceptual problems, lead us to propose an alternative framework for understanding variation in the employment-fertility relationship, both in Malaysia and elsewhere. This framework incorporates ideas from the role incompatibility hypothesis but views the employment-fertility relationship as dependent not just on role conflicts but more generally on the structure of the household’s socioeconomic opportunities.     

To move or not to move: mobility decision-making in the context of welfare conditionality and paid employment

ABSTRACT

The mobility and agency of the unemployed have rarely been examined together in welfare administration. Mobility research has much to offer the (im)mobility of low-skilled and unemployed workers. The article begins by critically examining dominant public discourse and policy reforms that stigmatise the assumed immobility of the unemployed. Drawing on empirical data from in-depth interviews with people on income support payments in Australia, it then offers a critical view on the mobility decision-making processes of these job-seekers. Building on previous research concerning the politics of mobility, it shows that structural inequalities impact mobility choices, making relocation difficult for many job-seekers. At the same time, it highlights the localised mobility that job search now involves, complicating orthodox associations between mobility and power – as well as assumptions that job-seekers are immobile.     

Can we believe recent data on birth expectations in the United States?

A share of the recent decline in birth expectations of young American wives may be due to the historically unique stimulus of intense public attention to population growth and family size. Data on whites from numerous national surveys provide at least four types of evidence favoring this thesis: a sudden massing of responses in the two-child category (the ZPG formula); a tolerance for the large family; an aversion to childlessness and the one-child family; and an inconsistency between respondents’ evaluations of the family cycle and childspacing, on the one hand, and their personal acceptance of the two-child norm, on the other. The lack of congruence in American reproductive attitudes at present suggests that some conservatism might be wise in accepting current birth expectations as valid indicators of the long-run intentions of youthful cohorts.     

Philippines: Association of Population Correspondents formed in the Philippines

2 major decisions were reached at the December 1979 National Workshop for ESCAP Population Correspondents in the Philippines. The first was to set up an Association of Population Correspondents in order to enhance sharing population information at the national level. A newsletter was identified as a priority. The second decision was to set up a task force under the leadership of the Executive Secretary of the Commission on Population. The task force will be responsible for the preparation of a project proposal to establish a national population information clearing-house. Associated tasks will be the organization of a baseline study of the existing agencies, their capabilities and potential roles in the future national clearing-house. Participants stated specific needs for information. Information is needed from Thailand on community-based family planning programs and Indonesia on community participation and evaluation studies on contraceptive technology. The special needs of each member nation should be identified and then fed back to them for obtaining the required information. Participants requested a list of trainers for community-based programs; listing of specific linkages between private and government agencies involved in population work; and listing of international funding agencies on research and action programs.     

Marital decision-making and the timing of first birth in rural China before the 1990s

Using a sample of couples drawn from the three provinces of Guangdong, Shandong, and Shaanxi, we investigated whether couples’ increasing freedom to choose whom to marry influenced the timing of first birth in rural China during the four decades before the 1990s. The shortening of first-birth intervals in the period is found to be associated with the shift from arranged to free-choice marriages. The association is attributed largely to increased intimacy and coital frequency after marriage together with postponement of age at first marriage.     

Marital decision-making and the timing of first birth in rural China before the 1990s

Using a sample of couples drawn from the three provinces of Guangdong, Shandong, and Shaanxi, we investigated whether couples' increasing freedom to choose whom to marry influenced the timing of first birth in rural China during the four decades before the 1990s. The shortening of first-birth intervals in the period is found to be associated with the shift from arranged to free-choice marriages. The association is attributed largely to increased intimacy and coital frequency after marriage together with postponement of age at first marriage.     

Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy

BackgroundIn March 2020, COVID-19 was declared to be a pandemic. While data suggests that COVID-19 is not associated with significant adverse health outcomes for pregnant women and newborns, the psychological impact on pregnant women is likely to be high.AimThe aim was to explore the psychological impact of the COVID-19 pandemic on Italian pregnant women, especially regarding concerns and birth expectations.MethodsA cross-sectional online survey of pregnant women in Italy was conducted. Responses were analysed for all women and segregated into two groups depending on previous experience of pregnancy loss. Analysis of open text responses examined expectations and concerns before and after the onset of the pandemic.FindingsTwo hundred pregnant women responded to the first wave of the survey. Most (n = 157, 78.5%) had other children and 100 (50.0%) had a previous history of perinatal loss. ‘Joy’ was the most prevalent emotion expressed before COVID-19 (126, 63.0% before vs 34, 17.0% after; p < 0.05); fear was the most prevalent after (15, 7.5% before vs 98, 49.0% after; p < 0.05). Positive constructs were prevalent before COVID-19, while negative ones were dominant after (p < 0.05). Across the country, women were concerned about COVID-19 and a history of psychological disorders was significantly associated with higher concerns (p < 0.05). A previous pregnancy loss did not influence women’s concerns.ConclusionsWomen’s expectations and concerns regarding childbirth changed significantly as a result of the COVID-19 pandemic in Italy. Women with a history of psychological disorders need particular attention as they seem to experience higher levels of concern.     

Female labour force participation and second birth rates in South Korea

In recent decades, while female labour force participation rates in South Korea have increased, the country’s total fertility rates have declined dramatically. This study explores the association between women’s labour force participation and second birth rates in South Korea over the period 1980–2006. An event-history analysis is applied to longitudinal data from waves 1–10 of the Korea Labour and Income Panel Study. The study shows that post-birth labour force participation significantly reduced women’s propensity for having a second child, whereas non-employment after first birth was associated with an increased propensity. Women with highly educated husbands had a higher likelihood of enlarging the family. Further, the second birth trend in Korea fluctuated in tandem with the country’s institutional and socio-economic development. The childbearing propensity of homemakers was especially sensitive to the business cycle.     

Labour-market status and first-time parenthood: the experience of immigrant women in Sweden, 1981-97

This paper investigates the impact of labour-market attachment on first births of foreign-born women in Sweden. The study uses a longitudinal, register-based dataset consisting of the entire population of immigrants from ten nations and a 5-per-cent random sample of natives. The effects of earned income are evident, with increased income levels increasing the probability of becoming a mother for all observed nationalities. The effects of various forms of participation and non-participation in the labour force do not vary greatly between immigrants and the Swedish-born. Among all subgroups, we find a higher propensity to begin childbearing among those who are established in the labour market. Contrary to popular belief, receiving welfare benefits clearly reduces first-birth intensity for immigrants but not for natives. The similarity in patterns across widely different national groups supports the notion that various institutional factors affecting all subgroups are crucial in influencing childbearing behaviour.     

Women's expectations and experiences with labour pain in medical and midwifery models of birth in the United States

BackgroundThis research focuses on how women understand and experience labour as related to two competing views of childbirth pain. The biomedical view is that labour pain is abnormal and anaesthesia/analgesia use is encouraged to relieve the pain. The midwifery view is that pain is a normal part of labour that should be worked with instead of against.AimsTo determine differences in the preparation for and experiences with labour pain by women choosing midwives versus obstetricians.MethodsPrenatal and postpartum in-depth semi-structured interviews were conducted with a convenience sample of 80 women in Florida (United States): 40 who had chosen an obstetrician and 40 who had chosen a licensed midwife as their birth practitioner.FindingsWomen in both groups were concerned with the pain of childbirth before and after their labour experiences. Women choosing midwives discussed preparing for pain through various non-pharmaceutical coping methods, while women choosing physicians discussed pharmaceutical and non-pharmaceutical pain relief.ConclusionsEqual numbers of women expressed concerns with childbirth pain during the prenatal interviews, while more women choosing doctors spoke about pain after their births. Women had negative experiences when their planned pain relief method, either natural or medical, did not occur. The quandary facing women when it comes to labour pain relief is not choosing what they desire, but rather preparing themselves for the possibility that they may have to accept alternatives to their original preferences.     

On the situation and tasks of current birth planning work]

This is the text of the closing speech delivered by the author at the 2nd Chinese National Symposium on Population Theories held on December 13, 1979. The meeting had been successful for several reasons, including the concern, support, and leadership of the State Council, provincial, and revolutionary committees. Under the leadership of the State Council, targets of natural population growth rates were established for 1980 and 1981. Financial rewards for couples producing only 1 child had been planned. Contraception, adequate child care, and eugenics were stressed. Attendants were urged to learn from Sichuan's successful experience. During 1979, a policy was established that advocates 1 child/couple and penalizes couples producing 3 children. Agreements were signed with the UN whereby China would receive US $50 million during 1980-1983 for equipment upgrading, education, and other related purposes. The goal for a 1% growth rate could not be achieved in 1979; the actual rate was probably about 1.2%. The major reasons for this failure could be attributed to traditional feudal concepts still prevalent among many Chinese as well as to organizational problems among birth planning units and technical problems in birth control. With goals of population growth set for 1980, and 1985 and zero growth at 2000, China would encounter tremendous difficulties in its efforts to achieve them. However, under the determination and leadership of the central government coupled with valuable experience over the past 30 years, these goals would be attainable.     

The predictive role of support in the birth experience: A longitudinal cohort study

Background

Several risk factors for negative birth experience have been identified, but little is known regarding the influence of social and midwifery support on the birth experience over time.