Proxies for birth control. Comment on Kelly and Cutright,Sociological Focus,April 1983

Kelly and Cutright (1983), using regression techniques, conclude that birth control is among the more important determinants of Swedish illegitimacy. To derive this conclusion, they use changes in the marital fertility of wives aged 35-39 as a proxy for birth control. They maintain that annual change in the marital fertility rate of wives aged 35-39 is not likely to be greatly influenced by annual change in factors other than birth control. The "argument" appears to derive from the "desired family size" model of childbearing--a basic assumption of social demography. In it simplest form it states that most couples do not practice birth control until they reach a preconceived goal, or desired family size. It thus implies that a change in family size preferences will most affect the birth control practices of the oldest reproductive age groups. The simple form of the model has been questioned by the failure of Western couples to reproductively compensate for a major proportion of their child deaths, by the proportions of Western couples who say they would have preferred larger families than they actually had, by the predictive inadequacy of family size preferences, and by suggestions that age may be the more important determinant of reproduction. As a result some demographers now concede its inadequacy. Others are trying to relax its assumptions, with as yet problematic success. Essentially every Western fertility decline to date has been characterized by an increasing concentration of childbearing in the youngest age groups. In discussing this pattern social demographers have maintained that it could only have come about by a decline in family size preferences. This then is the standard argument supporting Kelly and Cutright's proxy for birth control. The authorities who offer it generally ignore the difficulties with the desired family size model and simply assert without justification that couples do in fact conform to it. Data on the age patterns of chronic disease and on the reproductive effects of environmental stressors suggest that the modern age pattern of fertility could also be produced by a deteriorating environment. Kelly and Cutright are incorrect in asserting that factors other than voluntary birth control could not be responsible for changes in fertility at ages 35-39. At best they may argue that their proxy is uniquely definitive provided that the desired family size model can be saved and provided the health of Western populations has not been compromised by technological change. At issue is a debate between what Dunlap calls the human exemptionalist and the ecological world views.     

Temporal dimensions of the fertility transition: an age-period-cohort analysis of frontier fertility

"This paper evaluates age, period, and cohort effects on marital fertility during onset of the Utah fertility transition (1880-1900). Computerized genealogies are used to derive age-period-cohort fertility rates for 49,842 once-married couples. Age, period and cohort effects on marital fertility are then estimated using Johnson's (1985) relational model. Declining marital fertility in Utah is shown to be explained by both lower fertility levels across periods and increasing age-specific limitation across cohorts. Direct cohort effects on fertility are insignificant. These results are consistent with prior research, and the view that fertility levels were adaptive (in part through birth spacing across ages) to immediate contexts of childbearing while age-specific fertility truncation increased across cohorts (in part through the more general diffusion of contraceptive innovations)."     

One parent or two? The intertwining of American marriage and fertility patterns

Marriage and fertility in the United States have become less firmly entwined as more women bear children without marrying and more couples with children divorce. Today a sizeable number of children are expected to spend a portion of their childhood in one-parent households. Despite the trends in illegitimacy and divorce, the actual effect of out-of-wedlock childbearing on the living arrangements of children has not been fully explicated. Using the National Survey of Family Growth Cycle III, this paper estimates the probability that children aged 0–13 in 1982 are living in two-parent households, controlling for their mothers' marital statuses at their births. We find that marital status at birth is an important predictor of household structure at later ages for both white and black populations; however, the childhood environment is actually quite elastic as women marry, divorce, remarry, and redivorce.     

The role of need for contraception in the evaluation of interventions to improve access to family-planning methods

A nonrandomized experiment carried out in Jharkhand, India, shows how the effects of interventions designed to improve access to family-planning methods can be erroneously regarded as trivial when contraceptive use is utilized as dependent variable, ignoring women's need for contraception. Significant effects of the intervention were observed on met need (i.e., contraceptive use by women who need contraception) but not on contraceptive use (i.e., contraceptive use by women who may or may not need contraception). Met need captures the woman's success in overcoming barriers to access to family planning, whereas contraceptive use confounds this construct with risk of pregnancy and fertility desires. Exceptions to this rule are identified.     

Consensus in the marital dyad: couples' perceptions of contraception,communication, and family life

The present study was based on data collected separately for husbands and wives from 365 couples to determine levels of consensus on a series of variables related to the family forming process. Following Scheff (1967), consensus was operationalized as both agreement and coorientation in the marital dyad. The data generally indicated low levels of consensus on such variables as contraceptive efficacy, desired family size, child spacing, unwanted pregnancies, communication with spouse, and levels of alienation. It becomes clear that survey research data collected solely from wives or husbands contain an important source of error - a selective distortion of the facts about family life and fertility behavior in many instances. Disparities in perceptions and world views suggest the importance of treating the couple as a unit in studies of relationships between alienation and fertility behavior. The lack of consensus within the marital dyad may constitute a major obstacle to rational decision making, particularly on sensitive topics and in areas surrounded by high levels of ego involvement. Couples not only disagree but lack awareness of their disagreements. This information suggests that many crucial family events are not planned. It becomes more appropriate to question whether decisions are made at all, and if so, to what extent, under what conditions and by whom.     

Consensus in the Marital Dyad: Couples' Perceptions of Contraception,Communication, and Family Life

Abstract

The present study was based on data collected (separately for husbands and wives) from 365 couples to determine levels of consensus on a series of variables related to the family forming process. Following Scheff (1967), consensus was operationalized as both agreement and coorientation in the marital dyad. The data generally indicated low levels of consensus on such variables as contraceptive efficacy, desired family size, child spacing, unwanted pregnancies, communication with spouse, and levels of alienation. The results are discussed within the framework of family planning and effective fertility control.     

Community and individual acceptance: family planning services in the Sudan

The Sudan Community-Based Health Project, initiated by the University of Khartoum in cooperation with the Ministry of Health in 1980, sought to test the proposition that government-trained village midwives could provide maternal-child health and birth spacing services in addition to their ongoing obstetrical duties. The project area encompassed 92,000 people in 93 villages. The 120 midwives serving the project area received training in 4 interventions -- oral rehydration therapy, maternal and child nutrition, immunization, and birth spacing -- and introduced these services by means of 3 rounds of household visits over a 5-month period. Comparison of pre- and post-intervention survey data indicates that village midwives can indeed be used successfully to promote not only contraceptive use, but also health attitudes and practices that are positively associated with fertility regulation. Between the 2 surveys, the percentage of women who ever used contraception increased from 22% to 28%, while the percentage of current users rose from 10% to 13%. Parity was significantly related to current use; each child born multiplied the likelihood of contraceptive acceptance (by a factor of 0.76 in the post-intervention sample). Maternal education was the socioeconomic variable that most enhanced receptivity to contraceptive acceptance after the project's interventions. In terms of community-level variables, village location along the Nile and proximity to a paved road were significant correlates of contraceptive use. When variables related to the project itself were analyzed, women with vaccinated children were found to be twice as likely to contracept as those with nonvaccinated children and women who believed breast feeding should be continued during diarrhea episodes were 1.5 times more likely to use birth spacing than those who did not. Although midwives did not specifically emphasize contraceptive use, it appears women who were encouraged by midwives to take positive steps in the area of child health were also likely to become more innovative in terms of fertility regulation.     

A time series analysis of Swedish illegitimacy rates, 1911-1974

Using a sociodemographic model of the determinants of illegitimacy rates, a multivariate regression analysis of annual change in age-specific Swedish illegitimacy rates is applied to the 1911-74 period. The proxy measure of change in sexual activity was significant for all age groups. Legitimation rates for out-of-wedlock conceived births were significant for all ages except teenagers, and the final predictor, women's status, was significant for all ages except women 35-44. Explained variance for annual change was highest among ages 20-24 (66%), 25-29 (66%), and 30-34 (63%) and lower among teens (34%) and women 35-44 (47%). These results support earlier research that used a sociodemographic model to explain post-World War II change in cross-national illegitimacy rates among 23 developed countries.     

Ethno-Linguistic Exogamy and Divorce: Does Marital Duration Matter?

This research examines whether the exogamy effect on the divorce risk varies over marital duration. Registry data from 1970 to 2003 allow us to observe couples in exogamous and endogamous ethno-linguistic marriages (Finnish speakers and Swedish speakers in Finland). We find that an elevated divorce risk of exogamous couples, which has been observed in numerous studies, is not typical of recently initiated marriages only, because it does not attenuate over marital duration. Marital problems that lead to divorce seem to be more common among exogamous couples than among endogamous couples. We argue that these patterns are likely due to group-specific differences in attitudes toward marriage. The argument is supported by a persistent difference in the divorce risk across endogamous Finnish- and Swedish-speaking marriages, and by the variation in divorce risk by ethno-linguistic composition of the couples in a regional context where minority group behaviors are more likely absorbed into majority group behaviors.     

Determinants of individual fertility and contraceptive use: a review and synthesis of the literature

This discussion, which reviews the fertility determinants literature from a sociopsychological or individual perspective, summarizes literature addressing the determinants of individual fertility, i.e., an individual's decision to use or not use an effective contraceptive method. Complete or definite answers about fertility determinants do not exist, but enough is known to provide an overview. From the 259 articles, monographs, and books examined and classified, 6 main classes of determinants were formed and analyzed: demographic; sociopsychological; experiential or behavioral; informational, including knowledge about reproduction and birth control; husband and wife interaction; and environmental. Gaps in the existing literature about these determinants are identified and a sociopsychological model integrating existing knowledge is proposed. In general, the following groups of individuals have relatively high fertility and/or relatively low or ineffective contraceptive use: low socioeconomic status, adolescents and people aged 40 and older, Catholics and highly religious, rural, many siblings, unemployed women or working women who do not attach great importance to their careers; and ethnic minorities. Sociopsychological determinants of fertility and contraceptive use have been classified into 2 groups: personality traits and values and attitudes. In general, the evidence linking values and attitudes to fertility-related behavior is stronger than personality traits, but some promising work in the personality area is being conducted. In general an early age at 1st marriage related to higher fertility, and duration of marriage positively associated with fertility as is a younger age at 1st birth. In general, there is a positive correlation between contraceptive knowledge and contraceptive behavior. Certain aspects of the husband/wife relationship, including the allocation of roles and responsibilities between husband and wife and the scope and frequency of their communication--are related to their fertility and contraceptive use. The extent to which family planning programs contribute to fertility decline, over and above the effects due to modernization and development, remains unanswered empirically. The following gaps in the literature were observed: the need for more research on the role of the male partner in determining fertility and contraceptive use, the experiential or behavioral determinants of fertility and contraceptive use, employment history, environmental aspects, and integration of the area into theoretical framework(s) capable of empirical verification.     

Socio-Demographic Characteristics of Contraceptive Users in Ghana

ABSTRACT

This paper describes the social and demographic characteristics of contraceptive users in Ghana, using the Ghana Demographic and Health Survey (GDHS) data (1993). Analysis has revealed that contraceptive use among women is quite low. Women's age, marital status, educational level, and place of residence are some of the factors that relate significantly to contraceptive use. The reasons most frequently cited for non-use of a modern birth control method are the desire to have children, lack of knowledge, and health concerns. The data show little motivation among women to practice family planning. Suggestions for effective family planning are provided.     

Family Changes in the Context of Lowest-Low Fertility: The Case of Japan

Abstract: Japan has currently one of the lowest-low fertility rates in the world. Low fertility in Japan is due to the extreme postponement of marriage and childbearing, and their weak recuperation in women in their 30s, as well as very low levels of cohabitation and extra-marital fertility. Both changing and unchanged aspects of families are related to lowest-low fertility in Japan. Although premarital sexual activities have increased, women's contraceptive initiative is very weak: they may be connected with weak partnership formation. "Parasite singles", "freeters", or "NEETs", probably related to weak family formation, have increased, but they may be connected with strong filial bondage derived from the traditional family system, i.e. Women have been normatively, educationally, and occupationally emancipated, but gender norms are currently divided in half among Japanese people, which may deter the revising of working conditions for women with children, leading to delaying family formation among working women. Lowest-low fertility conversely brings about family changes. Its direct effect is the increase of lifetime celibacy and childless couples, which may jeopardize the universality of families. Its indirect effect is through policy response to low fertility as well as labor shortages and population aging: recently, both family and labor policies have been strengthened to make it easier for working women to continue their jobs after marriage and childbirth, which might in turn promote family formation in Japan.     

The Effect of Contraceptive Knowledge on Fertility: The Roles of Mass Media and Social Networks

This study examines the effect of contraceptive knowledge on fertility during the period when Taiwan’s family planning programs were in effect. This study contributes to previous studies by directly measuring individual’s contraceptive knowledge and fertility, as well as applying an instrumental variable approach to gauge the effect of contraceptive knowledge on fertility. The results indicate that mass media and social networks play important roles in disseminating contraceptive knowledge. This study finds that women transform their knowledge into behavior—that is, contraceptive knowledge reduces fertility, no matter which fertility metric is measured (life-time fertility or probability of giving birth).     

Spousal Communication,Power, and Contraceptive Use in Burkina Faso,West Africa

Abstract

In most developing countries, despite increased knowledge and approval of family planning, contraceptive use is still low. Lack of spousal communication was identified as an important explanatory factor in the low level contraceptive use by spouses. This study describes the pathways of influence between spousal communication, power, and contraceptive use in Burkina Faso, West Africaa high fertility country with low prevalence of contraceptive use. The Burkina Faso society is patriarchal in which husbands have control over sexual and fertility matters and they extend authority over their wives on these issues and, therefore, the power dimension of the spousal communication model needs clarification. The data source for this paper was the 2003 Burkina Faso Demographic and Health Survey. From the individual recode file, married respondents were selected for inclusion in the sample (n = 9,537) and for analysis. The independent variables were spousal communication and relative power. The dependent variables were contraceptive use and the effects of age, education, number of living children, wealth, and marriage types were adjusted for. Results show that education, wealth, place of residence, and religion are some of the correlates of inter-spousal communication about contraceptive use. Additionally, the data have revealed that spousal communication and marital power were important and significant predictors of contraceptive use, with relative marital power being the Stronger predictor of the two.     

Fertility,education, and social change

Level of education in India affects the age at marriage, the role of women, the desire to maintain and raise the standard of living, mobility , and cultural values all of which contribute to a couple's motivation to practice birth control. A review of differential fertility studies carried out in different parts of India indicates that generally the level of education and fertility are inversely related. However, the conclusions showing mean fertility at different levels of education are not uniform and this suggests that there is a critical level of education above which self-motivation, the conscious effort at family limitation on the part of the couple, determines the fertility level. Couples with less education may be inspired to practice birth control after reaching a certain parity. In India, level of education, by raising the age of marriage, widening the non-familial role of women, raising the desired standard of living, increasing geographical mobility and inculcating the small family norm, either directly affects fertility or induces the need for a small family. These variables are a direct result of education and operate most effectively upon couples educated at the level of professional and post-graduate degrees. The small family norm can also be instilled in couples with secondary and college levels of education and family planning will be practiced after the desired number of children is reached. Both self-motivation and sustained motivation are almost absent in couples with only primary or less education. Studies indicate that this section of the population will practice birth control only at high parity levels with outside encouragement.     

The Presence of Children and Blended Family Marital Intimacy

This study is an effort to add to the understanding of spousal dynamics in blended families. The survey of 88 couples investigated the effects of family configuration, residence of chil- dren, and birth of a mutual child on husbands' and wives' self-re- ported marital intimacy. Significant interaction effects were found for residence of children on spouses' marital intimacy and for birth of a mutual child on wives' marital intimacy.     

Family Planning

In the past two decades, several fertility variables have been shown to have an effect on marital stability: presence or absence of children. child spacing, birth timing, and total number of children. Only one paper can be found that directly implicates the planning component of fertility, and then only from a theoretical perspective. This paper studies the effect on marital sta. bility of the planning of fertility. The research upon which this paper is based was done in Spokane County in Spring 1977. A random sample of divorced persons(N = 165) was compared to a matched group of persons who had not divorced (N = 102). It was found that it was not possible to predict marital stability from knowledge of number of children, presence or absence of children, or timing of childbirth in relationship to marriage date. A significant predictor of marital stability, however, was found to be whether or not the children were planned. Several implications of these findings for social work practice and for family planning clinics are discussed.     

Misperceptions of reproductive ideals among American husbands and wives

In this paper data from the Michigan Time Use Survey are used to document the extent of misperceptions of reproductive ideals among couples. Perceptual errors of spouses are found to be common and also nonrandom. The errors are influenced by a variety of socioeconomic variables. The paper concludes that research on fertility intentions and contraceptive use-effectiveness, which uses wife-only data, may be flawed. The paper also speculates on the extent and quality of marital communication.This research was supported in part by a grant from the National Institute of Child Health and Human Development.Daniel Seiver is a Professor of Economics, Miami University, Oxford, Ohio 45056. He received his Ph.D. from Yale. Dr. Seiver's research interests include financial economics, fertility, and microeconomic theory.Donald Cymrot received his Ph.D. from Brown University. His research interests include labor economics and the economics of pensions. Dr. Cymrot is a researcher for the Center for Naval Analyses, 4401 Ford Avenue, P.O. Box 16268, Alexandria, Virginia 22303-0268.     

Perceptions of Marriage Related to Engagement in Conjoint Therapy

The pre-treatment marital perceptions of 36 continuing couples were compared with those of 13 couples who terminated conjoint family therapy prior to the third session. Few statistically reliable differences between the groups were found in this pilot study, but the over-all pattern of results was consistent with clinical theory and empirical findings in related areas. Compared to terminators, continuing husbands had a more positive view of family life and perceived themselves as more closely allied with their wives. Continuing wives were more dissatisfied with matters in the family than either their husbands or terminating wives, but they also had more power vis a vis their husbands than did terminating wives. The results were interpreted in relation to a negotiation model of conjoint therapy.