To what extent does breastfeeding explain Birth-interval effects on early childhood mortality?

This article shows that in Nepal breastfeeding almost completely explains the effects of following birth interval on childhood mortality during the first 18 months of age and partially explains the effect of following birth interval on childhood mortality between 18 and 60 months of age. Breastfeeding does not explain the effect of preceding birth interval on childhood mortality. The analysis is based on application of hazard models to data from the 1976 Nepal Fertility Survey.     

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.     

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.     

The effects of early pacifier use on breastfeeding: A randomised controlled trial

BackgroundThe majority of observational studies have found associations between pacifier use and shorter breastfeeding duration. Results from four randomised controlled trials did not reveal any difference in breastfeeding outcomes. The relationship between early pacifier use and breastfeeding outcomes remains unclear.AimTo investigate whether a recommendation of early pacifier use affects the proportion of breastfeeding at six months compared to a recommendation to avoid pacifier use during the first two weeks.MethodsAn open, randomised controlled trial with parallel group design; 239 primiparous mothers and their term infants were randomly assigned to an intervention group or a control group. The primary outcome was the proportion of breastfeeding at six months. Secondary outcomes were the proportions of breastfeeding and breastfeeding problems at two and four months. To investigate factors which may influence breastfeeding, a multivariate logistic regressions analysis was performed.FindingsA total of 209 participants (87.5%) completed the study. There were no significant differences between the groups with respect to breastfeeding at six months. No negative association for breastfeeding between early versus late introduction of pacifier was found. Factors significantly associated with cessation of breastfeeding at six months were: use of nipple shield, intention to breastfeed, severe breastfeeding problems at two weeks, pacifier use at two months and lower educational level.ConclusionEarly versus late recommendation of pacifier introduction did not affect the proportion of breastfeeding at six months. However, the compliance to the randomised group was insufficient. No negative association was found in the observational analysis.     

The effects of teenage fertility on young adult childbearing

Numerous studies of fertility behavior find that an early age at first birth increases the rate of subsequent childbearing. Typically, however, these studies do not account for the possibility of serial correlation in the unobserved determinants of fertility. Using 1979–1992 individual-level data from the National Longitudinal Survey of Youth, this paper employs the Method of Simulated Moments to estimate panel probit models of annual birth outcomes. The panel probit models account for several alternative sources of serial correlation. Estimation reveals that once serial correlation is taken into account, the subsequent fertility effects of early childbearing are either statistically eliminated or reversed. JEL classification: J13 Received March 3, 1995 / Accepted February 23, 1996     

African-american mortality at older ages: Results of a matching study

In this paper we investigate the quality of age reporting on death certificates of elderly African-Americans. We link a sample of death certificates of persons age 65+ in 1985 to records for the same individuals in U.S. censuses of 1900, 1910, and 1920 and to records of the Social Security Administration. The ages at death reported on death certificates are too young on average. Errors are greater for women than for men. Despite systematic underreporting of age at death, too many deaths are registered at ages 95+. This excess reflects an age distribution of deaths that declines steeply with age, so that the base for upward transfers into an age category is much larger than the base for transfers downward and out. When corrected ages at death are used to estimate age-specific death rates, African-American mortality rates increase substantially above age 85 and the racial “crossover” in mortality disappears. Uncertainty about white rates at ages 95+, however, prevents a decisive racial comparison at the very oldest ages.     

The effects of teenage childbearing on adult soft skills development

Research examining impacts of teenage childbearing on economic and social outcomes have focused on completed schooling and labor force outcomes. In this paper, we examine outcomes that have remained largely unexplored, soft skills and personality. We use Add Health data to construct relevant controls for teenage mothers and explore a set of measures that proxy for what is usually deemed in economics as “non-cognitive” or “soft skill” traits. We find that teenage childbearing increases impulsivity, a trait that has been found to have negative effects on a large set of outcomes and has a negative effect on other personality traits perceived as positive, such as openness to experiences. Our results remain consistent through a set of robustness checks, and we interpret our findings to suggest that adolescence may be a sensitive period for the development of soft skills and that childbearing may interrupt this process.     

Trends in the determinants of early childbearing

This study uses data from the young women's and new youth cohort of the National Longitudinal Surveys of Youth Labor Market Experience to examine the extent to which socioeconomic background factors and race have changed in their ability to predict a first birth before age 19 between 1968 and 1980 for women aged nineteen to twenty-three. The authors find little support for their hypothesis that the increasing availability of contraception and abortion for young women from all social classes reduces the traditionally strong inverse association between social class and early childbearing. There is evidence that, even after controlling for changes in socioeconomic background factors, black young women are significantly more likely than their white counterparts to bear children before age 19 in 1980 and the relative gap between races in this regard did not alter perceptively during that period.Prepared for presentation at the Population Association of America meetings, April/May 1987. The authors wish to thank Ronald D'Amico and Susan H. Mott for their helpful comments. This report was partially prepared under a contract with the U.S. Department of Labor with funds provided through an interagency agreement with the National Institute of Child Health and Human Development. Interpretations or viewpoints in this document do not necessarily represent the official position or policy of the Department of Labor or the NICHD.     

The effects of teenage childbearing on the short- and long-term health behaviors of mothers

A national sample of US teenagers combined with a complementary sample of US adults are used to examine the effects of teenage childbearing on health behaviors by comparing female siblings in both the teenage sample and a sample of adults. Additionally, miscarriage information available in the teenage sample is used to form comparison groups. Unlike previous estimates of the effects of teenage childbearing on health behaviors, the results using these US samples and research designs suggest that teenage childbearing has negligible effects on several measures of unhealthy behaviors for mothers and may be protective for drug use and binge drinking.     

The effects of teenage childbearing on the short- and long-term health behaviors of mothers

A national sample of US teenagers combined with a complementary sample of US adults are used to examine the effects of teenage childbearing on health behaviors by comparing female siblings in both the teenage sample and a sample of adults. Additionally, miscarriage information available in the teenage sample is used to form comparison groups. Unlike previous estimates of the effects of teenage childbearing on health behaviors, the results using these US samples and research designs suggest that teenage childbearing has negligible effects on several measures of unhealthy behaviors for mothers and may be protective for drug use and binge drinking.     

Development,inequality, health care,and mortality at the older ages: a cross-national analysis

We examine mortality at ages 50 and above in female populations of 38 countries and control for variation in quality of the mortality data. We find that economic development, economic distributional inequality, and basic primary health care have independent cross-national effects on cause of death structures and that these effects are not uniform across the age intervals of interest. As improvements occur in level of living and heath care, age-specific death rates decline except at the oldest ages, at which point they may increase. Our results are interpreted in terms of their relevance for mortality research, theory, and policy.     

The effect of stepchildren on childbearing intentions and births

This article reports on a study of the effect of stepchildren (children from previous unions) on couples' fertility intentions and childbearing behavior using longitudinal data from the National Survey of Families and Households. The results indicated that stepchildren negatively affect childbearing intentions and childbearing risks. Intentions to have a child are weakened by one's own previous biological children and the previous biological children of one's current spouse or partner. This effect varies by the parenting configuration of the couple and gender of the respondent. Among couples with stepchildren, intentions remain high until each partner has had a biological child. Unlike women, men's previous biological children do not affect their intentions of having a child. Stepchildren exert a weak negative effect on couples' childbearing risks, and this effect is mediated by the couples' childbearing intentions. The findings suggest that stepchildren should be incorporated into future models of fertility.     

Reexamining the link of early childbearing to Marriage and to subsequent fertillty

Using data from the 1980, 1985, and 1990 Current Population Surveys, we show that the link between early fertility and nonmarital births has become stronger. Women who give birth earlier are increasingly likely to be unmarried. In contrast, we find a weaker association between first births at young (versus older) ages and (1) a rapid pace of subsequent childbearing and (2) higher completed fertility. We discuss possible causes and consequences of these changes.     

Postnatal breastfeeding education at one week after childbirth: What are the effects?

Background

The first week after childbirth is a crucial period for exclusive breastfeeding initiation.

The effects of demographic factors,family background,and early job achievement on age at marriage

National data for ever-married men aged 20 to 65 in March 1973 are utilized to estimate least squares and log-linear structural equation models of age at marriage. We demonstrate that most characteristics of family background (including both the family structure and its socioeconomic standing) are irrelevant in their effect on age at marriage. Intercohort trends are not explicable with reference to the changing socioeconomic, ethnic, or nativity compositions of the cohorts. Regional differences in age at marriage have persisted over the years in only slightly diminished form and cannot be explained by reference to the nativity, ethnic, or socioeconomic compositions of the regions. Early job status relates only weakly to age at marriage. Only those activities that are time-consuming or otherwise disruptive of the smooth operation of normal life-cycle processes during the transition from adolescence to adulthood (such as college attendance and service in the military) seriously affect the age at which a man marries.     

The effect of maternal employment on teenage childbearing

This paper estimates the effect of a mothers employment on her teenage daughters likelihood of birth. Using data from the United States, the National Education Longitudinal Survey of 1988, the author finds that teenagers with working mothers who attend relatively wealthy schools are more likely (77%) to have a birth compared to teens who attend similar schools but have non-working mothers. In contrast, teenagers with working mothers who attend relatively poor schools are less likely (18%) to have a birth compared to teens who attend similar schools but have non-working mothers.I am indebted to Marcia Carlson, Thomas DeLeire, Angela Fertig, Brian Jacob, Darren Lubotsky, Scott Lynch, Susan Mayer, Sara McLanahan, Robert Michael, German Rodriguez, seminar participants at Princeton University and The University of Chicago, and two anonymous referees for insightful suggestions made on earlier versions of this paper. I also gratefully acknowledge financial support from a Northwestern University/University of Chicago Joint Center for Poverty Research Graduate Fellowship, a Robert R. McCormick Tribune Foundation Graduate Fellowship, the Bendheim-Thoman Center for Research on Child Wellbeing at Princeton University, and the Office of Population Research at Princeton University, which is supported by center grant 5 P30 HD32030 from the NICHD. Responsible editor: Junsen Zhang.     

The effects of kin on child mortality in rural gambia

We analyzed data that were collected continuously between 1950 and 1974 from a rural area of the Gambia to determine the effects of kin on child mortality. Multilevel event-history models were used to demonstrate that having a living mother, maternal grandmother, or elder sisters had a significant positive effect on the survival probabilities of children, whereas having a living father, paternal grandmother, grandfather, or elder brothers had no effect. The mother's remarriage to a new husband had a detrimental effect on child survival, but there was little difference in the mortality rates of children who were born to monogamous or polygynous fathers. The implications of these results for understanding the evolution of human life-history are discussed.     

The influence of cohort effects on mortality trends in India

The inferences drawn from this study are as follows: The stagnation/ increase in mortality rates of adult ages in the recent years in India as well as for the major states may be attributed to food shortages and price hikes experienced in the country during 1960–74. In other words, all those who were adults during 1980s had experienced the crisis of hunger due to nonavailability of food as well as entitlement failure during their childhood. These persons would have had higher risk of dying in their life time and that may be one of the main reasons for the stagnation or increase in adult mortality in India and in most of the states. The findings of the study suggest that, the economic crisis experienced in India during the late eighties, may decrease the survival chances of those born during this period in their future life time. However, successful containment of increase in food prices during the period of crisis would be helpful in protecting the entitlement of vulnerable groups. The policy implication of the study is that it is essential to control the prices of food during the time of food shortages and or economic crisis and even in the period when food is available, measures should be undertaken to evolve efficient distribution system ensuring the supply of food to those vulnerable groups, who were unlucky to be born or were in infancy during the period of economic crisis. Thus, essentially this is a study in interaction of economic factors and demographic trends in an economy where large segments of the population are periodically subject to heightened food insecurities, compression of real wages and entitlement failures.     

The relative effects of shocks in early- and later-life conditions on mortality

The relative importance of cohorts' early-life conditions, compared to later period conditions, on adult and old-age mortality is not known. This article studies how cohort-level mortality depends on shocks in cohorts' early- and later-life (period) conditions. I use cohorts' own mortality as a proxy for the early-life conditions, and define shocks as deviations from trend. Using historical data for five European Countries i find that shocks in early-life conditions are only weakly associated with cohorts' later mortality. This may be because individual-level health is robust to early-life conditions, or because at the cohort level scarring, selection, and immunity cancel each other. Shocks in period conditions, measured as deviations from trend in period child mortality, are strongly and positively correlated with mortality at all older ages. The results suggest that at the cohort level changing period conditions drive mortality variation and change.