Parental Family Experiences, the Timing of First Sex, and Contraception

By investigating the intergenerational consequences of multiple aspects of family experiences across the life course this paper advances what we know about the forces shaping children's initiation of sexual and contraceptive behaviors. Our aim is to advance the scientific understanding of early sexual experiences by explicitly considering contraceptive use and by differentiating between the consequences of parental family experiences during childhood and those during adolescence and young adulthood. Thanks to unique, highly detailed data measuring parental family experiences throughout the life course and sexual dynamics early in life it is possible to provide detailed empirical estimates of the relationship between parental family experiences and contraceptive use at first sex-a relationship about which we know relatively little. Findings reveal (1) significant simultaneous consequences of many different dimensions of parental family experiences for the timing of first sex and the likelihood of using contraception at first sex, but the specific dimensions of family important for the specific behavior vary across racial groups; and (2) that parental family experiences influence the timing of sex and contraceptive use differently.     

The spread of health services and fertility Transition

We use detailed measures of social change over time, increased availability of various health services, and couples' fertility behaviors to document the independent effects of health services on fertility limitation. Our investigation focuses on a setting in rural Nepal that experienced a transition from virtually no use of birth control in 1945 to the widespread use of birth control by 1995 to limit fertility. Changes in the availability of many different dimensions of health services provide the means to evaluate their independent influences on contraceptive use to limit childbearing. Findings show that family planning as well as maternal and child health services have independent effects on the rate of ending childbearing. For example, the provision of child immunization services increases the rate of contraceptive use to limit fertility independently of family planning services. Additionally, new Geographic Information System (GIS)-based measures also allow us to test many alternative models of the spatial distribution of services. These tests reveal that complex, geographically defined measures of all health service providers outperform more simple measures. These results provide new information about the consequences of maternal and child health services and the importance of these services in shaping fertility transitions.     

Attitudes About Children and Fertility Limitation Behavior

The relationship between attitudes and individual behavior is at the core of virtually all demographic theories of fertility. This paper extends our understanding of fertility behavior by exploring how psychic costs of childbearing and contraceptive use, conceptualized as attitudes about children and contraception, are related to the transition from high fertility and little contraceptive use to lower fertility and wide spread contraceptive use. Using data from rural Nepal, I examine models of the relationship between multiple, setting-specific attitudes about children and contraception and the hazard of contraceptive use to limit childbearing. Specific attitude measures attempt to capture the relative value of children versus consumer goods, the religiously based value of children, and the acceptability of contraceptive use. Findings demonstrate that multiple measures of women’s attitudes about children and contraception were all independently related to their fertility limitation behavior.     

Schools,Their Spatial Distribution and Characteristics,and Fertility Limitation*

This article investigates the complex relationship between various dimensions of women's educational context and their contraceptive use later in life. Using data from rural Nepal on all the schools that ever existed in one community, I create geographically weighted measures of school characteristics—specifically teacher and student characteristics—that capture exposure to the complete array of schools and investigate the direct relationship between these dimensions of school characteristics and contraceptive use. These analyses provide new information on the broader issue of how social context influences the adoption of innovative behaviors by exploring the wide-reaching effects of school characteristics on individuals. Findings show that the gender of teachers, the gender of other students, and the level of teacher education are all related to women's use of contraception; that increased exposure to these school characteristics throughout the study area, but not necessarily at the closest school, is related to higher rates of contraceptive use; and that school characteristics early in the life course can have long-term consequences for individual behavior.