Unhealthy Weight in Indian Families: The Role of the Family Environment in the Context of the Nutrition Transition

India faces a dual burden of increasing obesity and persistent underweight as it experiences the nutrition transition—the dietary and lifestyle changes that accompany globalization, economic development, and technological change. Yet, the nutrition transition is not solely a top-down process; rather, global forces converge with local practices at multiple levels of the social ecology. The family environment, a key site for the transmission of local customs and norms, remains largely unexplored in India. We examined the extent to which opposite-gender siblings and mother–child pairs were concordant or discordant in body weight, and whether domains of the family environment, specifically, food practices, food-related gender norms, and household resources, were associated with patterns of unhealthy weight within and between families. Multilevel dyadic analysis and logistic regression were conducted using survey data from a representative sample of 400 families in a Southern Indian city. We identified substantial clustering of weight among opposite-gender sibling pairs (ICC = 0.43) and mother–child pairs, as well as important patterns of discordance, including 11% of families experiencing a dual burden of underweight and overweight. Household resources, including mother’s education and income, were salient in explaining the distribution of body weight within and between families. Importantly, less examined domains of the family environment were also relevant, including food practices (e.g., grocery shopping frequency), and food-related gender norms (e.g., mother’s control of food served at home). Continued exploration of how global and local practices converge in households will be necessary to develop programming that effectively addresses India’s dual burden of unhealthy weight.     

Spatial Patterns of Fertility Transition in Indian Districts

The article explores the dynamics of Indian fertility at the district level using a child‐woman index developed from the four Indian censuses, 1961 to 1991. It employs statistical and geostatistical techniques to assess fertility change across districts and periods. Fertility decline is evident in every region, but sizable regional differentials exist. A cluster analysis of fertility profiles indicates that a clear spatial pattern of fertility in India has emerged and the pattern intensified because of the process of fertility decline.     

Confirming and Expanding the Usefulness of the Extended Satisfaction With Life Scale (ESWLS)

The role of stress, particularly economic hindrance,in the prediction of global life-satisfaction wascontrasted between typically younger (n = 109)and more mature (n = 66) undergraduate students. Participants completed a Personal Projects AnalysisAppraisal Matrix including six stress dimensions, aswell as a single-item measure of globallife-satisfaction. Discriminant function analysesconducted on the students' Personal Project appraisalsrevealed that project challenge and economic hindranceaccounted for 25% of the variability inlife-satisfaction for the mature students, but none ofthe stress dimensions predicted life satisfaction forthe younger students. These results indicate that therole of stress in the prediction of life-satisfactionvaries as a function of age, with project challengeand economic hindrance playing a significant role inolder students' lives. The results are discussed inrelation to the developmental context of personalprojects as life tasks and the varying contexts foracademic pursuit between mature and typically youngerundergraduate students.     

White and nonwhite trends in first birth timing: Comparisons using vital registration and current population surveys

The magnitude of racial differences in first birth timing vary greatly depending upon the data sources from which they are estimated. Vital registration data (Heuser 1976; with updates from the National Center for Health Statistics 1974–1990) show that in recent years nonwhites have higher risks of a first birth at virtually all ages compared to whites. As a result very large and historically novel differentials in childlessness are forecast using these data (see Rindfuss et al. 1988; Chen & Morgan 1991; Morgan & Chen 1992). However, retrospective fertility history data collected from the 1980, 1985 and 1990 Current Population Surveys (CPS) suggest much smaller racial differences in completed childlessness and isolate racial differences in probabilities of first births at young ages. Differences also exist between theses two series for whites prior to the mid-1960s but not afterwards. Reasons for these differing estimates are suggested and examined. We conclude that a substantial portion of the differences result from an accumulation of biases in the vital registration estimates that affect primarily estimates of first birth timing. Thus, the CPS data provide a more firm basis for racial comparisons of first birth timing.     

Barriers to Managing Coronary Artery Disease Among Older Women

Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.     

How Similar Are Cohabitation and Marriage? Legal Approaches to Cohabitation across Western Europe

Although cohabitation and childbearing within cohabitation have increased in Europe over recent decades, the variation across Europe remains remarkably wide. Most studies on union formation have not explicitly addressed the role of state policies in the development of cohabitation or discussed how countries have responded to changes in union formation by passing legislation. Here we discuss historical and theoretical issues relevant to the relationship between state policies and union formation and describe policies relating to cohabitation and marriage in nine Western European countries. Drawing on secondary sources and legal documents, we examine the quantity of regulations that mention cohabitation and the approach to cohabitation in 19 policy dimensions. We then place the countries along a continuum, from those that have equalized cohabitation and marriage to those that only regulate marriage. As a whole, this overview raises questions about the changing institution of marriage, as well as the increasing institutionalization of cohabitation.     

Models of the Joint Structure of Domain-Related and Global Distress: Implications for the Reconciliation of Quality of Life and Mental Health Perspectives

Research on subjective wellbeing includes studies of both domain-related and global distress. The mental health literature, though, focuses almost exclusively on global distress. This seems to be partly due to a common belief that psychological distress, and the moods that comprise distress, necessarily lack referential content. However, if that were the case it would make little sense for any study to ever focus on domain-related distress. The research presented in this report clarifies the relation between global and domain-related distress. We compare confirmatory factor analytic models of the joint relationship among symptoms of global distress with affective symptoms of distress about work, home, and physical appearance. Data are from a general population telephone survey. In the best-fitting models domain-related distress and global psychological distress are related but distinct latent variables. We discuss the theoretical and methodological implications of the models, and model choice.     

Impulsivity as a Risk Factor for HIV Transmission in Men Who Have Sex with Men: A Delay Discounting Approach

Delay discounting (DD) is a measure of impulsivity that describes the subjective decline in value of a consequence as the delay to that consequence increases. We sought to assess whether the results of a monetary DD task would be predictive of sexual risk-taking in a group of Internet-using men who have sex with men (MSM). 1402 participants completed an online survey that included questions about the participant’s demographics, sexual history and behavior, drug use, sexual compulsivity, and a monetary DD task. High DD was associated with increased odds of reporting >2 UAI partners in the past 12 months [aOR = 1.5 (1.1–2.1)]. Future studies should examine the utility of DD as a predictor of risky sexual behavior, as well as explore the possibility of HIV prevention interventions targeting DD.