Impact of having a high-risk pregnancy on future postpartum contraceptive method choice

BackgroundTo compare the knowledge and preference of preconceptional contraception to future postpartum contraceptive method choice in high-risk pregnancies.Research questionDoes a high-risk pregnancy condition affect future postpartum contraceptive method choice?MethodWomen hospitalised at the High Risk Pregnancy unit of a tertiary research and training hospital were asked to complete a self-reported questionnaire that included demographic characteristics, presence of unintended pregnancy, contraceptive method of choice before the current pregnancy, plans for contraceptive use following delivery and requests for any contraceptive counselling in the postpartum period.FindingsA total of 655 pregnant women were recruited. The mean age, gravidity and parity of the women were 27.48 ± 6.25 years, 2.81 ± 2.15 and 1.40 ± 1.77, respectively. High-risk pregnancy indications included 207 (31.6%) maternal, 396 (60.5%) foetal and 52 (7.9%) uterine factors. All postpartum contraceptive choices except for combined oral contraceptives (COCs) usage were significantly different from preconceptional contraceptive preferences (p < 0.001). High-risk pregnancy indications, future child bearing, ideal number of children, income and education levels were the most important factors influencing postpartum contraceptive choices. While the leading contraceptive method in the postpartum period was long-acting reversible contraceptive methods (non-hormonal copper intrauterine device Cu-IUD, the levonorgestrel-releasing intrauterine system (LNG-IUS) (40%), the least preferred method was COCs use (5.2%) and preference of COCs use showed no difference between the preconceptional and postpartum periods (p = 0.202). Overall 73.7% of the women wanted to receive contraceptive counselling before their discharge.ConclusionA high-risk pregnancy condition may change the opinion and preference of contraceptive use, and also seems to affect the awareness of family planning methods.     

Health and health behaviors during the great recession: a note on drinking,smoking, obesity,and physical activity

Previous studies have shown that recessions are typically associated with better health and health behaviors. With the exception of a few recent studies however, these studies focus on sample periods that end prior to the Great Recession. The few exceptions that extend the analysis period beyond the Great Recession suggest that the pro-cyclical relationship between macroeconomic conditions and mortality obtained in earlier studies might have weakened over time. In this paper, we revisited the relationship between state unemployment rate and a large set of outcomes of health and health behaviors using data from the Behavioral Risk Factor Surveillance System (BRFSS) between 1990 and 2014. Overall, our results suggest that state unemployment rate is weakly related to both health and health behaviors as our estimates are too small to have any meaningful implications, although they are largely imprecisely estimated. Finally, we tested whether the Great Recession played a significant role in influencing the pattern in the relationship between unemployment rate and health and health behaviors. Our results from this analysis do not reveal any measurable recession effect, although the estimates are again largely imprecise.     

YOUTH DEPRESSION AND FUTURE CRIMINAL BEHAVIOR

While the contemporaneous association between mental health problems and criminal behavior has been explored in the literature, the long‐term consequences of such problems, depression in particular, have received much less attention. Using data from the National Longitudinal Study of Adolescent Health (Add Health), we examine the effect of depression during adolescence on the probability of engaging in a number of criminal behaviors later in life. In our analysis, we control for a rich set of individual‐, family‐, and neighborhood‐level factors to account for conditions that may be correlated with both childhood depression and adult criminality. One novelty in our approach is the estimation of school and sibling fixed effects models to account for unobserved heterogeneity at the neighborhood and family levels. Furthermore, we exploit the longitudinal nature of our data set to account for baseline differences in criminal behavior. The empirical estimates show that adolescents who suffer from depression face a substantially increased probability of engaging in property crime. We find little evidence that adolescent depression predicts the likelihood of engaging in violent crime or the selling of illicit drugs. Our estimates imply that the lower‐bound economic cost of property crime associated with adolescent depression is approximately 227 million dollars per year. (JEL I10, K42)     

Remittances,Business Cycles and Poverty: The Recent Turkish Experience

We investigate whether remittances sent to Turkey by Turkish workers living in Germany are countercyclical or procyclical with Turkish and German national outputs and discuss possible reasons underlying the resulting patterns and their implications. We also take up a previously unexplored issue and discuss poverty alleviation potential of remittances at a macroeconomic level by examining the statistical properties of any co‐movements between remittances cycles and cycles in consumption spending on food and durable goods in Turkey. Our results reveal that real remittance flows from Germany to Turkey move procyclically with the real output in Turkey, and are primarily driven by (largely independent of) the developments in the Turkish economy (German economy). We also find that remittances cycles remain procyclical to the consumption cycles throughout our sample period. This direct co‐movement between the two cycles becomes synchronous, however, only after a phase shift occurring around 1992, pointing to the increasing role of the level of economic activity in Turkey as the leading determinant of remittance receipts from Germany and the declining strength of consumption smoothing motive over time. Our results all together point out a low potential for remittances sent from Germany to reduce poverty in Turkey, at least as far as the past fifteen years are concerned.     

How Does Education Affect Political Trust?: An Analysis of Moderating Factors

This article aims to understand the correlates of political trust by delving into the multiple interactive effects of education in democratic states throughout the world. It asks whether education raises political trust by increasing the stakes of the citizens in the system and whether education diminishes trust as a result of being abler to evaluate the existence of corruption in a given country. It also taps into how post-materialism as an individual-level factor affects this equation by activating critical judgments toward political institutions. The findings show that, indeed, the effect of education on political trust is very context-dependent. Political trust and education are positively correlated in more meritocratic countries and negatively correlated in the more corrupt ones. Post-material values, combined with educational attainment, tend to lower political trust to a certain extent yet this effect is surpassed by the presence or absence of meritocracy or political corruption. We also find that the effect of education on political trust becomes more pronounced as the level of education increases, with university graduates being the most susceptible to the effects of meritocracy and corruption on their trust levels.

     

The determinants and consequences of child care subsidies for single mothers in the USA

This paper provides an analysis of child care subsidies under welfare reform in the USA. We used data from the 1999 National Survey of America's Families to analyze the determinants of receipt of a child care subsidy and the effects of subsidy receipt on employment, school attendance, unemployment, and welfare participation. Ordinary least-squares estimates that treat subsidy receipt as exogenous show an effect of subsidy receipt on employment of about 13 percentage points. Two-stage least-squares estimates that treat subsidy receipt as endogenous and use county dummies as identifying instruments show an effect of 33 percentage points on employment, 20 percentage points on unemployment, and no effects on schooling and welfare receipt.

Fathers and youths’ delinquent behavior

This paper analyzes the relationship between having one or more father figures and the likelihood that young people engage in delinquent behavior. We pay particular attention to distinguishing the roles of residential and non-residential, biological fathers as well as stepfathers. Using data from the National Longitudinal Study of Adolescent Health, we find that adolescent boys engage in more delinquent behavior if there is no father figure in their lives. However, adolescent girls’ behavior is largely independent of the presence (or absence) of their fathers. The strong effect of family structure is not explained by the lack of paternal involvement that generally comes with fathers’ absence, even though adolescents, especially boys, who spend time doing things with their fathers usually have better outcomes. There is also a link between adult delinquent behavior and adolescent family structure that cannot be explained by fathers’ involvement with their adolescent sons and is only partially explained by fathers’ involvement with their adolescent daughters. Finally, the strong link between adolescent family structure and delinquent behavior is not accounted for by the income differentials associated with fathers’ absence. Our results suggest that the presence of a father figure during adolescence is likely to have protective effects, particularly for males, in both adolescence and young adulthood.     

Child care subsidies and childhood obesity

In this paper, we study the impact of child care subsidy receipt on low-income children’s weight outcomes in the fall and spring of kindergarten using data from the Early Childhood Longitudinal Study, Kindergarten Cohort. Our results suggest that subsidy receipt is associated with increases in BMI and a greater likelihood of being overweight and obese. Using quantile regression methods, we find substantial variation in subsidy effects across the BMI distribution. Specifically, child care subsidies have no effect on BMI at the lower end of the distribution, inconsistent effects in the middle of the distribution, and large effects at the top of the distribution. Our results point to the use of non-parental child care, particularly center-based services, as the key mechanism through which subsidies influence children’s weight outcomes.