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PubMed1990

Reexamination of the relationship between birth order and obsessive-compulsive disorder.

In order to examine the hypothesis that being a firstborn or only child is specifically associated with obsessive-compulsive disorder, the birth order positions and sibship sizes of 62 patients with obsessive-compulsive disorder were compared with those of 60 agoraphobic and 92 depressed patients. No significant group differences were found for men, women, or both sexes combined. Results conflict with earlier findings which supported the hypothesized relationship between birth order status and development of obsessive-compulsive patterns in men. In addition to possible differences in methodology, discrepancies between the present findings and those of earlier studies may reflect a decline over the past 20 years in the percentage of male obsessive compulsives that were either firstborn or only children.

Adolescent↗
PubMed1978

Relationship between birth order and leadership style for nursery school children.

36 nursery school children were given a revised form of Fiedler's (1967) least preferred co-worker scale designated as the least preferred playmate scale. The purpose was to investigate the relationship between least preferred playmate scores and the birth order of young children. A 2 X 2 contingency table was constructed between birth order (first and later born) and leadership style (high and low). The resulting chi squares were insignificant for the total population and for males. However, for females the results were significant with a higher percentage of firstborns being task-oriented (low score) and a higher percentage of later borns being relation-oriented (high score).

Birth Order↗
PubMed2004

Birthweight, parental age, birth order and breast cancer risk in African-American and white women: a population-based case-control study.

INTRODUCTION: Much recent work has focused on hypotheses that very early life exposures influence adult cancer risk. For breast cancer it has been hypothesized that high in utero estrogen exposure may increase risk. METHODS: We used data from the Carolina Breast Cancer Study, a population-based case-control study of incident breast cancer in North Carolina, to examine associations for three possible surrogates of high prenatal estrogen exposure: weight at birth, maternal age, and birth order. We also examined paternal age. Birthweight analyses were conducted for white and African-American women born in North Carolina on or after 1949 (196 cases, 167 controls). Maternal age was analyzed for US born participants younger than 49 years of age (280 cases, 236 controls). RESULTS: There was a weak inverse association between birthweight in the highest tertile and breast cancer overall (odds ratio [OR] 0.7, 95% confidence interval [CI] 0.4-1.2), although associations differed by race (OR 0.5, 95% CI 0.2-1.0, and OR 1.0, 95% CI 0.5-2.1 for African-American and white women, respectively). For maternal age there was an approximately threefold increase in risk in women whose mothers were older than 22 years of age, relative to 19-22 years of age, when the women were born. After adjustment for maternal age, older paternal age increased risk in the oldest and youngest age categories (relative to 23-27 years of age at the woman's birth: OR 1.6, 95% CI 0.8-3.1 for age 15-22 years; OR 1.2, 95% CI 0.7-2.2 for age 28-34 years; and OR 1.5, 95% CI 0.7-3.2 for age 35-56 years). There was no association with older paternal age for white women alone. After adjustment for maternal age (265 cases, 224 controls), a birth order of fifth or higher relative to first had an inverse association with breast cancer for women younger than 49 years old (OR 0.6, 95% CI 0.3-1.3). CONCLUSION: Although the CIs are wide, these results lend support to the possibility that the prenatal period is important for subsequent breast cancer risk, but they do not support the estrogen hypothesis as a unifying theory for the influence of this period.

Adolescent↗
PubMed1978

Down syndrome, paternal age, maternal age and birth order.

Recent cytogenetic evidence has shown that trisomy 21 can arise, perphaps even in substantial proportion, from paternal nondisjunction. The statistical association between Down syndrome incidence and maternal age, paternal age and birth order has been studied in a sample of over 4000 cases. The size of this sample made it possible to control for the effect of maternal age by single years of age during the search for a paternal age effect and vice versa, and the importance of such stringent control is emphasized. The maternal age association was confirmed with an extremely high degree of statistical significance while no independent effect of paternal age was found; indeed, the rates at paternal ages over 45 years appear to be nearly constant. After adjusting for the effects of parental age, a significant inverse association of birth order with incidence was noted. It also appears that the incidence among very young mothers may be high: for maternal ages 15 years and less the rates seem to be equivalent to those found at 30 or 35 years. In order to help answer the question of whether the maternal age association is the result of increasing rates of nondisjunction or of some other mechanism (for example, an age related defect in a spontaneous abortion screening mechanism), the proportion of cases due to maternal and paternal nondisjunction at different parental ages must be determined.

Adolescent↗
PubMed1996

A population-based study of cancer risk in twins: relationships to birth order and sexes of the twin pair.

One thousand and sixty-three twins with cancer whose co-twin was born alive were identified among patients born since September 1939 with cancers incident in England and Wales during 1971-1984 at childhood and young adult ages. Site-specific risks of cancer were analysed in relation to birth order within the twinship and sexes of the twin pair, using adjusted national birth data to give control distributions of these variables. Risk of leukaemia was increased in first-born twins, risk of testicular cancer was increased in second-born twins with female co-twins but decreased in second-born twins with male co-twins and lung cancer risk was increased in first-born twins with same-sex co-twins. Cutaneous melanoma risk was increased in persons with opposite-sex co-twins, nervous system cancer risk was increased in females with opposite-sex co-twins and Hodgkin's disease risk was increased in persons with same-sex co-twins. For most of the findings, no previous comparable analyses are available, so interpretation of the results must be provisional until the analyses can be repeated on other data. The result for leukaemia would accord with previous suggestions that leukaemia may be of prenatal origin and may sometimes lead to intrauterine death. The Hodgkin's disease result would fit with theories of an infectious aetiology, and this view is strengthened by reanalysis of previous data on paralytic poliomyelitis in twins, which show a pattern similar to that for the Hodgkin's disease patients. Cancer risk in relation to birth order and sex of twins can give novel, objective data relating to prenatal and infectious disease aetiology of cancers.

Adult↗
PubMed1986

Birth order effects in second-generation alcoholics.

The effects of birth-order position (first-, middle- and last-born) in intact families with three children on the psychopathology scores of second-generation alcoholics were examined by administering the MMPI to 90 alcoholic sons of alcoholic parents. Analyses of variance (ANOVAs) applied to the individual MMPI scale scores revealed a consistent pattern of results: first borns evidenced significantly less exaggerated psychopathology scores than both groups of later borns. Most of the extreme scale scores obtained within this population of alcoholics were obtained from the later borns. Implications for previous generalizations about the alcoholic children of alcoholic parents are discussed.

Adult↗
PubMed2004

The cause(s) of the fraternal birth order effect in male homosexuality.

It has been established that the probability that a man is homosexual is positively related to his number of older brothers, but not older sisters when the brothers are accounted for. This is known as the 'fraternal birth order' effect. In the past, efforts have been made to explain this phenomenon in terms of several alternative biological hypotheses and a psychosocial hypothesis. This note examines how well these hypotheses accommodate the fraternal birth order effect. It is concluded that: (1) the evidence for the hypothesis of maternal immunoreactivity to the male fetus is weak; (2) the evidence for the intrauterine hormone exposure hypothesis is also weak; (3) the evidence for the hypothesis of postnatal learning is stronger. Lastly, there seem likely to be causes common to male homosexuality and paedophilia. They may include sexual (or quasi-sexual) experience in childhood or adolescence.

Birth Order↗
PubMed1989

A formal theory for male-preferring stopping rules of childbearing: sex differences in birth order and in the number of siblings.

Through mathematical deductions, this article shows certain macro-demographic consequences of individually employed male-preferring stopping rules in childbearing. It is shown that male-preferring stopping rules generate differences between boys and girls in birth order and in the number of siblings. Two situations are considered regarding the latent probability of having a boy: population homogeneity and population heterogeneity. The sex difference in the number of siblings exists even under population homogeneity, and the difference remains constant when each couple employs a distinct alternative rule. On the other hand, the sex difference in the birth order exists only under population heterogeneity. Substantive implications of these findings are discussed.

Birth Order↗
PubMed1986

[Birth order, sex and schizophrenia].

The purpose of the present study is to investigate the hypothesis of association between the children's ordinal position in the sibship and the prevalence of schizophrenia. In order to examine the proposal above mentioned 404 schizophrenic patients (201 males and 203 females) from five psychiatric hospitals in the Greater São Paulo were observed. The statistical method here employed, which permitted the analysis of the effects of birth order on the prevalence of schizophrenia, was that of Greenwood-Yule. It was found that there is an association between birth order and schizophrenia, and that this relation may be described in terms of an excess of schizophrenia among first-borns, both male and female.

Birth Order↗
PubMed1986

The impact of birth order on mother-infant interactions in preterm and sick infants.

Maternal-infant interaction patterns were observed for high-and low-risk, first-, and later-born infants at 3 months of age. The high-risk subjects included healthy preterm infants, sick preterm infants, and sick full-term infants. "Sickness" at birth was defined as respiratory distress or birth asphyxia. The low-risk group consisted of healthy full-term infants. The subjects were divided into first-born and later-born groups. Birth order was expected to interact with prematurity and illness in affecting maternal behavior. Multivariate analyses of variance indicated that this was the case; birth order had a significant impact among the high-risk but not the low-risk subjects. First-born preterm infants received more overall maternal stimulation than later-born preterms. Sick first-borns had more responsive mothers than sick later-born infants. The results suggest that high-risk later-born infants may be at greater risk as a result of both birth trauma and less optimal maternal interaction patterns.

Asphyxia Neonatorum↗
PubMed1978

Correlation between handedness and birth order: compilation of five studies.

Bakan has suggested that left-handedness is the result of left hemishperic pyramidal motor dysfunction following perinatal hypoxia. To a degree support for the validity of this hypothesis rests on Bakan's (1971, 1977a) findings that left-handed college students were more likely the progeny of birth orders designated as "high-risk" than right-handed students. Attempts by others to replicate Bakan's data have been unsuccessful. To achieve a more powerful test of this relationship than has been provided by any single study, the data from the five studies which have considered it were pooled and tested. The resulting correlation between birth order and handedness was near zero.

Birth Order↗
PubMed1986

Biochemical differences related to birth order in triplets.

This is the first report to date on biochemical parameters in triplets. Umbilical artery and venous pH, PO2, PCO2, lactate and base deficit were measured in seven sets of triplets. Other parameters compared were route of delivery, one- and five-minute Apgar score, birth weight, relative birth order and sex. Twenty-one viable infants were born from three induced and four spontaneous pregnancies. Female: male sex ratio was 1.6:1.0. All triplets within a set were delivered by the same route--six sets by cesarean section and one set vaginally. There were no significant differences, according to Student's t-test, in birth weight, Apgar scores and biochemical parameters related to birth order. Comparison of umbilical artery and umbilical venous pH, PO2, PCO2, lactate and base deficit differences did not demonstrate evidence of acidosis or significant base deficit in the third triplet when compared with the first two, suggesting that the duration in utero after deliver of the firstborn is not associated with metabolic acidosis or hypoxia in the absence of any obstetric complication or anesthetic problem.

Apgar Score↗
PubMed1989

Birth order, psychological well-being, and social supports in young adults.

Enduring aspects of childhood family structure that reflect emotional and interpersonal ties throughout development are assumed to affect the psychological well-being and social relatedness of the mature individual. This study examined one facet of family structure--birth order--and its effects on psychological well-being (PWB) and social networks in young adult high school graduates 17 to 23 years old (N = 2886; male = 76%, female = 24%). PWB was measured as an overall score with positive feelings and negative feelings subscores. First-born males scored greater on the negative feelings subscale of PWB, and male later borns had higher total psychological well-being. No differences were found for females. First borns and later borns did not differ in positive feelings or social relatedness. Further study is needed on the relationship of birth order and social relatedness in young adults, particularly females.

Adolescent↗
PubMed1977

Birth order and family size in schizophrenia.

In attempt to investigate the relationship of birth rank and family size with the incidence of schizophrenic in an Iranian culture, case notes of 644 schizophernic patient as (432 males and 212 females) admitted to Roozbeh Hospital, University of Tehran were studied. The incidence of schizophrenic appeared to be significantly more frequent among the first-half position of birth orders in the families of 4 children and over; this being more marked in males than in females; and the first and second births comprising the lightest incidence of the illness.

Birth Order↗
PubMed1995

Birth order and communication skills of pharmacy students.

Pharmacy educators are training graduates in a concept of practice called pharmaceutical care. The movement towards patient care requires consideration of the personal and social qualities of trainees. All individuals attracted to pharmacy may not desire involvement in patient care. This preliminary study of pharmacy students of the relationships among birth order, empathy, and assertiveness behaviors using the Interpersonal Communication Inventory showed the incidence of firstborn students in this sample was not significantly higher than in the general population but the incidence of those born second was significantly lower. Regression analysis of individual items gave significant correlations between birth order and three items on the inventory. While few conclusions can be drawn, a clear direction for further research is indicated.

Adult↗
PubMed2000

Birth order, as a proxy for age at infection, in the etiology of hepatocellular carcinoma.

First-born and second-born children are exposed to common infections after enrollment at school, whereas later-born children are exposed to these infections earlier through their older siblings. We have evaluated whether birth order is a risk factor for hepatitis B virus (HBV)-related, hepatitis C virus (HCV)-related, and apparently virus-unrelated hepatocellular carcinoma (HCC) in a large case-control study that included 333 HCC cases and 632 controls. In comparison with controls who were carriers of hepatitis B surface antigen (HBsAg), HBsAg-positive HCC cases were more likely to have been later-born children (odds ratio per increase in birth order = 2.0; 95% confidence interval = 1.2-3.6). There was no such evidence for anti-HCV-positive cases compared with anti-HCV-positive controls or for virus-negative HCC cases compared with virus-negative controls. We conclude that early infection with HBV increases the risk of HBV carriers to develop HCC, over and beyond its role in facilitating the establishment of a carrier state.

Aged↗