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Consanguineous marriage and reproduction in Beirut, Lebanon.

Effects of consanguineous marriages on couples' fertility and on offspring mortality were investigated in Beirut through a population-based health survey of 2,752 households. A multistage random sampling procedure was used, and information was obtained from all ever-married women in the household about their reproductive performance and genealogical relationship with spouse; demographic and socioeconomic information was also recorded. Twenty-five percent of all marriages were between relatives, and the spouses were first cousins in approximately 57% of all consanguineous marriages. Total pregnancies, live births, and living children were significantly higher among consanguineous couples than among nonconsanguineous ones, as was the proportion dead among children ever born. However, no difference remained in either fertility or mortality, when allowance was made for socioeconomic status, religious affiliation, and marriage duration. The issue of confounding is discussed, and the lack of significant pattern in the final analysis is interpreted as resulting from a long-term practice of consanguineous marriages.

Adult↗

Distribution of time of first birth in presence of social customs regulating physical separation and coital frequency.

The interval between marriage and the first birth in India, particularly in rural areas, is much longer than what is observed in western countries. In eastern Uttar Pradesh, the mean interval is observed to be even longer, possibly due to traditional customs such as the female partner's visits to her parents in the early years of marriage and the smaller chance of coition because of the observance of rigid intercourse taboos. Thus the models to explain the length of the interval of marriage to first birth proposed by Western demographers, which assume that the period of cohabitation between marriage and first birth is uninterrupted, often do not describe the data satisfactorily when applied to rural India. In this paper a model to describe data on first birth interval is proposed that takes account of the distributions of timing and periods of physical separation and variation in fecundity with effective marriage duration.

Adolescent↗

Consanguinity and spousal concordance in Kuwait.

Consanguineous marriage is favored in Kuwait. This research focuses on the relationship of physical and cultural traits to marriage types in Kuwait and examines concordance as a function of consanguinity and marriage duration. In a nonrandom opportunistic sample of 242 couples anthropometric and blood pressure data have been collected as well as data on acculturation, religiosity, Farsi proficiency, level of education, occupation, and attitudes regarding fertility. Significant concordances occur in cultural characteristics among couples in all three types of marriages with respect to the degree of religiosity, acculturation, language similarity, education, and occupation. Non-consanguineous spouses have the highest concordance in educational level, occupation, and degree of acculturation, but the lowest for religiosity and Farsi proficiency. Nonkin marriages seem to be based on personal preferences. In the wider potential nonkin marriage pool spouses show more concordance in stature and education indicating the positive assortative mating for those traits. Non-consanguineous spouses show a significant association for triceps and subscapular skinfold thicknesses hip and waist circumferences, and body fat distribution. Unrelated spouses exhibit more concordance for physical traits than do related spouses. There is a significant correlation between spouses in first and double cousin marriages as well as in spouses in second and less than second cousin unions for systolic and diastolic blood pressure, while non-consanguineous spouses show a significant association in diastolic blood pressure only.

Adult↗

Assortative mating in a Spanish population: effects of social factors and cohabitation time.

Assortative mating for 22 anthropometric and body composition characteristics and social indicators was studied in a Spanish sample of 114 married couples. Significant spousal similarity was found for occupation, educational level and number of siblings. Sex-age adjusted spouse correlations were significant for stature, ileospinal height, total arm length, and biacromial breadth. Spouse correlations were not altered after allowance for socioeconomic effects. When couples were grouped according to marriage duration, differences in mate correlations for fatness were detected, suggesting a cohabitational effect on spouse resemblance.

Adult↗

Trends in unwanted childbearing in the developing world.

This study analyzes trends in unwanted fertility in 20 developing countries, based on data from the World Fertility Surveys and the Demographic and Health Surveys. Although wanted childbearing almost invariably declines as countries move through the fertility transition, the trend in unwanted fertility was found to have an inverted U shape. During the first half of the transition, unwanted fertility tends to rise, and it does not decline until near the end of the transition. This pattern is attributed to the combined effects of an increase in the duration of exposure to the risk of unwanted pregnancy and a rise in contraceptive use as desired family size declines. The substantial variation in unwanted fertility among countries at the same transition stage is caused by variation in the degree of implementation of preferences, the effectiveness of contraceptive use, the rate of induced abortion, and other proximate determinants, such as age at marriage, duration of breastfeeding, and frequency of sexual relations. The principal policy implication from this analysis is that vigorous efforts to reduce unwanted pregnancies through family planning programs and other measures are needed early in the fertility transition because, in their absence, unwanted fertility and abortion rates are likely to rise to high levels.

Abortion, Induced↗

Emotional distress of infertile women in Turkey.

OBJECTIVE: To determine the prevalence, severity and predictability of psychiatric symptoms of infertile women and the effects of infertility on marital and sexual relationships. METHODS: A semi-structured interview form, symptom check list, Beck Depression Inventory, State-Trait Anxiety Inventory and the Maudsley Marrital Questionnaire were utilized for 50 infertile women and 40 healthy women as a control group. RESULTS: Depression, anxiety and strength of psychological symptoms were significantly higher in the infertile group. Depression was decreased as the rate of employment, economic status and education increased. Infertility, infertility treatment, and marriage duration were positively correlated with depression and the strength of psychological symptoms. Sexual relationships were negatively affected the longer the duration of infertility treatment lasted. CONCLUSION: Special attention must be given to identifying psychiatric problems in infertile women. Relationship and sexual difficulties also appear central to infertility-related stress; targeting problems in these domains will have maximal therapeutic benefit.

Adult↗

[Divorce rate increases if the index of consumer sentiment declines].

"The development of the total divorce rate (the sum of the marriage-duration specific divorce rates) [in the Netherlands] in the years 1973-1992 can be explained by an index of consumer sentiments, viz. the index of the willingness to buy (lagged one year).... The index of the willingness to buy explains the strong increase of the divorce rate in the early 1980s, the decrease in the mid 1980s and the strong increase in 1992." (SUMMARY IN ENG)

Developed Countries↗

Evolution of human serial pairbonding.

Data on divorce taken for all available years between 1947 and 1981 from the Demographic Yearbooks of the United Nations on 58 peoples illustrate that divorce has a consistent pattern. Divorces exhibit a skewed distribution, characterized by the occurrence of the mode early in marriage (with a divorce peak on or around the fourth year) and a gradual, long-tailed decline following this peak. Divorce risk peaks in age category 25-29 for males and age categories 20-24 and 25-29 for females, the height of reproductive and parenting years, and divorce counts peak among couples with two or fewer children. These properties of divorce are unrelated to divorce rate; they occur in societies with both high and low divorce rates. Data on available horticultural and gathering/hunting societies illustrate that divorce also peaks among young couples early in marriage. Remarriage by divorced and widowed individuals of reproductive age is also common cross-culturally. It is proposed that the above four-year modal marriage duration among couples of reproductive age who divorce reflects a hominid reproductive strategy that probably evolved some time after the appearance of Homo in response to increased female "reproductive burden" and functioned to ensure the survival of the hominid infant through weaning. Serial pairbonding during the female's reproductive years had ancestral adaptive advantages, producing the modern cross-cultural pattern of serial pairbonding.

Adult↗

Women's status and fertility: successive cross-sectional evidence from Tamil Nadu, India, 1970-80.

This study explores linkages between the status of women and fertility over time in Tamil Nadu, India, using sample survey data for currently married women aged 35-44 in 1970 and 1980. The effects of individual indicators of the status of women on fertility are decomposed into effects through each of the proximate variables, notably those affecting marriage duration, marital fertility, and contraception. There is considerable variation in the direction and magnitude of the relationships between the status indicators and fertility behavior and in the relationship to the underlying mechanisms at the two points in time. On balance, the evidence suggests improvements in the status of women come to exert an increasingly negative effect on fertility over the course of demographic transition.

Adult↗

Reproductive pattern in a rural Mediterranean population: La Alpujarra, Spain.

The reproductive pattern of a sample of nuclear families from La Alpujarra (Andalusia, Spain) is analysed. The origin of the wife or consanguinity of the couple does not influence fertility. Variability in number of pregnancies is most closely associated with marriage duration followed by the wife's year of birth. Differences in the number of births are explained more by the number of pregnancies than by the number of miscarriages. The number of survivors to the first birthday is dependent on the number of births and to a lower extent on infant mortality. Data from incomplete families show that reproductive performance of the wife below the age of 45 cannot be accepted as a reliable estimate of complete reproduction.

Adolescent↗

Census-derived estimates of fertility by duration since first marriage in the Republic of Korea.

This paper estimates ever-married birth rates by age and duration since first marriage and ever-married total fertility rates for the Republic of Korea, derived by applying an extension of the own-children method of fertility estimation to the 1975 and 1980 censuses. Since each census provides annual estimates for the 15-year period previous to enumeration, there is a ten-year period of overlapping estimates that facilitates checks for consistency and accuracy. Comparisons are also made with estimates derived from the 1974 Korea National Fertility Survey, which was part of the World Fertility Survey. The method works well, except in its application to the 1975 Census where the evidence suggests considerable misreporting of age at first marriage because of the way the question was asked and coded. Results confirm that ever-married fertility fell substantially in Korea between 1961 and 1980, with a temporary resurgence in the late 1960s and early 1970s. Ever-married fertility rose at younger ages and shorter durations and fell at older ages and longer durations. Ever-married fertility differentials by urban-rural residence and by education were usually in the expected direction, with urban fertility generally lower than rural fertility and the fertility of those with more education usually lower than the fertility of those with less education. Differential ever-married fertility by urban-rural residence and education declined over the estimation period.

Adolescent↗

[The obstetrical history and use of contraceptive methods by women in urban health area].

A study is made on some significant aspects of the obstetric history and contraceptive practice in an urban health area by means of a random sample that selected 352 women of reproductive potential. They were interviewed by means of a questionnaire designed for that purpose. Most women in all age groups had a male partner, except for the 15-19 age group, and it seems that often marriage duration is not low. Pregnancy average per woman was high (3.04) and high rates for induced abortion per live birth (0.99) and of induced abortion per woman (1.44) were found, which is indicative of inappropriate contraceptive practice. The contraceptives most commonly used were intrauterine devices (74%) and oral tablets (51%); much less frequent is the use of condoms (5.8%), diaphragms (2.9%), periodic abstinence (2.5%) and breast feeding (2.5%). Results indicate an abuse of abortion as a family planning method, as well as a poor contraceptive practice.

Abortion, Induced↗

Evaluation of sexual changes after stroke.

BACKGROUND: Sexual difficulties may arise after stroke. This study was aimed at evaluating and quantifying sexual changes 1 year after stroke. METHOD: Sixty-eight stroke patients, consecutively admitted to our rehabilitation unit, were enrolled in the study. Sixty-two patients were available for response after 1 year--46 men and 16 women with a mean age of 64 years (SD = 9.2). Time interval between stroke event and admission to rehabilitation unit was 15 days. None of the patients presented with lack of comprehension. Methods of data collection at admission were clinical examination, computed tomographic scan or magnetic resonance imaging, the Cumulative Illness Rating Scale, laboratory data, and data collection on sexual life from patients and, separately, from their partners. After 1 year, they were interviewed again to assess sexual performance; the Center for Epidemiologic Studies-Depression scale, Structured Clinical Interview for DSM-IV, and Functional Independence Measure were also performed. A questionnaire designed for this study was also administered for collecting data on patients' private lives. RESULTS: Sexual decline was common in the post-stroke period. Age (p =.009) and disability (p =.0059) were significant variables. There was no correlation between sexual decline and gender, nor injured hemisphere. There was also no correlation to marriage duration, education duration, or depression. Evaluation and analysis of the questionnaires revealed, however, that patients' partners played a substantial role in the decline of sexual activity. Many partners experienced fear of relapse, anguish, lack of excitation, or even horror, which withheld them from encouraging sexual activities. CONCLUSION: Data from this study demonstrated that sexual decline in the aftermath of stroke is pronounced. Patients suffer from their sexual impairment, but do not conceal that problem. Psychological, rather than medical, aspects account for discontinuity of sexual activity in stroke survivors, and proper counseling is clearly warranted.

Aged↗

Dyspareunia, back pain and chronic pelvic pain: the importance of this pain complex in gynecological practice and its relation with grandmultiparity and pelvic relaxation.

The aim of this study was to evaluate the correlation between severe dyspareunia, back pain, dysmenorrhea and chronic pelvic pain (CPP), and the relationship of each pain type with various sociodemographic factors, pelvic relaxation and high parity. Two hundred thirty-five premenstrual individuals were included. The prevalences of CPP, deep dyspareunia, dysmenorrhea and back pain were found to be 80.4, 30.6, 57.0 and 57.4%, respectively. Marriage duration was longer (p < 0. 01) and also parity was higher (p < 0.0001) in CPP cases than controls. However, none of the demographic factors had a significant correlation with dyspareunia, back pain and dysmenorrhea. CPP was correlated with both back pain (r = 0.18, p < 0.005) and dyspareunia (r = 0.19, p < 0.004). However, there was no correlation between back pain and dyspareunia. On the other hand, dysmenorrhea did not show a correlation with any pain types. While grandmultiparity had a significant effect on CPP (p < 0.0001), it did not have a significant effect on other pain types in a MANOVA model. CPP is very often seen in our population and it often makes a pain complex with dyspareunia and back pain. The prevention of grandmultiparity is important to decrease the incidence of CPP.

Abortion, Spontaneous↗

Characteristics of women having abortion in China.

A pre-coded, closed response questionnaire was administered to women at abortion clinic sites in August 1985. The convenience sample was comprised of 1200 women, 200 samples in both Chengdu and the Lianshan Yi Autonomous Region in Sichuan Province, 400 in Nanjing and Jiangsu Province, and 400 in the municipality of Shanghai. The women were interviewed by physicians as part of the women's intake medical history. The sample yielded 574 respondents who were urban and 624 who were rural. The number of previous abortions reported ranged from 0 to 5. Nearly half of the abortion recipients had had at least one prior abortion and 18% had had two or more prior abortions. Education, age, marriage duration and residence have apparent effect on abortion order. The urban respondents reported an average of 1.08 children vs 1.60 children for the rural respondents. Approximately 72% of the respondents claimed to have been using a contraceptive method at the time they became pregnant. The most commonly used method was the IUD (41.6%), followed by the pill (21.3%) and the condom only (16.5%). Residence appeared to be the greatest factor determining the type of contraceptive methods. The data presented here are limited and cannot be generalized to the larger population. However, they do shed some light on the contraception characteristics of a group of women who undergo abortion procedures in China. Their response to questions to contracepting behavior prior to abortion suggests that the problem, in part, is behavioral. For example after the expulsion of the IUD, no other method was substituted to avert pregnancy. In order to alleviate the problem of contraceptive failure, and subsequent abortion, there are policy as well as training and education implications for the state.

Abortion Applicants↗

Socio-demographic correlates of divorce in New Zealand.

"This paper links data obtained from a one-in-five systematic sample of New Zealand divorce files covering the period 1940-78 with published marriage and birth statistics to examine socio-demographic differentials in divorce rates among couples married between 1939 and 1973. Differentials investigated are those by age at marriage, relative age of bride and groom, marital status prior to marriage, relative marital status of bride and groom, pregnancy status of the wife at marriage, timing of the first birth, religion, country of birth and socioeconomic status. Several findings of overseas studies, such as the special proneness to divorce of very youthful marriages and remarriages following previous divorces, are verified for New Zealand. After controlling for age at marriage, pregnancy does not seem to have directly increased the risk of divorce."

Birth Intervals↗