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Measuring the effect of sex preference on fertility: the case of Korea.

Preferences for male or female children or a balanced number of sons and daughters are common throughout the world. The dominant preference is for male offspring, particularly in less developed countries. Strong son preference is often tempered, however, by a desire to have at least one child of each sex. In more developed countries a balance preference is more common, often together with a strong preference for the first child to be a son. Although it is usually assumed that sex preference can substantially influence fertility, some analysts argue that the effect is negligible. An intermediate position is taken by those who say that sex preference may not have much impact at high fertility levels, but that as average family sizes begin to fall, sex preference will become a more important factor in fertility decisions. Despite the keen interest that has been shown in sex preference, there is surprisingly little empirical evidence of its effects on fertility. Moreover, much of the research in this area is methodologically weak. The measures that have been used in the past have been subject to a number of criticisms that call their results into question. This paper proposes a new measure of the effect of sex preference on fertility that avoids many of the problems inherent in other methods. The measure is based on widely available survey data on the sex composition of children and can be used with any measure of fertility or family planning. It can handle any type of sex preference and does not assume a linear relationship between sex preference and fertility.(ABSTRACT TRUNCATED AT 250 WORDS)

Child↗

Sexuality and contraceptive acceptability.

A woman's sexuality may influence the particular choice and acceptance of a contraceptive method which, in turn, may also affect her sexual response. The type of contraceptive recommended should be determined following both physical and psychological assessment of the woman. A method that is not psychologically acceptance is likely to result in discontinuation. Positive and negative effects of the oral contraceptive pill are considered. Pharmacologically induced symptoms are difficult to specify. There appears to be a much greater incidence of psychological problems.

Animals↗

[Contraception the "morning after." A too little used opportunity].

With the constant high number of abortions, it seems that the propagation of the still little known post coital contraception--as an emergency "brake" the morning after--is urgently necessary. The three known hormonal methods, i.e. the oestrogen method, the gestagen method and the combination method as well as the intentional post coital insertion of an intra uterine device, are discussed as far as the application, advantages and disadvantages are concerned. The combination method, i.e. the application of 0,2 mg ethinylestradiol and 2,0 mg norgestrel seems to be the most recommendable, as it combines a high contraceptive assurance with good tolerance and use. The legal and moral considerations for post coital contraception are discussed.

Abortion, Induced↗

Promoting effective decision-making in sexually active adolescents.

Promoting effective decision-making in adolescents who are active sexually and those who are not incorporates knowledge of the changes occurring in the intellectual, psychological, and emotional realms. The health professional must provide comprehensive and effective counseling in a variety of creative ways during the adolescent period. The time to begin is with the young adolescent, 10 or 11 years old, and continue over time. The key to success is prevention: prevention of sex without full consent, unwanted pregnancy, ignorance of one's own body, and decisions by default.

Adolescent↗

Effect of peer counselors on adolescent compliance in use of oral contraceptives.

Poor compliance with contraceptive regimens has been shown to be an important antecedent of adolescent pregnancy. The purpose of this study was to test prospectively the effect of a peer v nurse counseling program on adolescent compliance with the use of oral contraceptives. Fifty-seven females aged 14 to 19 years from a lower socioeconomic background were randomly assigned to a peer (n = 26) or nurse (n = 31) group. At the initial visit and at 1-, 2-, and 4-month follow-up visits, subjects received Ortho-Novum 1/35 combined with a tablet marker and were counseled by a nurse or peer. Noncompliance was measured using a Guttman scale consisting of: (1) avoidance of pregnancy, (2) appointment adherence, (3) pill count, and (4) urinary fluorescence for riboflavin. At the first and second follow-ups, the adolescents counseled by a peer had a significantly (P less than or equal to .038) lower noncompliance level than the nurse-counseled group. Adolescents with more frequent sexual activity (P less than or equal to .027), with one sexual partner (P less than .04), and who worried that they might become pregnant (P less than or equal to .01) had significantly lower levels of noncompliance when counseled by a peer than by a nurse. At the fourth month follow-up, adolescents who expressed feelings of hopelessness about the future had significantly (P less than or equal to .036) higher levels of noncompliance when counseled by a nurse than when counseled by a peer. These results suggest that incorporating a peer counselor into the health care team may be an effective method of increasing adolescent compliance.

Adolescent↗

[Problems of contraception in teenage girls].

930 female teenagers of 17 years were questioned to their knowledge of contraceptive methods and its use. Nearly 63,6% of the female teenagers with experiences of cohabitation practised no contraception. There is the demand of an increasing attention of contraception under the frame of sexual education of the youth; it's the main point.

Adolescent↗