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Familial correlates of sexually active pregnant and nonpregnant adolescents.

The relationship of familial, demographic, and individual characteristics to the probability of pregnancy was examined among 124 sexually active adolescent females. Logistic regression analyses revealed that adolescent pregnancy status was a function of a combination of demographic and familial variables. Adolescents who were pregnant at the time of the study perceived their families as having low levels of family strength, perceived communication with parents as closed, came from homes characterized by family fragmentation (i.e., only one parent or no parent living in the home), came from low-income households, were unlikely to use any method of birth control, and were more likely to be married than their nonpregnant counterparts.

Adolescent↗

Ethnic-sensitive work with Hmong refugee children.

This article examines three distinguishing characteristics of Hmong culture, and gives examples of the problems these differences can create in serving Hmong children and their families.

Acculturation↗

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↗

[Medico-social characteristics of young people at the stage of creating a family].

The article provides a comprehensive characterization of young people on the eve of creating a family including the evaluation of socioeconomic, socio-demographic, socio-psychological features sexual behaviour of brides and bridegrooms before marriage, the use of contraceptives, etc. An analysis is also made of the morbidity among brides and bridegrooms and comprehensive evaluation of their health status with regard to the group of health.

Adolescent↗

High fertility of Old Colony Mennonites in Mexico.

Old Colony Mennonites in Mexico appear to demonstrate natural fertility, using no form of artificial birth control and apparently not attempting to limit family size. The resulting fertility is nearly as high as that of the Hutterites, although the Mennonites lack the communal economic system of the latter. Most Mennonites in Mexico migrated from Canada in the 1920s, and the largest single settlement, called the Manitoba Colony, is one of four in the state of Chihuahua. A 1967 partial census obtained data from 38% of the Mennonite households. Family size in the sample was close to that in a local survey taken in the same year. Available church records matched with census forms permitted verification of and corrections to 560 female reproductive histories. The median number of live births to women over age 45 years was 9.5, compared with 10.4 in the Hutterites. Age-specific marital fertility rates and birth intervals closely resembled those of the Hutterites.

Adolescent↗

Intra-ethnic and inter-ethnic marriage and divorce in Hawaii.

A comparison of intra- and inter-ethnic divorce rates in Hawaii showed that inter-ethnic marriages resulted in a higher proportion of divorces than did intra-ethnic marriages when the marriage data used had to do with all marriages occurring in Hawaii. However, a sizeable portion of marriages in Hawaii are of nonresidents who, if they divorce, probably divorce elsewhere. Nonresident marriages are chiefly intra-ethnic marriages of Caucasians. When examining the proportions of divorces to resident marriages, within-group marriages are more at risk than inter-ethnic marriages. As in prior research, persons who marry members of other racial/ethnic groups tend to marry persons from groups with income levels similar to their own. As in previous reports, some cross-ethnic combinations appeared more at risk for divorce than did others. Group income appeared to be a predictor of risk. When considering only resident marriages as related to divorces, those marriages in which the bride was from a higher income group than the groom were at a significantly greater risk for divorce than marriage in which the bride came from an income group lower than that of the groom.

Divorce↗

The social impact of AIDS in Sub-Saharan Africa.

The potential expansion of the HIV epidemic and its cultural impact in sub-Saharan Africa are vast. Projections under conservative assumptions suggest that the toll of AIDS will reach five million annual deaths by 2010, although the net African population will continue to increase significantly. Cultural practices, including large differences in age between men and women at marriage and a long period of postpartum abstinence, have contributed to the frequency of extramarital relations and eased the spread of sexually transmitted diseases. In response to the spread of AIDS, social adaptations will include profound changes in sexual behavior, marriage customs, and childbearing.

Acquired Immunodeficiency Syndrome↗

Patients' rights in a Third World southern African country, with special reference to Bophuthatswana: is there any potential for privatisation?

Patients' rights to medical care, to inviolability without informed consent, and to medical screening tests, for example, are determined by the legal system to which they are subject. The interests of the individual must be weighed against the interests of the society to which he or she belongs, as this must be the criterion used to establish the extent of their rights, if any. The rights of an AIDS patient in a First World country and those of an AIDS patient in a Third World country are bound to differ in extent. The emphasis in the simultaneous duties of the state towards an individual AIDS patient and to society as a whole will differ from state to state. The First and Third World sectors are differentiated with reference to privatisation, and legal forms are touched upon.

Africa, Southern↗

[Transgenerational solidarity: treatment and prevention in an expanded context].

This article searches for a common denominator for the requirements of that which therapy and prevention address in their broadest terms: 1. Genuine criteria of autonomous individuation in the context of real relationship that have to be sorted out vis-à-vis random internal relations that inform the private epistemologies of each partner's idiosyncratic goals. 2. The dialogue of mutual self-definition anchored in the balance of inherent commitments to mutual self-validation through fair give and take--the basis of relational ethics, i.e., responsibility for consequences to others. 3. The systemic regulation of behavioral patterns of marriages, parent-child relationships, nuclear and extended families, and larger community networks. 4. An intrinsic tribunal of transgenerational solidarity as the basis of prevention and as the manifestation of human species survival, e.g., concern about environmental health. 5. Negentropy as the "locomotive" of biological evolution and via ethics of receiving through giving to posterity, the guardian of both parent-child and peer relationships in a progressively automated world.

Adolescent↗

The cross-cultural study of fertility among Hispanic adolescents in the Americas.

This paper examines various definitions of marriage in order to compare the nonmarital fertility of Hispanic adolescents in the Americas. The data include distributions of legal marriages and consensual unions among adolescents in Latin America, proportions of Latin American adolescents who have borne a child by categories of marriage and consensual unions, marital distributions among Hispanic adolescents in the United States, and fertility by marital status for young US Hispanics. The vast majority of young women in Latin America report never having been married or in union, although more reported living in consensual union than in legal marriages. Rates of childbearing are low among women who report never having been consensually or legally married. Foreign-born Hispanic women are considerably more likely to be married than their US-born compatriots. Foreign-born women from countries with high rates of consensual unions are more likely than young US-born women to have had a premarital birth; in contrast, foreign-born women from countries with low rates of consensual unions are less likely to have borne a child.

Adolescent↗

Sexual attitudes and behavior of Guatemalan teenagers: considerations for prevention of adolescent pregnancy.

Two studies were conducted to explore the prevalence of adolescent pregnancy in Guatemala, and to identify the level of contraception. The first study assessed sexual attitudes and behavior of 850 adolescents. In this group, 89% of the males and 38% of the females said they had experienced coitus. Youngsters of upper-middle and lower-middle socioeconomic status had higher rates of coital activity than did those of the middle class. Only 10% of the sexually active couples were using some type of contraception. Boys indicated greater inclination toward "recreational" sex, while girls tended to be more affectively involved with their lovers. Ninety-six percent of sexually active girls planned to marry their current sexual partner, while 5.5% of the boys planned to do so. The second study assessed the prevalence of pregnancy in minors (17 years or younger) attending the gynecology department at a local general hospital. Over a period of two years, 551 cases were identified. Although rates of pregnancy increased with age, the rate of annual increase was dramatically highest from ages 13 to 14, after which it decreased progressively with age. Based on these results, it is recommended that, at least in the Guatemalan population, sex education be implemented at an early age in order to prevent adolescent pregnancy.

Adolescent↗

Factors affecting client satisfaction in the instruction and usage of natural methods.

A cross-sectional sample of women who had attended "at least one" instruction is utilized to assess dimensions of client satisfaction with instruction in and usage of natural family planning (NFP) methods (N = 440). Ovulation and symptothermal methods are represented by five autonomous programs in the state of Oregon. Psychosocial factors affecting experiences with natural methods are assessed using a mailed questionnaire yielding a 57% response rate and follow-up interviews with 28 couples from the initial sample. Findings yield an overall "effectiveness" rate of 94% for family-size limiters, and 88% for spacers. There was no difference in overall marital happiness between NFP users and discontinuers, although this may be more related to the overall high level of marital happiness for the total sample compared with the general population. Couples describe their perceptions of the effects of natural methods on marriage, communication patterns, sexual satisfaction, and family life. Implications for program development and research are explored.

Adult↗