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Reproductive motivation and family-size preferences among Nigerian men.

Data collected from 3,073 couples in four Nigerian cities and one semi-urban settlement were used to examine reproductive decision-making and male motivation for large family size. The report concludes that the characteristic male-dominant and patrilineal traditions support large family size and that men's reproductive motivation, to a large extent, affects the reproductive behavior of their wives. Therefore, the factors influencing men's reproductive outcomes and intentions are considered important for fertility transition in Nigeria. Male education, age at marriage, monogamy, interspousal communication, and intention not to rely on children for old-age support are significantly related to smaller actual family size and preferences for smaller families, while being in a male-dominant family setting has a strong relation with large family size and preferences for larger families. The policy implication of this study is the need for programs targeted at men and designed to change their attitudes about population matters and motivate them, and hence their wives, to produce smaller families.

Adult↗

Trends in cohort fertility of the Dariusleut Hutterite population.

A church book containing vital information on Dariusleut Hutterite families enabled us to trace the life course of individual women. We conducted a retrospective cohort study on the women born in the Dariusleut sect for the period 1901-1965, focusing on their marriage and reproductive histories. The subjects were grouped into 5-year birth cohorts from 1901-1905 to 1961-1965. The marital age-specific fertility rate (MASFR) increased from the 1901-1905 cohort to the 1926-1930 cohort and then began to decrease, particularly at the ages of 30-39 years. The initial increase in MASFR was not reflected directly in the cohort mean of the total number of children per woman because of a concurrent delay in age at marriage. Marriage delay, however, could not explain the drastic decrease, which started in the 1931-35 cohort, in the total number of children per woman; the decrease in MASFR at the ages of 30 years and older was considered a major reason for the recent changes in Hutterite fertility. The causes of the recent fertility decrease of Hutterites at higher ages remain to be investigated.

Adult↗

Reproductive health in adolescence.

The health and well-being of adolescents is closely intertwined with their physical, psychological and social development, but this is put at risk by sexual and reproductive health hazards which are increasing in much of the world. Changes in population growth and distribution, the rise of telecommunications, the increase in travel and a decline in the family, as well as a generally earlier start of menarche and later age of marriage are contributing to an increase in unprotected sexual relations before marriage. This, combined with risks from early marriage, result in too early or unwanted pregnancy and childbirth, induced abortion in hazardous circumstances and sexually transmitted diseases, including HIV infection leading to AIDS. With more than half the world's population below the age of 25, and 4 out of 5 young people living in developing countries with inadequate access to prevention and care, there is an urgent need for action. Young women are particularly vulnerable. Mortality and morbidity from early pregnancy whether ending in childbirth or abortion, is much higher for the younger adolescent. Young women, especially those who have less formal education, are more vulnerable to pressures for marriage, or sexual relations before marriage, often with older men. Young people generally lack adequate knowledge about their own development and information on how to get help. Those who could help are rarely trained for working with adolescents, and services which are generally designed for adults or children often deter young people from getting help when they most need it. Policy and legislation relating to sexual and reproductive health issues are often contradictory, and unclear or unenforced.(ABSTRACT TRUNCATED AT 250 WORDS)

Abortion, Induced↗

The polygyny-fertility hypothesis revisited: the situation in Ghana.

Re-examination of the polygyny-fertility hypothesis, by multiple regression analysis of the 1988 Ghana DHS data, reveals that polygyny has no effect on the number of children ever born; i.e. polygynously married women are as fertile as those monogamously married. Husband's age has no significant role in determining the number of children ever born to a woman.

Adolescent↗

Age of marriage and length of the first birth interval in a traditional Indian society: life table and hazards model analysis.

The length of the first birth interval is one of the strongest and most persistent factors affecting fertility in noncontracepting populations, with longer intervals usually associated with lower fertility. Compared to Western society, the average length of the first birth interval is much longer in traditional Indian society. Yet Indian fertility rates are higher because of either ineffective family planning procedures or deliberate nonuse of birth control and because of the high proportion of the population that is married. Here, we examine the effects of various sociodemographic covariates (with an emphasis on the role of age at marriage) on the length of the first birth interval for two states of India: Assam and Uttar Pradesh. Life table and multivariate hazards modeling techniques are applied to the data. Covariates such as age at marriage, present age of mother, female's occupation, family income, and place of residence have strong effects on the variation of the length of the first birth interval. For each subgroup of females (classified according to different levels of the covariates), the median length of the first birth interval for the Assam (Bengali-speaking) sample is shorter than that of the Uttar Pradesh (Hindi-speaking) sample.

Adolescent↗

The socioeconomic consequences of teenage childbearing: findings from a natural experiment.

A study based on census data from 1970 and 1980 examines the socioeconomic effects of unplanned teenage childbearing by comparing teenage mothers whose first birth was to twins with those whose first birth was to a single infant. Among black women, an unplanned teenage birth--represented by the secondborn twin--results in significantly lower rates of high school graduation and labor-force participation and significantly higher rates of poverty and welfare recipiency. Ten years after giving birth, black women who have an unplanned child are also significantly less likely than women who have not to be currently married, but are not less likely to have ever been married. Like black women, white women who have an unplanned teenage birth have significantly higher rates of poverty and welfare recipiency; they also have significantly lower family earnings and household income.

Adolescent↗

Proximate determinants of fertility in eastern Uttar Pradesh.

Our main objective here is to examine and discuss the effects of some sociocultural and economic factors on the proximate determinants of fertility in rural areas of eastern Uttar Pradesh (population more than 40 million persons). The region is known for its present demographic trends because the crude birth, death, and infant mortality rates are among the highest for India. The determinants considered are age at marriage of female, postpartum amenorrhea (PPA), fecundability and sterility, and menopause. The sociocultural and economic factors studied are caste, education, breast-feeding status, and social status of the currently married females in the reproductive age group. The study population is predominantly Hindu, among whom caste is a strong indicator of socioeconomic conditions. The average age of the female at return marriage (RM) is below 18 years in each religion or caste group but has been increasing over time. Median durations of breast feeding and PPA differ significantly among various socioeconomic and demographic subgroups. These are longest in scheduled castes and shortest in upper-caste Hindus. As the social status of the household increases, the median durations of breast feeding and PPA decrease. The estimates of fecundability consistently decrease with age, whereas those of sterility increase with age after 35 years. The smallest estimate of sterility is 4%, corresponding to the 25-30-year age group in each religion or caste group. Occurrence of menopause is rare before age 35, and it increases with the age of the female irrespective of religion or caste. However, the risk is minimum for females in upper castes and maximum for those in scheduled castes.

Adolescent↗

Meeting the needs of young adults.

As they mature and become sexually active, more young people face serious health risks. Most face these risks with too little factual information, too little guidance about sexual responsibility, and too little access to health care. Meeting young adults' diverse needs challenges parents, communities, health care providers, and educators. Despite urgent needs, program efforts have been slight and slowed by controversy.

Adolescent↗

Do adolescent pregnancy and childbearing affect younger siblings?

To understand the consequences of adolescent pregnancy and childbearing on siblings, a study compares 309 younger brothers and sisters of pregnant, parenting and never-pregnant teenagers. Compared with the younger siblings of never-pregnant teenagers, the younger sisters of pregnant teenagers see school and career as less important, are more accepting of adolescent childbearing, perceive younger ages as appropriate for first intercourse, marriage and childbearing and engage in more problem behavior. The younger sisters of parenting teenagers are more accepting of teenage childbearing than are younger sisters of never-pregnant teenagers and have more definite intentions of having a child at a young age. Compared with boys who have a never-pregnant older sister, younger brothers of pregnant and parenting teenagers are more accepting of nonmarital childbearing, ascribe more importance to childbearing, perceive fewer problems related to early childbearing, have lower self-esteem and report engaging in more drug use and partying behavior.

Adolescent↗

Marriage: distance between birthplaces and age difference between mates.

The methodology of potential mate analysis can be used to obtain information about the determinants of marriage. This study investigates the influence of the distance between birthplaces and of age difference between mates. We use a new method of potential mate analysis that involves a sample of potential mates simulated from a sequence of actual mates. The differences between actual and potential mates are investigated using a logistic model and by direct comparison of distributions. The logistic model gives a poor fit. The comparison of distributions reveals no significant difference in distance between birthplaces for actual and potential mates or, at any rate, no difference large enough to be demonstrated by our small sample. A marked difference is observed for marriages in which the male is slightly older. The distance between birthplaces in our sample is shorter than in Great Britain.

Adult↗

The health consequences of adolescent sexual and fertility behavior in sub-Saharan Africa.

This article reviews the literature on health consequences of adolescent sexual behavior and child-bearing in sub-Saharan Africa, and the social and cultural context in which they occur. It suggests that, in addressing the most serious health sequelae, sexual intercourse that occurs in early marriage and premaritally must both be considered. Some limitations of the data are noted. Despite the excess risk to which adolescents are exposed, due both to custom and age-related vulnerability, differences between health effects among adult and adolescent women are often differences in degree. They are attributable to behavioral, social, and biological causes, exist in traditional and nontraditional settings, in union and out of union, and are exacerbated by declining ages at menarche, pressures of HIV/AIDS and STDs, and a dearth of appropriate services-especially for young people. Some current interventions are discussed, and the need for policy as well as medical intervention is stressed.

Adolescent↗

Natural growth of the population of Plovdiv, Bulgaria for the period 1895-1995.

A study of the natural growth rate of the population using female cohorts by birth year has been carried out for the first time in our country. The study comprises 14 cohorts. The following characteristics are recorded: birth year, social group, educational level, number of live births, age of marriage, infant mortality rate, proto- and intergenetic intervals. Our report presents the key indicators of natural growth of population in the studied cohorts. A consistent trend of decreasing the number of livebirths is established. In the first studied cohort (1895-1899) the average number of offspring per woman is 3.94, reaching a level of 1.77 in the 1960-1964 cohort. The indicators for natural growth of population exhibit a similar trend. The summary fertility rate in the reference period decreases with more than 2 points--from 4.47 in 1895-1899 to 1.73 in 1960-1964. Likewise, the total reproduction rate goes down from 2.54 to 0.78 for the same period. Considerable changes have occurred in the indicators total period fertility rate and marriage fertility rate of women. For a period of 110 years the former has decreased 3.5 times, the latter--8 times. The drastic drop of the indicators of natural growth of the population is accounted for by an intricate complex of social, economic, psychological and biological factors. The marked aging of the population and the decrease of the percentage of women in active fertility age play a certain role in this process. The ascertained changes in the reproductive behavior and age structure of the female population are factors intensifying the unfavorable trends in the natural growth rate of the population in our country.

Adolescent↗