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Childbearing
Terms modified by Childbearing Selected AbstractsChildbearing after Migration: Fertility Patterns of Foreign-born Women in Sweden,INTERNATIONAL MIGRATION REVIEW, Issue 2 2004Gunnar Andersson The present study provides an investigation of patterns in childbearing among foreign-born women in Sweden from the 1960s to the 1990s. Event-history techniques are applied to longitudinal population register data on childbearing and migration of 446,000 foreign-born women who had ever lived in Sweden before the end of 1999. Period trends in parity-specific fertility appear to be quite similar for Swedish- and foreignborn women, but important differences exist in levels of childbearing propensities between women from different countries of origin. Most immigrant groups tend to display higher levels of childbearing shortly after immigration. We conclude that migration and family building in many cases are interrelated processes and that it is always important to account for time since migration when fertility of immigrants is studied. [source] Welfare, Premarital Childbearing, and the Role of Normative Climate: 1968,1994JOURNAL OF MARRIAGE AND FAMILY, Issue 2 2002Amy C. Butler Nationally representative, longitudinal survey data from the Panel Study of Income Dynamics were used to examine the conditions under which welfare benefit levels affected the likelihood that low-income women age 15,24 bore their first child prior to marriage. Benefit levels had a positive effect on premarital childbearing during the 1980s and early 1990s but not during the 1970s or late 1960s. The effect of benefit levels was also stronger where community attitudes toward premarital sex were more tolerant than where attitudes were less tolerant, but this did not account for the varying effect of benefit levels over time. The study introduces a new way of measuring normative climate using attitudinal data from the General Social Surveys. [source] Annotated Bibliography of Recent National Institute of Nursing Research Findings on Women's Health: Pregnancy and ChildbearingJOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 3 2002Division of Extramural Programs, National Institute of Nursing Research, National Institutes of Health First page of article [source] Policies to Reconcile Labor Force Participation and Childbearing in the European UnionPOPULATION AND DEVELOPMENT REVIEW, Issue 2 2006Article first published online: 26 JUN 200 A recently published report commissioned by the Directorate-General for Employment, Social Affairs and Equal Opportunities of the European Commission reviews "reconciliation" policies in 30 European countries. Such policies are defined by the report in its title as measures that foster "reconciliation of work and private life" or, more elaborately in the body of the report, as "policies that directly support the combination of professional, family and private life." In this context work means gainful employment, while private life in effect means childbearing. The countries covered are those of the EU 25, two candidate countries (Bulgaria and Romania), and three countries that are part of the European Economic Area (Iceland, Norway, and Liechtenstein). The report, not formally endorsed by the Commission, was prepared by the EU Expert Group on Gender, Social Inclusion and Employment. Each of the 30 countries was represented by at least one expert. The 96-page report identifies four types of reconciliation policies: childcare services, leave facilities, flexible working-time arrangements, and financial allowances. Descriptions of these policies from the Executive Summary are reproduced below. The full report is accessible at «http://bookshop.eu.int/eubookshop/FileCache/PUBPDF/KE6905828ENC/KE6905828ENC_002.pdf». Although the report makes passing reference to below-replacement fertility in the EU member countries, its focus is clearly directed to measures that could increase the rate of employment, especially female employment. According to the EU's "Lisbon targets" set in 2000, the female employment rate in the EU should be raised to 60 percent of the working-age population by 2010. Based on data for 2003, only eight EU countries have met or exceeded this target. Childbearing is seen as in part responsible for the shortfall. Reconciliation policies could make the Lisbon target for female employment more easily achievable and "especially stimulate full time participation." Furthermore, the report suggests, such policies, as a byproduct, could also enhance fertility. Financial allowances, paid directly to families with children, the fourth type of policy discussed by the report, include measures reminiscent of the main thrust of the newly announced proposals for increasing fertility in Russia (see the preceding Documents item in this issue). The report, however, makes no reference to differentiation by parity, a distinctive mark of pronatalist intent. Indeed, it specifies that "family-based tax concessions and family allowances are not part of the reconciliation policy per se," noting, with an apparent element of disapproval, that such provisions "are often based on (and may reinforce the notion of) a traditional breadwinner model by reducing the incentive to work for both spouses." [source] Childbearing and Women's Survival: New Evidence from Rural BangladeshPOPULATION AND DEVELOPMENT REVIEW, Issue 3 2003Jane Menken Effects of childbearing on women's mortality and the implications of family planning programs in reducing these effects are examined in a 20-year prospective study of more than 2,000 women in Matlab, Bangladesh. Maternal mortality is defined as a death occurring in the six weeks after childbirth. But childbearing may affect women's survival beyond this brief period. Additional hypotheses considered relate to 1) cumulative exposure to childbearing, whether measured by parity or pace of childbearing, 2) age at first birth, and 3) effects beyond the reproductive ages. The results offer no support to cumulative exposure hypotheses, showing no link between parity or pace of childbearing and mortality risk. Instead, we identify an extended period of heightened mortality risk associated with each birth,the year of the birth and the two subsequent years. Family planning programs, by reducing the number of children and therefore a woman's exposure to extended maternal mortality risk, potentially increase survival. Research is needed to identify and address the specific causes of extended maternal mortality risk so that appropriate ameliorative programs may be developed. [source] Childbearing in U.S. Military Hospitals: Dimensions of Care Affecting Women's Perceptions of Quality and SatisfactionBIRTH, Issue 1 2005Erica M. Harriott MHSA Information is lacking about how well the military health system has adopted patient-centered approaches for promoting individual choice and preference in a bureaucratically structured military hospital. The purpose of this study was to examine women's evaluations of maternity care with respect to decision-making, confidence, trust in health care providers, and treatment within the military hospital. Methods: The Department of Defense Inpatient Childbirth Survey was mailed to a simple stratified random sample of beneficiaries who received maternity care at a military hospital between July 1 and September 30, 2001. Data for 11 dimensions of women's care and experiences were examined from self-reported assessments of 2,124 respondents who gave birth at one of 44 military hospitals. A multiple logistic regression model was estimated to determine which dimensions of care predicted beneficiaries' likelihood to recommend the military hospital to family and friends. Result: Less than 50 percent of respondents would recommend the military hospital to family and friends. Significantly associated with women's willingness to recommend their specific military hospital to others were courtesy and availability of staff, confidence and trust in provider, treatment with respect and dignity, information and education, physical comfort, involvement of friends and family, continuity and transition, and involvement in decision-making. Conclusions: In a military population, obstetric patients who are treated with respect, courtesy, and dignity, are involved in decisions about their care, and have established trusting relationships with their practitioners are significantly more likely to recommend the military hospital to others. It is important for military health care leaders to establish a proactive program of patient-centered maternity care. Continuous care, education, support services, and a multidisciplinary approach should be integrated to retain and recapture obstetric patients who are served in military hospitals in the United States. [source] ,EVEN IF YOU'RE POSITIVE, YOU STILL HAVE RIGHTS BECAUSE YOU ARE A PERSON': HUMAN RIGHTS AND THE REPRODUCTIVE CHOICE OF HIV-POSITIVE PERSONSDEVELOPING WORLD BIOETHICS, Issue 1 2008LESLIE LONDON ABSTRACT Global debates in approaches to HIV/AIDS control have recently moved away from a uniformly strong human rights-based focus. Public health utilitarianism has become increasingly important in shaping national and international policies. However, potentially contradictory imperatives may require reconciliation of individual reproductive and other human rights with public health objectives. Current reproductive health guidelines remain largely nonprescriptive on the advisability of pregnancy amongst HIV-positive couples, mainly relying on effective counselling to enable autonomous decision-making by clients. Yet, health care provider values and attitudes may substantially impact on the effectiveness of nonprescriptive guidelines, particularly where social norms and stereotypes regarding childbearing are powerful, and where providers are subjected to dual loyalty pressures, with potentially adverse impacts on rights of service users. Data from a study of user experiences and perceptions of reproductive and HIV/AIDS services are used to illustrate a rights analysis of how reproductive health policy should integrate a rights perspective into the way services engage with HIV-positive persons and their reproductive choices. The analysis draws on recognised tools developed to evaluate health policies for their human rights impacts and on a model developed for health equity research in South Africa to argue for greater recognition of agency on the part of persons affected by HIV/AIDS in the development and content of policies on reproductive choices. We conclude by proposing strategies that are based upon a synergy between human rights and public health approaches to policy on reproductive health choices for persons with HIV/AIDS. [source] From Soviet Modernization to Post,Soviet Transformation: Understanding Marriage and Fertility Dynamics in UzbekistanDEVELOPMENT AND CHANGE, Issue 3 2003Victor Agadjanian In this article we analyse the dynamics of marriage and childbearing in Uzbekistan through the prism of the recent socioeconomic and political history of that country. After becoming an independent nation in 1991, Uzbekistan abandoned the Soviet modernization project and aspired to set out on a radically different course of economic, social, and political development. We argue, however, that not only independence but also the preceding period of perestroika reforms (1985,91) had a dramatic effect on social conditions and practices and, consequently, the demographic behaviour of the country's population. Using data from the 1996 Uzbekistan Demographic and Health Survey we apply event,history analysis to examine changes in the timing of entry into first marriage, first and second births over four periods: two periods of pre,perestroika socialism, the perestroika years, and the period since independence. We investigate the factors that influenced the timing of these events in each of the four periods among Uzbeks, the country's eponymous and largest ethnic group, and among Uzbekistan's urban population. In general, our results point to a dialectic combination of continuity and change in Uzbekistan's recent demographic trends, which reflect the complex and contradictory nature of broader societal transformations in that and other parts of the former Soviet Union. [source] Complications of hysterectomy in women with von Willebrand diseaseHAEMOPHILIA, Issue 4 2009A. H. JAMES Summary., Case reports and small case series suggest that women with von Willebrand disease (VWD) are at a very high risk of bleeding complications with hysterectomy. As the procedure may be beneficial to women who suffer from heavy menstrual bleeding and have completed childbearing, an understanding of the true risks involved is essential for appropriate decision making. To estimate the incidence of bleeding and other complications in women with VWD who undergo hysterectomy. The United States Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality for the years 1988,2004 was queried for all hysterectomies for non-malignant conditions. Data were analysed based on the NIS sampling design. Bivariate analyses were used to examine the differences between women with and without VWD. Multivariate analysis was used to adjust for potential confounders among women who underwent hysterectomy for heavy menstrual bleeding. 545 of the 1 358 133 hysterectomies were to women with VWD. Women with VWD were significantly more likely to experience intraoperative and postoperative bleeding (2.75% vs. 0.89%, P < 0.001) and require transfusion (7.34% vs. 2.13%, P < 0.001) than women without VWD. One woman with VWD died. While the risk of bleeding complications from hysterectomy in women with VWD is smaller than previously reported, women with VWD did experience significantly more bleeding complications than women without VWD. Nonetheless, for women who have completed childbearing, the risks of hysterectomy may be acceptable. [source] Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the CameroonHEALTH ECONOMICS, Issue S1 2010Jean-Louis Arcand Abstract We assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, we find that 15,17 year old girls in teacher training schools are between 7 and 10 percentage points less likely to have started childbearing, an objective proxy for the incidence of unprotected sex. They are also significantly more likely to have used a condom during their last sexual intercourse. For 12,13 year old girls, the likelihood of self-reported abstinence and condom use is also significantly higher in treated schools, while the likelihood of having multiple partners is significantly lower. Copyright © 2010 John Wiley & Sons, Ltd. [source] Family Changes in the Context of Lowest-Low Fertility: The Case of JapanINTERNATIONAL JOURNAL OF JAPANESE SOCIOLOGY, Issue 1 2008Makoto Atoh Abstract: Japan has currently one of the lowest-low fertility rates in the world. Low fertility in Japan is due to the extreme postponement of marriage and childbearing, and their weak recuperation in women in their 30s, as well as very low levels of cohabitation and extra-marital fertility. Both changing and unchanged aspects of families are related to lowest-low fertility in Japan. Although premarital sexual activities have increased, women's contraceptive initiative is very weak: they may be connected with weak partnership formation. "Parasite singles", "freeters", or "NEETs", probably related to weak family formation, have increased, but they may be connected with strong filial bondage derived from the traditional family system, i.e. Women have been normatively, educationally, and occupationally emancipated, but gender norms are currently divided in half among Japanese people, which may deter the revising of working conditions for women with children, leading to delaying family formation among working women. Lowest-low fertility conversely brings about family changes. Its direct effect is the increase of lifetime celibacy and childless couples, which may jeopardize the universality of families. Its indirect effect is through policy response to low fertility as well as labor shortages and population aging: recently, both family and labor policies have been strengthened to make it easier for working women to continue their jobs after marriage and childbirth, which might in turn promote family formation in Japan. [source] Childbearing after Migration: Fertility Patterns of Foreign-born Women in Sweden,INTERNATIONAL MIGRATION REVIEW, Issue 2 2004Gunnar Andersson The present study provides an investigation of patterns in childbearing among foreign-born women in Sweden from the 1960s to the 1990s. Event-history techniques are applied to longitudinal population register data on childbearing and migration of 446,000 foreign-born women who had ever lived in Sweden before the end of 1999. Period trends in parity-specific fertility appear to be quite similar for Swedish- and foreignborn women, but important differences exist in levels of childbearing propensities between women from different countries of origin. Most immigrant groups tend to display higher levels of childbearing shortly after immigration. We conclude that migration and family building in many cases are interrelated processes and that it is always important to account for time since migration when fertility of immigrants is studied. [source] Demographic Trends in the United States: A Review of Research in the 2000sJOURNAL OF MARRIAGE AND FAMILY, Issue 3 2010Andrew J. Cherlin Demographic trends in the 2000s showed the continuing separation of family and household because of factors such as childbearing among single parents, the dissolution of cohabiting unions, divorce, repartnering, and remarriage. The transnational families of many immigrants also displayed this separation, as families extended across borders. In addition, demographers demonstrated during the decade that trends such as marriage and divorce were diverging according to education. Moreover, demographic trends in the age structure of the population showed that a large increase in the elderly population will occur in the 2010s. Overall, demographic trends produced an increased complexity of family life and a more ambiguous and fluid set of categories than demographers are accustomed to measuring. [source] A Weak Embrace: Popular and Scholarly Depictions of Single-Parent Families, 1900 , 1998JOURNAL OF MARRIAGE AND FAMILY, Issue 2 2009Margaret L. Usdansky The growth of single-parent families constitutes one of the most dramatic and most studied social changes of the 20th century. Evolving attitudes toward these families have received less attention. This paper explores depictions of these families in representative samples of popular magazine (N = 474) and social science journal (N = 202) articles. Critical depictions of divorce plummeted between 1900 and 1998, a trend stemming not from any increase in favorable depictions but from the virtual disappearance of normative debate. Such de facto acceptance did not extend to nonmarital childbearing, however, depictions of which were almost as likely to be critical at the century's end as at its beginning. These trends illustrate Americans' ambivalent embrace of single-parent families as a reality but not an ideal. [source] Money, Marriage, and Children: Testing the Financial Expectations and Family Formation TheoryJOURNAL OF MARRIAGE AND FAMILY, Issue 1 2009Christina M. Gibson-Davis Using data from the Fragile Families and Child Wellbeing Survey (N = 2,954), a birth cohort study, this work examines how gains in earnings and income are associated with marriage and subsequent childbearing for low-income couples. Using change models, results indicate that positive changes in earnings, controlling for baseline levels of earnings, were associated with greater odds of marriage. Cohabiting couples who became poor were associated with a 37% decrease in marriage likelihood. Neither earnings nor income was affiliated with additional fertility. Results are consistent with the Financial Expectations and Family Formation theory, which posits that positive economic circumstances are necessary for marriage, but are not associated with subsequent childbearing. [source] The Well-Being of Children Born to Teen MothersJOURNAL OF MARRIAGE AND FAMILY, Issue 1 2007Judith A. Levine Children born to early child bearers are more likely than other children to display problem behaviors or poor academic performance, but it is unclear whether early childbearing plays a causal role in these outcomes. Using multiple techniques to control for background factors, we analyze 2,908 young children and 1,736 adolescents and young adults in the National Longitudinal Survey of Youth (NLSY79) and the NLSY79 Children and Young Adults (CNLSY79) data sets to examine whether early childbearing causes children's outcomes. We find evidence that teen childbearing plays no causal role in children's test scores and in some behavioral outcomes of adolescents. For other behavioral outcomes, we find that different methodologies produce differing results. We thus suggest caution in drawing conclusions about early parenthood's overarching effect. [source] More Kin, Less Support: Multipartnered Fertility and Perceived Support Among MothersJOURNAL OF MARRIAGE AND FAMILY, Issue 1 2007Kristen Harknett Recent research has documented the high prevalence of having children with more than 1 partner, termed multipartnered fertility. Because childbearing is an important mechanism for building kin networks, we theorize that multipartnered fertility will influence the availability of social support for mothers. Analyzing 3 waves of data from the Fragile Families study (N = 12,259), we find that multipartnered fertility is negatively associated with the availability of financial, housing, and child-care support. Our longitudinal evidence suggests a bidirectional relationship in which multipartnered fertility reduces the availability of support, and the availability of support inhibits multipartnered fertility. We conclude that smaller and denser kin networks seem to be superior to broader, but weaker kin ties in terms of perceived instrumental support. [source] Creating Stepfamilies: Integrating Children Into the Study of Union FormationJOURNAL OF MARRIAGE AND FAMILY, Issue 2 2006Frances Goldscheider As a result of the growth in out-of-wedlock childbearing and union instability, adults contemplating forming a new union are often already parents. This article examines the role of children in stepfamily formation, both coresident and not, using the 2,594 respondents in the National Survey of Families and Households who were not living with a partner in 1987/1988. We consider children of the respondent and of the partner, which allows us to examine the determinants of entering a stepfamily. We found that being a coresident father dramatically increases forming a union with a woman with children. Women's coresidential children reduce women's odds of forming unions with men who do not have children and increase them for unions with men who do. [source] Child-free and unmarried: Changes in the life planning of young east German womenJOURNAL OF MARRIAGE AND FAMILY, Issue 5 2004Marina A. Adler Using evidence from demographic and survey data, this research examines how one decade of postsocialism has changed the life planning of young East German women. Aggregate data reflect marriage and fertility postponement and increased nonmarital birth rates and cohabitation. The analysis shows East German women's "stubbornness" (Dölling, 2003) in adhering to life perspectives in line with the German Democratic Republic (GDR) standard biography (high nonmarital childbearing, high work orientation, rejection of the homemaker status, desire to combine work and family). The most important findings are that (a) motherhood is postponed to increase child-free time, (b) cohabitation is increasingly becoming an alternative to marriage, (c) marriage (but not partnership) is increasingly optional for childbearing, and (d) employment is prioritized over family formation. [source] Multilevel Models in Family Research: Some Conceptual and Methodological IssuesJOURNAL OF MARRIAGE AND FAMILY, Issue 2 2002Jay Teachman Examining the impact of context on individual-level outcomes has become an increasingly common undertaking in the social sciences. The growth in concern for identifying the effects of macrolevel characteristics has generated both theoretical and methodological advancements. In this issue of Journal of Marriage and Family, Butler (2002) researches whether the effect of welfare benefit levels on premarital childbearing varies by context, Hoffmann (2002) researches the effect of context on adolescent drug use, and Simons et al. (2002) examine how the relationship between parenting and child conduct varies by context. These articles are used as a background to discuss important theoretical and methodological issues surrounding the analysis of multilevel data. The authors present a simple analysis of data pertaining to age at first marriage taken from the Panel Study of Income Dynamics and merged with census data to measure contextual effects as a pedagogical device for introducing readers to the benefits of multilevel modeling. [source] Welfare, Premarital Childbearing, and the Role of Normative Climate: 1968,1994JOURNAL OF MARRIAGE AND FAMILY, Issue 2 2002Amy C. Butler Nationally representative, longitudinal survey data from the Panel Study of Income Dynamics were used to examine the conditions under which welfare benefit levels affected the likelihood that low-income women age 15,24 bore their first child prior to marriage. Benefit levels had a positive effect on premarital childbearing during the 1980s and early 1990s but not during the 1970s or late 1960s. The effect of benefit levels was also stronger where community attitudes toward premarital sex were more tolerant than where attitudes were less tolerant, but this did not account for the varying effect of benefit levels over time. The study introduces a new way of measuring normative climate using attitudinal data from the General Social Surveys. [source] Marriage patterns among unwed mothers: Before and after PRWORAJOURNAL OF POLICY ANALYSIS AND MANAGEMENT, Issue 3 2008Deborah Roempke Graefe The promotion of marriage and two-parent families became an explicit public policy goal with the passage of the 1996 welfare reform bill. Marriage has the putative effect of reducing welfare dependency among single mothers, but only if they marry men with earnings sufficient to lift them and their children out of poverty. Newly released data from the 2002 cycle of the National Survey of Family Growth (NSFG), along with data from the 1995 cycle, allow us to compare pre- and post-PRWORA differences in (1) cumulative marriage rates among unwed mothers, and (2) patterns of marital choice (that is, differences in characteristics of the men these mothers marry, such as their education and employment status). Overall, our results show that unwed childbearing is associated with lower marriage rates and marital quality. Difference-in-difference models show that welfare reform was not strongly associated with pre- and post-welfare reform changes in marriage among nonmarital birth mothers, even among the most disadvantaged mothers. Compared with other women, nonmarital birth mothers also were less likely than other women to marry "economically attractive" men in the post-welfare reform period. The success of marriage promotion initiatives may depend heavily on whether women themselves are "marriageable" and whether potential spouses have the ability to support a stable family life. © 2008 by the Association for Public Policy Analysis and Management. [source] Maternal employment and teenage childbearing: Evidence from the PSIDJOURNAL OF POLICY ANALYSIS AND MANAGEMENT, Issue 1 2005Leonard M. LopooArticle first published online: 17 NOV 200 Over the last 30 years, the tenet of promoting self-sufficiency through work has become one of the primary objectives of many social welfare policies in the United States. Using the Panel Study of Income Dynamics, the author asks if a mother's work hours influence her daughter's teenage fertility. The findings suggest a negative relationship, with the largest effects for the daughters of mothers who work more than 1,000 hours per year. Results among AFDC recipients suggest that an increase in a mother's work hours from zero to 20 hours per week reduces her daughter's probability of a teen birth by 33 percent. © 2005 by the Association for Public Policy Analysis and Management. [source] Alcohol Dependence and Reproductive Onset: Findings in Two Australian Twin CohortsALCOHOLISM, Issue 11 2008Mary Waldron Background:, Although early alcohol use is a strong predictor of future alcohol problems and adolescent drinking is associated with risky sexual behavior predictive of early childbearing, reproductive dysfunctions associated with delayed childbearing have been reported in adult drinkers. We examine the relationship between lifetime history of alcohol dependence (AD) and timing of first childbirth across reproductive development. Methods:, Data were drawn from two cohorts of Australian twins born between 1893 and 1964 (3634 female and 1880 male twins) and between 1964 and 1971 (3381 female and 2748 male twins). Survival analyses were conducted using Cox proportional hazards regression models predicting age at first childbirth from AD, with sociodemographic characteristics, regular smoking, history of psychopathology, and family and childhood risks included as control variables in adjusted models. Results:, Results suggest alcoholic women in both cohorts show overall delayed reproduction, with little effect of AD on timing of first reproduction in men. Effects of AD are particularly strong for women in the older cohort, where AD is associated with 73% decreased likelihood of first childbirth after age 29 [hazard ratio (HR) = 0.27, 95% CI: 0.10,0.75]. In adjusted models, effects reduce only slightly (HR = 0.29, 95% CI: 0.11,0.80). For women in the young cohort, AD is associated with delayed reproduction after age 24, with 40% decreased likelihood of first childbirth (HR = 0.60, 95% CI: 0.48,0.75). AD remains predictive in adjusted models, but without age interaction (HR = 0.72, 95% CI: 0.62,0.85). Conclusions:, Findings of delayed reproductive onset in alcoholic women are consistent with alcohol-related reproductive dysfunctions, although underlying mechanisms remain largely unknown. To better understand AD differences in reproductive onset, continued research on both biological and psychosocial risks is needed. [source] Miracles of love: The use of metaphor in egg donor ads1JOURNAL OF SOCIOLINGUISTICS, Issue 1 2007Pamela Hobbs In recent years, the appearance of egg donor advertisements in American college newspapers, sometimes offering five- and six-figure fees to ,genetically gifted' donors, has given rise to critical comment on both sides of the Atlantic, and has caused some to fear that the use of these procedures will eventually result in the creation of ,designer babies' with preselected genetic qualities. Whether such fears will be realized depends, to a great extent, upon how both the participants themselves and society as a whole come to view and understand these procedures. This article explores emerging images of assisted reproduction through an analysis of the use of metaphor in egg donor ads that appeared in the student newspaper of the University of California, Los Angeles. I argue that the attitudes displayed in these ads result from a mapping of existing cultural stereotypes associated with biological parenthood, including the role of childbearing in marriage and ,coupledom', onto the assisted-reproduction process, and that these metaphors are used precisely because they construct this cultural model and adapt it to the new reality of the assisted-conception experience. [source] Multilevel models for longitudinal dataJOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES A (STATISTICS IN SOCIETY), Issue 1 2008Fiona Steele Summary., Repeated measures and repeated events data have a hierarchical structure which can be analysed by using multilevel models. A growth curve model is an example of a multilevel random-coefficients model, whereas a discrete time event history model for recurrent events can be fitted as a multilevel logistic regression model. The paper describes extensions to the basic growth curve model to handle auto-correlated residuals, multiple-indicator latent variables and correlated growth processes, and event history models for correlated event processes. The multilevel approach to the analysis of repeated measures data is contrasted with structural equation modelling. The methods are illustrated in analyses of children's growth, changes in social and political attitudes, and the interrelationship between partnership transitions and childbearing. [source] New Mothers' Labour Force Participation in Italy: The Role of Job CharacteristicsLABOUR, Issue 2005Massimiliano Bratti In this paper we use newly available individual-level data from the Longitudinal Survey of Italian Households to investigate the factors associated with female labour force participation after the birth of the first child. We focus on the role of pre-marital job characteristics and find that new mothers who worked without a contract are less likely to participate, while those who worked in the public sector or in a large private firm have a higher probability of being in the labour force after childbearing. We suggest that these effects could be at least partly attributed to differences in the level of job protection and employment stability enjoyed by workers. This implies that in Italy women with highly protected and stable jobs might find it easier to combine career and family, whereas those who are less sheltered by the legislation might be more likely to be inactive after becoming mothers. [source] Cultural Models and Fertility Timing among Cherokee and White Youth in Appalachia: Beyond the ModeAMERICAN ANTHROPOLOGIST, Issue 4 2009Ryan A. Brown ABSTRACT Much anthropological research and theory concerns how group differences in behavior, subjective experience, and ways of seeing the world (i.e., cultural differences) are created and maintained. Both within and outside the United States, there are dramatic group differences in fertility. In the United States, American Indian groups exhibit some of the highest and earliest fertility. We used ethnographic data as well as structured card-sort and questionnaire data to compare cultural models of childbearing among Cherokee and white youth in Appalachia. The critical difference between Cherokee and white youth was not a modal difference in ideal ages for first childbirth but, rather, the degree of latitude for the timing of having children vis-à-vis other major life events. Group differences in modal norms are often posited as the critical axis of group distinction. In many cases, group differences in the intrapopulation variability among multiple norms may play a more critical role. [source] The risk of lower urinary tract symptoms five years after the first delivery,NEUROUROLOGY AND URODYNAMICS, Issue 1 2002Lars Viktrup Abstract Aim of the study To estimate the prevalence and 5-year incidence of lower urinary tract symptoms (LUTS) after the first delivery and to evaluate the impact of pregnancy per se and delivery per se on long-lasting symptoms. Materials and methods A longitudinal cohort study of 305 primiparae questioned a few days, 3 months, and 5 years after their delivery. The questionnaire used was tested and validated, and the questions were formulated according to the definitions of the International Continence Society (ICS). Maternal, obstetric, and neonatal data concerning every delivery and objective data concerning surgeries during the observation period were obtained from the records. From the sample of 278 women (91%) who responded 5 years after their first delivery, three subpopulations were defined: 1) women without initial LUTS before or during the first pregnancy or during the puerperal period, 2) women with onset of LUTS during the first pregnancy, and 3) women with onset of LUTS during the first puerperium. The risk of LUTS 5 years after the first delivery was examined using bivariate analyses. The obstetric variables in the bivariate tests with a significant association with long-lasting urinary incontinence were entered into a multivariate logistic regression. Results The prevalence of stress and urge incontinence 5 years after first delivery was 30% and 15%, respectively, whereas the 5-year incidence was 19% and 11%, respectively. The prevalence of urgency, diurnal frequency, and nocturia 5 years after the first delivery was 18%, 24%, and 2%, respectively, whereas the 5-year incidence was 15%, 20%, and 0.5%, respectively. The prevalence of all LUTS except nocturia increased significantly during the 5 years of observation. The risk of long-lasting stress and urge incontinence was related to the onset and duration of the symptom after the first pregnancy and delivery in a dose-response,like manner. Vacuum extraction at the first delivery was used significantly more often in the group of women with onset of stress incontinence during the first puerperium, whereas an episiotomy at the first delivery was performed significantly more often in the group of women with onset of stress incontinence in the 5 years of observation. The prevalence of urgency and diurnal frequency 5 years after the first delivery was not increased in women with symptom onset during the first pregnancy or puerperium compared with those without such symptoms. The frequency of nocturia 5 years after the first delivery was too low for statistical analysis. Conclusion The first pregnancy and delivery may result in stress and urge incontinence 5 years later. Women with stress and urge incontinence 3 months after the first delivery have a very high risk of long-lasting symptoms. An episiotomy or a vacuum extraction at the first delivery seems to increase the risk. Subsequent childbearing or surgery seems without significant contribution. Long-lasting urgency, diurnal frequency, or nocturia cannot be predicted from onset during the first pregnancy or puerperium. Neurourol. Urodynam. 21:2,29, 2002. © 2002 Wiley-Liss, Inc. [source] Pregnant with possibilities: drawing on hermeneutic thought to reframe home-visiting programs for young mothersNURSING INQUIRY, Issue 3 2009Lee SmithBattleArticle first published online: 11 AUG 200 Although the positive outcomes achieved in home-visiting interventions targeting young, disadvantaged mothers are partly credited to therapeutic relationships, researchers rarely offer philosophical or theoretical explanations for these relationships. This omission is a conspicuous oversight as nurse,family relationships have figured prominently in public health nursing practice since its inception. In this study, I suggest that the contribution of therapeutic relationships to positive outcomes will remain theoretically undeveloped as long as clinical trials and nursing practice models follow the logic of techne. After describing how a scientific,clinical gaze misrepresents teen mothers and contributes to a rational,technical model of clinical practice, I draw on contemporary hermeneutics to describe how dialog and understanding are indispensable for clinical judgment and the judicious use of scientific knowledge. This hermeneutic corrective calls attention to the dialogical nature of truth and the relational skills that disclose meaning, preserve personhood, and support possibilities available in the life-world. Dialogical understanding also disrupts the scientific,clinical gaze by disclosing the social disparities that are implicated in early childbearing and teen mothers' long-term prospects. The implications of this thought for legitimating and supporting the flexibility and clinical know-how that ,strays' from protocol-driven care is addressed. [source] | |||||||||||||||||||