IMPACT OF SEX COMPOSITION OF LIVING CHILDREN AND COUPLES’ AGREEMENT ON SUBSEQUENT FERTILITY IN INDIA

2017 ◽  
Vol 50 (5) ◽  
pp. 666-682 ◽  
Author(s):  
Anshul Kastor ◽  
Sayantani Chatterjee

SummaryThe desire for children could be considered a reliable predictor of subsequent fertility. At the same time, the sex composition of surviving children, along with other demographic and socioeconomic factors, may affect a couple’s fertility desire and, therefore, their subsequent fertility. This study examined the impact of the sex composition of living children and a couple’s agreement on fertility desire on their subsequent fertility in India using data came from two rounds of nationally representative surveys: the India Human Development Survey (IHDS)-I (2004–05) and IHDS-II (2011–12). To understand which factors affect the chances of an additional pregnancy or childbirth, a random effects logistic regression model was applied to the panel data. It was found that the fertility desires of both marital partners were important in determining the chances of subsequent fertility. About 35% of the couples wanting to limit children had undergone pregnancy or childbirth, while 76% of the couples wanting more children had conceived or given birth to children. In the case of discordance between the spouses, subsequent fertility was found to remain intermediate between those agreeing to continue childbirth and those wanting to limit it. The findings also affirmed that child sex preference, specifically son preference, still persists in Indian society. More than 80% of the couples with only daughters in IHDS-I mutually wanted to have additional children, whereas in families that only had sons, the chance of a subsequent pregnancy was inversely associated with the number of sons. Strong patriarchal settings, combined with cultural and socioeconomic factors, affect the persistence of sex preference in India. Programmes aimed at increasing family planning use need to address son preference and should include components that promote the value of girl children.

1993 ◽  
Vol 25 (4) ◽  
pp. 455-464 ◽  
Author(s):  
A. I. Chowdhury ◽  
Radheshyam Bairagi ◽  
Michael A. Koenig

SummaryThe effects of family sex composition on fertility preferences and behaviour during the period 1977–88 are examined using longitudinal data from Matlab, Bangladesh. The sex composition of living children was found to be systematically related to fertility preferences and behaviour, with a higher number of sons at each family size associated with a higher percentage of women wanting no more children, a higher percentage currently using contraception, and lower subsequent fertility. However, the highest percentage wanting no more children, using contraception and having lowest subsequent fertility was found among women who already had one daughter as well as at least one son. The effects of sex preference on fertility preferences and behaviour were measured using an index developed by Arnold (1985). The results suggest that while sex preference remained largely unchanged during the study period, its effect on contraceptive use declined and its impact on actual fertility remained modest and fairly stable.


2021 ◽  
Vol 16 (1) ◽  
pp. 13
Author(s):  
Mugia Bayu Raharja ◽  
Robani Catursaptani ◽  
Rahmadewi Rahmadewi

The number and sex composition of children are important for some married couples in Indonesia. Having sons in the family is considered as a must since they are argued to be the successor of the family lineage. The presence of daughters is expected to help with household chores and care for their elderly parents. The sex preference for children by the married couples can affect their number of children. This study aims to assess the relationship between the number and sex composition of children, contraceptive use, and the desire to have more children among women in Indonesia. The study employed the data from the 2017 Indonesian Demography and Health Survey (IDHS), with the unit of analysis of currently married women aged 15-49 who have at least one living children. The results show that women with two or more children of the same sex had a higher tendency to have additional children and no use of contraceptives. The Family Planning program's campaign of similar values shared between son and daughter is still hardly accepted, hence, sex preference still exists. It is necessary to reformulate an effective concept for proper socialization of these values as an effort to control the fertility rate in Indonesia.


2011 ◽  
Vol 38 (1-2) ◽  
pp. 99
Author(s):  
Zongli Tang ◽  
Paul M. Sharp

Using path anaysis and the 5 per cent PUMS data of the 1990 and 2000 [US] censuses, this study examines: (1) the correlation between Chinese-American sex preference for children and their fertility behavior; and (2) the interaction between the sex preference and its socioeconomic determinants. Of the normative and non-normative factors investigated in this study, offspring sex preference is the greatest stimulus to Chinese fertility. Of the socioeconomic variables, women’s educational attainment plays a primary role in depressing the impact of son preference, in addition to their increasing stay in the host society. However, these two factors do not work on husbands in the same way, demonstrating men’s inflexible attitudes toward gender roles in the family and in society. Son preference exerts a positive impact on American-Chinese fertility and prevents further decline; still, this influence has been diminishing since 1990, as observed in this study.


2021 ◽  
Author(s):  
Nguyen Thi Hai Yen ◽  
Truc Ngoc Hoang Dang ◽  
Pataporn Sukontamarn

Abstract Background: The association between religion and desire for additional children has remained controversial and varies depending on the social context of the study. This study empirically investigates the relationship between religion and desire for additional children in Vietnam, a society characterized by son preference and low fertility. Methods: Using nationally representative data from the 2014 Vietnam Multiple Indicator Cluster Survey, the study employs Probit regression analysis to investigate the relationship between religion and desire for additional children among women of reproductive age (15-49). The sample consists of 5,585 women across all six economic regions. Results: Religion has a strong impact on the desire to have an additional child, and the relationship differs across economic regions. In three out of six regions, Christians have higher fertility desire compared to non-religious people. Fertility desire of Buddhists differs from fertility desire of non-religious people in two out of six regions, namely Northern Midlands and Mekong River. Fertility desire of those belonging to other religions is different from that of non-religious people only in Mekong River. Conclusions: Identifying the impact of religion on desire for additional children can help promote appropriate family planning policies. The study also demonstrates that son preference exists in all regions of Vietnam, with the level increasing from the South, towards the Central and peaks in the North, especially in the regions bordering China.


Author(s):  
Nguyen Thi Hai Yen ◽  
Pataporn Sukontamarn ◽  
Truc Ngoc Hoang Dang

Objective: To investigate the relationship between sex-composition of children and women’s fertility desire in Vietnam. Materials and methods: Using data from the 2014 Vietnam Multiple Indicator Cluster Survey (MICS), we investigate the association between sex composition of children and desire for additional children among women in reproductive age (15 to 49 years) across Vietnam (N=5,605). Results: Multivariate logistic regression models showed statistically significant association between sex composition of children and women’s fertility desire, after controlling for social norms of fertility preference, demographic and socioeconomic factors. For each group of women (those with one child, two children, and three or more children) women with no sons are more likely to have higher fertility desire compared to women with at least one son. However, women with both son (s) and daughter (s) tend to have lower fertility desire compared to those who have all sons. Conclusion: Vietnam’s traditional cultural norm of son preference has a strong influence on fertility desire. Besides, mix-gender preference is also documented. The government should enforce the law more strictly regarding the prohibition of ultrasounds to detect fetal sex to reduce the feasibility of sex selection abortion. In addition, the government should improve the social ideology of the role of women in the family and society through mass media.  


1978 ◽  
Vol 10 (1) ◽  
pp. 95-106 ◽  
Author(s):  
Chai Bin Park

SummaryThis article, based on retrospective survey data, examines the fertility performance of third-order parity women in Korea, following births of specified sexes of children already born. Although the study indicates that additional births and spacing of children after the third birth are strongly influenced by the sex composition of the first three children, this influence becomes apparent only after the introduction of a vigorous national family planning programme. It seems that both the number of sons and the sequence of sons and daughters play an important role in determining subsequent fertility. More than twice as great a proportion of third-parity women proceeded to the fourth parity if the women had three daughters rather than three sons.


2007 ◽  
Vol 177 (4S) ◽  
pp. 95-95
Author(s):  
Atreya Dash ◽  
Peng Lee ◽  
Qin Zhou ◽  
Aaron D. Berger ◽  
Jerome Jean-Gilles ◽  
...  

2019 ◽  
Vol 220 (1) ◽  
pp. S212-S213
Author(s):  
Andrea Desai ◽  
Nicole Krenitsky ◽  
Audrey A. Merriam ◽  
Katherine Kohari ◽  
Christian Pettker ◽  
...  

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1337.2-1337
Author(s):  
T. W. Swinnen ◽  
M. Willems ◽  
I. Jonkers ◽  
F. P. Luyten ◽  
J. Vanrenterghem ◽  
...  

Background:The personal and societal burden of knee osteoarthritis (KOA) urges the research community to identify factors that predict its onset and progression. A mechanistic understanding of disease is currently lacking but needed to develop targeted interventions. Traditionally, risk factors for KOA are termed ‘local’ to the joint or ‘systemic’ referring to whole-body systems. There are however clear indications in the scientific literature that contextual factors such as socioeconomic position merit further scientific scrutiny, in order to justify a more biopsychosocial view on risk factors in KOA.Objectives:The aims of this systematic literature review were to assess the inclusion of socioeconomic factors in KOA research and to identify the impact of socioeconomic factors on pain and function in KOA.Methods:Major bibliographic databases, namely Medline, Embase, CINAHL, Web of Science and Cochrane, were independently screened by two reviewers (plus one to resolve conflicts) to identify research articles dealing with socioeconomic factors in the KOA population without arthroplasty. Included studies had to quantify the relationship between socioeconomic factors and pain or function. Main exclusion criteria were: a qualitative design, subject age below 16 years and articles not written in English or Dutch. Methodological quality was assessed via the Cochrane risk of bias tools for randomized (ROB-II) and non-randomized intervention studies (ROBIN-I) and the Newcastle-Ottawa Scale for assessing the quality of non-randomised studies. Due to heterogeneity of studies with respect to outcomes assessed and analyses performed, no meta-analysis was performed.Results:Following de-duplication, 7639 articles were available for screening (120 conflicts resolved without a third reader). In 4112 articles, the KOA population was confirmed. 1906 (25%) were excluded because of knee arthroplasty and 1621 (21%) because of other issues related to the population definition. Socioeconomic factors could not be identified in 4058 (53%) papers and were adjusted for in 211 (3%) articles. In the remaining papers covering pain (n=110) and/or function (n=81), education (62%) and race (37%) were most frequently assessed as socioeconomic factors. A huge variety of mainly dichotomous or ordinal socioeconomic outcomes was found without further methodological justification nor sensitivity analysis to unravel the impact of selected categories. Although the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was the most popular instrument to assess pain and function, data pooling was not possible as socioeconomic factors estimates were part of multilevel models in most studies. Overall results showed that lower education and African American race were consistent predictors of pain and poor function, but those effects diminished or disappeared when psychological aspects (e.g. discrimination) or poverty estimates were taken into account. When function was assessed using self-reported outcomes, the impact of socioeconomic factors was more clear versus performance-based instruments. Quality of research was low to moderate and the moderating or mediating impact of socioeconomic factors on intervention effects in KOA is understudied.Conclusion:Research on contextual socioeconomic factors in KOA is insufficiently addressed and their assessment is highly variable methodologically. Following this systematic literature review, we can highlight the importance of implementing a standardised and feasible set of socioeconomic outcomes in KOA trials1, as well as the importance of public availability of research databases including these factors. Future research should prioritise the underlying mechanisms in the effect of especially education and race on pain and function and assess its impact on intervention effects to fuel novel (non-)pharmacological approaches in KOA.References:[1]Smith TO et al. The OMERACT-OARSI Core Domain Set for Measurement in Clinical Trials of Hip and/or Knee Osteoarthritis J Rheumatol 2019. 46:981–9.Disclosure of Interests:None declared.


2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Priya Bhagwat ◽  
Shashi N Kapadia ◽  
Heather J Ribaudo ◽  
Roy M Gulick ◽  
Judith S Currier

Abstract Background Racial/ethnic disparities in HIV outcomes have persisted despite effective antiretroviral therapy. In a study of initial regimens, we found viral suppression varied by race/ethnicity. In this exploratory analysis, we use clinical and socioeconomic data to assess factors associated with virologic failure and adverse events within racial/ethnic groups. Methods Data were from AIDS Clinical Trial Group A5257, a randomized trial of initial regimens with either atazanavir/ritonavir, darunavir/ritonavir, or raltegravir (each combined with tenofovir DF and emtricitabine). We grouped participants by race/ethnicity and then used Cox-proportional hazards regression to examine the impact of demographic, clinical, and socioeconomic factors on the time to virologic suppression and time to adverse event reporting within each racial/ethnic group. Results We analyzed data from 1762 participants: 757 self-reported as non-Hispanic black (NHB), 615 as non-Hispanic white (NHW), and 390 as Hispanic. The proportion with virologic failure was higher for NHB (22%) and Hispanic (17%) participants compared with NHWs (9%). Factors associated with virologic failure were poor adherence and higher baseline HIV RNA level. Prior clinical AIDS diagnosis was associated with virologic failure for NHBs only, and unstable housing and illicit drug use for NHWs only. Factors associated with adverse events were female sex in all groups and concurrent use of medications for comorbidities in NHB and Hispanic participants only. Conclusions Clinical and socioeconomic factors that are associated with virologic failure and tolerability of antiretroviral therapy vary between and within racial and ethnic groups. Further research may shed light into mechanisms leading to disparities and targeted strategies to eliminate those disparities.


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