Spousal agreement on preferred waiting time to next birth in sub-Saharan Africa

This study investigates how various social, demographic and economic factors affect spousal agreement on preferred waiting time to next birth. Data for matched cohabiting couples from ten Demographic and Health Surveys in sub-Saharan Africa (Benin, Burkina Faso, Ghana, Guinea, Mali, Ethiopia, Kenya, Mozambique, Zambia and Zimbabwe), conducted between 2003 and 2006, were analysed to compare reported waiting time to next birth by the husband and the wife. Couples where the reported waiting time to next birth was the same for both partners (difference is 0 months) were defined as having agreement on waiting time to next birth. In sub-Saharan Africa, spousal agreement on waiting time to next birth was found to be associated with wanting the next child sooner. When the spouses disagree on waiting time to next birth, the wives want to wait longer than their husbands in most cases. Additionally, the study found that demographic factors are the primary determinants of spousal agreement on waiting time to next birth, not socioeconomic factors. The strongest predictors of spousal agreement on waiting time to next birth were number of living children, difference between the number of ideal and living children and wife's age. Couples with fewer children, a younger wife and those with a difference of five or more children between ideal and living number of children were more likely to agree on waiting time to next birth. Effects of socioeconomic factors, such as education and wealth status, on spousal agreement on waiting time to next birth were generally weak and inconsistent. The findings highlight some of the challenges in developing programmes to promote spousal communication and birth spacing and underscore the need for programmes to be gender-sensitive.     

Preference for children and subsequent fertility in Matlab: does wife-husband agreement matter?

This study examines wife-husband preference for children and subsequent fertility for a period of 5 years in the treatment and comparison areas of Matlab, Bangladesh. The two data sets used were: the In-depth Survey (1984) and the Demographic Surveillance System (1984-89). In the case of wives' preferences for children, subsequent childbearing was 13.8% higher than desired in the treatment area and 44.7% higher than desired in the comparison area. After controlling for all variables in the model, the likelihood of giving birth was 1.78 times higher for wives who wanted no more children, but whose husbands did want more, compared with couples where neither husband nor wife wanted more children. For couples where the wife wanted more, but the husband did not want more children, the likelihood of giving birth was 0.63 times that of couples where both the husband and wife wanted more children. This finding suggests that to enhance the decline in fertility in these two areas of Matlab, it will be necessary to motivate both wives and husbands to cease childbearing.     

Marriage structure and contraception in Niger

Analysis of the 1992 Niger Demographic and Health Survey showed that although roughly two-thirds of both polygamous and monogamous women approve of birth control, polygamous wives are less likely than monogamous wives to discuss family size or birth control with their husband or to plan on using birth control. The study suggests that characteristics of polygamous couples have caused polygamous women to be more resistant to birth control use than monogamous women. The polygamous women tended to be married to older men who had not gone to primary school and who desired more children than monogamous husbands. The influence of marital structure is not significantly associated with intention to use birth control when the husband's age and the wife's ideal number of children were controlled for in the multivariate logistic regression model suggesting that background social factors may be more influential. In fact, educational level and age at first marriage were significantly associated with attitudes towards birth control and also with marital structure.     

Determinants of spacing contraceptive use among couples in Mumbai: a male perspective

This study aimed to determine the factors influencing the use of spacing contraceptive methods in India, particularly from men's perspective. Data were obtained through a semi-structured interview schedule from 2,687 married men aged between 18 and 40 years from central Mumbai City, India, during 1999. Chi-squared tests and binary logistic regression analysis was carried out to determine the relationship between various variables and the likelihood of a couple using spacing contraceptive methods. Of the 2,687 couples, 1,395 (51.9%) were using one or other method of spacing contraceptives and 1,292 (48.1%) were not using any method at the time of survey. Male participation in contraceptive use was 23% (condom and withdrawal). The results indicate that the use of spacing contraceptive methods was significantly higher among those couples where the men desired one or two children (OR=4.3), had knowledge of five or more contraceptive methods (OR=1.9) and discussed with their wives obtaining family planning information (OR=3.2), spacing (OR=2.7) and permanent (OR=2) contraceptive methods. Age, income, desired number of children, knowledge of a greater number of contraceptive methods, inter-spouse communication regarding obtaining family planning information, spacing and permanent methods were found to be strong predictors of the use of spacing contraceptive methods. The study underlines the importance of intervention programmes aimed at promoting a small family norm, increasing the number of contraceptive choices available and encouraging inter-spouse communication. Hence, policymakers and programme managers should encourage interventions in this direction, targeting couples to enhance the use of spacing contraceptive methods.     

乙肝病毒家庭内传播情况调查

乙型肝炎病毒感染是全球性的健康问题,其传播途径各个国家及地区存在差异.通过对543位慢性HBV感染者的调查分析,家庭中女性慢性HBV感染者其子女在无任何免疫预防干预下感染后慢性化的几率76.0%;男性慢性HBV感染者其子女感染HBV后慢性化的几率达22.5%;夫妻之间HBV感染的结局是以形成保护性抗体为主,调查的543对夫妻中,夫妻双方均为HBsAg阳性的有50对,达9.2%;HBV在夫妻之间的传播的特点是丈夫感染HBV后更容易慢性化:妻子为慢性HBV感染者,其丈夫被感染后慢性化的几率为13.8%(27/196);而丈夫为慢性HBV感染者的家庭中,其妻子被感染后慢性化的几率为7.1%(23/322),差异具有统计学意义(χ2=6.146,P=0.013);除母婴传播外,乙肝病毒在夫妻、父亲和子女、孩子之间以及其他家庭接触性传播也很重要.     

Men's approval of family planning in Bangladesh

This article attempts to evaluate men's approval of family planning in Bangladesh using the couple data set from the recent Bangladesh Demographic and Health Survey (BDHS), 1999-2000. Family planning approval is addressed both from individual and couple perspectives. Analysis of BDHS data shows that about 85% of the wives report that their husbands approve of family planning, which is lower than the wives' own approval rate (95%). Using the couple data set, husbands' characteristics were matched to the wives' responses on family planning approval. Regression analyses show that age, education, access to TV, inter-spousal communication, current use of family planning and the number of living children significantly determine family planning approval among both men as well as couples. Family planning approval was found to be much lower in Sylhet than in the other administrative divisions. Multilevel modelling analysis suggests almost negligible variation at the community level. The findings indicate the need for careful evaluation of the DHS questions in order to measure appropriately men's family planning attitudes.     

Fertility desires of Yoruba couples of South-western Nigeria

Using the matched wife-husband (763) sample from the data collected from Ogbomoso and Iseyin towns in Oyo State, Nigeria, this paper examines factors associated with couples' fertility intention. The analysis used logistic regression models for predicting the effects of selected socioeconomic background characteristics on a couple's fertility intention. Results indicate high levels of concurrence among husbands and wives on fertility intention. Where differences exist, husbands are more pronatalists than their wives. About 87% of pairs of partners reported similar fertility preferences. Of these couples, 59.5% wanted more children while only 27.8% reported otherwise. The logistic regression models indicated that a couple's fertility intention was associated with age, education, place of residence, frequency of television-watching and number of living children. Therefore, programme interventions aimed at promoting fertility reduction in Nigeria should convey fertility regulation messages to both husbands and wives.     

Disagreement in spousal reports of current contraceptive use in sub-Saharan Africa

Contraceptive prevalence is a key variable estimated from Demographic and Health Surveys. But the prevalence estimated from reports of husbands differs widely from that estimated for wives. In this research, using data from six Demographic and Health Surveys of sub-Saharan Africa, reports from spouses in monogamous couples with no other reported sex partners in the recent period are examined. Agreement ranged from 47% to 82%, but among couples in which one or both reported use, the 'both' category represented less than half in all nations except Zimbabwe. Husbands generally had higher reports of condoms, periodic abstinence and pills but fewer reports of the IUD, injections and female sterilization. Either discussion of family planning with the spouse and/or higher socioeconomic status was associated with agreement in most of the surveys. Ambiguities in the survey question regarding current use need to be reduced, perhaps with an added probe question for non-permanent methods.     

Why household inefficiency? An experimental approach to assess spousal resource distribution preferences in a subsistence population undergoing socioeconomic change

Two disparate views of the sexual division of labour have dominated the representation of intra-household resource allocations. These joint and separate interests views differ in their interpretation of the relative roles of men and women, and make different predictions about the extent to which marriage promotes economic efficiency (i.e. maximized household production). Using an experimental “distribution task” stipulating a trade-off between household efficiency and spousal equality in allocating surpluses of meat and money, we examine factors influencing spousal distribution preferences among Tsimane forager-horticulturalists of Bolivia (n = 53 couples). Our primary goal is to understand whether and how access to perfectly fungible and liquid resources – which increases with greater participation in market economies – shifts intra-household distribution preferences. We hypothesize that greater fungibility of money compared to meat results in greater squandering of money for individual fitness gain at a cost to the family. Money therefore requires costly strategies to insure against a partner's claims for consumption. Whereas nearly all Tsimane spouses prefer efficient meat distributions, we find a substantially reduced efficiency preference for money compared to meat controlling for potential confounders (adjusted OR = 0.087, 95% CI: 0.02–0.38). Reported marital conflict over paternal disinvestment is associated with a nearly 13-fold increase in odds of revealing a selfish money distribution preference. Selfish husbands are significantly more likely than other husbands to be paired with selfish wives. Lastly, Tsimane husbands and wives are more likely than Western Europeans to prefer an efficient money distribution, but Tsimane wives are more likely than Western European wives to exhibit a selfish preference. In sum, preferences for the distribution of household production surplus support joint and separate interests views of marriage; a hybrid approach best explains how ecological-, family-, and individual-level factors influence spousal preferences through their effects on perceptions of marginal gains within and outside the household.     

Determinants of contraceptive use in Nepal

This 1981 study is the 1st of its kind in Nepal. Analysis using a logit-linear model showed that contraceptive use in Nepal depends on many factors. Women aged 35-49 are 3 times more likely than women aged 15-24 to use contraceptives. Women with 4 or more children are 8 times more likely to use contraceptives than women with 1 or no children, and 2.5 times more likely than women with 2 or 3 children. The use of contraceptives is greatest among women whose offspring includes more sons than daughters, and least among women whose offspring are all daughters. Women who desire no more children are 5 to 6 times more likely to use contraceptives than women who desire more children. Women who have discussed desired family size with their husbands are more than 4 times more likely to use contraceptives than women lacking this type of communication. Women with some schooling are twice as likely to use contraceptives as women with no schooling. Contraceptive use is higher among women who do nonfarm work than farm work, and higher still among women who do not work. Urban women were almost twice as likely to use contraceptives as rural women. Women with less than 1 hour access to a family planning service outlet were 2 to 3 times more likely to use contraceptives than women whose access to these facilities was greater than 1 hour. The number of previous child losses per woman had no significant effect in contraceptive use. Conclusions are based on analysis of data from the Nepal Contraceptive Prevalence Survey, 1981.     

Does Gender Moderate Factors Associated with Whether Spouses Are the Sole Providers of IADL Care to Their Partners?

We explored whether gender moderated the influence of other factors on solo spousal caregiving. The subsample (N = 452) from the AHEAD study included elderly care recipients (CRs) receiving IADL assistance and their spouses. Logistic regression modeled the likelihood of solo spousal IADL care. Gender moderation was tested by product terms between CRs' gender and measures of partners' health, potential helpers, and sociodemographic characteristics. As numbers of CRs' IADLs and couples' proximate daughters increased, wives less often received care solely from their husbands, but husbands' receipt of care from their wives was unaffected. Age differences between spouses and CRs affected solo spousal caregiving to wives and husbands in opposite ways. Regardless of gender, CRs' number of ADL limitations and spouses with IADL or ADL limitations reduced the likelihood of solo spouse care. Identifying circumstances influencing solo spouse caregiving differently among couples with frail wives and husbands facilitates gender sensitive services.     

Childlessness,health, and marital satisfaction

Abstract

Data on the health and well‐being of 2,480 married couples in an urban area‐probability sample suggest that parenthood detracts from the physical and psychological health of husbands and wives, particularly among younger couples. Rates of joint marital satisfaction also were lower for active parents than for former parents and childless couples, regardless of the duration of the marriage and the wife's age and employment status. That parenthood may be detrimental to both health and marital satisfaction is suggested by the finding that former parents were better off than active parents on both indices, though not as well off as childless spouses.     

Fishing and fertility: a study of a Nova Scotia fishing village.

The relationship between fertility and occupation is compared for: 1) deep-sea fishermen who are away from home as long as 21 days at a time with short rests between; 2) in-shore fishermen who are away at sea most nights; and 3) plant workers in the locality, used as controls. Particular attention was given to the families of fishermen who had done the same job since marriage. The population was old, relatively speaking, due to outmigration of younger people. 73% of the wives were over 30 years of age. Deep-sea fishermen are younger and have higher incomes than in-shore men (42.1 years vs 49.7 and $3544 vs $2900). Among women 15-44 years of age mean number of children for deep-sea fishermen was 3.35; in-shore, 3.60; plant workers, 3.62. Among those whose husbands had held the same job since marriage the variation was greater: deep-sea, 2.54; in-shore, 3.46; plant workers, 3.35. Among women over 45-years-old whose husbands had held the same job since marriage the number of children was 2.61, 3.94, and 4.27, respectively. 33% of plant workers had more children than desired and 66.7% said they had as many as desired. However, 25.9% of in-shore fishermen and 50% of deep-sea fishermen had fewer than desired. Interval between births was similar for all occupational groups (23.5-26.7 months) but the wives of deep-sea fishermen terminated childbearing earlier. Contraception was used only by the younger women, usually coitus interruptus or rhythm. Sterilization may have been important but it was hard to find out whether the 15% of wives who reported operations which made further childbearing impossible intended sterilization. 35.7% of deep-sea fishermens' wives reported such operations, generally women with larger families.     

Genetic kinship among an isolated Adi tribe of Arunachal Pradesh: isonymy in the Adi Panggi

Isolated tribes in remote areas are important for genetic studies, and one such little known subtribe of the Adi tribe, namely, the Adi Panggi (Pangi) of the Upper Siang District of Arunachal Pradesh, India, was studied for surname distribution to deduce the deviation from random mating and genetic kinship between villages. The estimates of homonymy (homozygosity) vary between villages; husbands show wider variation (0.009 to 0.23) than wives (0.005 to 0.054). The remote villages of Sumsing and Sibum and Geku Town show lower entropy among husbands' surnames than among Panggi wives. The highest equivalent surname number was found among Sibum husbands (9.9), Panggi wives (12.6), and Panggi and non-Panggi wives (13.5). The estimates of unbiased random isonymy among husbands and wives together show the smallest values in Sibum (0.05) and the highest values in Sumsing and Ramku (0.16). The random and nonrandom components of the inbreeding coefficient show avoidance of inbreeding among the Panggi villages (-0.012 to -0.27) except in Sibum (0.012). Genetic kinship between villages based on the Mij distance shows different clusters of villages among husbands and wives. Both the Panggi wives and the Panggi and non-Panggi wives show a similar pattern of clustering between villages. The wide homonymy variation between villages among the patrilocal Adi Panggi indicates differential genetic kinetics among husbands and wives, avoidance of inbreeding, and female-oriented differential gene flow with little effect on the overall intervillage genetic kinship.     

Divorce in the early years of marriage in England and Wales: results from a prospective study using linked records

A representative sample of over 1000 couples who married during 1979 in England and Wales was followed from the date of marriage until mid-1984 to investigate the characteristics of couples who divorce soon after marriage. Results of this 5 year study show that couples who apparently lived together before marriage had a below average chance of early divorce, whereas couples where the addresses of the partners before marriage were very close had a significantly high rate of early breakdown. The chance of early divorce was significantly above average for spouses marrying in their teens and for both husbands and wives who, at their marriage, belonged to social class 5 (work in unskilled manual occupations). Couples who married with a civil ceremony had an above average (and those marrying with a religious ceremony a below average) risk of early divorce, but such differences were found to be negligible on analyzing the results from a matched case-control study in which each "case" marriage (one which did end in early divorce) was matched with a "control" marriage (one which did not end in early divorce). There is substantial evidence that age at marriage and previous marital status of the marriage partners have a decided influence upon the propensity to divorce. 2 conclusions concerning fertility are more likely than the average married couple to have had a pre-maritally conceived child, and 2) that couples who divorce relatively quickly tend on average to have larger family sizes, even if children who were pre-martitally conceived are exluded.     

Polygyny and fertility differentials among the Yoruba of western Nigeria

Data are analysed from the 1973 surveys of the Nigerian segment of the Changing African Family (CAFN) Project, which covered Yoruba women and men in Ibadan and the Western State of Nigeria. Of the 5874 women who were in union during the CAFN 1 survey, 54% reported that their husband had only 1 wife and 46% that their husband had more than 1 wife. Of the 1234 women in unions in the CAFN 2 survey, 49% reported monogamous husbands and 51% polygynous husbands. Differentials in fertility levels between women in monogamous unions and those in polygynous ones are investigated using mean number of children ever born as the measure of fertility. Factors examined include proportion of childless and infertile women, frequency of intercourse, age, educational level, religion, marital mobility (divorce) rank of wife and sexual abstinence. The CAFN 1 survey shows that wives of polygynists tend to be older than those of monogamists. Because of this the reported mean number of children ever born was higher for the wives of polygynists than for the wives of monogamists. When the data are standardized for the difference in age, the fertility levels of the women in the 2 types of unions were much closer to each other. When religion, education, abstinence, and occupation are also taken into account, it is observed that the 2 groups of women have similar levels of fertility. A multiple classification analysis was performed using number of wives of husband, educational level, religion and father's occupation as variables and occupation of spouse, place of birth, length of abstinence, contraceptive practice and age as covariates. The result also shows that the number of wives of the husband does not significantly affect the fertility level of women when other factors are taken into account. A high proportion of the Yoruba women are in polygynous unions and most of those in monogamous unions are potential wives of polygynists. Because of this, and particularly because most women try to have as many children as they can, the women in the 2 types of unions experience similar levels of fertility.     

Acceptance of Wife Beating and Its Association with Physical Violence towards Women in Nepal: A Cross-Sectional Study Using Couple’s Data

Background

Intimate partner violence (IPV) is a serious global public health issue. Acceptance of wife beating is known to be associated with IPV, but few studies have analysed the acceptance of wife beating from both women and men’s points of view. The objective of this study was to examine whether acceptance of wife beating among couples is associated with lifetime and past one-year physical IPV perpetration towards wives in Nepal.

Methods

A cross-sectional study was conducted from August to September 2011, with 717 randomly selected couples with wives aged 18 to 49 years old from the Kirtipur municipality and Bhaktapur district of Nepal. Wives’ and husbands’ acceptance of wife beating was measured by six scale items, while physical IPV experience among wives was measured by seven physical assault scale items. To assess the association between acceptance of wife beating and physical IPV, multiple logistic regression analysis was used.

Results

Nearly 30% of wives and husbands indicated that beating of wives is acceptable under certain circumstances. Statistically, no significant difference was detected between wives’ and husbands’ level of acceptance of wife beating. However, husbands’ acceptance of wife beating was positively associated with lifetime and past one-year perpetration of physical IPV, whereas wives’ acceptance of wife beating was neither associated with lifetime nor past one-year victimization of physical IPV. The positive association for husbands remained even after controlling for their partner’s factors.

Conclusions

Acceptance of wife beating is an important risk factor, which must be considered to prevent perpetration of physical IPV towards wives in Nepal. Future studies should include men to better understand the structure and dynamics of IPV in Nepal, and prevention programs should also target men to change their attitudes or to identify which couples are at more risk of physical IPV occurring toward wives.     

Fertility and post-reproductive longevity

We examine the effects of reproduction on longevity among mothers and fathers after age 60. This study is motivated by evolutionary theories of aging and theories predicting social benefits and costs of children to older parents. We use the Utah Population Database, that includes a large genealogical database from the Utah Family History Library. Cox proportional hazard models based on 13,987 couples married between 1860-1899 indicate that women with fewer children as well as those bearing children late in life live longer post-reproductive lives. As the burdens of motherhood increase, the relative gains in longevity of late fertile women increase compared to their non-late fertile counterparts. Husbands' longevity is less sensitive to reproductive history, although husbands have effects that are similar to those of their wives during the latter marriage cohort. We find some support for predictions based on evolutionary principles, but we also find evidence that implicates a role for shared marital environments.     

Consistency of couple declaration about using family planning methods in Turkey

The aim of this study was to determine the consistency of spouses' declarations about contraceptive use and child desire in Turkey. Husbands eligible for the study were currently married to eligible women, i.e. those who generally lived in the same household or who stayed in the household the night before the interview. Husband questionnaires were completed by 1971 men. It was found that 88.9% of the couples had not talked about family planning with each other in the last two months. The percentage of answers on current contraceptive use for all methods that were consistent for husbands and wives was 70.2%. The consistency among partners who stated they would like to have children in the future was found to be 94.8%, and that among partners who were planning to use a contraceptive method was found to be 88.3%.     

Son preference and intimate partner violence victimization in India: examining the role of actual and desired family composition

Son preference has been considered as a determinant of women's risk of intimate partner violence (IPV) experience in India, although quantitative evidence from large nationally representative studies testing this relationship is limited. This study examines the association between husband's son preference, sex composition of children and risk of physical and sexual IPV victimization among wives. Information was collected for 26,284 couples in the nationally representative 2005-2006 National Family Health Survey of India. The exposures were husband's son preference measured as husband's desire for one or more sons greater than the number of daughters and sex composition of the household: only sons, only daughters and mixed. Outcome included past year physical and/or sexual IPV. The results showed that husband's reported son preference (RR: 1.05; 95% CI: 0.98-1.13) and sex composition of children were not associated with risk for IPV victimization in the models adjusted for socio-demographic factors. The findings from this first population-based study of socio-cultural norms around son preference and married Indian women's risk for IPV victimization indicate that cultural preference for sons does not influence women's risk for IPV victimization.