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Title: RAPID Mali: Population, development, and quality of life.
Author: Futures Group International. Health Policy Initiative; Mali. Minist�re de la Sant�
Source: [Bamako], Mali, Futures Group International, Health Policy Initiative, 2009 May. [56] p.
Abstract: Mali's population has tripled since it achieved independence in 1960. The country's fertility rate has remained stagnant for the past two decades and contraceptive prevalence rates remain much lower than in many other African countries. At the current rate of growth, the population would double in size in about 24 years. The purpose of this presentation is to examine some of the implications of this rapid growth for Mali's social and economic development. It is divided into six sections: Mali's Vision; Population Situation; Relationship Between Population and Economic Development; Population and Socioeconomic Development; Contraceptive Use, Unmet FP Need, and Effects of High Fertility on Maternal and Child Health; and Policy Response. This powerpoint presentation draws on analysis conducted using the RAPID model.
Language: English
Keywords:
MALI | SUMMARY REPORT | YOUTH | CONTRACEPTIVE USAGE | FERTILITY | FAMILY PLANNING | MATERNAL HEALTH | CHILD HEALTH | POLICY | Developing Countries | Africa, Western | Africa, Sub Saharan | Africa | Age Factors | Population Characteristics | Demographic Factors | Population | Contraception | Population Dynamics | Health | Political Factors | Sociocultural Factors
Document Number: 331558

Title: The role of education level in the intergenerational pattern of adolescent pregnancy in Brazil.
Author: Almeida MC; Aquino EM
Source: International Perspectives on Sexual and Reproductive Health. 2009 Sep;35(3):139-146.
Abstract: Adolescent pregnancy has been associated with the early childbearing experience of the mothers of adolescents, and young people's education level is believed to be an important factor in this phenomenon. In 2002, a representative household survey collected data from 3,050 young men and women ages 20�24 in three Brazilian cities. The main measures were mother's age at first birth, daughter's age at first pregnancy, and son's age when he first impregnated a partner. Ages were dichotomized as younger than 20 and 20 or older. The distribution of respondents, by both their own and their mothers' reproductive experience, was analyzed in relation to various characteristics, and logistic regressions assessed possible associations between these variables and pregnancy experience. Thirty percent of women reported getting pregnant before age 20, and 21% of men said they were younger than 20 when they first impregnated a partner. Of these groups, 34% of women and 31% of men reported that their mothers had first given birth at the same age. Both women and men were more likely to have had an early pregnancy experience if their mother had had a child before age 20. Among women, this positive association disappeared in the final model after adjusting for their education level, whereas among men the association remained after similar adjustment.
Spanish Abstract: Contexto: El embarazo durante la adolescencia se ha asociado con la experiencia de la maternidad temprana de las madres de los y las adolescentes; y se considera el nivel educativo de la gente joven como un factor importante en este fen�meno. M�todos: En 2002, una encuesta representativa de hogares recolect� datos de 3,050 hombres y mujeres j�venes de 20-24 a�os en tres ciudades brasile�as. Las principales medidas fueron la edad de la madre de los encuestados en el momento de su primer parto, la edad de la joven en el primer embarazo y la edad del joven al embarazar por primera vez a una pareja; los grupos de edad se dividieron en menores de 20 y de 20 a�os o mayores. La distribuci�n de las personas encuestadas (tanto por su propia experiencia reproductiva como la de su madre), se analiz� en relaci�n con varias caracter�sticas, y se valor� mediante regresiones log�sticas las posibles asociaciones entre estas variables y la experiencia del embarazo. Resultados: Treinta por ciento de las j�venes reportaron haberse embarazado antes de los 20 a�os; y 21% de los hombres dijeron que eran menores de 20 a�os cuando su pareja se embaraz�. De estos grupos, 34% de las mujeres y 31% de los hombres reportaron que sus madres hab�an dado a luz por primera vez a la misma edad. Tanto las mujeres como los hombres tuvieron mayor probabilidad de experimentar un embarazo temprano si su madre hab�a tenido un hijo antes de los 20 a�os (razones de momios, 2.0 y 2.3, respectivamente). En las mujeres, esta asociaci�n positiva desapareci� en el modelo final, despu�s de ajustar por nivel de educaci�n, mientras que entre los hombres la asociaci�n permaneci� despu�s de un ajuste similar (1.8). Conclusiones: El nivel de educaci�n de las hijas e hijos parece ser un factor importante en la repetici�n de la fecundidad adolescente a trav�s de las generaciones. Se necesita esfuerzos para aumentar el acceso a la educaci�n y para alentar a la gente joven a que permanezca en la escuela.
French Abstract: Contexte: Les grossesses d'adolescentes ont �t� associ�es � l'exp�rience de la maternit� pr�coce des m�res des adolescents concern�s et le niveau d'instruction des jeunes semble jouer un r�le important. M�thodes: En 2002, une enqu�te de m�nages repr�sentative a recueilli des donn�es aupr�s de 3.050 jeunes hommes et femmes de 20 � 24 ans dans trois villes du Br�sil. Les principales mesures ont port� sur l'�ge de la m�re � la premi�re naissance, l'�ge de la fille � la premi�re grossesse et l'�ge du fils au moment de la f�condation d'une partenaire. Les �ges ont �t� dichotomis�s entre moins de 20 ans et 20 ans ou plus. La distribution des r�pondants en fonction de leur propre exp�rience g�n�sique et de celle de leur m�re a �t� analys�e selon diff�rentes caract�ristiques, tandis que les associations possibles entre ces variables et l'exp�rience d'une grossesse �taient �valu�es par r�gressions logistiques. R�sultats: Trente pour cent des femmes ont d�clar� avoir �t� enceintes avant l'�ge de 20 ans, tandis que 21% des hommes d�claraient avoir eu moins de 20 ans au moment de la f�condation de leur partenaire. De ces groupes, 34% des femmes et 31% des hommes ont d�clar� que leur m�re avait accouch� pour la premi�re fois � ce m�me �ge. Tant les femmes que les hommes sont apparus plus susceptibles d'avoir connu une grossesse pr�coce si leur m�re avait eu un enfant avant l'�ge de 20 ans (rapports de probabilit�s, 2,0 et 2,3, respectivement). C�t� f�minin, cette association positive dispara�t dans le mod�le final apr�s correction du niveau d'instruction; c�t� masculin, elle se maintient apr�s correction similaire (1,8). Conclusions: Le niveau d'instruction des filles comme des fils semble jouer un r�le important dans la r�p�tition de la f�condit� adolescente d'une g�n�ration � l'autre. Des efforts sont n�cessaires pour accro�tre l'acc�s � l'�ducation et encourager les jeunes � poursuivre leur scolarisation.
Language: English
Keywords:
BRAZIL | RESEARCH REPORT | SURVEYS | MOTHERS | ADOLESCENTS, FEMALE | ADOLESCENT PREGNANCY | AGE FACTORS | FIRST BIRTH | EDUCATIONAL STATUS | REPRODUCTIVE BEHAVIOR | FERTILITY | South America, Eastern | South America | Latin America | Americas | Developing Countries | Sampling Studies | Studies | Research Methodology | Parents | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Adolescents | Youth | Population Characteristics | Demographic Factors | Population | Population Dynamics | Pregnancy History | Fertility Measurements | Socioeconomic Status | Socioeconomic Factors | Economic Factors
Document Number: 343004

Peer Reviewed

Title: Return to fertility following discontinuation of oral contraceptives.
Author: Barnhart KT; Schreiber CA
Source: Fertility and Sterility. 2009 Mar;91(3):659-63.
Abstract: OBJECTIVES: To provide an overview of the studies that have evaluated the return to fertility following cessation of oral contraceptives (OCs), including recent evidence in women discontinuing extended-cycle and continuous-use regimens. DESIGN: Comprehensive review. PATIENT(S): None. INTERVENTION(S): Relevant articles were identified through a PubMed literature search (1960-2007) and a cross-reference of published data. MAIN OUTCOME MEASURE(S): Time to fertility following contraceptive use. RESULT(S): Numerous studies have demonstrated some delay in the time to conception in previous users of OCs who discontinued use in order to conceive, but this impairment appears to be temporary and typically limited to the early months following cessation of OC use. Reported 12-month conception rates in former cyclic OC users range from 72%-94% and are similar to those observed in women discontinuing intrauterine devices (71%-92%), progestin-only contraceptives (70%-95%), condoms (91%), and natural family planning (92%). There is a limited amount of data on the time to conception in women stopping extended-cycle and continuous-use OCs, but the data suggest that subsequent return to fertility is generally comparable to that of cyclic OCs. CONCLUSION(S): A comprehensive survey of reported data indicates that the return of fertility in former OC users (both cyclic and extended/continuous regimens) in women who stop use in order to conceive is comparable to that observed with other contraceptive methods.
Language: English
Keywords:
UNITED STATES OF AMERICA | PENNSYLVANIA | LITERATURE REVIEW | FERTILITY | ORAL CONTRACEPTIVES | CONTRACEPTIVE USAGE | REVERSIBILITY | Developed Countries | North America | Americas | Population Dynamics | Demographic Factors | Population | Contraceptive Methods | Contraception | Family Planning
Document Number: 330562

10.

Peer Reviewed

Title: Religious socialisation and fertility: transition to third birth in the Netherlands.
Author: Berghammer C
Source: European Journal of Population. 2009 Aug;25(3):297-324.
Abstract: Although previous studies have demonstrated that religious people in Europe have larger families, the role played by religious socialization in the context of contemporary fertility behavior has not yet been analysed in detail. This contribution specifically looks at the interrelation between religious socialisation and current religiosity and their impact on the transition to the third child for Dutch women. It is based on data of the first wave of the Netherlands Kinship Panel Study (2002-2004) and uses event history analysis. The transitions to first, second and third birth are modeled jointly with a control for unobserved heterogeneity. The findings provide evidence for an impact of women�s current church attendance as well as religious socilisation measured by their fathers� religious affiliation, when they were teenagers. A religious family background remains influential even when a woman has stopped attending church. The effects of religious indicators strengthen over cohorts. Moreover, the combined religious make-up of the respondent�s parents also significantly determines the progression of the third child.
Language: English
Keywords:
NETHERLANDS | RESEARCH REPORT | EVENT HISTORY ANALYSIS | RELIGION | SOCIAL BEHAVIOR | CULTURE | FERTILITY | DEMOGRAPHIC TRANSITION | Europe, Western | Europe | Developed Countries | Demographic Analysis | Research Methodology | Sociocultural Factors | Behavior | Population Dynamics | Demographic Factors | Population
Document Number: 339899

11.

Peer Reviewed

Title: Polygyny and women's health in sub-Saharan Africa.
Author: Bove R; Valeggia C
Source: Social Science and Medicine. 2009 Jan;68(1):21-9.
Abstract: In this paper we review the literature on the association between polygyny and women's health in sub-Saharan Africa. We argue that polygyny is an example of "co-operative conflict" within households, with likely implications for the vulnerability of polygynous women to illness, and for their access to treatment. We begin with a review of polygyny and then examine vulnerability to sexually transmitted infections (STIs, including HIV) and differential reproductive outcomes. Polygyny is associated with an accelerated transmission of STIs, both because it permits a multiplication of sexual partners and because it correlates with low rates of condom use, poor communication between spouses, and age and power imbalances among other factors. Female fertility is affected by the interplay between marital rank, household status, and cultural norms in polygynous marriages. Finally, we present areas which have received only cursory attention: mental health and a premature, "social" menopause. Although data are scarce, polygyny seems to be associated with higher levels of anxiety and depression, particularly around stressful life events. It is our hope that the examples reviewed here will help build a framework for mixed method quality research, which in turn can inform decision makers on more appropriate, context-dependent health policies.
Language: English
Keywords:
AFRICA, SUB SAHARAN | RESEARCH REPORT | WOMEN | WOMEN'S HEALTH | MENTAL HEALTH | FERTILITY | POLYGYNY | HIV INFECTIONS | SEXUALLY TRANSMITTED DISEASES | Africa | Developing Countries | Demographic Factors | Population | Health | Population Dynamics | Marriage Patterns | Marriage | Nuptiality | Viral Diseases | Diseases | Reproductive Tract Infections | Infections
Document Number: 331194

12.
Peer Reviewed

Title: Cohort comparison of two fertility awareness methods of family planning.
Author: Fehring RJ; Schneider M; Barron ML; Raviele K
Source: Journal of Reproductive Medicine. 2009 Mar;54(3):165-70.
Abstract: OBJECTIVE: To determine if an electronic hormonal fertility monitor aided method (EHFM) of family planning is more effective than a cervical mucus only method (CMM) in helping couples to avoid pregnancy. STUDY DESIGN: Six hundred twenty-eight women were taught how to avoid pregnancy with either the EHFM (n=313) or the CMM (n = 315). Both methods involved standardized group teaching and individual follow-up. All pregnancies were reviewed and classified by health professionals. Correct use and total unintended pregnancy rates over 12 months of use were determined by survival analysis. Comparisons of unintended pregnancies between the 2 methods were made by use of the Fisher exact test. RESULTS: There were a total of 28 unintended pregnancies with the EFHM and 41 with the CMM. The 12-month correct use pregnancy rate of the monitor-aided method was 2.0%, and the total pregnancy rate was 12.0%. In comparison, the 12-month correct use pregnancy rate of the CMM was 3.0%, and the total pregnancy rate was 23.0%. There was a significant difference in total pregnancies between the 2 groups (p<0.05). CONCLUSION: EFHM is more effective than CMM. Further research is needed to verify the results.
Language: English
Keywords:
DEVELOPING COUNTRIES | UNITED STATES OF AMERICA | RESEARCH REPORT | FAMILY PLANNING | FERTILITY | NATURAL FAMILY PLANNING | PREGNANCY, UNPLANNED | PREVENTION AND CONTROL | PROGRAM EFFECTIVENESS | Developed Countries | North America | Americas | Population Dynamics | Demographic Factors | Population | Family Planning, Behavioral Methods | Reproductive Behavior | Diseases | Program Evaluation | Programs | Organization and Administration
Document Number: 331019

13.

Peer Reviewed

Title: Provision of contraception services and advice for women with cystic fibrosis.
Author: Gatiss S; Mansour D; Doe S; Bourke S
Source: Journal of Family Planning and Reproductive Health Care. 2009 Jul;35(3):157-60.
Abstract: BACKGROUND AND METHODOLOGY: As the prognosis of patients with cystic fibrosis (CF) improves, issues of sexual health, fertility, pregnancy and contraception are increasingly important. In order to plan the provision of a contraception and sexual health service for women with CF we studied their sexual and reproductive history, their current usage of contraception, the sources and quality of advice they had received, and their particular needs using a confidential questionnaire sent to all women over 16 years of age attending a regional CF centre. RESULTS: Of 55 women (mean age 29.7 years) surveyed, 42 (76%) responded. Thirty-three women (79%) were sexually active and 13 (31%) had experienced 19 pregnancies, five (26%) of which were unplanned. Only half of the women who responded were using contraception. No woman used female sterilisation, the progestogen implant, intrauterine system (IUS) or copper-bearing intrauterine device (IUD) for contraception. Twenty-six (62%) women reported not having received contraceptive advice specific to CF and 24 (57%) said that they had not been warned about the potential interaction between broad-spectrum antibiotics and the combined pill. DISCUSSION: Women with CF have a relatively high rate of unplanned pregnancy and do not receive optimal advice or use the full range of contraceptive methods. CF teams lack training in contraception and contraceptive services may not have a detailed knowledge of CF and its complications. New strategies are needed to focus the knowledge and skills of both teams in providing better services for women with CF.
Language: English
Keywords:
UNITED KINGDOM | RESEARCH REPORT | WOMEN | CLIENTS | HEREDITARY DISEASES | COMPLICATIONS | CONTRACEPTIVE USAGE | FERTILITY | PREGNANCY | QUESTIONNAIRES | ANTIBIOTICS | GENETIC COUNSELING | Developed Countries | Europe, Western | Europe | Demographic Factors | Population | Program Activities | Programs | Organization and Administration | Diseases | Contraception | Family Planning | Population Dynamics | Reproduction | Drugs | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Counseling | Clinic Activities
Document Number: 342139

14.

Peer Reviewed

Title: Opportunity for natural selection among the Indian population: secular trend, covariates and implications.
Author: Gautam RK
Source: Journal of Biosocial Science. 2009 Jul 23;:1-41.
Abstract: Crow's index is widely used for indirect quantitative estimation of natural selection using birth and death rates. The present investigation is based on 179 studies among 144 different endogamous communities belonging to nineteen states and six geographical regions of India, categorized into six social groups. These studies appeared in 33 different years over six decades (1956 to 2007). The secular trend in Crow's index (It) and its mortality and fertility components (Im and If) shows a gradual decline in It and radical shift in the relative contributions of Im and If. Before 1990 the opportunity for natural selection was mainly determined by differential pre-reproductive mortality (Im), whereas after 1990 it has been determined by differential fertility (If). To find out the covariates of It, Im and If sixteen socio-demographic variables were considered, and nine were found to be significantly correlated with It: total dependency ratio, decadal growth rate 1991-2001, young age dependency ratio, crude death rate, total fertility rate, child mortality rate, under-5 mortality rate, old age dependency ratio and decadal growth rate 1981-1991. On the basis of multivariate stepwise regression analysis, female literacy emerged as one of the most important predictors of It. The declining trend of It, Im and If shows that the Indian population is passing through the demographic transition.
Language: English
Keywords:
INDIA | ADMINISTRATIVE DISTRICTS | RESEARCH REPORT | DATA COLLECTION | STATISTICAL REGRESSION | TRIBES | MOTHERS | CASTE | POPULATION GENETICS | FERTILITY | MORTALITY | DEPENDENCY BURDEN | SOCIOCULTURAL FACTORS | DEMOGRAPHIC TRANSITION | Asia, Southern | Asia | Developing Countries | Geographic Factors | Population | Research Methodology | Data Analysis | Cultural Background | Population Characteristics | Demographic Factors | Parents | Family Relationships | Family Characteristics | Family and Household | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Genetics | Biology | Population Dynamics | Microeconomic Factors
Document Number: 342293

15.

16.

Title: Breast cancer in young women and its impact on reproductive function.
Author: Hickey M; Peate M; Saunders CM; Friedlander M
Source: Human Reproduction Update. 2009 May-Jun;15(3):323-39.
Abstract: BACKGROUND: Breast cancer is the most common cancer in women in developed countries, and 12% of breast cancer occurs in women 20-34 years. Survival from breast cancer has significantly improved, and the potential late effects of treatment and the impact on quality of life have become increasingly important. Young women constitute a minority of breast cancer patients, but commonly have distinct concerns and issues compared with older women, including queries regarding fertility, contraception and pregnancy. Further, they are more likely than older women to have questions regarding potential side effects of therapy and risk of relapse or a new primary. In addition, many will have symptoms associated with treatment and they present a management challenge. Reproductive medicine specialists and gynaecologists commonly see these women either shortly after initial diagnosis or following adjuvant therapy and should be aware of current management of breast cancer, the options for women at increased genetic risk, the prognosis of patients with early stage breast cancer and how adjuvant systemic treatments may impact reproductive function. METHODS: No systematic literature search was done. The review focuses on the current management of breast cancer in young women and the impact of treatment on reproductive function and subsequent management. With reference to key studies and meta-analyses, we highlight controversies and current unanswered questions regarding patient management. RESULTS: Chemotherapy for breast cancer is likely to negatively impact on reproductive function. A number of interventions are available which may increase the likelihood of future successful pregnancy, but the relative safety of these interventions is not well established. For those who do conceive following breast cancer, there is no good evidence that pregnancy is detrimental to survival. We review current treatment; effects on reproductive function; preservation of fertility; contraception; pregnancy; breastfeeding and management of menopausal symptoms following breast cancer. CONCLUSION: This paper provides an update on the management of breast cancer in young women and is targeted at reproductive medicine specialists and gynaecologists.
Language: English
Keywords:
AUSTRALIA | RESEARCH REPORT | BREAST CANCER | SURGERY | DRUGS | GENETICS | FERTILITY | CONTRACEPTION | PREGNANCY | BREASTFEEDING | MENOPAUSE | AGE FACTORS | TAMOXIFEN | Oceania | Developed Countries | Cancer | Neoplasms | Diseases | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Biology | Population Dynamics | Demographic Factors | Population | Family Planning | Reproduction | Infant Nutrition | Nutrition | Population Characteristics | Fertility Agents | Reproductive Control Agents
Document Number: 341960

17.

Peer Reviewed

Title: Reproductive intentions and outcomes among women on antiretroviral therapy in rural Uganda: a prospective cohort study.
Author: Homsy J; Bunnell R; Moore D; King R; Malamba S; Nakityo R; Glidden D; Tappero J; Mermin J
Source: PLoS One. 2009;4(1):e4149.
Abstract: BACKGROUND: Antiretroviral therapy (ART) may influence the biological, social and behavioral determinants of pregnancy in HIV-infected women. However, there are limited longitudinal data on the reproductive intentions and outcomes among women on ART in Africa. METHODOLOGY /PRINCIPAL FINDINGS: Using a prospective cohort design, we analyzed trends in desire for children and predictors of pregnancy among a cohort of 733 HIV-infected women in rural Uganda who initiated ART between May 2003 and May 2004 and were followed up in their homes until June 2006. Women answered in-depth social and behavioral questionnaires administered every quarter in year 1 after initiating ART, and every 6 to 12 months thereafter. Use of family planning methods was assessed at 18 and 24 months after starting ART. We tested for non-constant pregnancy incidence by using a shape parameter test from the Weibull distribution. We modeled repeated measurements of all variables related to the women's desire for children over time using a generalized estimating equation (GEE) extension to the logistic regression model. Risk factors for pregnancy were examined using Cox proportional hazards model. 711 women eligible for the study were followed-up for a median time of 2.4 years after starting ART. During this time, less than 7% of women reported wanting more children at any time point yet 120 (16.9%) women experienced 140 pregnancies and pregnancy incidence increased from 3.46 per 100 women-years (WY) in the first quarter to 9.5 per 100 WY at 24 months (p<0.0001). This was paralleled by an increase in the proportion of women reporting sexual activity in the past 3 months, from 24.4% at baseline to 32.5% over 24 months of follow-up (p = 0.001). Only 14% of women used permanent or semi-permanent family planning methods by their second year on ART. In the multivariate model, younger age (HR = 2.71 per 10-year decrease, 95% CI: 2.95-3.78), having a BMI>18.5 (HR = 1.09, CI: 1.01-1.18) and not having used condoms consistently in the last 3 months (HR = 1.79, CI: 1.02-3.13) were independently associated with pregnancy. CONCLUSION/SIGNIFICANCE: Women on ART and their partners should be consistently counseled on the effects of ART in restoring fertility, and offered regularly free and comprehensive family planning services as part of their standard package of care.
Language: English
Keywords:
UGANDA | RESEARCH REPORT | PROSPECTIVE STUDIES | WOMEN | PERSONS LIVING WITH HIV/AIDS | PREGNANCY | REPRODUCTIVE BEHAVIOR | ANTIRETROVIRAL THERAPY | HIV INFECTIONS | FERTILITY | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Studies | Research Methodology | Demographic Factors | Population | Persons Living With HIV/AIDS | Viral Diseases | Diseases | Reproduction | Population Dynamics | HIV
Document Number: 330195

18.

Title: Introduction to the supplement on HIV, HAART, and fertility in sub-Saharan Africa [editorial]
Author: Kaida A; Bangsberg DR; Gray G; Hogg RS; King R; Miller CL
Source: AIDS and Behavior. 2009 Jun;13(Suppl 1):S1-S4.
Abstract: Recent years have witnessed an unprecedented global effort aimed at providing universal access to highly active antiretroviral therapy (HAART), however, comparatively little attention has been given to how HAART may affect reproductive decision-making, sexual and reproductive practices, and fertility.1 These issues are particularly critical in HIV endemic settings where the majority of new infections occur among women (UNAIDS 2008). The goal of this supplement of AIDS and Behavior is to bring together current, innovative research from sub-Saharan Africa that explores the influence of HAART on reproductive decision-making, reproductive and sexual health, and reproductive outcomes at individual, social, and environmental levels. (excerpt)
Language: English
Keywords:
AFRICA, SUB SAHARAN | SUMMARY REPORT | ANTIRETROVIRAL THERAPY | PROGRAM ACCESSIBILITY | HIV INFECTIONS | REPRODUCTIVE BEHAVIOR | REPRODUCTIVE HEALTH | DECISION MAKING | FERTILITY | STIGMA | PREVENTION OF MOTHER-TO-CHILD TRANSMISSION | Africa | Developing Countries | HIV | Viral Diseases | Diseases | Program Evaluation | Programs | Organization and Administration | Population Dynamics | Demographic Factors | Population | Health | Behavior | Social Problems | Sociocultural Factors | Disease Transmission Control | Prevention and Control
Document Number: 341888

19.

Peer Reviewed

Title: Birth records from Swiss married couples analyzed over the past 35 years reveal an aging of first-time mothers by 5.1 years while the interpregnancy interval has shortened.
Author: Kalberer U; Baud D; Fontanet A; Hohlfeld P; de Ziegler D
Source: Fertility and Sterility. 2009 Jul 14;
Abstract: Although the general trend for delaying childbearing is generally viewed as causing infertility, its consequences on the interpregnancy interval have been unknown. A study of birth records for Swiss married women from 1969 to 2006 revealed that the woman's age at first birth has increased from 25.0 to 30.1 years, whereas calculated theoretical interpregnancy intervals after the first and second child decreased from 23.2 to 13 and from 22.4 to 7.9 months, respectively.
Language: English
Keywords:
SWITZERLAND | SUMMARY REPORT | COUPLES | CURRENTLY MARRIED | DELAYED CHILDBEARING | DEMOGRAPHIC AGING | FERTILITY | BIOLOGICAL AGING | BIRTH RECORDS | FIRST BIRTH | AGE FACTORS | FIRST BIRTH INTERVALS | Developed Countries | Europe, Central | Europe | Family Characteristics | Family and Household | Sociocultural Factors | Marital Status | Nuptiality | Demographic Factors | Population | Reproductive Behavior | Population Dynamics | Physiology | Biology | Vital Statistics | Population Statistics | Research Methodology | Pregnancy History | Fertility Measurements | Population Characteristics | Birth Intervals
Document Number: 342041

20.
Title: Fertility development in the Baltic countries since 1990: a transformation in the context of long-term trends.
Author: Katus K; Puur A; Sakkeus L; Poldma A
Source: Finnish Yearbook of Population Research. 2009;44:7-32.
Abstract: The article addresses the transformation of fertility patterns in the Baltic countries since the turn of the 1990s, in the context of long-term trends. The purpose of the study is to compare the change in fertility level, parity distribution, timing of childbearing, and the connection between marriage and childbearing in Estonia, Latvia and Lithuania, and analyze the position of the Baltic countries in a broader European perspective. Our results indicate a salient role of tempo effects in the sharp decline of period fertility measures that occurred in the region in the 1990s. Tempo-adjusted measures indicate moderately low fertility levels of 1.6-1.7 children per woman in the region. In the recent years, fertility levels have been rising in all three countries with recuperation being more vigorous in Estonia and less so in Lithuania. Estonia and Latvia also appear more advanced in terms of the spread of childbearing among cohabiting couples, with the proportion of non-marital births comparable to Scandinavian countries. The article discusses the factors underlying the observed similarities and dissimilarities in fertility patterns, pointing to the plausible demographic path dependence.
Language: English
Keywords:
ESTONIA | RESEARCH REPORT | COMPARATIVE STUDIES | FERTILITY | DEMOGRAPHIC TRANSITION | AGE FACTORS | FERTILITY RATE | Europe, Eastern | Europe | Developing Countries | Studies | Research Methodology | Population Dynamics | Demographic Factors | Population | Population Characteristics | Birth Rate | Fertility Measurements
Document Number: 331310

21.
Peer Reviewed

Title: Italy's path to very low fertility: the adequacy of economic and second demographic transition theories.
Author: Kertzer DI; White MJ; Bernardi L; Gabrielli G
Source: European Journal of Population. 2009 Feb;25(1):89-115.
Abstract: The deep drop of the fertility rate in Italy to among the lowest in the world challenges contemporary theories of childbearing and family building. Among high-income countries, Italy was presumed to have characteristics of family values and female labor force participation that would favor higher fertility than its European neighbors to the north. We test competing economic and cultural explanations, drawing on new nationally representative, longitudinal data to examine first union, first birth, and second birth. Our event history analysis finds some support for economic determinants of family formation and fertility, but the clear importance of regional differences and of secularization suggests that such an explanation is at best incomplete and that cultural and ideational factors must be considered.
Language: English
Keywords:
ITALY | RESEARCH REPORT | DEMOGRAPHIC TRANSITION | EVENT HISTORY ANALYSIS | FERTILITY | SOCIAL CHANGE | GEOGRAPHIC FACTORS | ECONOMIC FACTORS | Developed Countries | Europe, Southern | Europe | Population Dynamics | Demographic Factors | Population | Demographic Analysis | Research Methodology | Sociocultural Factors
Document Number: 331297

22.

Peer Reviewed

Title: A Qualitative Assessment of Decisions Affecting Contraceptive Utilization and Fertility Intentions among HIV-Positive Women in Soweto, South Africa.
Author: Laher F; Todd CS; Stibich MA; Phofa R; Behane X; Mohapi L; Gray G
Source: AIDS and Behavior. 2009 Mar 24;13:S47-S54.
Abstract: The HIV epidemic in sub-Saharan Africa disproportionately affects women of reproductive age. The increasing provision of Highly Active Anti-Retroviral Therapy (HAART) with improved prognosis and maternal-fetal outcomes calls for an understanding of fertility planning for HIV-positive women. We describe the effect of HIV and HAART on pregnancy desires and contraceptive use among HIV-positive women in Soweto, South Africa. Focus group discussions and in-depth interviews were conducted with 42 HIV-positive women of reproductive age. Analysis was performed using ATLAS-ti (ATLAS-ti Center, Berlin). Emergent themes were impact of HIV diagnosis on pregnancy intentions; factors affecting contraceptive uptake including real and normative side effects, body image, and perceived vaginal wetness; and the mitigating influence of partnership on both pregnancy intentions and contraceptive use. Routine counseling about pregnancy desires and contraception should be offered to HIV-positive women.
Language: English
Keywords:
SOUTH AFRICA | RESEARCH REPORT | QUALITATIVE RESEARCH | PERSONS LIVING WITH HIV/AIDS | WOMEN | CONTRACEPTION | REPRODUCTIVE BEHAVIOR | HIV INFECTIONS | ANTIRETROVIRAL THERAPY | FERTILITY | DECISION MAKING | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Research Methodology | Viral Diseases | Diseases | Demographic Factors | Population | Family Planning | Population Dynamics | HIV | Behavior
Document Number: 330852

23.

Title: Kin influence on the decision to start using modern contraception: A longitudinal study from rural Gambia.
Author: Mace R; Colleran H
Source: American Journal of Human Biology. 2009 May 5;
Abstract: In earlier work in rural Gambia, we found that kin influence reproductive success: matrilineal kin, especially mothers, maternal grandmothers and unmarried older sisters all helped to promote the survival and nutrition of young children; in contrast patrilineal kin, especially husband's mother, promoted fertility. These differing influences of maternal and paternal lineage are predicted on the basis of kin selection and sexual conflict theory, because the costs of reproduction fall more heavily on the mother than the father. These studies covered the period 1950-1975, when this population was essentially "natural fertility, natural mortality." It is not possible to tell whether these effects were due to kin influencing active reproductive decision-making, or due to indirect effects such as kin improving nutrition by helping. Since 1976, modern contraception has become available in this community. In an analysis of the behavioral ecology of the decision to start using modern contraception, we found that high parity for your age was a key determinant of the decision, as was village and calendar year. Here, we examine whether the presence or absence of kin and also whether the contraceptive status of kin influenced the decision to start using contraception. We find little evidence that kin directly influence contraceptive uptake, either by their presence/absence or as models for social learning. However, death of a first husband (i.e., widowhood) does accelerate contraceptive uptake. We discuss our results from an evolutionary demography perspective, in particular regarding theories of sexual conflict, biased cultural transmission, and social learning. Am. J. Hum. Biol., 2009. (c) 2009 Wiley-Liss, Inc.
Language: English
Keywords:
GAMBIA | RESEARCH REPORT | LONGITUDINAL STUDIES | RURAL AREAS | KINSHIP NETWORKS | MOTHERS | GRANDPARENTS | MATRIARCHY | FERTILITY | CONTRACEPTION | DECISION MAKING | Africa, Western | Africa, Sub Saharan | Africa | Developing Countries | Studies | Research Methodology | Geographic Factors | Population | Family and Household | Sociocultural Factors | Parents | Family Relationships | Family Characteristics | Population Dynamics | Demographic Factors | Family Planning | Behavior
Document Number: 341044

24.

Peer Reviewed

Title: Effect of levonorgestrel and mifepristone on endometrial receptivity markers in a three-dimensional human endometrial cell culture model.
Author: Meng CX; Andersson KL; Bentin-Ley U; Gemzell-Danielsson K; Lalitkumar PG
Source: Fertility and Sterility. 2009 Jan;91(1):256-64.
Abstract: OBJECTIVE: To investigate the effect of levonorgestrel and mifepristone on the expression of endometrial receptivity markers in a three-dimensional endometrial construct. DESIGN: In vitro study. SETTING: University hospital and research laboratory. PATIENT(S): Twelve fertile donors. INTERVENTION(S): Timed endometrial biopsy. MAIN OUTCOME MEASURE(S): Examine the effect of levonorgestrel along with another well-studied fertility-regulating drug, mifepristone, on the expression of endometrial receptivity factors in a three-dimensional stromal and epithelial cell coculture model by immunohistochemistry. RESULT(S): Both epithelial and stromal cells of in vitro endometrial construct showed the presence of estrogen receptor-alpha, estrogen receptor-beta, progesterone receptors-(A+B), vascular endothelial growth factor, leukemia inhibitory factor, interleukin-1 beta, and cyclooxygenase-2, whereas the expression of progesterone receptor-B (AR), integrin alpha(V)beta(3,) and MUC1 were confined to epithelialcells. Mifepristone up-regulated expression of epithelial estrogen receptor-beta and progesterone receptor-B and down-regulated stromal vascular endothelial growth factor and surface molecules MUC1 and integrin alpha(V)beta(3) as observed in vivo. Levonorgestrel had no effect on the expression of endometrial receptivity markers studied. CONCLUSION(S): This in vitro model expresses progesterone-regulated endometrial receptivity factors seen in the physiologic condition. Treatment with levonorgestrel did not affect the expression of these endometrial receptivity markers in contrast to mifepristone. This in vitro model holds the potential to study endometrial receptivity, the embryo-endometrial interaction, and develop new agents for fertility control.
Language: English
Keywords:
SWEDEN | RESEARCH REPORT | IN VITRO | LABORATORY EXAMINATIONS AND DIAGNOSES | LEVONORGESTREL | RU-486 | DECIDUAL CELL REACTION | FERTILITY | Europe, Northern | Europe | Developed Countries | Clinical Research | Research Methodology | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Contraceptive Agents, Progestin | Contraceptive Agents, Female | Contraceptive Agents | Contraception | Family Planning | Hormone Antagonists | Hormones | Endocrine System | Physiology | Biology | Cytologic Effects | Population Dynamics | Demographic Factors | Population
Document Number: 329592

25.

Peer Reviewed

Title: Impact of bariatric surgery on female reproduction.
Author: Merhi ZO
Source: Fertility and Sterility. 2009 Aug 7;
Abstract: OBJECTIVE: To evaluate the current literature on the impact and potential mechanisms of surgical weight loss on female reproduction, with a focus on changes in reproductive hormone profile, fertility status, measures of ovarian reserve, efficacy of oral contraception, sexuality, and pregnancy. DESIGN: Appraisal of articles relevant to surgical weight loss and female reproduction. RESULT(S): The altered reproductive hormone profile associated with morbid obesity seems to reverse, either partially or totally, after surgical weight loss. Although bariatric surgery seems to improve fertility status and many of the complications associated with obesity in pregnancy, it may be linked to oral contraceptive failure. Although mullerian-inhibiting substance is a direct measure of ovarian reserve, its level changes with obesity and after surgical weight loss. There is a decrease or no change in the risk of miscarriage after bariatric surgery. An improvement in sexual function may follow dramatic surgical weight reduction; however, the possibility of a detrimental influence afterward can occur. CONCLUSION(S): The increasing popularity of bariatric surgery in reproductive-age women calls for greater clinician awareness of its impact on female reproduction.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | LITERATURE REVIEW | WOMEN | REPRODUCTIVE AGE | BODY WEIGHT | SURGERY | FERTILITY | OBESITY | CONTRACEPTION | PREGNANCY | SEXUALITY | RISK FACTORS | IMPACT | Developed Countries | North America | Americas | Demographic Factors | Population | Reproduction | Physiology | Biology | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Population Dynamics | Family Planning | Personality | Psychological Factors | Behavior | Communication
Document Number: 342537

26.

Title: Fear and fertility in inflammatory bowel disease: a mismatch of perception and reality affects family planning decisions.
Author: Mountifield R; Bampton P; Prosser R; Muller K; Andrews JM
Source: Inflammatory Bowel Diseases. 2009 May;15(5):720-5.
Abstract: BACKGROUND: Smaller family size and voluntary childlessness has been reported in IBD; however, the disease-related reasons for this from a patient viewpoint are not described. The aims were to 1) determine whether IBD patients' perceptions of the issues surrounding IBD, pregnancy, and childbearing influence their reproductive behavior, and 2) describe these specific perceptions and concerns related to fertility and pregnancy. METHODS: All contactable subjects between 18-50 years of age from a hospital-based IBD database were surveyed by postal questionnaire. Data were obtained regarding age, gender, IBD diagnosis and treatment, body image and sexual relationships, as well as both objective and subjective data regarding fertility and pregnancy. Comparisons were made to community norms where data were available. Contingency tables with Fisher's exact test were used. RESULTS: Of 365 subjects, 255 responded (70%). The mean age was 35.5 years overall, 34.7 years for women. In all, 34% of participants were male, 127 had Crohn's disease (CD), 85 ulcerative colitis (UC), and 5 indeterminate colitis (IC). The average fertility rate was no different between women with CD and UC (1.0 and 1.2 births/woman, respectively; P = 0.553), compared with 1.81 for all Australian women. Although 42.7% of IBD patients reported a fear of infertility, patients only sought medical fertility advice at the same rate as the general population. Fear of infertility was most evident in women, those with CD, and those reporting previous surgery. Specific patient concerns, which appear to have decreased patients' family size, included IBD heritability, the risk of congenital abnormalities, and medication teratogenicity. CONCLUSIONS: The unusually high response rate indicates the centrality of reproductive issues to IBD patients. "Voluntary" childlessness in this group appears to result from concerns about adverse reproductive outcomes that may not be justified. Patients require accurate counseling addressing fertility and pregnancy outcomes in IBD to assist in their decision making.
Language: English
Keywords:
AUSTRALIA | RESEARCH REPORT | SURVEYS | CLIENTS | GASTROINTESTINAL EFFECTS | PERCEPTION | FEAR | PREGNANCY | FERTILITY | CONGENITAL ABNORMALITIES | VOLUNTARY CHILDLESSNESS | Oceania | Developed Countries | Sampling Studies | Studies | Research Methodology | Program Activities | Programs | Organization and Administration | Physiology | Biology | Psychological Factors | Behavior | Emotions | Reproduction | Population Dynamics | Demographic Factors | Population | Neonatal Diseases and Abnormalities | Diseases | Reproductive Behavior
Document Number: 342482

27.

Title: Fertility awareness-based methods: another option for family planning.
Author: Pallone SR; Bergus GR
Source: Journal of the American Board of Family Medicine. 2009 Mar-Apr;22(2):147-57.
Abstract: Modern fertility awareness-based methods (FABMs) of family planning have been offered as alternative methods of family planning. Billings Ovulation Method, the Creighton Model, and the Symptothermal Method are the more widely used FABMs and can be more narrowly defined as natural family planning. The first 2 methods are based on the examination of cervical secretions to assess fertility. The Symptothermal Method combines characteristics of cervical secretions, basal body temperature, and historical cycle data to determine fertility. FABMs also include the more recently developed Standard Days Method and TwoDays Method. All are distinct from the more traditional rhythm and basal body temperature methods alone. Although these older methods are not highly effective, modern FABMs have typical-use unintended pregnancy rates of 1% to 3% in both industrialized and nonindustrialized nations. Studies suggest that in the United States physician knowledge of FABMs is frequently incomplete. We review the available evidence about the effectiveness for preventing unintended pregnancy, prognostic social demographics of users of the methods, and social outcomes related to FABMs, all of which suggest that family physicians can offer modern FABMs as effective means of family planning. We also provide suggestions about useful educational and instructional resources for family physicians and their patients.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | PREGNANCY, UNWANTED | PREGNANCY RATE | FERTILITY | FAMILY PLANNING | CONTRACEPTIVE USE-EFFECTIVENESS | AWARENESS | PREVENTION AND CONTROL | Developed Countries | North America | Americas | Reproductive Behavior | Population Dynamics | Demographic Factors | Population | Fertility Measurements | Contraceptive Effectiveness | Contraception | Knowledge | Sociocultural Factors | Diseases
Document Number: 330464

28.

Peer Reviewed

Title: Reproductive health assessment for women with cancer: a pilot study.
Author: Patel A; Sreedevi M; Malapati R; Sutaria R; Schoenhage MB; Patel AR; Radeke EK; Zaren HA
Source: American Journal of Obstetrics and Gynecology. 2009 Aug;201(2):191.e1-4.
Abstract: OBJECTIVE: The purpose of this study was to pilot a survey instrument and to develop descriptive data about the reproductive goals of reproductive-aged women (15-44 years) with cancer. STUDY DESIGN: This was a cross-sectional pilot survey study of 20 women who were diagnosed with various types of cancers at the oncology clinic of Stroger Hospital of Cook County, Chicago, from January-July 2006. RESULTS: Of the 20 patients whose cases were surveyed, the mean age was 36.6 years, and 90% of the women had breast cancer. Ten percent of patients would continue pregnancy, if they became pregnant while receiving treatment. Contraception was used by 55% of patients (n = 11), of whom 55% of the women (n = 6) were using abstinence. CONCLUSION: The result of this pilot study demonstrates the need for reproductive health counseling in women with cancer; the range of discussion must include fertility interest, contraception, and fertility preservation.
Language: English
Keywords:
UNITED STATES OF AMERICA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | PILOT PROJECTS | WOMEN | CANCER | REPRODUCTIVE HEALTH | FERTILITY | CONTRACEPTION | Developed Countries | North America | Americas | Research Methodology | Studies | Demographic Factors | Population | Neoplasms | Diseases | Health | Population Dynamics | Family Planning
Document Number: 342578

29.

Peer Reviewed

Title: Prevalence of child marriage and its effect on fertility and fertility-control outcomes of young women in India: a cross-sectional, observational study.
Author: Raj A; Saggurti N; Balaiah D; Silverman JG
Source: Lancet. 2009 May 30;373(9678):1883-9.
Abstract: The authors assessed the prevalence of child marriage-i.e., before 18 years of age-in young adult women in India, and the associations between child marriage and women's fertility and fertility-control outcomes. Data from the National Family Health Survey-3 (2005-06) were limited to a sample of Indian women aged 20-24 years (n=22,807), of whom 14,813 had been or were presently married (ever-married). Prevalence of child marriage was estimated for the whole sample. They used regression models adjusted for demographics, and models adjusted for demographics and duration of marriage to estimate odds ratios for the associations between child marriage and both fertility and fertility-control outcomes, in the ever-married subsample. About 45% of women aged 20-24 years were married before age 18 years, 22.6% were married before age 16 years, and 2.6% were married before age 13 years. Child marriage was significantly associated with no contraceptive use before first childbirth, high fertility (three or more births), a repeat childbirth in less than 24 months, multiple unwanted pregnancies, pregnancy termination, and female sterilization. The association between child marriage and high fertility, a repeat childbirth in less than 24 months, multiple unwanted pregnancies, pregnancy termination, and sterilization all remained significant after controlling for duration of marriage. The authors conclude that increased enforcement of existing policies is crucial for preventing child marriage. Improved family-planning education, access, and support are urgently needed for women married as children, their husbands, and their families.
Language: English
Keywords:
INDIA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | PREVALENCE | WOMEN | YOUTH | CHILD MARRIAGE | FERTILITY | POPULATION CONTROL | PREVENTION AND CONTROL | HEALTH POLICY | NEEDS | Asia, Southern | Asia | Developing Countries | Research Methodology | Measurement | Demographic Factors | Population | Age Factors | Population Characteristics | Marriage Patterns | Marriage | Nuptiality | Population Dynamics | Population Policy | Social Policy | Policy | Political Factors | Sociocultural Factors | Diseases | Economic Factors
Document Number: 341631

30.
Peer Reviewed

Title: The influence of partner relationship quality on fertility.
Author: Rijken AJ; Liefbroer AC
Source: European Journal of Population. 2009 Feb;25(1):27-44.
Abstract: This study examines whether partner relationship quality influences fertility, and if so, in which direction and which aspects of relationship quality are relevant. Competing hypotheses are tested. One hypothesis assumes that higher relationship quality leads to higher rates of childbearing, as a high-quality relationship offers the most favourable environment to raise children. An opposite hypothesis expects that lower relationship quality leads to higher rates of childbearing, as couples might have children in order to improve their relationship. Hazard analyses are performed using three waves of the Panel Study on Social Integration in the Netherlands. Findings indicate that positive as well as negative interaction between partners has a negative effect on first- and higher-order birth rates. This suggests that couples are most likely to have children if they do not have too much negative interaction, but neither interact in a very positive way. Value consensus negatively influences higher-order birth rates.
Language: English
Keywords:
NETHERLANDS | RESEARCH REPORT | COUPLES | FERTILITY | INTERPERSONAL RELATIONS | QUALITY OF LIFE | IMPACT | Europe, Western | Europe | Developed Countries | Family Characteristics | Family and Household | Sociocultural Factors | Population Dynamics | Demographic Factors | Population | Behavior | Social Welfare | Economic Factors | Communication
Document Number: 331295


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