Economic Insecurity and the Fertility Intentions of Italian Women with One Child

Positive body image and childbearing intention: A cross-sectional study

Background

Childbearing plays a crucial role in population movements and one of the most important factors in societal development. Nowadays, given the decrease in fertility rates, especially in developed and some developing countries, and the multitude of factors affecting these rates, this study aims to investigate the association of positive body image and childbearing intention in Iran.

Methods

This descriptive and cross-sectional study involved all health care centers of Qaen city, eastern Iran. The list of reproductive-age women and men in each center was extracted from the Ministry of Health of Iran's database. Ultimately, 494 individuals were included in the study using available convenience sampling method. Data were collected applying demographic information questionnaire, "body appreciation scale-2 (BAS-2) and childbearing intention questionnaire. Statistical analysis was performed using SPSS.26 software.

Results

Of 494 participants in this study, 50 % were men. The average age of the participants was 32.25 years (SD = 8.02). The average age of women was higher than that of men. In this study, the mean and SDs of positive body image score and childbearing intention were 39.49 (SD = 8.14) and 2.36 (SD = 1.63), respectively. In general, a positive and significant correlation was found between age (r = 0.126, p = 0.005), income (r = 0.137, p = 0.002), physical activity (r = 0.127, p = 0.005) and positive body image (r = 0.482, p < 0.001) with childbearing intention. After categorizing childbearing intention into two groups, "less than 2 children" and "2 children and more", the results of simple regression modeling showed that age, income, physical activity, body appreciation, bachelor's education and being an employee are associated with intention to have two or more children. Using multiple logistic regression modeling, a statistically significant association was observed between the childbearing intention at an older age, (OR = 1.07, p < 0.001) as well as positive body image (OR = 1.20, p < 0.001).

Conclusions

The findings indicated a significant and positive association between positive body image and couples' fertility intention. In other words, alongside external factors, internal factors such as body appreciation can influence childbearing intention and population growth rate, which highlights the importance of considering internal factors in childbearing intention.

Detecting economic insecurity in Italy: a latent transition modelling approach

Economic insecurity has increased in importance in the understanding of economic and socio-demographic household behaviour. The present paper aims to analyse patterns of household economic insecurity over the years 2004–2015 by using the longitudinal section of the Italian SILC (Statistics on Income and Living Conditions) survey. In the identification of economic insecurity statuses, we used indicators of economic hardship in a latent transition approach in order to: (i) classify Italian households into homogenous classes characterised by different levels of economic insecurity, (ii) assess whether changes in latent class membership occurred in the selected time span, and (iii) evaluate the effect of employment status and characteristics of individuals on latent status membership. Empirical findings uncovered five latent statuses of economic insecurity from the best situation to the worst. The levels of economic insecurity remained quite stable over the period considered, but a non-negligible worsening can be detected for the unemployed and individuals with part-time jobs.

Childbearing intention and its associated factors: A systematic review

AIM

This study aimed to provide comprehensive information about the core determinants of fertility intentions.

DESIGN

Systematic review.

METHODS

Ovid, MEDLINE, EMBASE, PsycINFO, CINAHL, Web of Science, SCOPUS and GOOGLE SCHOLAR were searched for the relevant articles published from 1946-December 2017. We updated our records by searching three computerized databases (Ovid MEDLINE, SCOPUS and WOS) from 2018-January 2021.

RESULTS

53 studies included in the qualitative synthesis. The results of some studies indicated the impact of demographic factors, physical and psychological health, happiness and child desire. The most frequent variables in a couple's mesosystem were marital status, parity, partnership satisfaction and gender role attitude. The mesosystem of childbearing intention also included family and peers network. The EXEO system of the ECSM includes certain variables, such as job characteristics, urban residence, housing condition. The macrosystem comprises cultural and societal principles with broader influences on the couple's system.

Adverse Childhood Experiences on Reproductive Plans and Adolescent Pregnancy in the Gulf Resilience on Women's Health Cohort

We investigated if adverse childhood experiences (ACEs) and ACE sub-types were associated with increased odds of planning to have children and adolescent pregnancy. The Gulf Resilience on Women’s Health (GROWH) is a diverse cohort of reproductive-age women living in southeastern Louisiana during the 2010 Deepwater Horizon oil spill. In our sample of 1482 women, we used multinomial logistic regression to model odds ratios of wanting future children and assessed effect measure modification by educational attainment. We also estimated odds ratios of adolescent pregnancy with binomial logistic regression. Exposure to ACEs increased odds of wanting future children across all ACE sub-types. Among women with lower educational attainment, three or more ACEs (overall, childhood, and adolescence) had over two times the odds of wanting future children. History of ACE and the various sub-types, except for emotional abuse, were associated with increased risk of adolescent pregnancy. ACEs may be linked to adolescent pregnancy and reproductive plans, and variations by educational status highlighted social discrepancies and importance of social context in evaluation and intervention.

Changes in Employment Uncertainty and the Fertility Intention-Realization Link: An Analysis Based on the Swiss Household Panel

How do changes in employment uncertainty matter for fertility? Empirical studies on the impact of employment uncertainty on reproductive decision-making offer a variety of conclusions, ranging from gender and socio-economic differences in the effect of employment uncertainty on fertility intentions and behaviour, to the effect of employment on changes in fertility intentions. This article analyses the association between a change in subjective employment uncertainty and fertility intentions and behaviour by distinguishing male and female partners' employment uncertainty, and examines the variation in these associations by education. Using a sample of men and women living in a couple from the Swiss Household Panel (SHP 2002-2011), we examine through multinomial analysis how changes in employment uncertainty and selected socio-demographic factors are related to individual childbearing decisions. Our results show strong gendered effects of changes in employment uncertainty on the revision of reproductive decisions among the highly educated population.

Fertility analysis from a life course perspective

In the past decades, the life course approach has gained importance in studies on the timing and incidence of childbirth. It allows a complex analysis of fertility. Following this approach, family formation and parenthood are perceived as instrumental goals of individual welfare production over the life course. In addition, the analysis of fertility has to take into account three kinds of essential interdependence: time dependence of the life course, multilevel structure of the life course and multidimensionality of the life course. As a consequence future fertility research should emphasize more on pre-decisional individual dispositions and behavioral intentions, should take into account more seriously that fertility takes place in the context of interdependent social relationships and social groups, and address changes in the cultural and institutional environment. The aim of this special issue is to present a series of empirical studies touching upon some of these aspects and therefore substantially contributing to progress in contemporary longitudinal fertility research. The twelve contributions deal with childbearing intentions and outcomes in multidimensional life courses; dyadic decision-making and social influences on fertility; and the interdependence of spatial mobility, regional context, culture, and fertility.