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Chong SCS, Lim G, Machon K, Mugwagwa H, Johnson J, Le Gautier R, Power J. Missing voices: building women living with HIV's meaningful engagement in HIV clinical and cure research. CULTURE, HEALTH & SEXUALITY 2024:1-17. [PMID: 39340190 DOI: 10.1080/13691058.2024.2408353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Accepted: 09/20/2024] [Indexed: 09/30/2024]
Abstract
Women living with HIV are consistently under-represented in HIV clinical trials, including cure trials. Little is known about how cisgender women living with HIV in Australia perceive HIV cure research, their level of trust in research institutions/staff, and factors salient to participation in HIV cure trials. Semi-structured interviews were conducted with women living with HIV and clinicians working with women living with HIV to investigate motivations and barriers to gender-equitable representation in HIV clinical research. Participant motivations for participation included altruistic desires to benefit younger women, and to optimise resulting interventions. Women living with HIV expressed optimism that a cure would dispel HIV-related stigma and brings about substantial material improvement to their lives. Reluctance to participate related to concerns regarding potential side-effects, antiretroviral treatment interruption, and impacts on fertility. Unfamiliarity with trials, confidentiality concerns and logistical difficulties were also cited. Lastly, onerous eligibility criteria, clinicians' assumptions about women's willingness and ability to meaningfully provide consent to participation were cited as barriers which could be addressed. Bolstering women's participation in HIV cure research requires consideration of factors relating to reproductive health, analytical treatment interruption, and recruitment. Engaging women living with HIV in trial design and promotion may help overcome these issues.
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Affiliation(s)
- Susan C S Chong
- Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Gene Lim
- Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia
| | | | | | - Jennifer Johnson
- Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia
| | - Roslyn Le Gautier
- Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia
| | - Jennifer Power
- Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia
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Delaporte I, Kulu H. Family Formation and Employment Changes Among Descendants of Immigrants in France: A Multiprocess Analysis. EUROPEAN JOURNAL OF POPULATION = REVUE EUROPEENNE DE DEMOGRAPHIE 2024; 40:27. [PMID: 39251550 PMCID: PMC11383907 DOI: 10.1007/s10680-024-09709-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 06/03/2024] [Indexed: 09/11/2024]
Abstract
This paper investigates the association between family formation and the labour market trajectories of immigrants' descendants over the life course. Using rich data from the Trajectories and Origins survey from France, we apply multilevel event history models to analyse the transitions in and out of employment for both men and women by parity. We account for unobserved co-determinants of childbearing and employment by applying a simultaneous-equations modelling. Our analysis shows that women's professional careers are negatively associated with childbirth. There are differences across descendant groups. The female descendants of Turkish immigrants are more likely to exit employment and less likely to re-enter employment following childbirth than women from other groups. The negative impact of childbearing on employment is slightly overestimated among women due to unobserved selection effects. Among men, the descendants of European immigrants are less likely to exit employment after having a child than other descendant groups. The study demonstrates the negative effect of childbearing on women's employment, which is pronounced for some minority groups suggesting the need for further policies to help women reconcile work with family life.
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Affiliation(s)
- Isaure Delaporte
- University of St Andrews, St Andrews, UK.
- Research Department, International Labour Organization, Geneva, Switzerland.
| | - Hill Kulu
- University of St Andrews, St Andrews, UK
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Chen Y, Wang Z. The dilemma between fertility and work: How did the Universal Two-Child policy affect Chinese women's labor income? PLoS One 2024; 19:e0308709. [PMID: 39116154 PMCID: PMC11309490 DOI: 10.1371/journal.pone.0308709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Accepted: 07/29/2024] [Indexed: 08/10/2024] Open
Abstract
Based on China Family Panel Studies (CFPS) data from 2012 to 2020, we estimate the effect of the "Universal Two-Child" (UTC) policy on women's employment income in China by the Difference-in-Difference (DID) model. Our results show that the UTC policy leads to an average decrease of 20.86% in women's employment income. Moreover, we reveal the mediation effect in the impact of the UTC policy on women's income and find that the UTC policy leads to a decrease in women's income by reducing their working hours and hourly wages. Furthermore, we find that the negative impacts of the UTC policy on women's employment income are greater among women under 35 years old and those without a bachelor's degree.
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Affiliation(s)
- Yi Chen
- School of Public Policy, Xiamen University, Xiamen, China
- College of Public Management, Guizhou University of Finance and Economics, Guiyang, China
| | - Zu Wang
- China Academy for Rural Development, Zhejiang University, Hangzhou, China
- School of Public Affairs, Zhejiang University, Hangzhou, China
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Erceg A, Genadek K, West K. Universal Full-Day Kindergarten and Maternal Labor Supply: A Life-Cycle Analysis. RESEARCH SQUARE 2024:rs.3.rs-4550789. [PMID: 38978606 PMCID: PMC11230515 DOI: 10.21203/rs.3.rs-4550789/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/10/2024]
Abstract
We estimate the effect of state-level policies enacting universal free full-day kindergarten on mothers' labor supply using a life-cycle analysis. Similar to previous research on childcare and labor supply, we find that free full-day kindergarten increases labor force participation rates for mothers whose youngest child is kindergarten-aged by 4.3 to 7.1 percentage points. We find that for mothers whose youngest child is an infant, labor force participation increases by 7.2 to 9.8 percentage points, and for women whose youngest child is 3 to 4 years old labor force participation increases by 5.9 to 7.9 percentage points. The fact that the policies impact the labor supply for mothers of younger-than-kindergarten-age children by even more than for mothers of kindergarten-aged children is important for understanding the full effect of subsidized childcare. This is consistent with a life-cycle model of labor supply where wages and prices in future periods impact mothers' labor force attachment.
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Affiliation(s)
- Ashley Erceg
- Center for Economic Studies, United States Census Bureau
| | - Katie Genadek
- Contact Author: University of Colorado - Boulder, IZA; Institute of Behavioral Science, UCB 483, University of Colorado, Boulder, CO, USA 80309-0401
| | - Kristine West
- St. Catherine University; 2004 Randolph Ave, St Paul, MN, USA 55105
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Bergsvik J, Cools S, Hart RK. Explaining Residential Clustering of Large Families. EUROPEAN JOURNAL OF POPULATION = REVUE EUROPEENNE DE DEMOGRAPHIE 2023; 39:13. [PMID: 37074468 PMCID: PMC10115922 DOI: 10.1007/s10680-023-09655-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 12/27/2022] [Indexed: 04/20/2023]
Abstract
Numerous studies have shown that fertility behavior is spatially clustered. In addition to pure contextual effects, two causal mechanisms could drive this pattern. First, neighbors may influence each other's fertility and second, family size may influence decisions about where to live. In this study we examine these two potential causal mechanisms empirically, using the sex composition of the two eldest children and twin births as instrumental variables (IVs) for having a third child. We estimate how having a third child affects three separate outcomes: the fertility of neighbors; the propensity to move houses; and the likelihood of living in a family-friendly neighborhood with many children. We draw residential and childbearing histories (2000-2018) from Norwegian administrative registers (N ~ 167,000 women). Individuals' neighborhoods are defined using time-varying geocoordinates for place of residence. We identify selective moves as one plausible causal driver of residential clustering of large families. This study contributes to the understanding of fertility and relocation, and to the literature on the social interaction effects of fertility, by testing the relevance of yet another network: that of neighbors.
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Affiliation(s)
| | - Sara Cools
- Institute for Social Research, Oslo, Norway
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Black J, Williams K, Patten EV. The Work-Life Interface of Registered Dietitian Nutritionists in the United States. TOP CLIN NUTR 2023. [DOI: 10.1097/tin.0000000000000294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
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Harkness S. The Accumulation of Economic Disadvantage: The Influence of Childbirth and Divorce on the Income and Poverty Risk of Single Mothers. Demography 2022; 59:1377-1402. [PMID: 35788662 DOI: 10.1215/00703370-10065784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
This study examines how motherhood earnings penalties in combination with the cost of partner absence affect single mothers' economic well-being. Using longitudinal data from the Panel Study of Income Dynamics for 1990-2015 and fixed-effects models with individual-specific slopes reveals that when needs are controlled for, the transition to parenthood is as strongly linked to reduced family income as partner absence is. I consider different routes to single motherhood and predict that income penalties will differ for women entering single motherhood at a first child's birth and for women who were married at first childbirth but later separated. I show that previously married mothers face larger income penalties than those who were single at first childbirth because they see larger declines in their earnings following childbirth. The results illustrate how marriage and parenthood, alongside partner absence, shape the economic prospects of single-mother families. These findings highlight the importance of reducing gender inequalities in the labor market to improve single mothers' economic well-being.
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Affiliation(s)
- Susan Harkness
- School for Policy Studies, University of Bristol, Bristol, UK
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Montenovo L, Jiang X, Lozano-Rojas F, Schmutte I, Simon K, Weinberg BA, Wing C. Determinants of Disparities in Early COVID-19 Job Losses. Demography 2022; 59:827-855. [PMID: 35583671 PMCID: PMC9177772 DOI: 10.1215/00703370-9961471] [Citation(s) in RCA: 38] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
This study examines the sociodemographic divide in early labor market responses to the U.S. COVID-19 epidemic and associated policies, benchmarked against two previous recessions. Monthly Current Population Survey (CPS) data show greater declines in employment in April and May 2020 (relative to February) for Hispanic individuals, younger workers, and those with a high school diploma or some college. Between April and May, the demographic subgroups considered regained some employment. Reemployment in May was broadly proportional to the employment drop that occurred through April, except for Black individuals, who experienced a smaller rebound. Compared to the 2001 recession and the Great Recession, employment losses in the early COVID-19 recession were smaller for groups with low or high (vs. medium) education. We show that job loss was greater in occupations that require more interpersonal contact and that cannot be performed remotely, and that pre-COVID-19 sorting of workers into occupations and industries along demographic lines can explain a sizable portion of the demographic gaps in new unemployment. For example, while women suffered more job losses than men, their disproportionate pre-epidemic sorting into occupations compatible with remote work shielded them from even larger employment losses. However, substantial gaps in employment losses across groups cannot be explained by socioeconomic differences. We consider policy lessons and future research needs regarding the early labor market implications of the COVID-19 crisis.
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Affiliation(s)
- Laura Montenovo
- O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN, USA
| | - Xuan Jiang
- Department of Economics, Jinan University, Guangzhou, China
| | - Felipe Lozano-Rojas
- School of Public and International Affairs, University of Georgia, Athens, GA, USA
| | - Ian Schmutte
- Terry College of Business, University of Georgia, Athens, GA, USA
| | - Kosali Simon
- O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN, USA
| | - Bruce A Weinberg
- Department of Economics, The Ohio State University, Columbus, OH, USA
| | - Coady Wing
- O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN, USA
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Bonsang E, Skirbekk V. Does Childbearing Affect Cognitive Health in Later Life? Evidence From an Instrumental Variable Approach. Demography 2022; 59:975-994. [PMID: 35471229 PMCID: PMC10539463 DOI: 10.1215/00703370-9930490] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Cognitive decline is a widespread concern as populations grow older. However, population aging is partly driven by a decrease in fertility, and family size may influence cognitive functioning in later life. Prior studies have shown that fertility history is associated with late-life cognition, but whether the relationship is causal remains unclear. We use an instrumental variable approach and data from the Survey of Health, Ageing, and Retirement in Europe to examine whether having three or more versus two children affects late-life cognition. Parents often prefer to have at least one son and one daughter. We thus exploit the sex composition of the first two children as a source of exogenous variation in the probability of having three or more children. Results indicate that having three or more versus two children has a negative effect on late-life cognition. This effect is strongest in Northern Europe, perhaps because higher fertility decreases financial resources yet does not improve social resources in this region. Future studies should address the potential effects of childlessness or having one child on late-life cognition and explore the mediating mechanisms.
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Affiliation(s)
- Eric Bonsang
- LEDA, CNRS, IRD, Université Paris-Dauphine, Université PSL, Paris, France
- Netspar, Tilburg, the Netherlands
| | - Vegard Skirbekk
- Centre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
- Columbia Aging Centre, Columbia University, New York, NY, USA
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Montenovo L, Jiang X, Lozano-Rojas F, Schmutte I, Simon K, Weinberg BA, Wing C. Determinants of Disparities in Early COVID-19 Job Losses. Demography 2022; 59:827-855. [PMID: 35583671 DOI: 10.3386/w27132] [Citation(s) in RCA: 99] [Impact Index Per Article: 49.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
This study examines the sociodemographic divide in early labor market responses to the U.S. COVID-19 epidemic and associated policies, benchmarked against two previous recessions. Monthly Current Population Survey (CPS) data show greater declines in employment in April and May 2020 (relative to February) for Hispanic individuals, younger workers, and those with a high school diploma or some college. Between April and May, the demographic subgroups considered regained some employment. Reemployment in May was broadly proportional to the employment drop that occurred through April, except for Black individuals, who experienced a smaller rebound. Compared to the 2001 recession and the Great Recession, employment losses in the early COVID-19 recession were smaller for groups with low or high (vs. medium) education. We show that job loss was greater in occupations that require more interpersonal contact and that cannot be performed remotely, and that pre-COVID-19 sorting of workers into occupations and industries along demographic lines can explain a sizable portion of the demographic gaps in new unemployment. For example, while women suffered more job losses than men, their disproportionate pre-epidemic sorting into occupations compatible with remote work shielded them from even larger employment losses. However, substantial gaps in employment losses across groups cannot be explained by socioeconomic differences. We consider policy lessons and future research needs regarding the early labor market implications of the COVID-19 crisis.
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Affiliation(s)
- Laura Montenovo
- O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN, USA
| | - Xuan Jiang
- Department of Economics, Jinan University, Guangzhou, China
| | - Felipe Lozano-Rojas
- School of Public and International Affairs, University of Georgia, Athens, GA, USA
| | - Ian Schmutte
- Terry College of Business, University of Georgia, Athens, GA, USA
| | - Kosali Simon
- O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN, USA
| | - Bruce A Weinberg
- Department of Economics, The Ohio State University, Columbus, OH, USA
| | - Coady Wing
- O'Neill School of Public and Environmental Affairs, Indiana University, Bloomington, IN, USA
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Syse A, Thomas M, Dommermuth L, Hart RK. Does women's health matter for fertility? Evidence from Norwegian administrative data. POPULATION STUDIES 2022; 76:191-212. [PMID: 35255777 DOI: 10.1080/00324728.2022.2041075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Women's health status may affect their opportunities and preferences for children through various mechanisms. We examine the relationship between health and fertility using Norwegian registry data (2004-18). Measuring verifiable and persistent health problems, we use uptake of doctor-certified sickness absence and long-term health-related benefits as proxies for health. In contrast to the expectation that poor health limits women's opportunities for children, our results show that sickness absence is positively associated with transitions to parenthood. The uptake of long-term benefits is, however, negatively associated with fertility. The selection of healthy women into parenthood weakens the association for higher-order births. The impact of long-term health indicators on fertility is comparable in magnitude to that observed for more conventional predictors, such as education and income. With continued postponement of childbearing and thus higher maternal ages, the influence of health as a fertility determinant is likely to grow and further research appears warranted.Supplementary material for this article is available at: http://doi.org/10.1080/00324728.2022.2041075.
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Hsu CH. Parity-specific motherhood penalties: Long-term impacts of childbirth on women's earnings in Japan. ADVANCES IN LIFE COURSE RESEARCH 2021; 50:100435. [PMID: 36661294 DOI: 10.1016/j.alcr.2021.100435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 06/08/2021] [Accepted: 07/20/2021] [Indexed: 06/17/2023]
Abstract
The issue of motherhood earnings penalty has been well-documented in many Western countries. However, only a few studies discussed how earnings penalty evolves over time and varies across different parity of birth. Moreover, related research in non-Western developed countries is scant. This study contributes to the motherhood penalty literature by examining the long-term impacts (up to 10 years after childbirth) of the first and the second birth on women's employment, work hours, wage rates, and earnings in Japan. It proposes a novel research design based on the event-study approach and fixed effects regressions to quantify the dynamic effects of motherhood resulted from two consecutive birth transitions. Drawing on longitudinal data from the Japanese Panel Survey of Consumers (from 1993 to 2015), our results show that both the first and the second birth trigger short-term earnings penalties by causing a considerable employment slump upon pregnancy. In the long run, while women's employment rates recover, work hours and wage rates remain significantly lower than their pre-pregnancy level, leading to the long-term earnings penalty. More importantly, the long-term negative impacts of childbirth on labor supply and wage rates result mostly from women's first-time rather than the second-time birth transition in Japan. These findings imply that motherhood in Japan imposes long-term penalties on women's earnings, primarily by depressing maternal labor supply after their first-time motherhood transition.
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Affiliation(s)
- Chen-Hao Hsu
- Department of Sociology, University of Bamberg, Bamberg, Germany; Bamberg Graduate School of Social Sciences, University of Bamberg, Bamberg, Germany.
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Vu LH, Tran TQ, Phung TD. Children and female labor market outcomes in Vietnam. Heliyon 2021; 7:e07508. [PMID: 34307942 PMCID: PMC8287227 DOI: 10.1016/j.heliyon.2021.e07508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 05/08/2021] [Accepted: 07/05/2021] [Indexed: 11/18/2022] Open
Abstract
This paper examines the effect of fertility on the participation of women in the labor market and other labor market outcomes in Vietnam, using Vietnam Labor Force Survey data. To address the endogeneity issue in fertility, we use an instrumental variable estimation method based on parental preference for the mixed-sex composition of the first two children. Our findings indicate that number of children has a negative impact on maternal participation in the labor market and on working hours but has no effect on earnings. We find that the effect on participation in the market is important for younger women aged 21–35 years but insignificant for older women aged 36–50 years. The older group responds by reducing their working hours rather than leaving the labor force. Our results support the position that the rise in female participation in the labor force in Vietnam can be partially attributed to the overall decline in fertility during the last three decades and helps validate the Vietnamese government's planning policy.
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Van Winkle Z, Leopold T. Family size and economic wellbeing following divorce: The United States in comparative perspective. SOCIAL SCIENCE RESEARCH 2021; 96:102541. [PMID: 33867016 DOI: 10.1016/j.ssresearch.2021.102541] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 12/03/2020] [Accepted: 02/03/2021] [Indexed: 06/12/2023]
Abstract
Studies have documented the negative association between divorce and women's economic wellbeing in several countries. Less is known about whether the effects of divorce on women's economic wellbeing, and their persistency, vary by family size. We present the first comprehensive assessment of how the short-term and medium-term economic consequences of divorce vary by family size. Using data from the US (PSID) and between-within random-effects models, we estimate changes in women's gross household income up to six years following divorce, stratified by the number of children in the household in the year of divorce. We add a comparative perspective using a harmonized set of socio-economic panel surveys from Australia (HILDA), Germany (GSOEP), and the UK (BHPS). Our findings demonstrate that the household incomes of women with three or more children decrease most drastically in the US, Germany, and the UK. In these countries, divorce widens the economic gap between child-rich households and those with no or few children. While childless women's incomes do not recover in the medium-term, incomes of mothers in Germany, the UK, and to a lesser extent the US partially recuperate. We demonstrate that differences in labor market attachment, and not remarriage, partially account for the family size differences we observe.
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Affiliation(s)
- Zachary Van Winkle
- Sciences Po, Observatoire Sociologique du Changement (OSC), CNRS, Paris, France; Nuffield College, University of Oxford, United Kingdom.
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Chai H, Fu R, Coyte PC. Does Unpaid Caregiving Erode Working Hours Among Middle-Aged Chinese Adults? SOCIAL INDICATORS RESEARCH 2021; 157:977-999. [PMID: 33903783 PMCID: PMC8059691 DOI: 10.1007/s11205-021-02692-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/15/2021] [Indexed: 06/12/2023]
Abstract
Middle-aged adults are commonly confronted with the burden of paid work and multiple caregiving roles. This paper examines the relationship between weekly hours of unpaid caregiving and hours of work using data from the baseline survey of the China Health and Retirement Longitudinal Study. The analysis was conducted on a nationally representative sample of 3645 working-age Chinese adults aged 45-60 years who were not farming and had a young grandchild and/or a parent/parent-in-law. For women and men separately, we combined the use of a Heckman selection procedure and instrumental variables to estimate the relationship between weekly caregiving hours and hours of work. A caregiving threshold was also identified for women and men separately to allow for the testing of a kink and/or a discontinuity in this relationship. We found that for women, their working hours were initially unrelated to hours of caregiving before the threshold of 72 caregiving hours per week; then, their working hours experienced an almost two-fold increase at the caregiving threshold before falling by 2.02 percent for each additional hour of caregiving beyond the threshold. For men, their hours of work fell by 2.74 percent for each hourly increment in caregiving. Although a caregiving threshold of 112 h was identified for men, there was insufficient evidence for a statistically significant kink or discontinuity in this relationship. These findings provide support for a range of fiscal and human resource policies that target employed family caregivers in order to advance their well-being while also maintaining their work productivity. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s11205-021-02692-w.
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Affiliation(s)
- Huamin Chai
- School of Public Administration, East China Normal University, Shanghai, China
- Center for Public Policy Research, East China Normal University, Shanghai, China
| | - Rui Fu
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6 Canada
| | - Peter C. Coyte
- Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, ON M5T 3M6 Canada
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Ortiz FR, Ardenghi TM, Maroneze MC, Paiva SM, Pordeus IA. Structuring adolescent's oral health effects on labour market entry in a cohort study. Int J Paediatr Dent 2021; 31:262-269. [PMID: 32969545 DOI: 10.1111/ipd.12729] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 08/14/2020] [Accepted: 08/28/2020] [Indexed: 11/29/2022]
Abstract
AIM To evaluate the influence of the oral conditions and oral health-related quality of life (OHRQoL) on the entry of adolescents on labour. DESIGN This cohort study was performed in southern Brazil, within a random sample of 12-year-old adolescents (n = 1134). Oral health (dental caries, malocclusion, and toothache), OHRQoL (Child Perceptions Questionnaire 11-14), demographic factors, and family's socioeconomic status (household income and mother's education) were collected at baseline (2012). Education level and employment outcomes, such as labour market entry and earnings from work, were collected at 6-year follow-up. Path analysis was used to estimate the overall fit measurement, standardized coefficients (SC), and its direct and indirect effects. RESULTS Among 1134 participants, 768 adolescents with mean of age 17.5 years old were reassessed (retention rate of 68%). There was direct effect from poor OHRQoL on labour market entry (SC 0.057; P = .02). Sex and age also had a direct effect on employment outcomes. Socioeconomic status impacts oral health conditions as well as OHRQoL scores (P < .01). Household income, malocclusion, and toothache had indirect effects on labour market entry. CONCLUSION Oral health indirectly affects employment outcomes, through its effects on OHRQoL. Moreover, OHRQoL directly affects labour market entry in adolescents.
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Affiliation(s)
- Fernanda Ruffo Ortiz
- Department of Pediatric Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Thiago Machado Ardenghi
- Department of Stomatology, Faculty of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil
| | | | - Saul Martins Paiva
- Department of Pediatric Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Isabela Almeida Pordeus
- Department of Pediatric Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Götmark F, Andersson M. Human fertility in relation to education, economy, religion, contraception, and family planning programs. BMC Public Health 2020; 20:265. [PMID: 32087705 PMCID: PMC7036237 DOI: 10.1186/s12889-020-8331-7] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Accepted: 02/06/2020] [Indexed: 11/22/2022] Open
Abstract
Background The world population is expected to increase greatly this century, aggravating current problems related to climate, health, food security, biodiversity, energy and other vital resources. Population growth depends strongly on total fertility rate (TFR), but the relative importance of factors that influence fertility needs more study. Methods We analyze recent levels of fertility in relation to five factors: education (mean school years for females), economy (Gross Domestic Product, GDP, per capita), religiosity, contraceptive prevalence rate (CPR), and strength of family planning programs. We compare six global regions: E Europe, W Europe and related countries, Latin America and the Caribbean, the Arab States, Sub-Saharan Africa, and Asia. In total, 141 countries are included in the analysis. We estimate the strength of relationships between TFR and the five factors by correlation or regression and present the results graphically. Results In decreasing order of strength, fertility (TFR) correlates negatively with education, CPR, and GDP per capita, and positively with religiosity. Europe deviates from other regions in several ways, e.g. TFR increases with education and decreases with religiosity in W Europe. TFR decreases with increasing strength of family planning programs in three regions, but only weakly so in a fourth, Sub-Saharan Africa (the two European regions lacked such programs). Most factors correlated with TFR are also correlated with each other. In particular, education correlates positively with GDP per capita but negatively with religiosity, which is also negatively related to contraception and GDP per capita. Conclusions These results help identify factors of likely importance for TFR in global regions and countries. More work is needed to establish causality and relative importance of the factors. Our novel quantitative analysis of TFR suggests that religiosity may counteract the ongoing decline of fertility in some regions and countries.
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Affiliation(s)
- Frank Götmark
- Department of Biological and Environmental Sciences, University of Gothenburg, Göteborg, Sweden.
| | - Malte Andersson
- Department of Biological and Environmental Sciences, University of Gothenburg, Göteborg, Sweden
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Doren C. Is Two Too Many? Parity and Mothers' Labor Force Exit. JOURNAL OF MARRIAGE AND THE FAMILY 2019; 81:327-344. [PMID: 31105332 PMCID: PMC6516493 DOI: 10.1111/jomf.12533] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Accepted: 07/28/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE How do women's chances of labor force exit vary by the number of children they have? BACKGROUND Conventional wisdom suggests there may be a tipping point at the second child when women are particularly likely to leave. Women who only ever have one child, by contrast, are thought to be uniquely unlikely to exit. METHOD Using data from the nationally representative 1979-2012 waves of the National Longitudinal Survey of Youth 1979 (https://www.nlsinfo.org/content/cohorts/nlsy79), event history methods estimate the likelihood of labor force exit as women progress across parity transitions. RESULTS Results show no evidence for a tipping point around the birth of second children. Women are instead most likely to leave the labor force when they are pregnant with their first child and each subsequent child is associated with a smaller increase in the probability of exit. In addition, women who only ever have one child are less likely to leave the labor force than those who have more children and these differences arise as early as their pregnancies with their first children. College-educated women who only ever have one child are especially unlikely to exit. CONCLUSION Findings thus do not support the second child tipping point hypothesis, but they emphasize the importance of completed parity and the transition to motherhood for mothers' labor force behavior.
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