1
|
Pirani E, Vignoli D. Childbearing across partnerships in Italy: Prevalence, demographic correlates, and social gradient. POPULATION STUDIES 2023; 77:379-398. [PMID: 36472213 DOI: 10.1080/00324728.2022.2149845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 06/20/2022] [Indexed: 12/12/2022]
Abstract
Studies of childbearing across partnerships-having children with more than one partner-have generally focused on countries with relatively high separation rates. We complement this previous research with analyses for Italy using nationally representative, retrospective data and event-history techniques. This study offers three key findings. First, we detected a non-negligible share of childbearing across partnerships, although at substantially lower levels relative to other wealthy countries (5 per cent of parents aged 25-54 with at least two children). Second, multivariate analyses revealed an impressive similarity to the demographic correlates found elsewhere. Finally, we showed that childbearing across partnerships was initiated by the 'social vanguard' of new family behaviours but then diffused among the least well-off. Overall, this paper adds to the growing literature on childbearing across partnerships by showing the phenomenon to be demographically and sociologically relevant, even in countries with strong family ties and a limited diffusion of union dissolution.
Collapse
|
2
|
Merklinger-Gruchala A, Kapiszewska M. Marital Status, Father Acknowledgement, and Birth Outcomes: Does the Maternal Education Matter? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4868. [PMID: 36981777 PMCID: PMC10048939 DOI: 10.3390/ijerph20064868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/03/2023] [Accepted: 03/07/2023] [Indexed: 06/18/2023]
Abstract
We evaluated whether the maternal marital status and father acknowledgement (proxy for paternal presence) affect birth weight, and if so, whether the maternal educational attainment modifies this effect. The growing tendency of alternative forms of family structure affects maternal well-being and pregnancy outcome. However, it is not known whether poorer birth outcomes of out-of-wedlock childbearing can be overcome or compensated by maternal education. Using birth registry data, we assessed the impact of maternal civil status and child recognition by the father on birth-weight-for-gestational age (BWGA) z-scores, with respect to maternal education, among Polish mothers (N = 53,528). After standardization, the effect of being unmarried with father acknowledgement (UM-F) vs. married with father acknowledgement (M-F) reduced the BWGA z-score of 0.05 (p < 0.001), irrespective of educational attainment (p for interaction = 0.79). However, education differentiated the effect of father acknowledgement across unmarried mothers. BWGA z-scores were significantly lower among the low-educated unmarried group without father acknowledgment (UM-NF) as compared to UM-F (equaled -0.11, p = 0.01). The same effect among the higher-educated group was non-significant (p = 0.72). Higher maternal education can compensate for the negative effect of a lack of father acknowledgement, but it does not help to overcome the effect of out-of-wedlock stress exposure.
Collapse
|
3
|
Chatterjee E, Sennott C. Fertility intentions and child health in India: Women's use of health services, breastfeeding, and official birth documentation following an unwanted birth. PLoS One 2021; 16:e0259311. [PMID: 34735493 PMCID: PMC8568269 DOI: 10.1371/journal.pone.0259311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 10/16/2021] [Indexed: 11/18/2022] Open
Abstract
This study examines the relationship between women’s prospective fertility intentions and child health, measured via access to healthcare facilities for children and postpartum maternal behaviors that are indicative of future child health. We analyze two waves of nationally representative data (2005 and 2012) from the India Human Development Survey (IHDS). The analytic sample includes 3,442 non-pregnant, currently married women aged 18–40 in 2005 who participated in both rounds of the IHDS, and had at least one birth between 2005 and 2012. We investigate the influence of women’s prospective fertility intentions on access to benefits from the Integrated Child Development Services (ICDS), indicators of breastfeeding as recommended by the World Health Organization, and official documentation of births via birth certificates or registration. We find that 58 percent of births among women in the sample were labeled as unwanted. We use an adaptation of propensity score matching—the inverse-probability-weighted regression adjustment (IPWRA) estimator—and show that, after accounting for maternal and household characteristics that are known to be associated with maternal and child health, children who resulted from unwanted births were less likely to obtain any benefits or immunizations from the ICDS, to be breastfed within one hour of birth, and to have an official birth certificate. Results from this study have direct policy significance given the evidence that women’s fertility intentions can have negative implications for child health and wellbeing in the short and longer term.
Collapse
Affiliation(s)
- Esha Chatterjee
- Department of Humanities and Social Sciences, Indian Institute of Technology Kanpur, Kanpur, Uttar Pradesh, India
| | - Christie Sennott
- Department of Sociology, Purdue University, West Lafayette, IN, United States of America
- * E-mail:
| |
Collapse
|
4
|
Lima Ribeiro AC, Seidl-de-Moura ML, Fernandes Mendes DML, Mesman J. Maternal sensitivity in interactions with their 2-month-old infants in Rio de Janeiro - Brazil. Attach Hum Dev 2020; 23:188-198. [PMID: 33032486 DOI: 10.1080/14616734.2020.1828543] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This paper reports on a study of maternal sensitivity in 22 primiparous women and their infants from Rio de Janeiro, Brazil. Sociodemographic risk was assessed through an interview, and videotaped naturalistic home observations were used to assess maternal sensitivity, and its relation with warmth, verbal and physical engagement, and camera awareness. A K-means cluster analysis was performed to examine patterns of risk in relation to maternal sensitivity. Compared to the 15 mothers with higher sensitivity scores, the seven mothers with lower sensitivity scores were characterized by lower educational levels, lower income, lower age, slum residence, unplanned and unwanted pregnancies, and later onset of prenatal care. Whether father was resident did not appear to distinguish between the lower and higher sensitivity groups. The pattern of social-contextual risk for Brazilian mothers showing less sensitive caregiving to their infants provide direction for future research in this cultural context.
Collapse
Affiliation(s)
- Ana Carla Lima Ribeiro
- Graduate School of Social Psychology, University of State of Rio De Janeiro, Rio de Janeiro, Brazil
| | | | | | - Judi Mesman
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
| |
Collapse
|
5
|
Stykes JB, Guzzo KB. Unintended Childbearing and Marital Instability: An Emphasis on Couples' Intentions. JOURNAL OF DIVORCE & REMARRIAGE 2020; 61:504-524. [PMID: 33304091 PMCID: PMC7723351 DOI: 10.1080/10502556.2020.1768494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The birth of a child can negatively impact relationship functioning, especially if one or both partners did not intend to have a child. As such, unintended or disagreed-upon births may elevate the risk of dissolution. In this paper, we use the National Survey of Family Growth to consider how married couples characterize the intendedness of their first birth and examine its linkage with dissolution. Nearly one-third of first marital births are unintended by at least one parent. When fathers do not intend the birth, regardless of whether or not mothers do, couples report an elevated risk of dissolution.
Collapse
Affiliation(s)
- J Bart Stykes
- Department of Sociology at Sam Houston State University
| | | |
Collapse
|
6
|
Chatterjee E, Sennott C. Fertility intentions and maternal health behaviour during and after pregnancy. POPULATION STUDIES 2020; 74:55-74. [PMID: 31690185 PMCID: PMC6980985 DOI: 10.1080/00324728.2019.1672881] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Accepted: 08/14/2019] [Indexed: 10/25/2022]
Abstract
This study examines associations between fertility intentions and maternal health behaviours during and after pregnancy among a nationally representative sample of 3,442 women from India. Two waves of data (2005, 2012) from the India Human Development Survey were analyzed to investigate the influence of unwanted births on women's use of antenatal care, timely postnatal care, and the delivery setting using binary and ordered logistic regression, partial proportional odds models, and propensity score weighting. Fifty-eight per cent of sample births were unwanted. Regression results show that, net of maternal and household characteristics, women with unwanted births were less likely to obtain any antenatal care and had fewer antenatal tests performed. Unwantedness was also associated with a lower likelihood of delivering in an institutional setting and of obtaining timely postnatal care. The relationships between unwantedness and antenatal care, postnatal care, and delivery setting were robust to models accounting for propensity weighting.
Collapse
|
7
|
Guzzo KB, Hayford SR. Pathways to Parenthood in Social and Family Context: Decade in Review, 2020. JOURNAL OF MARRIAGE AND THE FAMILY 2020; 82:117-144. [PMID: 34012172 PMCID: PMC8130890 DOI: 10.1111/jomf.12618] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 07/29/2019] [Indexed: 05/12/2023]
Abstract
OBJECTIVE This article reviews research from the past decade on patterns, trends, and differentials in the pathway to parenthood. BACKGROUND Whether, and under what circumstances, people become parents has implications for individual identity, family relationships, the well-being of adults and children, and population growth and age structure. Understanding the factors that influence pathways to parenthood is central to the study of families and can inform policies aimed at changing childbearing behaviors. METHOD This review summarizes recent trends in fertility as well as research on the predictors and correlates of childbearing, with a focus on the United States and on research most relevant to family scholars. We document fertility differentials and prevailing explanations for variation across sub-groups and discuss alternative pathways to parenthood, such as adoption. The article suggests avenues for future research, outlines emerging theoretical developments, and concludes with a discussion of fertility policy. RESULTS U.S. fertility has declined in recent years; whether fertility rates will increase is unclear. Elements of the broader social context such as the Great Recession and increasing economic inequality have impacted pathways to parenthood, and there is growing divergence in behaviors across social class. Scholars of childbearing have developed theories to better understand how childbearing is shaped by life course processes and social context. CONCLUSION Future research on the pathways to parenthood should continue to study group differentials, refine measurement and theories, and better integrate men and couples. Childbearing research is relevant for social policy, but ideological factors impact the application of research to policy.
Collapse
Affiliation(s)
- Karen Benjamin Guzzo
- Department of Sociology, Bowling Green State University, Bowling Green, OH 43403-0222
| | - Sarah R Hayford
- Department of Sociology, The Ohio State University 1885 Neil Avenue Mall Columbus, OH, 43210
| |
Collapse
|
8
|
Ribeiro-Accioly ACL, Seidl-de-Moura ML, Fernandes Mendes DML, Mesman J. Maternal sensitivity in interactions with their 2-month-old infants in Rio de Janeiro - Brazil. Attach Hum Dev 2019; 23:761-770. [PMID: 31842693 DOI: 10.1080/14616734.2019.1702706] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This paper reports on a study of maternal sensitivity in 22 primiparous women and their infants from Rio de Janeiro, Brazil. A semi-structured interview was conducted about sociodemographic risk, as and videotaped home observations to assess maternal sensitivity, and its relation with warmth, verbal and physical engagement, and camera awareness. A K-means cluster analysis was performed to examine patterns of risk in relation to maternal sensitivity. Compared to the 15 mothers with higher sensitivity scores, the seven mothers with lower sensitivity scores were characterized by lower educational levels, lower income, lower age, living in a slum, unplanned and unwanted pregnancies, and later onset of prenatal care. Whether father was resident did not appear to distinguish between the lower and higher sensitivity groups. The pattern of social-contextual risk for Brazilian mothers showing less sensitive caregiving to their infants provide a clear direction for future research in this cultural context.
Collapse
Affiliation(s)
| | | | | | - Judi Mesman
- Institute of Education and Child Studies, Leiden University, Leiden, the Netherlands
| |
Collapse
|
9
|
Association between unintended pregnancy and internalizing disorders among Latina and Asian American mothers. J Affect Disord 2019; 258:117-124. [PMID: 31401539 DOI: 10.1016/j.jad.2019.07.068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 07/28/2019] [Accepted: 07/29/2019] [Indexed: 11/21/2022]
Abstract
BACKGROUND Pregnancy, whether intended or unintended, is associated with internalizing symptoms among women; for some, these symptoms cause impairment and develop into an internalizing disorder (ID). With the growing diversity of the US population, there is a need to understand how pregnancy relates to IDs among minorities. This study examines the association between unintended pregnancy and lifetime and 12-month history of IDs among Latina and Asian mothers. METHODS Data come from the National Latino and Asian American Study (NLAAS), a nationally representative sample of Latino and Asian adults. Pregnancy intention was self-reported. ID history was assessed with the CIDI (DSM-IV). Logistic regression was used to examine the association between pregnancy intention and likelihood of lifetime and 12-month IDs. RESULTS Among 1915 mothers, 24.1% and 14.7% met criteria for a lifetime and 12-month ID, respectively. Relative to those who only reported intended pregnancies, Asian mothers reporting an unintended pregnancy had the highest odds of lifetime (Odds ratio (OR): 2.51, 95% Confidence Interval (CI): 1.55-4.08) and 12-month IDs (OR: 5.73, 95% CI: 2.67-12.29). Latina mothers reporting unintended pregnancies also had higher odds of lifetime (OR: 1.96, 95% CI: 1.41-2.72) and 12-month IDs (OR: 1.70, 95% CI: 1.12-2.59). Socioeconomic status had no significant modifying effect. LIMITATIONS Cross-sectional data and retrospective recall and social desirability could misclassify pregnancy intention. CONCLUSIONS Unintended pregnancy is associated with higher odds of IDs among mothers. Findings underscore the complex relationship between unintended pregnancy and maternal mental health.
Collapse
|
10
|
Abstract
The transformation of the American family under the second demographic transition has created more opportunities for parents to have children with multiple partners, but data limitations have hampered prevalence estimates of multiple-partner fertility from the perspective of children. This study uses nationally representative data from the 1979 and 1997 cohorts of the National Longitudinal Surveys of Youth to examine cohort change in children's exposure to multiple-partner fertility. We find that one in five children in the 1979 cohort had at least one half-sibling by their 18th birthday, and the prevalence grew to more than one in four children by the 1997 cohort. A strong educational gradient in exposure to half-siblings persists across both cohorts, but large racial/ethnic disparities have narrowed over time. Using demographic decomposition techniques, we find that change in the racial/ethnic and socioeconomic composition of the U.S. population cannot explain the growth in exposure to half-siblings. We conclude by discussing the shifting patterns of fertility and family formation associated with sibling complexity and considering the implications for child development and social stratification.
Collapse
|
11
|
Hart RK. Union Histories of Dissolution: What Can They Say About Childlessness? EUROPEAN JOURNAL OF POPULATION-REVUE EUROPEENNE DE DEMOGRAPHIE 2019; 35:101-131. [PMID: 30976270 DOI: 10.1007/s10680-018-9464-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 12/30/2017] [Indexed: 12/01/2022]
Abstract
This study investigates how the association between union dissolution and childlessness depends on life course context. Data on union histories and fertility are taken from the Norwegian GGS. To observe union histories up to age 45, I include men and women born 1927-1962. I further condition on having experienced at least one union dissolution before age 45, giving a study sample of 883 men and 1110 women. To capture the life course context of union dissolutions, I group union histories similar in timing, occurrence and ordering of events using sequence analysis. Eight well-clustered groups of union histories are distinguished. Four consist of life courses dominated by a long first or second union and display low levels of childlessness. The highest proportion childlessness is found among individuals who entered a first union late and dissolved it quickly. Groups characterised by long spells alone after a dissolution or many short unions also displayed a high proportion of childlessness. In contrast to findings from the USA, neither union trajectories nor their link with childlessness varies by educational attainment.
Collapse
Affiliation(s)
- Rannveig Kaldager Hart
- 1Department of Sociology and Human Geography, University of Oslo, Postboks 1096 Blindern, 0317 Oslo, Norway
- 2Research Department, Statistics Norway, Oslo, Norway
| |
Collapse
|
12
|
The Effect of Prenatal Stress, Proxied by Marital and Paternity Status, on the Risk of Preterm Birth. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16020273. [PMID: 30669349 PMCID: PMC6352213 DOI: 10.3390/ijerph16020273] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Revised: 01/15/2019] [Accepted: 01/16/2019] [Indexed: 01/09/2023]
Abstract
Uncertainty and insecurity in the relationship between the mother and father of a child are responsible for heightened maternal stress, which can lead to preterm birth (PTB). Different intensities of prenatal stress (proxied by four levels of marital status linked with the presence or absence of paternal data on birth records) were defined as the Marital-Father Data index. We assessed the impact of those varying intensities of prenatal stress on PTB with respect to parity among a group of Polish mothers residing in Krakow (N = 87,916). We found a pattern across the adjusted risk ratios (RR) of preterm birth that ordered these estimates in an increasing trend towards higher risk, beginning with the group of married mothers with father data present (baseline), through the groups of legitimizing marriages—married after conception with father data present (RR = 1.1; 95% Confidence Intervals (CI) 1.0–1.2) and unmarried mothers with father data present (RR = 1.3; 95% CI 1.2–1.5) to the group of unmarried mothers with father data absent (RR = 1.9; 95% CI 1.7–2.2). The adjusted p for the linear trend between Marital-Father Data index and PTB was less than 0.001. The adjusted effect of perceived prenatal stress differed with respect to parity (confirmed by statistically significant interactions between Marital-Father Data index levels and parity), with a higher magnitude of this effect noted among multiparous versus primiparous women. Low paternal involvement and support during pregnancy may negatively affect PTB risk and this effect may differ in relation to parity status. More attention should be paid to maternal pregnancy stress, especially of multiparous mothers, to decrease the risk of unfavorable birth outcomes.
Collapse
|
13
|
Thorsen ML. Shifting Influences of Pregnancy on Union Formation across Age and Union Stability across Cohabitation Duration. JOURNAL OF FAMILY ISSUES 2019; 40:190-214. [PMID: 31235989 PMCID: PMC6590915 DOI: 10.1177/0192513x18806554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Nonmarital pregnancy increases the likelihood of entering a marital or cohabiting union. The timing of a pregnancy within the life course of an individual or relationship duration may also impact the likelihood of forming coresidential unions and their stability. This study examines the association between non-marital pregnancy and first union formation and how this varies across age. It also considers whether the influence of pregnancy on the stability of cohabitations shifts across their duration. Using data on young adults in the U.S. (Add Health), competing-risk event-history models examine the time-varying influence of pregnancy on union formation and stability. Findings suggest that pregnancy is more strongly associated with union formation during adolescence, becoming less influential as women age. Within cohabitations, pregnancy had a bigger impact on increasing the likelihood of marriage early within unions, but the longer a couple cohabited the less likely they were to transition to marriage when pregnant.
Collapse
Affiliation(s)
- Maggie L Thorsen
- Department of Sociology & Anthropology, Montana State University, 2-128 Wilson Hall, P.O. Box 172380, Bozeman, MT 59718, , (406)994-5248
| |
Collapse
|
14
|
Guzzo KB, Eickmeyer K, Hayford SR. Does Postpartum Contraceptive Use Vary By Birth Intendedness? PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2018; 50:129-138. [PMID: 30040189 PMCID: PMC6135704 DOI: 10.1363/psrh.12074] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Revised: 03/20/2018] [Accepted: 03/23/2018] [Indexed: 06/08/2023]
Abstract
CONTEXT Women with an unintended birth have an elevated risk of subsequent unintended pregnancy, and multiple unintended pregnancies could exacerbate any negative consequences of such births. It is therefore important to understand whether postpartum contraceptive use differs by birth intendedness. METHODS Data on 2,769 births reported in the 2011-2015 cycles of the National Survey of Family Growth were used to examine postpartum contraceptive use. Life-table estimates were employed to assess differences by birth intendedness in timing of postpartum contraceptive use, and multinomial logistic event history methods were used to model initial contraceptive uptake and efficacy by birth intendedness. RESULTS Compared with postpartum women whose births were on time or too late, those with seriously mistimed and those with unwanted births were more likely to first adopt a highly effective method (e.g., implant or IUD), rather than no method (relative risk ratios, 1.9 and 1.7, respectively); mothers with unwanted births were also more likely to first use least effective methods (e.g., condoms or withdrawal) instead of no method (1.5). Mothers with seriously mistimed births had a reduced likelihood of using either effective methods (e.g., the pill or injectable) or least effective methods, rather than highly effective ones (0.5 for each). CONCLUSION The elevated risk of repeat unintended fertility does not seem to be due to mothers' initial postpartum contraceptive behavior. Whether mothers with unintended births use contraceptives less consistently, discontinue use sooner or switch methods more often than those with intended births remains to be seen.
Collapse
Affiliation(s)
- Karen Benjamin Guzzo
- Associate Professor, Department of Sociology, Bowling Green State University, Bowling Green, OH
| | - Kasey Eickmeyer
- Ph.D. Candidate, Department of Sociology, Bowling Green State University, Bowling Green, OH
| | - Sarah R Hayford
- Associate Professor, Department of Sociology, Ohio State University, Columbus
| |
Collapse
|
15
|
Change and continuity in the fertility of unpartnered women in Latin America, 1980–2010. DEMOGRAPHIC RESEARCH 2018. [DOI: 10.4054/demres.2018.38.51] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
16
|
Ribeiro-Accioly ACL, Seidl-De-Moura ML, Mendes DMLF, Mesman J. Maternal sensitivity in mother-infant interactions in Rio de Janeiro - Brazil. Attach Hum Dev 2018:1-8. [PMID: 29587578 DOI: 10.1080/14616734.2018.1454059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This article reports on a study of maternal sensitivity in 22 primiparous women and their infants from Rio de Janeiro, Brazil. Two semi-structured interviews were conducted, as well as videotaped naturalistic home observations of the dyads. A K-means cluster analysis was performed to examine patterns of risk in relation to maternal sensitivity. The results reveal that compared to the 15 mothers with higher sensitivity scores, the 7 mothers with lower sensitivity scores were characterized by lower educational levels, lower income, lower age, living in a slum, unplanned and unwanted pregnancies, and later onset of prenatal care. Whether father was resident did not appear to distinguish between the lower and higher sensitivity groups. The article concludes that the patterns of social-contextual risk for Brazilian mothers showing less sensitive caregiving to their infants provide a clear direction for future research in this cultural context.
Collapse
Affiliation(s)
| | - Maria Lucia Seidl-De-Moura
- a Graduate School of Social Psychology , University of State of Rio de Janeiro , Rio de Janeiro , Brazil
| | | | - Judi Mesman
- b Centre for Child and Family Studies , Institute of Education and Child Studies, Leiden University , Leiden , the Netherlands
| |
Collapse
|
17
|
Abstract
BACKGROUND Although breastfeeding is associated with proven benefits to both mother and child, there are many factors that influence a mother's decision to breastfeed. Pregnancy intentionality at the time of conception is associated with postpartum maternal behavior including breastfeeding. Research aim: We sought to understand how maternal and paternal pregnancy intentions were associated with breastfeeding initiation and duration in a nationally representative sample. METHODS We used a cross-sectional, retrospective study of the CDC National Survey of Family Growth data to examine the link between pregnancy intentionality and breastfeeding initiation and duration among women ages 15 to 44 years. RESULTS We found that whereas the mother's intention to have a child was a factor in how long she breastfed, the paternal intention to have a child predicted whether the mother breastfed at all. Additionally, Hispanic mothers were most likely to breastfeed and breastfed the longest of any other group. Age and education were also positive predictors of ever breastfeeding. CONCLUSION Understanding the father's and mother's attitudes toward the pregnancy and influence on breastfeeding intention is important for intervention planning.
Collapse
Affiliation(s)
- Shimrit Keddem
- 1 Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, USA.,2 VISN 4 Center for the Evaluation of Patient Aligned Care Teams, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA
| | - Rosemary Frasso
- 3 Master of Public Health Program, College of Population Health, Jefferson University, Philadelphia, PA, USA
| | - Melissa Dichter
- 4 Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.,5 Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA
| | - Alexandra Hanlon
- 6 School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| |
Collapse
|
18
|
Rajan S, Morgan SP, Harris KM, Guilkey D, Hayford SR, Guzzo KB. Trajectories of Unintended Fertility. POPULATION RESEARCH AND POLICY REVIEW 2017; 36:903-928. [PMID: 29531423 PMCID: PMC5844575 DOI: 10.1007/s11113-017-9443-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Accepted: 08/14/2017] [Indexed: 10/18/2022]
Abstract
Having an unintended birth is strongly associated with the likelihood of having later unintended births. We use detailed longitudinal data from the Add Health Study (N=8,300) to investigate whether a host of measured sociodemographic, personality, and psychosocial characteristics select women into this "trajectory" of unintended childbearing. While some measured characteristics and aspects of the unfolding life course are related to unintended childbearing, explicitly modeling these effects does not greatly attenuate the association of an unintended birth with a subsequent one. Next, we statistically control for unmeasured time invariant covariates that affect all birth intervals, and again find that the association of an unintended birth with subsequent ones remains strong. This persistent, strong association may be the direct result of experiencing an earlier unplanned birth. We propose several mechanisms that might explain this strong association.
Collapse
|
19
|
Everett BG, McCabe KF, Hughes TL. Sexual Orientation Disparities in Mistimed and Unwanted Pregnancy Among Adult Women. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2017; 49:157-165. [PMID: 28598550 PMCID: PMC5819992 DOI: 10.1363/psrh.12032] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Revised: 02/22/2017] [Accepted: 02/23/2017] [Indexed: 05/26/2023]
Abstract
CONTEXT Many sexual minority women, regardless of sexual identity, engage in heterosexual behavior across the life course, which provides them opportunities to experience an unintended pregnancy. In addition, sexual minority women are more likely than others to report characteristics that may make them vulnerable to unintended pregnancy. Little research, however, has examined whether the risk of unintended pregnancy is elevated among these women. METHODS Using data from the 2006-2010 National Survey of Family Growth, logistic regression models were fitted to examine sexual orientation disparities in mistimed and unwanted pregnancies among 9,807 women aged 20-45; mixed-effects hazard models assessed disparities in the intention status of 5,238 pregnancies among these women by maternal sexual orientation. RESULTS Compared with heterosexual women reporting only male partners, heterosexual women who have sex with women had higher odds of reporting a mistimed pregnancy (odds ratio, 1.4), and bisexual women had higher odds of reporting an unwanted pregnancy (1.8). When compared with pregnancies reported by heterosexual women with only male partners, those reported by heterosexual women who have sex with women were more likely to be mistimed (hazard ratio, 1.7), and those reported by bisexual and lesbian women were more likely to be unwanted (1.7-4.4). CONCLUSIONS Compared with heterosexuals who have sex with men only, adult sexual minority women are at equal or greater risk of reporting an unintended pregnancy. More research addressing the reproductive health care needs of sexual minority women is needed to develop strategies to improve family planning for this population.
Collapse
Affiliation(s)
- Bethany G Everett
- Assistant professor, Department of Sociology, University of Utah, Salt Lake City
| | - Katharine F McCabe
- Doctoral candidate, Department of Sociology, The University of Illinois, Chicago
| | - Tonda L Hughes
- Professor, Department of Health Systems Science, The University of Illinois, Chicago
| |
Collapse
|
20
|
Su JH. Unintended Birth and Children's Long-term Mental Health. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2017; 58:357-370. [PMID: 29164953 DOI: 10.1177/0022146517717037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Research has examined the proximate effects of unintended birth on infants and young children, but we know relatively little about the longer-term effects. Given that unintended birth is associated with several childhood risk factors, it might set the stage for poor mental health in adulthood. Drawing on rich intergenerational survey data from the National Longitudinal Survey of Youth, 1979 ( N = 3,742), this study used a variety of statistical techniques to examine whether maternal pregnancy intentions are associated with children's depressive symptoms during early adulthood. Results from ordinary least squares regression suggest that children resulting from unintended pregnancies experienced more depressive symptoms in their 20s than children resulting from intended pregnancies, controlling for a host of characteristics. Results from propensity-weighted and sibling fixed-effects models suggest that there is little to no causal relationship, however. Much of the initial association between maternal fertility intentions and children's depressive symptoms is attributed to the mother's sociodemographic characteristics.
Collapse
|
21
|
Abstract
Children from prior relationships potentially complicate fertility decision-making in new cohabitations and marriages. On the one hand, the "value of children" perspective suggests that unions with and without stepchildren have similar-and deliberate-reasons for shared childbearing. On the other hand, multipartnered fertility (MPF) research suggests that childbearing across partnerships is often unintended. Using the 2006-2010 National Survey of Family Growth and event-history models, I examine the role of stepfamily status on cohabiting and married women's fertility and birth intendedness, with attention to union type and stepfamily configuration. Adjusting for covariates, women in stepfamily unions are more likely to have a first shared birth in a union than women in unions in which neither partner has children from past relationships, but stepfamily births are less likely to be intended than unintended. Further, this association varies by union type: married women have similar birth risks across stepfamily status, but births are less likely to be intended in marital stepfamilies. For cohabitors, women in a stepfamily are more likely to have a birth than women in nonstepfamily unions, with no differences in intendedness. Configuration (whose children and how many) also matters; for instance, women with one child from a past relationship are more likely to have a birth and to have an intended than unintended birth than women with other stepfamily configurations. It appears that children from either partner's prior relationships influences subsequent fertility decision-making, undermining the utility of the "value of children" perspective for explaining childbearing behaviors in complex families.
Collapse
Affiliation(s)
- Karen Benjamin Guzzo
- Department of Sociology, Bowling Green State University, Bowling Green, OH, 43403-0222, USA.
| |
Collapse
|
22
|
Guzzo KB. Is Stepfamily Status Associated With Cohabiting and Married Women's Fertility Behaviors? Demography 2017; 54:45-70. [PMID: 28078621 DOI: 10.1007/s13524-016-0534-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Children from prior relationships potentially complicate fertility decision-making in new cohabitations and marriages. On the one hand, the "value of children" perspective suggests that unions with and without stepchildren have similar-and deliberate-reasons for shared childbearing. On the other hand, multipartnered fertility (MPF) research suggests that childbearing across partnerships is often unintended. Using the 2006-2010 National Survey of Family Growth and event-history models, I examine the role of stepfamily status on cohabiting and married women's fertility and birth intendedness, with attention to union type and stepfamily configuration. Adjusting for covariates, women in stepfamily unions are more likely to have a first shared birth in a union than women in unions in which neither partner has children from past relationships, but stepfamily births are less likely to be intended than unintended. Further, this association varies by union type: married women have similar birth risks across stepfamily status, but births are less likely to be intended in marital stepfamilies. For cohabitors, women in a stepfamily are more likely to have a birth than women in nonstepfamily unions, with no differences in intendedness. Configuration (whose children and how many) also matters; for instance, women with one child from a past relationship are more likely to have a birth and to have an intended than unintended birth than women with other stepfamily configurations. It appears that children from either partner's prior relationships influences subsequent fertility decision-making, undermining the utility of the "value of children" perspective for explaining childbearing behaviors in complex families.
Collapse
Affiliation(s)
- Karen Benjamin Guzzo
- Department of Sociology, Bowling Green State University, Bowling Green, OH, 43403-0222, USA.
| |
Collapse
|
23
|
Musick K, Michelmore K. Change in the Stability of Marital and Cohabiting Unions Following the Birth of a Child. Demography 2016; 52:1463-85. [PMID: 26385110 DOI: 10.1007/s13524-015-0425-y] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The share of births to cohabiting couples has increased dramatically in recent decades. How we evaluate the implications of these increases depends critically on change in the stability of cohabiting families. This study examines change over time in the stability of U.S. couples who have a child together, drawing on data from the 1995 and 2006-2010 National Survey of Family Growth (NSFG). We parse out the extent to which change in the stability of cohabiting and married families reflects change in couples' behavior versus shifts in the characteristics of those who cohabit, carefully accounting for trajectories of cohabitation and marriage around the couple's first birth. Multivariate event history models provide evidence of a weakening association between cohabitation and instability given that marriage occurs at some point before or after the couple's first birth. The more recent data show statistically indistinguishable separation risks for couples who have a birth in marriage without ever cohabiting, those who cohabit and then have a birth in marriage, and those who have a birth in cohabitation and then marry. Cohabiting unions with children are significantly less stable when de-coupled from marriage, although the parents in this group also differ most from others on observed (and likely, unobserved) characteristics.
Collapse
Affiliation(s)
- Kelly Musick
- Department of Policy Analysis and Management, Cornell University, 254 MVR, Ithaca, NY, 14853, USA. .,Cornell Population Center, Cornell University, New York, NY, USA.
| | | |
Collapse
|
24
|
Lichter DT, Michelmore K, Turner RN, Sassler S. Pathways to a Stable Union? Pregnancy and Childbearing Among Cohabiting and Married Couples. POPULATION RESEARCH AND POLICY REVIEW 2016. [DOI: 10.1007/s11113-016-9392-2] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
25
|
Maddow-Zimet I, Lindberg L, Kost K, Lincoln A. Are Pregnancy Intentions Associated with Transitions Into and Out of Marriage? PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH 2016; 48:35-43. [PMID: 26929138 PMCID: PMC4801697 DOI: 10.1363/48e8116] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 11/23/2015] [Accepted: 11/25/2015] [Indexed: 06/05/2023]
Abstract
CONTEXT In addition to having associations with health outcomes, pregnancy intentions may be associated with social outcomes, including marital transitions. METHODS Linked data from the 2004-2008 Oklahoma Pregnancy Risk Assessment Monitoring System and The Oklahoma Toddler Survey for 2006-2010 on 3,617 women who were married and 2,123 who were unmarried at conception were used to examine the relationship between pregnancy intention status (intended, mistimed by less than two years, mistimed by two or more years, or unwanted) and marital formation or dissolution by the time of the birth and two years later. Logistic regression analyses were conducted, and propensity score methods were used to adjust for confounding characteristics. RESULTS Intention status was associated with marital transition two years after the birth, but not between conception and birth. In adjusted models, among women married at conception, those with a birth resulting from an unwanted pregnancy were more likely than those with a birth resulting from an intended pregnancy to transition out of marriage by the time their child was two years old (odds ratio, 2.2). Among women unmarried at conception, those with a birth following an unwanted pregnancy were less likely than those with a birth following an intended pregnancy to marry by the time their child was two (0.5). Births following mistimed pregnancies were not associated with marital transition. CONCLUSIONS The findings should motivate researchers to broaden the scope of research on the consequences of unintended childbearing. Future research should distinguish between mistimed and unwanted births.
Collapse
|
26
|
Musick K, Michelmore K. Change in the Stability of Marital and Cohabiting Unions Following the Birth of a Child. Demography 2015. [PMID: 26385110 DOI: 10.1007/s13524-0150425-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
The share of births to cohabiting couples has increased dramatically in recent decades. How we evaluate the implications of these increases depends critically on change in the stability of cohabiting families. This study examines change over time in the stability of U.S. couples who have a child together, drawing on data from the 1995 and 2006-2010 National Survey of Family Growth (NSFG). We parse out the extent to which change in the stability of cohabiting and married families reflects change in couples' behavior versus shifts in the characteristics of those who cohabit, carefully accounting for trajectories of cohabitation and marriage around the couple's first birth. Multivariate event history models provide evidence of a weakening association between cohabitation and instability given that marriage occurs at some point before or after the couple's first birth. The more recent data show statistically indistinguishable separation risks for couples who have a birth in marriage without ever cohabiting, those who cohabit and then have a birth in marriage, and those who have a birth in cohabitation and then marry. Cohabiting unions with children are significantly less stable when de-coupled from marriage, although the parents in this group also differ most from others on observed (and likely, unobserved) characteristics.
Collapse
Affiliation(s)
- Kelly Musick
- Department of Policy Analysis and Management, Cornell University, 254 MVR, Ithaca, NY, 14853, USA.
- Cornell Population Center, Cornell University, New York, NY, USA.
| | | |
Collapse
|
27
|
Macleod CI. Public reproductive health and 'unintended' pregnancies: introducing the construct 'supportability'. J Public Health (Oxf) 2015; 38:e384-e391. [PMID: 26354998 DOI: 10.1093/pubmed/fdv123] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
In this Perspectives paper, I outline the limitations of the concept of 'intentionality' in public reproductive health understandings of pregnancy. 'Intentionality', 'plannedness', 'wantedness' and 'timing' place individual cognitions, psychology and/or behaviors at the center of public health conceptualizations of pregnancies, thereby leaving the underlying social and structural dynamics under-examined. I propose a model that places 'supportability' at the center of thinking about pregnancies and that allows for an analysis of the intersection of individual cognitions, emotions and behavior with micro-level interactive spaces and macro-level issues.
Collapse
Affiliation(s)
- Catriona Ida Macleod
- Critical Studies in Sexualities and Reproduction Research Programme, Rhodes University, Grahamstown 6140, South Africa
| |
Collapse
|
28
|
Guzzo KB, Nash SP, Manning WD, Longmore MA, Giordano PC. Unpacking the "Black Box" of Race-Ethnic Variation in Fertility. RACE AND SOCIAL PROBLEMS 2015; 7:135-149. [PMID: 26195990 PMCID: PMC4505374 DOI: 10.1007/s12552-014-9141-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Race-ethnic differences in a range of childbearing behaviors are long-standing and well-documented, and these differences are attenuated, but not eliminated, when accounting for socioeconomic disparities. The residual differences are often attributed to vague and untested variation across race-ethnic groups in knowledge, attitudes, psychological attributes, normative beliefs, and social context. We use the longitudinal Toledo Adolescent Relationship Study (TARS), which contains a rich set of such factors measured in early adolescence, to assess whether they contribute to race-ethnic differences in having a birth among men and women ages 17-24 (n=1,042). Specifically, we test whether individual attitudes, religiosity, and academic behaviors; knowledge and behaviors regarding sex and dating; peer normative context; and parental communication about sex account for variation in the risk of an early birth. We find that socioeconomic factors attenuate but do not reduce differences between Black, Hispanic, and White respondents. Including adolescent academic performance and early entry into sex reduces the Black-White difference in the odds of early fertility to nonsignificance; however, beyond socioeconomic status, none of the broad range of factors further attenuate Hispanic-White differences, which remain large and statistically significant.
Collapse
Affiliation(s)
- Karen Benjamin Guzzo
- Sociology Dept, Williams Hall 212, Bowling Green State University, Bowling Green, OH 43403, USA
| | | | | | | | | |
Collapse
|
29
|
Abstract
In recent decades, writes Wendy Manning, cohabitation has become a central part of the family landscape in the United States-so much so that by age 12, 40 percent of American children will have spent at least part of their lives in a cohabiting household. Although many children are born to cohabiting parents, and cohabiting families come in other forms as well, the most common cohabiting arrangement is a biological mother and a male partner. Cohabitation, Manning notes, is associated with several factors that have the potential to reduce children's wellbeing. Cohabiting families are more likely than married families to be poor, and poverty harms children in many ways. Cohabiting parents also tend to have less formal education-a key indicator of both economic and social resources-than married parents do. And cohabiting parent families don't have the same legal protections that married parent families have. Most importantly, cohabitation is often a marker of family instability, and family instability is strongly associated with poorer outcomes for children. Children born to cohabiting parents see their parents break up more often than do children born to married parents. In this way, being born into a cohabiting family sets the stage for later instability, and children who are born to cohabiting parents appear to experience enduring deficits of psychosocial wellbeing. On the other hand, stable cohabiting families with two biological parents seem to offer many of the same health, cognitive, and behavioral benefits that stable married biological parent families provide. Turning to stepfamilies, cohabitation's effects are tied to a child's age. Among young children, living in a cohabiting stepfamily rather than a married stepfamily is associated with more negative indicators of child wellbeing, but this is not so among adolescents. Thus the link between parental cohabitation and child wellbeing depends on both the type of cohabiting parent family and the age of the child.
Collapse
Affiliation(s)
- Wendy D Manning
- Department of Sociology, co-director of the National Center for Family and Marriage Research, and director of the Center for Family and Demographic Research at Bowling Green State University
| |
Collapse
|
30
|
Lichter DT, Sassler S, Turner RN. Cohabitation, post-conception unions, and the rise in nonmarital fertility. SOCIAL SCIENCE RESEARCH 2014; 47:134-47. [PMID: 24913950 PMCID: PMC4648627 DOI: 10.1016/j.ssresearch.2014.04.002] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2013] [Revised: 04/14/2014] [Accepted: 04/14/2014] [Indexed: 05/10/2023]
Abstract
The majority of U.S. nonmarital births today are to cohabiting couples. This study focuses on transitions to cohabitation or marriage among pregnant unmarried women during the period between conception and birth. Results using the newly-released 2006-2010 National Survey of Family Growth show that nonmarital pregnancy is a significant precursor to cohabitation before childbirth (18%), exceeding transitions to marriage (5%) by factor of over three. For pregnant women, the boundaries between singlehood, cohabitation, and marriage are highly fluid. The results also reveal substantial variation in post-conception cohabiting and marital unions; e.g., disproportionately low percentages of black single and cohabiting women transitioned into marriage, even when conventional social and economic risk factors are controlled. The multivariate analyses also point to persistent class differences in patterns of family formation, including patterns of cohabitation and marriage following conception. Poorly educated women, in particular, are much more likely to become pregnant as singles living alone or as partners in cohabiting unions. But compared with college-educated women, pregnancies are less likely to lead to either cohabitation or marriage. This paper highlights the conceptual and technical challenges involved in making unambiguous interpretations of nonmarital fertility during a period of rising nonmarital cohabitation.
Collapse
|
31
|
Guzzo KB. New Partners, More Kids: Multiple-Partner Fertility in the United States. THE ANNALS OF THE AMERICAN ACADEMY OF POLITICAL AND SOCIAL SCIENCE 2014; 654:66-86. [PMID: 25284822 PMCID: PMC4182921 DOI: 10.1177/0002716214525571] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Declining rates of marriage and overall increases in union instability, combined with high levels of unintended and nonmarital fertility, create the possibility for parents to have children with more than one partner, called multiple-partner fertility, or MPF. The unique characteristics of families with MPF present data and other logistical challenges to researchers studying the phenomenon. Drawing from recent studies and updated data, I present new estimates of MPF that show that about 13 percent of men aged 40 to 44 and 19 percent of women aged 41 to 49 have children with more than one partner, with a higher prevalence among the disadvantaged. Compared to parents with two or more children by only one partner, people with MPF become parents at younger ages, largely with unintended first births, and often do so outside of marriage. This article touches on the implications of MPF for families and concludes by discussing the theoretical difficulties in studying MPF and the challenges it presents to public policy.
Collapse
|