National Survey Of Families Research Articles

Increase in birthweight coverage of neonatal deaths is needed to monitor low birthweight prevalence in India: lessons from the National Family Health Survey

BackgroundLow birthweight (LBW), defined as birthweight < 2500gms, is the largest contributor to the malnutrition disability-adjusted-live-years in India. We report on the inadequacy of birthweight data, which is a significant barrier in the understanding of LBW epidemiology, to address malnutrition in India.MethodsData from the recent round of the National Family Survey (NFHS-5) were utilised. Birthweight of livebirths in the last 5 years was documented in grams either from the health card or based on mother’s recall. We computed the coverage of birthweight measurement availability and the extent of heaping (values of 2500, 3000 and 3500gms) by the place of delivery and by the survival of newborn during the neonatal period. Heaping of > 55% was considered as poor-quality birthweight data. LBW prevalence per 100 livebirths was estimated and extrapolated for under-reporting of birthweight. Findings are reported for India and its 30 states.ResultsBirthweight measurement coverage irrespective of the place of delivery was (89·8%; 95% CI 89·7–90) for India, and varied by 2 times among the states with the highest coverage in Tamil Nadu (99·3%) and the lowest in Nagaland (49·7%). Home deliveries had the least coverage of birthweight measurement (49.6%; 95% CI 49.0–50.1) as compared with public health facility (96.3%; 95% CI 96.2–96.3) and private health facility (96%; 95% CI 95.8–96.1) deliveries. This coverage was 66·5% (95% CI 65·2–67·7) among neonatal deaths as compared with 90.4 (95% CI 90.3–90.6) for livebirths who survived the neonatal period for India. The proportion of health card as the data source increased for livebirths born in year 2015 to year 2020 but then dropped for livebirths born in year 2021 (p < 0.001). The proportion of heaping was 52·0% (95% CI 51·7–52·2) in the recorded birthweight for India, and heaping > 55% was seen in 10 states irrespective of the type data source; and 3 states in addition had heaping > 55% in mother’s recall. LBW prevalence was estimated at 17·4% (95% CI 17·3–17·6) for India, and ranged from 4.5% in Nagaland and Mizoram to 22.5% in Punjab for livebirths for whom birthweight was available. We estimated LBW at 77.8% for whom birthweight was not available, and the adjusted LBW prevalence for all livebirths was estimated at 23.5% (95% CI 23.3–23.8) for India.ConclusionsWithout measuring birthweight for every newborn irrespective of the survival and place of delivery, India may not able to address reduction in low birthweight and neonatal mortality effectively to meet global or national targets.

Domestic Violence and Its Impact on Abortion in Iran: Evidence From a Nationally Representative Survey.

The objective of this article is to assess the effect of domestic violence on abortion and investigate the mediating role of unwanted pregnancy. A secondary analysis was conducted on the National Family Survey data. This survey was a cross-sectional study conducted across Iran in 2018. The association between domestic violence and abortion was analyzed using the Partial Least Square-Structural Equation Model (PLS-SEM) with WarpPLS version 8.0. From among 1,544 married women (mean age 42.8 years) who participated in this survey, 27% (418 women) reported experiencing at-least one-lifetime of abortion. Overall, two in three women (67.3%) experienced at least one form of domestic violence. Almost half of the women with experience of abortion (49.3%) reported at least one unwanted pregnancy in their life course. The bivariate analysis showed a significant positive relationship between domestic violence and abortion, and there was a positive direct effect of domestic violence on unwanted pregnancy. Moreover, age had a negative direct and indirect effect on unwanted pregnancy and abortion. Although, the direct effect of domestic violence on abortion was not significant in the Structure Equation Model, a positive indirect effect of domestic violence on abortion through unwanted pregnancy was confirmed. The effect of unwanted pregnancy on abortion was particularly strong (β = .395, p < .01). These results have some implications for prevention of abortion through interventions against unwanted and unplanned pregnancy and domestic violence. This study makes a unique theoretical contribution to the literature through assessing the mediating role of unwanted pregnancy between domestic violence and abortion by using the SEM model.

Direct and indirect costs for families of children with autism spectrum disorder in China.

This is the first comprehensive national study to explore the direct and indirect costs for families of children with autism spectrum disorder in China. The increasing prevalence of autism spectrum disorder highlights a growing need for resources to provide care for families of children with autism spectrum disorder. The medical and nonmedical costs and parents' productivity loss have caused a serious burden on their families. Our objective is to estimate the direct and indirect costs for the families of children with autism spectrum disorder in China. The target population was parents of children with autism spectrum disorder. We analyzed the costs using cross-sectional data from a Chinese national family survey with children aged 2-6 years (N = 3236) who were clinically diagnosed with autism spectrum disorder. Family data from 30 provinces in China were obtained. Cost items included direct medical costs, direct nonmedical costs, and indirect costs. In this study, we found that the largest part of family costs for autism spectrum disorder are nonmedical costs and productivity loss. Autism spectrum disorder has imposed a huge economic burden on parents having children with autism spectrum disorder in China, who need more support than the current health care system provides.

Educational Attainment, First Employment, and First Marriage in Japan

This study examines the patterns of educational attainment and first employment among young Japanese, and their effects on the likelihood of first marriage, using micro-level data drawn from a national family survey in 2004 and its follow-up in 2007. Attainment of higher education increased dramatically in postwar Japan, and such gains were especially notable for women. Meanwhile, regular employment has decreased, and temporary employment has risen rapidly among young Japanese since the 1990s. The study reveals that obtaining regular employment as the first job strongly enhances the likelihood of first marriage for both genders although the marriage-enhancing effect is stronger for men than for women. First entry to the labor market as a temporary worker also significantly diminishes the likelihood of first marriage for men. Like other industrialized economies in Asia, improving educational attainment is found to be a factor causing declining first marriage among young Japanese women.

Religious Affiliation and Childbearing Preferences of Iranian Women.

Religious differences in fertility are one of the essential issues in health and demographic research in Western societies. However, they have received less attention in Muslim countries. This study aims to investigate Shiite and Sunni religious groups' childbirth preferences in Iranian society. It also seeks to analyze their differences based on socioeconomic and demographic factors. We used data from 1020 married women aged 18-44 surveyedas part of Iran's National Family Survey in 2018. The study was designed quantitatively with a cross-sectional approach, and samples were selected using multi-stage cluster sampling. SPSS26 was used to run logisticsandPoisson regression models. The results revealed that the means (± SD) of ideal family sizes for Shiite and Sunni women were 2.6 (± 1.0) and 3.4 (± 1.3) children, respectively. Sunni women (49%) had a higher intention to have a (or another) child than Shiite women (35%). According to the multivariate analysis findings, religion alone significantly affected the ideal family size, even when other socioeconomic and demographic variables were controlled. However, it had no significant effect on the intention to have a (or another) child within the next three years. Therefore, it is possible to conclude that within the specific social structure and cultural context of Iran, religion has explanatory power regarding childbearing beliefs and values. Furthermore, regarding fertility intentions and behaviors, demographic and socioeconomic factors become more important than religion.

The intergenerational transmission of sexual frequency

ABSTRACT Intergenerational relationships are one of the most frequently studied topics in the social sciences. Within the area of family, researchers find intergenerational similarity in family behaviors such as marriage, divorce, and fertility. Yet less research has examined the intergenerational aspects of a key proximate determinant of fertility: sexual frequency. We use the National Survey of Families and Households to examine the relationship between sexual frequency of parents and the sexual frequency of children when adults. We link parental sexual frequency in 1987/1988, when children were ages 5–18, to the sexual frequency of the children in 2001–2003 when these grown children were ages 18–34. We find a modest, yet significant association, between parental and adult children sexual frequency. A mechanism behind this association appears to be the higher likelihood of being in a union among children of parents with high sexual frequency.

Time Availability: Assessing Causal Ordering in the Performance of Paid Labor and Unpaid Housework

Key to understanding gender inequality in families, the time availability hypothesis implies that one’s time in paid work negatively affects one’s time in unpaid housework. Although dozens of studies have demonstrated an association between husbands’ and wives’ time in the paid labor force and their performance of housework, most suffer from numerous limitations, especially the use of unidirectional modeling and cross-sectional data. This is problematic since these methods cannot assess causal directionality and since human capital theory suggests that housework responsibilities affect time in paid work. Using structural equation modeling and two stage least squares regression—two methods that can help parse causal ordering—and data from the 1987–88 and 1992–94 waves of the U.S. National Survey of Families and Households (NSFH) this study finds no support for the time availability hypothesis regarding the association between paid work hours and unpaid housework. Consistent with human capital theory, husbands’ housework time affects their own time in paid work. No association is found among wives.

Social Support and Divorce among American Couples

This study investigates the relationship between extradyadic social support and divorce risk, net of existing need for support. Social support aids couples in weathering challenges but social ties may also enable divorce or compete with spousal relationships. Using a nationally representative sample of married couples in the National Survey of Families and Households ( N = 7,321), this study employs discrete-time event history models to test the associations of perceived support and help received with divorce risk. Results indicate that perceived support is positively associated with divorce, and this relationship persists even after accounting for couples’ needs. Specifically, perceived emotional support positively predicts divorce risk. This finding suggests that social ties may sometimes challenge marital relationships or facilitate divorce.

Parental relationship stability and parent–adult child relationships in stepfamilies: A test of alternative models.

Stepfamily relationships remain important over the life course to both children and parents. Unfortunately, limitations in availability of longitudinal data that include useful measures of stepfamily relations remain, thereby scholars must rely mostly on cross-sectional examinations. As a way to more rigorously test some of the mixed cross-sectional findings related to the links among stepcouple stability and parent-adult child relationships (closeness, involvement) for three parent-child subsystems (mother-child, father-child, stepparent-child), we used an alternative modeling strategy to test three plausible models. Multiple group analyses also were used to compare associations for stepmother and stepfather families. Stepfamilies (N = 330) from the National Survey of Families and Households with data from both adult children and primary respondents (resident parent or stepparent) were included. All three models fit the data. The best-fitting model suggests the most probable order of association is that parental involvement is associated with parent-child closeness which, in turn, is associated with stepcouple stability. Results also suggest that multiple parent-child relationships and stepcouple relationship stability are generally positively linked for both stepmother and stepfather households, although some differences emerged. Taken together, findings underscore the influence of cross-household stepfamily relationships even when children are adults. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Relationships Between (Step)Parents and Adult (Step)Children: Explaining Influences on Life Satisfaction and Marital Quality

ABSTRACTThe purpose of this study was to examine important influences of adult (step)children’s relationships with their biological fathers, biological mothers, and resident stepparents on their life satisfaction and marital quality and the moderating role of stepparent gender. The sample (N = 215) was from Wave 3 of the National Survey of Families and Households (NSFH). Results illustrate that (a) biological mothers and stepparents positively influenced life satisfaction among adult (step)children regardless of stepfamily type; and (b) that the influence of parent–child relationship quality on the adult child’s marital quality did vary as a function of stepfamily type. Specifically, there was a positive link between current stepmother–child relationship quality and the focal child’s current marital quality. The opposite link was found for those reared in stepfather households.

Adult men and the post-industrial ‘turn’: Breadwinning gender norms, masculine occupational tasks and midlife school trajectories

Post-1970s restructuring exacerbated occupational skill and occupational sex-segregation divides by reducing jobs in male-dominated occupations requiring less than college. Economic precarity might have motivated men to extend postsecondary careers into adulthood due to economic interests. However, men’s gender socialization as “breadwinners” and familiarity with performance of stereotypically masculine occupational tasks might have discouraged postsecondary attainment in adulthood. Using National Survey of Families and Households data (1987–2003), event history and multinomial methods, we find that adult men’s postsecondary entry and completion of baccalaureate and higher degrees was strongly motivated by economic factors, including market precarity. However, traditional gender role attitudes and exposure to masculine task performance, as countervailing forces, significantly constrained men's potential educational gains. We briefly address policies that might reduce adult men’s barriers to attainment.

Role of Marital Quality in Explaining Depressive Symptoms After Marital Termination Among Older Adults

ABSTRACTThis study assesses whether prior marital quality moderates the impact of divorce or widowhood on subsequent depression. Poor marital quality may buffer depression associated with divorce/widowhood; conversely, the effect of divorce/widowhood on depression could be exacerbated by previous marital quality. Three waves from the National Survey of Families and Households based on respondents, ages 50 and older, (N = 2,570) included eight marital quality measures. We find limited evidence suggesting higher marital quality elevates, while lower marital quality decreases, depression after divorce. No moderating effects were found for widowhood. Additionally, health condition is more important than current marital status for elders’ well-being after divorce or widowhood. Heterogeneity in the context of the marriage before divorce should be considered when examining marital termination effects on elders’ depression.

Intergenerational Age Gaps and a Family Member’s Well-Being: A Family Systems Approach

ABSTRACTAs more individuals belong to multigeneration lineages wherein four or more generations are alive at the same time, this study examines the link between intergenerational age gaps and their impact on family members’ well-being. Adopting the family systems perspective, where family members are viewed as interdependent, this study uses the third wave of the National Survey of Families and Households, 2001–2003, to investigate whether the mean of and variation in age gaps between generations within a family lineage are associated with a family member’s self-rated health, depression level, and general well-being. The results indicate that family members who belong to a lineage with longer age gaps are more likely to report better health, a lower degree of depression, and better general well-being than those from shorter-age-gap lineages. Higher variation in age gaps is related to lower well-being outcomes. Practice implications are discussed.

Is Your Spouse More Likely to Divorce You if You Are the Older Partner?

The authors assessed how the relative age of spouses affects whether men or women initiate a divorce, using data from the National Survey of Families and Households. Ex‐spouses' reports of who left generally agreed, but not always, so the analysis used a latent class model embedded in an event‐history model with competing risks that the woman leaves the man or the man leaves the woman. Support was not found for the hypothesis that age heterogamy itself increases the odds of divorce: Even large age differences did not make men more likely to leave younger wives, and women's exits were as likely when the marriage is homogamous as when she was older. The main conclusion is that both men and women are more likely to leave if their spouse is older than they are. The effects were stronger for men, but the gender difference in effect size was not statistically significant.

Tobacco Consumption Among HIV-Positive Respondents: Findings From the Third Round of the National Family Health Survey.

HIV-positive people are often more susceptible to illnesses associated with smoking, for example, cardiovascular disease, than those in the general population. The purpose of this article is to examine the association between tobacco use and HIV-status in India. This article analyzed data from the National Family Health Survey III, which provides a representative sample of the Indian population. Patterns in tobacco consumption among HIV-positive and negative respondents were assessed through logistic and ordinal regression models. Associations between smoking, asthma, and tuberculosis were examined through bivariate logistic regressions. A greater percentage of male HIV-positive participants (68%) reported current tobacco use in comparison to male HIV-negative respondents (58%) and female HIV-positive (12%) and negative (11%) participants. Multivariable logistic regression analyses revealed that there was a positive correlation between male respondents' HIV-status and their propensity to use tobacco (odds ratio [OR] = 1.48, confidence interval [CI] = 1.05-2.1, P < .05) when controlled for extraneous variables. Results from ordinal regression analyses illustrated that male HIV-positive respondents had a twofold increased OR of smoking 20 or more cigarettes (OR = 2.1, CI = 1.4-3.2, P < .005). Finally, there was a positive association between being HIV-infected (adjusted odds ratio [AOR] = 4.6, CI = 2.02-10.6, P < .005), smoking 15-19 cigarettes (AOR = 2.11, CI = 1.1-4.1, P < .05) and male participants' TB-status. Results in this article suggest HIV-positive men in India were not only significantly more likely to consume tobacco, but they also smoked a higher number of cigarettes compared to their HIV-negative counterparts. This is a cause for concern as our analyses revealed a possible association between the number of cigarettes smoked and TB-status. This article contributes to knowledge on the intertwining epidemics of HIV and smoking through using cross-sectional data from the National Family Survey III to demonstrate that HIV-positive men in India display patterns of tobacco consumption which differs to that of HIV-negative men. These findings could have strong implications for long-term treatment of HIV-positive patients as smoking has been proven to increase the likelihood of contracting HIV-related illnesses.

Cohabitation, marriage and relationships with ‘parents-in-law’

Previous research suggests that, compared with married couples, cohabiters have weaker ties with parents. However, we know little about cohabiters’ relationships with their partners’ parents – their ‘parents-in-law’. This study explores intergenerational solidarity with parents-in-law, but goes beyond a comparison of cohabitation versus marriage, distinguishing cohabiters by intentions to marry. Using the National Survey of Families and Households in the United States (N = 3,125), we observe significant differences between marrieds and cohabiters with plans to marry. The exchange of practical and emotional support with parents-in-law is lowest for cohabiters who have intentions to marry, rather than cohabiters who have no intentions to marry. Findings suggest that cohabiters with plans to marry have different normative obligations to parents-in-law, but that cohabiters with no plans to marry are more similar to married couples. Implications for practitioners include the importance of distinguishing types of cohabiters and understanding how normative obligations to parents-in-law may differ.

Social Capital and Spousal Education: Marriage Market Returns to Social Participation

ABSTRACTMarital decision making appears personal but is driven by opportunities and constraints in local marriage markets along social class lines. We examine the relationship between the nature and extent of individuals’ social participation and educational marriage-market outcomes, employing a subsample of 493 respondents from the National Survey of Families and Households to evaluate whether participation in social groups and activities, and the extent of socializing within and outside their neighborhoods, are associated with spousal education. We evaluate whether gains to social participation vary based on education and gender. Results support a social capital perspective, with varied networks and greater access to weak ties increasing, and more frequent contact with strong ties reducing economically advantageous partnering. Gains to social participation vary somewhat by education level, consistent with a social capital perspective, and differential access to valuable social ties on the basis of education represents an important source of inequality in marital pairing.

HAPPY IN THE HOOD? THE IMPACT OF RESIDENTIAL SEGREGATION ON SELF‐REPORTED HAPPINESS

ABSTRACTPrevious research consistently finds that racially based residential segregation is associated with poor economic, health, and social outcomes. The purpose of this paper is to explore the relationship between residential segregation and self‐reported happiness. Using panel data from the National Survey of Families and Households (NSFH), we begin by estimating ordinary least squares (OLS) regressions of happiness on a measure of MSA‐level segregation, controlling for a rich set of individual, neighborhood, regional, and state characteristics. The OLS results suggest that increased segregation is associated with a reduction in happiness among blacks. To deal more appropriately with the potential endogeneity of location choice, we extend the methodology to fully exploit the panel structure of the NSFH and incorporate individual fixed effects into the happiness equation. Contrary to the OLS results, our fixed effects estimates imply that blacks are happier in more segregated metropolitan areas. The paper discusses the implications of these results within the context of current integration policies.

Change in Disagreements About Money, Time, and Sex and Marital Outcomes

Using data from the National Survey of Families and Households, an actor-partner interdependence model explored change in the frequency of disagreements and marital outcomes among 796 paired couples, early in marriage. Disagreements about money, time spent together, and the sexual relationship increased over 5 years. Money disagreements predicted disagreements about time and sex for husbands. Spillover findings showed disagreements about money and sex were related negatively to marital satisfaction. Disagreements in all three areas predicted marital instability for husbands, although only disagreements about money and time predicted marital instability for wives. Crossover findings showed husbands’ disagreements about money to be related negatively to wives’ marital satisfaction. Implications of the current findings are discussed.

Religion, Race/Ethnicity, and Norms of Intergenerational Assistance among Older Adults

Using data on adults ages 55 and over from the second wave of the National Survey of Families and Households (NSFH-2), this study models the main and interactive effects of religious involvement and race/ethnicity on four items of attitudes towards intergenerational assistance. Results indicate that African Americans and Hispanics tend to express stronger support for intergenerational assistance than non-Hispanic Whites. Conservative Protestants, Mormons, and Catholics are more likely than others to believe that adult children should offer co-residence to their aging parents. In addition, theological conservatism is positively associated with support for each type of intergenerational aid, and the net effect of theological conservatism is stronger for African Americans than for non-Hispanic Whites. However, religious attendance is statistically unrelated to norms of intergenerational assistance. It is concluded that religious factors are important in shaping norms of intergenerational support, particularly within minority communities.