Spousal Characteristics Research Articles

配偶者をがんで亡くした遺族の対処行動パターン

The purposes of this study were (1) to identify healthy and unhealthy patterns of coping strategies after bereavement among spouses of cancer patients and 2) to explore the characteristics of patients and spouses associated with these patterns of coping strategies. The participants were 821 bereaved individuals whose spouses had died at the National Cancer Center Hospital East. Three patterns of coping strategies after bereavement were found: "Distraction Focused" (healthy), "Continuing Bonds Focused" (unhealthy), and "General Coping" (almost healthy). Two strategies for improving the unhealthy coping patterns of "Continuing Bonds Focused" were (1) enhancing "Distraction" and reducing "Continuing Bonds" for achieving "Distraction Focused" (healthy) and (2) enhancing both "Distraction" and "Social Sharing/Reconstruction" for achieving "General Coping" (almost healthy). The patients' characteristics associated with the bereaved spouses' coping strategy of "Continuing Bonds Focused" were "under 65 years", "history of psychiatric consultation", "duration of last hospital admission was less than one week", and "time since cancer diagnosis to death was less than one year". These four characteristics of the deceased patients were considered to be risk factors for spouses who would utilize unhealthy coping patterns after bereavement.

Fat spouses and hours of work: are body and Pareto weights correlated?

Abstract Abstract We explore the relationship between relative physical attractiveness in the household and the hours worked by married men and women. Using PSID data, we find that husbands who are thinner relative to their wives work fewer hours, while wives who are heavier relative to their husbands work more hours. These results are robust to controlling for individual, spousal characteristics, and conventional distribution factors, suggesting that high body weight leads to low Pareto weight in the household: fatter spouses may compensate with more hours of work. Our household bargaining interpretation is supported by the fact that we cannot statistically reject the collective proportionality restriction when including measures of the distribution of relative physical attractiveness in the population. JEL codes D1, J1, J22

The migration decisions of physicians in Canada: The roles of immigrant status and spousal characteristics

Around 25% of practicing physicians in Canada are graduates of medical schools outside of Canada. These physicians are more likely to be working in rural communities, and in particular account for more than half of new physicians starting practice in rural regions. The extent to which particular health regions and provinces are able to retain their physicians is crucial if shortages in the delivery of physician and surgeon services in both the short and longer terms are to be avoided. In this paper, we use data from the confidential master files of the Canadian Census over the years 1991–2006 to study the geographic mobility of immigrant and non-immigrant physicians who are already resident in Canada. We consider both inter- and intra-provincial migration, with a particular focus on migration to and from rural areas of Canada. We exploit the fact that it is possible to link individuals within families in the Census files in order to investigate the impact on the migration decision of the characteristics of a married physician’s spouse. Our results indicate that the magnitude of outflows is substantial and that the retention of immigrant physicians in rural areas and in some provinces will continue to be difficult. We find strong evidence that migration is a family decision, and spousal characteristics (education, age, years in Canada for immigrants) are important. As well, we find that large Canadian cities (mainly in Ontario) are the likely destination for the types of immigrant physicians typically able to be recruited to other areas, implying recruitment efforts of smaller provinces may have significant implications for the size of health care costs in larger provinces.

Authors' Reply

To the Editors: Knopf and Morris argue that our study on extraspousal partnerships among a rural population in Southwestern Uganda1 fails to provide an adequate test of the concurrency hypothesis. We agree that our article does not provide a test of concurrency—something we openly acknowledge in the discussion. A longitudinal study design with information on incident infection in both spouses is necessary to assess whether concurrency leads to HIV infection. The aim of our article, however, was not to test the causal effect of concurrency on HIV incidence—this would not be possible with our cross-sectional data. The empirical strategy employed in the article makes it clear this was not our intent; rather than examining HIV infection, we model extraspousal partnerships as the outcome of interest. We look at what associations are present between extraspousal partnerships and HIV, along with a variety of other sexual behaviors and demographic characteristics, to better understand the factors associated extraspousal partnerships. The important contribution of our article lies not in staking a claim in the debate on concurrency but rather in adding to our understanding of the factors associated with extraspousal relationships, and in particular, characteristics of spouses of index participants reporting extraspousal partners. As we state in our article, we find “no evidence…that a women's risk of HIV was associated with her husband reporting extraspousal partnerships”1 and we go on to discuss some factors that may be leading to the lack of observed association. We thank Knopf and Morris for their additional comments, including their table, which outlines the necessary scenarios under which we can test the concurrency hypothesis among married couples. This table will be of great use as research moves forward in obtaining and analyzing data that is suitable for an appropriate test of the concurrency hypothesis. Knopf and Morris conclude by claiming that we “do not acknowledge that (our) study design makes it inappropriate to test these associations and impossible to draw meaningful conclusions about the relationship between concurrency and HIV transmission within marriage.” We argue our article does acknowledge many, but not all, of the limitations Knopf and Morris raise. Although a cross-sectional study design with HIV prevalence data is insufficient for causal inference, this does not mean there is nothing to be gained from studying these associations. There is still much to be learned about the characteristics of husbands and wives who are associated with extraspousal partnerships.

Psychological states and coping strategies after bereavement among spouses of cancer patients: a quantitative study in Japan

The purposes of this study were (1) to characterize psychological states and coping strategies after bereavement among spouses of cancer patients in Japan and (2) to explore the factors associated with psychological states in oncology settings. In March 2009, questionnaires to assess spouses' psychological states, coping strategies, and mental health states (GHQ-28) were sent after patients died at the National Cancer Center of Japan. To address the first purpose, exploratory factor analysis, gender comparison, and calculation of correlation with age, time since bereavement, and mental health states were conducted. Hierarchical regression analysis was conducted to address the second purpose. A total of 821 spouses experiencing bereavement for 7 months to 7 years participated in the study. Psychological states revealed three factor structures: "Anxiety/Depression/Anger", "Yearning", and "Acceptance/Future-Oriented Feelings". Coping strategies also revealed three factor structures: "Distraction", "Continuing Bonds", and "Social Sharing/Reconstruction". Coping strategies represented 18 % to 34 % of each factor associated with psychological states, whereas the characteristics of bereaved spouses and deceased patients represented 6 % and less than 6 %, respectively. More "Distraction and Social Sharing/Reconstruction" and less "Continuing Bonds" were significantly associated coping strategies for achieving "Acceptance/Future-Oriented Feelings" (p < 0.01). Both psychological states and coping strategies after bereavement revealed three factor structures. Coping strategies was the primary, bereaved spouses' characteristics was the secondary, and deceased patients' characteristics was the tertiary factor associated with psychological states. Enhancing "Distraction" and "Social Sharing/Reconstruction", and reducing "Continuing Bonds" might be promising strategies for achieving positive psychological states of the bereaved.

PATERNAL INVESTMENT AND STATUS-RELATED CHILD OUTCOMES: TIMING OF FATHER'S DEATH AFFECTS OFFSPRING SUCCESS

Recent work in human behavioural ecology has suggested that analyses focusing on early childhood may underestimate the importance of paternal investment to child outcomes since such investment may not become crucial until adolescence or beyond. This may be especially important in societies with a heritable component to status, as later investment by fathers may be more strongly related to a child's adult status than early forms of parental investment that affect child survival and child health. In such circumstances, the death or absence of a father may have profoundly negative effects on the adult outcomes of his children that cannot be easily compensated for by the investment of mothers or other relatives. This proposition is tested using a multigenerational dataset from Bangalore, India, containing information on paternal mortality as well as several child outcomes dependent on parental investment during adolescence and young adulthood. The paper examines the effects of paternal death, and the timing of paternal death, on a child's education, adult income, age at marriage and the amount spent on his or her marriage, along with similar characteristics of spouses. Results indicate that a father's death has a negative impact on child outcomes, and that, in contrast to some findings in the literature on father absence, the effects of paternal death are strongest for children who lose their father in late childhood or adolescence.

Is It Money or Brains? The Determinants of Intra-Family Decision Power

We empirically study the determinants of intra-household decision power with respect to economic and financial choices using a suitable direct measure provided in the 1989-2010 Bank of Italy Survey of Household Income and Wealth. Focusing on a sample of couples, we evaluate the effect of each spouse's characteristics, household characteristics, and background variables. We find that the probability that the wife is in charge is affected by household characteristics such as family size and total income and wealth, but more importantly that it increases with the difference between hers and her husband's characteristics in terms of age, education, and income. The main conclusion is that decision-making power over family economics is not only determined by strictly economic differences, as suggested by previous studies, but also by differences in human capital and experience. Finally, exploiting the time dimension of our dataset, we show that this pattern is increasing over time.

Patterns and Factors Affecting Wives’ Influence in Family Purchase Decision-Making in Urban Malaysia

Family purchase decision-making is the process by which decisions regarding purchases for the families are made. The roles played by family members differ with regard to the products being purchased, the stage in the decision-making process, and the characteristics of families and spouses. This study aims to investigate the family purchase decision-making process in urban Malaysia and the factors aff ecting this process. Taking into consideration past research, four hypotheses were developed. These hypothese were based on products / services, stage of the decision-making process, and selected demographic variables (income, occupation, education). A survey using a structured questionnaire was used to collect data (N=1,000) in four different regions in Malaysia (Klang Valley, Penang, Kuantan, Johor Bahru). The findings of this study revealed that the majority of the products/services purchased for the family was a joint decision. The wives’ infl uence generally decreased in the outcome stage, i.e., when products were actually purchased. The analyses of the effects of the selected demographic variables revealed that generally, there were significant effects of these variables on the majority of the purchases. Keywords: Decision-making, demographic variables, family purchases, role structure, wives’ influence.

Community Effects on Pregnancy Intention Among Cohabiting Women in The Philippines: Implications for Maternal and Child Health

Unintended pregnancy impacts both maternal and child health. International studies continue to emphasize the importance of reproductive health in the context of community. Only a few researchers have explored the impact of community factors on pregnancy intention using population-based surveys. This issue is of particular importance for women of low socioeconomic status in developing countries, where unintended fertility rates remain relatively high. Using the 1998 (n = 6,849) and 2003 (n = 6,773) Demographic and Health Surveys in the Philippines, we employed multilevel logistic models to explore whether community factors are associated with pregnancy intention among these women. The results showed community social capital, comprised of community-related variables, significantly predicted women's pregnancy intention, even after controlling for women's socioeconomic status, individual background factors, and spousal characteristics. The relationship between pregnancy intention and selected variables associated with community social capital, however, was not consistent across the two surveys. Community context, in general, has a significant influence on women's pregnancy intention. Specific components of the community context vary in their associations with pregnancy intention over time. In addition, differences in pregnancy intention may explain individual-level social disparities between communities. These findings suggest population health policies designed to promote maternal and child health must be context-specific.

Black-White Marital Matching: Race, Anthropometrics, and Socioeconomics

We analyze the interaction of race with physical and socioeconomic characteristics in the U.S. marriage market, using the Panel Study of Income Dynamics from 1999 to 2009 for black, white, and inter-racial couples. We consider the anthropometric characteristics of both spouses, together with their wage and education, and estimate who inter-racially marries whom along these dimensions. Distinctive patterns arise by gender and race for inter-married individuals: the black women who inter-marry are the thinner and more educated in their group; instead, white women are the fatter and less educated; black or white men who inter-marry are poorer and thinner. While women in mixed couples find a spouse who is poorer but thinner than if they intra-married, black men match with a white woman who is more educated than if they intra-married, and a white man finds a thinner spouse in a black woman.

Why Does Intermarriage Increase Immigrant Employment? The Role of Networks

Abstract Social networks are commonly understood to play a large role in the labor market success of immigrants. Using 2000 U.S. Census data, this paper examines whether access to native networks, as measured by marriage to a native, increases the probability of immigrant employment. We start by confirming that in both least squares and instrumental variables frameworks, marriage to a native indeed increases immigrant employment rates. Next, we show that the returns to marrying a native are not likely to arise solely from legal status acquired through marriage or characteristics of native spouses. We then present several pieces of evidence suggesting that networks obtained through marriage play an important part in explaining the relationship between marriage decisions and employment.

Perceived burden in spouses of National Guard/Reserve service members deployed during Operations Enduring and Iraqi Freedom

Spouses of combat veterans with posttraumatic stress disorder (PTSD) experience elevated psychological distress. Recent research indicates that spouses’ perceptions of burden may be one mechanism of such distress, but there are several gaps in this literature. No research has examined perceived burden in relation to symptoms other than PTSD or subclinical levels of psychological distress, and very little research has focused on characteristics of spouses that may be related to their perceptions of burden. The current study examined these variables in 130 spouses of reserve component troops deployed during Operations Enduring/Iraqi Freedom. Spouses’ burden was positively associated with symptoms of PTSD, depression, and anxiety in service members, regardless of clinical severity. Moreover, burden fully mediated the relation between each type of symptom and spouses’ own psychological distress. Furthermore, levels of burden were significantly related to spouses’ neuroticism, avoidant coping, and self-efficacy, but only avoidant coping remained a significant predictor of burden when accounting for service members’ distress. These results suggest that a broad range of service members’ symptoms are related to spouses’ burden and distress, and although individual characteristics of spouses may be related to their perceptions of burden, service members’ symptoms play a primary role.

Anthropometry and socioeconomics among couples: Evidence in the United States

We analyze the marriage-market aspects of weight and height in the United States using data from the Panel Study of Income Dynamics on anthropometric characteristics of both spouses. We find evidence of positive sorting in spouses’ body mass index (BMI), weight, and height. Within couples, gender-asymmetric trade-offs arise not only between physical and socioeconomic attributes, but also between anthropometric attributes, with significant penalties for fatter women and shorter men. A wife's obesity (BMI or weight) measures are negatively correlated with her husband's income, education, and height, controlling for his weight and her height, along with spouses’ demographic and socioeconomic characteristics. Conversely, heavier husbands are not penalized by matching with poorer or less educated wives, but only with shorter ones. Height is valued mainly for men, with shorter men matched with heavier and less educated wives.

Relacionamento conjugal, problemas de comportamento e habilidades sociais de pré-escolares

Variáveis do relacionamento conjugal e relacionamento pais-filhos podem afetar o comportamento das crianças. O objetivo deste trabalho é comparar relatos de pais e mães de pré-escolares com e sem problemas de comportamento, quanto ao relacionamento conjugal. Participaram 48 casais, distribuídos em dois grupos: pais biológicos de crianças com problemas de comportamento e pais biológicos de crianças socialmente habilidosas, segundo avaliação de professores. Os pais foram entrevistados, individualmente, sobre expressão de carinho, comunicação conjugal, características positivas e negativas do cônjuge e qualidade do relacionamento conjugal. Foram encontrados alguns resultados na direção esperada. Os casais com criança socialmente habilidosa foram mais positivos quanto à comunicação e características do cônjuge. Não foram encontradas diferenças na expressão de carinho.

Stress and Coping Style of High-risk Pregnant Women's Spouses.

This study determined the level of stress and type of coping style of spouses with high-risk pregnant women. Subjects were 102 spouses with high-risk pregnant women at 6 hospitals in Seoul and Gyeonggi province from January to August, 2009. The tools for this study were stress scale and coping scale. The data were analyzed by t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. The average score of subjects stress was 2.18 and coping score was 2.46 point out of 4.00. The highest score of stress categories was 2.44 point in emotional problems and the lowest score was 1.72 in communication and support resources. The stress level was significant differences according to length of marriage, number of hospital visits, satisfaction with marriage relationship, hospitalization days and gestational age respectively. Spouses tended to use an active coping style (2.60) rather than a passive coping style (2.31). There were significant differences according to mother's age and gestational age in active coping and educational level in passive coping. Considering the level of stress coping style and characteristics of high-risk pregnant women's spouses, a nursing intervention should be provided to help them alleviate stress and to encourage active coping.

Fatter Attraction: Marital Status and the Relationship between BMI and Labor Supply

We empirically analyze the labor supply choices of married men and women according to their body size (BMI), using data from the Panel Study of Income Dynamics on anthropometric characteristics of both spouses, and unmarried men and women as comparison group. Heavier husbands are found to work significantly more hours and earn more labor income, controlling for both spouses’ demographic and socioeconomic characteristics. Conversely, no such effect is found for either unmarried individuals or for married women. We suggest a marriage market mechanism through which male BMI and earnings are positively related. Heavier married men compensate for their negative physical trait by providing their wives with more disposable income, working more hours and earning more. Heavier women may not able to compensate their spouse through labor supply, as female physical traits are more relevant in the marriage market than the corresponding male traits.

Why Does Intermarriage Increase Immigrant Employment? The Role of Networks

Social networks are commonly understood to play a large role in the labor market success of immigrants. Using 2000 U.S. Census data, this paper examines whether access to native networks, as measured by marriage to a native, increases the probability of immigrant employment. We start by confirming in both least squares and instrumental variables frameworks that marriage to a native indeed increases immigrant employment rates. Next, we show that the returns to marrying a native are not likely to arise solely from legal status acquired through marriage or characteristics of native spouses. We then present several pieces of evidence suggesting that networks obtained through marriage play an important part in explaining the relationship between marriage decisions and employment.

Fatter Attraction: Marital Status and the Relationship between BMI and Labor Supply

We empirically analyze the labor supply choices of married men and women according to their body size (BMI), using data from the Panel Study of Income Dynamics on anthropometric characteristics of both spouses, and unmarried men and women as comparison group. Heavier husbands are found to work significantly more hours and earn more labor income, controlling for both spouses’ demographic and socioeconomic characteristics. Conversely, no such effect is found for either unmarried individuals or for married women. We suggest a marriage market mechanism through which male BMI and earnings are positively related. Heavier married men compensate for their negative physical trait by providing their wives with more disposable income, working more hours and earning more. Heavier women may not able to compensate their spouse through labor supply, as female physical traits are more relevant in the marriage market than the corresponding male traits.

Fatter Attraction: Marital Status and the Relationship between BMI and Labor Supply

We empirically analyze the labor supply choices of married men and women according to their body size (BMI), using data from the Panel Study of Income Dynamics on anthropometric characteristics of both spouses, and unmarried men and women as comparison group. Heavier husbands are found to work significantly more hours and earn more labor income, controlling for both spouses’ demographic and socioeconomic characteristics. Conversely, no such effect is found for either unmarried individuals or for married women. We suggest a marriage market mechanism through which male BMI and earnings are positively related. Heavier married men compensate for their negative physical trait by providing their wives with more disposable income, working more hours and earning more. Heavier women may not able to compensate their spouse through labor supply, as female physical traits are more relevant in the marriage market than the corresponding male traits.

Longitudinal Influences of Partner Depression on Cognitive Functioning in Latino Spousal Pairs

Background/Aims: While social factors may influence the trajectories of cognitive aging, the influence of spousal characteristics (i.e. health or mental health) on cognitive decline has received little attention. This study examined the influence of baseline depressive symptoms in one spouse on cognitive functioning in the other. Methods: We conducted a longitudinal study of 279 Latino spousal pairs (558 people) taken from a cohort study (n = 1,789) in California’s central valley with assessments every 12–18 months. Results: Higher husband baseline depression was significantly associated with lower cognitive scores maintained across time for both husbands (p < 0.001) and wives (p = 0.01). Wives with higher baseline depression scores showed significantly worse cognitive function over time (p = 0.007). Conclusions: Husbands’ cognitive function was more strongly linked to their own level of depression, whereas wives’ cognitive function was influenced by both their own and their partners’ level of baseline depression. Our study further documents the public health significance of depression and our need to look beyond the individual to the reverberating effects of depression on the family.