Low-educated Women Research Articles

Educational inequalities in cervical cancer mortality in the Baltic Sea region in 2008–2015

Abstract Background Reducing inequalities in cervical cancer mortality is a public health priority. This study aims to assess the absolute and relative educational inequalities in cervical cancer mortality in the Baltic countries and Finland in 2008-2015. Methods Data for Estonia, Latvia and Lithuania were obtained from longitudinal mortality follow-up studies of population censuses in 2000/2001 and 2011, and data for Finland from the longitudinal register-based population data file of Statistics Finland. Cervical cancer deaths (ICD-10 code C53) were linked from national mortality registries. Educational level was census- or registry-based. Absolute and relative educational inequalities in cervical cancer mortality were assessed in 2008-2015 for women aged 30-49 and 50-64, using age-standardized mortality rates (ASMRs) per 100 000 person-years and mortality rate ratios (RRs) with 95% confidence interval (CI). Results This study included 1724 cervical cancer deaths and about 22 million person-years. Absolute and relative educational inequalities in cervical cancer mortality were considerably larger in the Baltic countries compared to Finland. Among 30-49-year-olds, ASMRs for high educated ranged from 0.6 (95% CI: 0.4-1.0) in Finland to 3.6 (95% CI: 2.5-5.0) in Lithuania, and for low educated from 2.2 (95% CI: 1.2-3.7) in Finland to 24.6 (95% CI: 18.2-32.4) in Lithuania. RRs for low educated compared to high educated ranged from 3.51 (95% CI: 1.57-7.68) in Finland to 9.11 (95% CI: 4.28-19.32) in Estonia. Among 50-64-year-olds, ASMRs for high educated ranged from 1.3 (95% CI: 0.8-2.0) in Finland to 9.8 (95% CI: 7.2-13.1) in Estonia and for low educated from 2.9 (95% CI: 1.9-4.1) in Finland to 43.9 (95% CI: 34.4-55.1) in Lithuania. RRs for low educated compared to high educated ranged from 2.18 (95% CI: 1.20-4.05) in Finland to 6.32 (95% CI: 4.30-9.36) in Lithuania. Conclusions Equitable prevention is a key to reducing cervical cancer mortality in the Baltic countries. Key messages • Lower-educated women largely drive high cervical cancer mortality in the Baltic countries. • Equity-focused prevention is crucial for reducing cervical cancer mortality in the Baltic countries.

Childbearing under different family policy schemes

Objective: This study assesses whether and how changes in family policies are associated with first and second births in Finland, Germany and the United Kingdom, and whether these associations differ by women’s education. Background: Family policies are expected to impact the direct and indirect costs of childbearing by providing resources that influence the monetary and non-monetary costs of having children. The countries analysed here have undergone substantial changes in family policy throughout the two decades analysed, but each country has changed different aspects of their policies, and they have done so in different policy environments. Method: We analysed women aged 18–44 and their transitions to first and second births using register data from Finland (N = 57,518 / 21,685) and panel data from Germany (G-SOEP, N=37,716 / 16,756) and the UK (BHPS and Understanding Society, N = 13,213 / 9,992) complemented with annual family policy information. The data were analysed using logistic regression models and interactions, and the results are presented as average marginal effects. Results: The results suggest that the association between changes in family policies and transitions to first and second child birth varied by birth parity, women’s education level, and between countries. For example in Finland, increases in paternity leave length were associated with greater propensities to transition to first birth for highly educated women, whereas increases in child allowances had a similar association for lower educated women. In Germany, reductions in maternity leave length were associated with increased transitions to first birth for higher educated women. In the UK, increases in maternity leave length were associated with greater transitions to first births among all women. Conclusion: The results highlight that to the extent that family policies influence fertility, they do so depending on both the country context and often differentially within countries based on women’s education level and birth parity.

Reconstructing Prospective Intergenerational Educational Mobility in 12 Countries

In this article, we reconstruct prospective intergenerational educational mobility and explore fertility's role in this process for women born between 1925 and 1950 in 12 European countries. We do so by combining high-quality retrospective data (Generations and Gender Survey) and low-requirement prospective datasets using an inferential method developed and advanced in prior research. Our analysis shows that the negative educational fertility gradient partly compensates for the inequality in prospective mobility rates between lower and higher educated women and is most pronounced in high-inequality contexts. However, fertility's role is small and declining and thus does not account for much of the differences in mobility rates between countries. We also explore the relative importance of sibship size effects in mediating the effect of fertility gradient, finding it negligible. Finally, we explore the correspondence between prospective and retrospective estimates in the reconstruction of prospective mobility rates and suggest why the former, when available, must be preferred.

Building Bridges and Widening Gaps

Abstract By exploiting the opening of the Öresund Bridge between Denmark and Sweden, we examine the impact of access to larger labor markets on wages and employment. We show that the bridge generated a substantial increase in the cross-country commuting behavior of Swedes and a 13.5% increase in the average wage of workers in the region. We further show that the wage gains are unevenly distributed: the effect is largest for high-educated men and smallest for low-educated women. Thus, the wage gains come at the cost of increased income inequality and a widening of the gender wage gap, both within and across households.

Gender and Beyond: Employment Patterns during the COVID-19 Pandemic in Italy

This paper investigates employment changes during the COVID-19 pandemic for women and men in a country characterized by notoriously low female employment: Italy. The paper explores to what extent previously existing inequalities in employment were further exacerbated during the pandemic. Using data from the Italian Labor Force Surveys from 2018 to 2020, we find evidence of a limited decline in employment, but a steep increase in the number of individuals working zero hours during the lockdown periods. This result holds for both men and women. The pandemic highlighted how gender inequalities in employment intersect with other socioeconomic disadvantages: single mothers and lower-educated women were more affected than their male counterparts, while single men without children and foreign men were hit stronger than women with the same characteristics in the immediate aftermath of the pandemic. The pandemic thus came with differentiated consequences, generally affecting those already in less advantaged situations harder. At the same time, the results support the idea that women’s employment was crucial to counteract job loss in the family, and some became the only breadwinner for their families. This also exposed them to risks by working during the pandemic. Overall, the pandemic greatly accentuated preexisting social inequalities in the Italian labor market, yet with an apparently transitory effect at least regarding employment participation.

Anemia in Pregnant Women and Its Determinants: A Cross-Sectional Study at Ummu Hani Mother and Children's Hospital, Purbalingga Regency

Anemia in pregnant women is still a global problem, almost half of all pregnant women throughout the world experience anemia. Ummi Hani Mother and Children Hospital is one of the referral hospitals for mothers and children in Purbalingga that provides the antenatal care service. This research aimed to identify the determinants of anemia in pregnant women at Ummi Hani Mother and Children Hospital, Purbalingga. This research was an analytical observational study with a cross-sectional design. The total sample was 100 pregnant women. Data sources were obtained from medical records, parturition registers, and cohorts of pregnant women at Ummi Hani Mother and Children Hospital. Primary data collection used a structured questionnaire. Bivariate analysis used chi square and/or Fisher exact, and multivariate analysis used logistic regression. This research found that 51% of pregnant women suffered from anemia. The results of multivariate analysis showed that educational level (p value=0.002; OR=5.07; 95% CI=1.79-14.37) and employment status (p value=0.045; OR=2.73; 95% CI=1.02-7.29) were determinants of anemia in pregnant women. This research highlights importance of improving health promotion regarding dangers of anemia and prevention measures such as consuming nutritious and varied foods at affordable prices which is focused on groups of low-educated and unemployed pregnant women.

Regional variations and inequalities in testing for early detection of breast and cervical cancer: evidence from a nationally representative survey in India.

The burden of cancer in India has been rising, yet testing for early detection remains low. This study explored inequalities in the uptake of breast cancer (BC) examination and cervical cancer (CC) among Indian women, focusing on socioeconomic, regional, and educational differences. Data from the 2019-21 National Family Health Survey (n=353,518) were used to assess the uptake of BC examination and CC testing. Inequalities were quantified using the slope index of inequality (SII), relative index of inequality (RII), and relative concentration index (RCI). SII measured absolute inequality, while RII and RCI assessed relative inequality between disadvantaged and advantaged groups. The ever uptake of tests for early detection of BC and CC were low at 9 and 20 per 1,000 women, respectively. Higher uptake was observed among women from the richest households compared to the poorest (SII: 1.1 for BC and 1.8 for CC). The magnitude of relative socioeconomic inequalities was more pronounced in rural areas (RCI: 22.5 for BC and 21.3 for CC) compared to urban areas. Similarly, higher-educated women were 4.84 times (RII: 4.84) and 2.12 times (RII: 2.12) more likely to undergo BC examination and CC testing, respectively, compared to non-educated women. The northeastern region exhibited greater socioeconomic inequality, while the western region showed more education-based inequality. The lower uptake of BC examination and CC testing and the marked inequalities underscore the need for targeted interventions to improve access and utilization of testing services, especially among lower-educated women, and those in rural areas.

Education, health indicators and fertility outcomes: a longitudinal analysis of couples in Britain.

Previous studies have shown that highly educated women are more likely to realise their fertility aspirations, or experience a faster progression to a higher order birth, compared to lower educated women. This is often explained by improved economic or social resources among the higher educated. However, it is unclear whether educational differences in health behaviours may also contribute to these differential fertility outcomes. In this study, we use data from Waves 1-7 of the UK Longitudinal Household Study, combined with data from the Nurse Health Assessment from Wave 2 to estimate couples' likelihood of experiencing additional childbirth within six years. A discrete-time event history model is employed to analyse the transition to a higher order birth, while accounting for both partners' level of education as well as smoking patterns and body mass index. We find that couples in which the female partner is highly educated are more likely to experience childbirth within six years compared to others. In addition, female smoking is negatively associated with the likelihood of childbirth, while no significant effect has been found for male health factors. Female health indicators explain some of the variation in fertility outcomes for women with lower secondary education compared to degree-educated women. However, education remains a significant predictor of the transition to higher order births, also after accounting for male and female health indicators. It is therefore important to consider both socio-economic and health factors in order to understand variations in fertility outcomes.

THE UNEVEN LATER WORK COURSE: INTERSECTIONAL GENDER, AGE, RACE, AND CLASS DISPARITIES

Abstract We document patterned continuity and change in monthly work attachments and analyze the intersecting effects of age, gender, education, and race/ethnicity. We utilize 16-month panel data from Current Population Survey (2008-2016) to code monthly states: working full-time, long hours, part-time; being self-employed or unemployed; not working due to disability or family care, or retired. Analyses of 346,488 American women and men aged 50–75 years reveal patterned elasticity in the timing and nature of work attachments in the form of six distinctive pathways. Analyses illustrate divergences and disparities: advantages for educated White men, disadvantages for low-educated Black men and women through their early 60s, and intersecting effects of gender, education, and race/ethnicity during the later work course across age groups. We find convergence across social markers by the 70s. This research highlights the importance of intersectional analysis, recasting the gendered work course in later adulthood to reflect its complexities.

Syrian Women Knowledge and Attitudes Towards Hepatitis B Prevention

Abstract Background Globally, mother-to-child transmission during childbirth is the most prevalent transmission method of hepatitis B (HBV). However, early immunization following birth is a safe and effective method of preventing this disease. This study evaluates Syrian mothers’ and pregnant females’ knowledge, attitude, and practice regarding HBV prevention and immunization. Methods This online cross-sectional study was performed in Syria between 2 October and 12 November. The inclusion criteria for this study were Syrian pregnant women who visited obstetrics and gynaecologist clinics for prenatal care, delivery, and postpartum checkups. The survey was adapted from a previous study, which contains 33 items divided into three sections. Data were analyzed using descriptive and multivariate logistic regression. Results This study enrolled 419 participants with a mean age of (28.4±5.9). More than half of the participants agreed that HBV could be transmitted from mother to her child at birth, and about two-thirds of them agreed that HBV vaccination is necessary for their infant (87.4%). Among participants with a university education degree, 35.7% revealed good knowledge, while only 12.3% of respondents with a primary school education level have good knowledge. More than half of housewife participants have shown positive attitudes (52.4%). Females with academic careers have a higher probability of good knowledge and positive attitudes than housewife women (OR = 107.09, P value<0.05) and (OR = 16.31, P value<0.05), respectively. Conclusions Syrian women have a moderate knowledge level about HBV prevention, with gaps in knowledge and attitudes among low-educated women. Performing local awareness campaigns about HBV and its vaccination for women can increase their knowledge and attitudes about this topic. Obstetric care providers should provide more information for pregnant females about HBV prevention for their children which may limit the occurrence of this phenomenon. Key messages • Syrian women have moderate knowledge of HBV prevention for their children, while lower-educated women have gaps in knowledge and attitudes. • Local awareness campaigns about HBV and its vaccination for women can improve their knowledge and attitudes.

Investigating the gender pay gap in the Maltese financial and insurance sector: a macro and micro approach

PurposeAlthough women have advanced in the economic sphere, the gender pay gap (GPG) remains a persisting problem for gender equality. Using Acker's theory of gendered organisations, this study strives to gain a better understanding from a macro and micro approach, how family and work-related policies, especially family-friendly measures (FFMs), and their uptake, contribute and maintain the GPG in Malta and specifically within the Financial and Insurance sector.Design/methodology/approachTwo research instruments were used. National policy documents were analysed through the gender lens, followed by structured interviews with HR managerial participants within this sector.FindingsFindings suggest that at a macro level, family and work-related policies could be divided into two broad categories: A set of family-friendly policies that contribute to the GPG because of their gendered nature, or because the uptake is mostly taken by women. These include make-work pay policies, which initially appear to be gender neutral, but which attracted lower educated inactive women to the Maltese labour market at low pay, contributing to an increase in the GPG. Second, a set of policies that take on a gender-neutral approach and help reduce the GPG. These include policies like the free childcare and after school care scheme that allow mothers to have a better adherence to the labour market. At the micro level within organisations, pay discrepancies between women and men were largely negated and awareness about the issue was low. Here, “ideal worker” values based on masculine norms seemed to lead to covert biases towards mothers who shoulder heavier care responsibilities in the families and make a bigger use of FFMs. Because men are better able to conform to these gendered values and norms, the GPG persists through vertical segregation and glass ceilings, among others.Research limitations/implicationsSince not all the companies in the Eurostat NACE code list participated in this research, results could not be generalised but were indicative to future large-scale studies..Practical implicationsAt the macro and policy level, some FFMs take on a clear gendered approach. For example, the disparity in length between maternity (18 weeks) and paternity leave (1 day) reinforces gender roles and stereotypes, which contribute to the GPG in the long run. While some FFMs like parental leave, career breaks, urgent family leave, telework, flexible and reduced hours seem to take on a more gender-neutral approach, the uptake of FFMs (except childcare) seems to generate discriminatory behaviour that may affect the GPG. When considering the make-work pay policies such as the “in-work benefit” and the “tapering of benefits”, this study showed that these policies attracted lower educated and low-skilled women into the labour market, which in turn may have further contributed to the increasing GPGs. On the other hand, the childcare and after school policies relieve working mothers from caregiving duties, minimising career interruptions, discriminatory behaviour and overall GPGs.Social implicationsThis study confirmed that organisations within the Financial and Insurance sector are gendered and give value to full-time commitment and long working hours, especially in managerial roles. Managerial positions remain associated with men because mothers tend to make more use of FFMs such as parental leave, reduced, flexible hours and teleworking. Mothers are indirectly penalised for doing so, because in gendered organisations, the uptake of FFMs conflict with the demands of work and ideal worker values (Acker, 1990). This maintains the vertical segregation and widens the GPG within the Financial and Insurance sector.Originality/valueBy using the gender lens and taking a wider and more holistic approach from the macro and micro level, this study highlights how interlinking factors lead to and sustain the GPG in the Financial and Insurance sector in Malta.

The contribution of work and health-related lifestyle to educational inequalities in physical health among older workers in Germany. A causal mediation analysis with data from the lidA cohort study.

The objective of the study was to investigate the contribution of work factors and health-related lifestyle to educational inequalities in physical health among older workers in Germany by applying causal mediation analysis with longitudinal data. Data from the German lidA study was used. 2653 persons (53% female, 47% male) aged 46 (born 1965) and 52 (born 1959) at baseline were followed up for seven years with exposure and outcome assessments in 2011 (t0), 2014 (t1) and 2018 (t2). The total effect of education on physical health was decomposed into a natural direct effect (NDE) and a natural indirect effect (NIE) by using a sex-stratified causal mediation analysis with an inverse odds weighting approach. Baseline health, partner status and working hours were entered as a first set of mediators preceding the putative mediators of interest. All analyses were adjusted for age and migrant status. Independent of the first set of mediators, work factors explained 21% of educational inequalities in physical health between low and high educated women and 0% comparing moderate versus high educated women. The addition of health behaviors explained further 26% (low vs. high education) and 20% (moderate vs. high education), respectively. Among men, net of the first set of mediators, work factors explained 5% of educational inequalities in physical health between low and high educated and 6% comparing moderate versus high educated persons. Additional 24% (low vs. high education) and 27% (moderate vs. high education) were explained by adding health behaviors to the models. To reduce educational inequalities in physical health among older workers in Germany, interventions to promote healthy behaviors are promising. Improving working conditions is likely an important prerequisite.

The intersection of race/ethnicity and socioeconomic status: inequalities in breast and cervical cancer mortality in 20,665,005 adult women from the 100 Million Brazilian Cohort

ABSTRACT Objectives There is limited evidence regarding the impact of race/racism and its intersection with socioeconomic status (SES) on breast and cervical cancer, the two most common female cancers globally. We investigated racial inequalities in breast and cervical cancer mortality and whether SES (education and household conditions) interacted with race/ethnicity. Design The 100 Million Brazilian Cohort data were linked to the Brazilian Mortality Database, 2004–2015 (n = 20,665,005 adult women). We analysed the association between self-reported race/ethnicity (White/‘Parda’(Brown)/Black/Asian/Indigenous) and cancer mortality using Poisson regression, adjusting for age, calendar year, education, household conditions and area of residence. Additive and multiplicative interactions were assessed. Results Cervical cancer mortality rates were higher among Indigenous (adjusted Mortality rate ratio = 1.80, 95%CI 1.39–2.33), Asian (1.63, 1.20–2.22), ‘Parda’(Brown) (1.27, 1.21–1.33) and Black (1.18, 1.09–1.28) women vs White women. Breast cancer mortality rates were higher among Black (1.10, 1.04–1.17) vs White women. Racial inequalities in cervical cancer mortality were larger among women of poor household conditions, and low education (P for multiplicative interaction <0.001, and 0.02, respectively). Compared to White women living in completely adequate (3–4) household conditions, the risk of cervical cancer mortality in Black women with 3–4, 1–2, and none adequate conditions was 1.10 (1.01–1.21), 1.48 (1.28–1.71), and 2.03 (1.56–2.63), respectively (Relative excess risk due to interaction-RERI = 0.78, 0.18–1.38). Among ‘Parda’(Brown) women the risk was 1.18 (1.11–1.25), 1.68 (1.56–1.81), and 1.84 (1.63–2.08), respectively (RERI = 0.52, 0.16–0.87). Compared to high-educated White women, the risk in high-, middle- and low-educated Black women was 1.14 (0.83–1.55), 1.93 (1.57–2.38) and 2.75 (2.33–3.25), respectively (RERI = 0.36, −0.05–0.77). Among ‘Parda’(Brown) women the risk was 1.09 (0.91–1.31), 1.99 (1.70–2.33) and 3.03 (2.61–3.52), respectively (RERI = 0.68, 0.48–0.88). No interactions were found for breast cancer. Conclusion Low SES magnified racial inequalities in cervical cancer mortality. The intersection between race/ethnicity, SES and gender needs to be addressed to reduce racial health inequalities.

Prevalence and human papillomavirus (HPV) genotype distribution in Suzhou, China

ABSTRACT Persistent infection with high-risk human papillomavirus (HR-HPV) is a known pathogenic factor of cervical cancer. To develop scientific guidance for cervical cancer screening and HPV vaccination, we analyzed HPV genotypes in Suzhou City, China. This study utilized data from the cervical cancer screening project in Suzhou from 2016 to 2021. A total of 444,471 female residents who voluntarily underwent HPV testing were included in the study. The overall HR-HPV prevalence was 10.2%. The three most common HR-HPV genotypes were HPV52 (2.81%), HPV58 (1.64%), and HPV16 (1.46%). The rate of HPV infection increased with age. Having a junior school education or higher was a protective factor compared to having an education level below junior school. The overall HPV infection rate showed a downwards trend from 2016 to 2021. HPV16 exhibited the fastest annual decline rate, followed by HPV18. As the severity of cervical intraepithelial neoplasia increases, the detection rate of HPV infection significantly increased. In conclusion, in addition to cervical cancer screening, it is important to pay attention to health promotion and education for low-educated women aged 45–59. Considering the distribution of HPV genotypes, prioritizing the administration of high-valency HPV vaccines to local seventh-grade female students is recommended.

Prolonged Exposure to Intimate Partner Violence and Depressive Symptoms Among Korean Married Couples: The Intersection of Gender and Education

This study investigates whether there is a longitudinal association between prolonged exposure to intimate partner violence (IPV) and depressive symptoms and whether this association differs depending on the intersection of gender and education. Using data collected from 3,285 individuals aged 30 to 49 across 12 waves of the Korean Welfare Panel Study (KoWePS) between 2009 and 2020, gender-by-education-stratified fixed-effects models were estimated. IPV victims continued to experience increased depressive symptoms for four or more consecutive years of exposure. However, gender-specific patterns were observed. Persistently victimized women continued to experience increased depressive symptoms for four or more years, whereas the levels of depressive symptoms among men with prolonged IPV exposure increased only until the second year of exposure. Gender-by-education stratified analyses suggested that low-educated women are the most vulnerable to prolonged IPV victimization. Only low-educated women experienced an increase in depressive symptoms for four or more consecutive years.

Women's agency and childbirth: The effect of transition to motherhood and subsequent births on women's agency in Egypt

Objective: This study investigates whether women’s agency changes with birth transitions in Egypt and if this change differs by education or rural vs. urban residence. Background: In the patriarchal context of Egypt, childbearing is almost universal and essential for women’s social position; therefore, it is a potentially relevant factor for agency. However, research on the relationship between childbirth and agency is rare, and little is known about the circumstances under which childbirth might increase agency. Method: Drawing on longitudinal data from the Egypt Labor Market Panel Survey (2006, 2012, 2018), this study uses fixed effects regression models to estimate the link between birth transitions and women’s agency. Results: The results show that the transition from having one child to having at least two children is positively associated with women's decision-making power but not their financial autonomy or freedom of movement. This positive relationship is stronger for low-educated women and those living in rural areas than for women with at least an intermediate education and those living in urban areas. Indeed, women living in urban areas have less agency after childbirth. Conclusion: Overall, the results indicate that birth transitions might affect agency, although not across all dimensions, and that the potential positive impact on agency is substantial only for women who are more restricted to the mother role and live in more patriarchal contexts.

Efficacy of a multidimensional self-management intervention on low-education women with metabolic syndrome: a cluster randomized controlled trial

Low-education women, a substantially older population, are subject to increased risks of metabolic syndrome and consequent cardiometabolic diseases; early detection and effective management were urgently needed. Ninety-nine women with metabolic syndrome, age 61 and education ≤ 6 years, from four community units were randomly assigned to either a self-management intervention (n = 51) or a control arm (n = 48). The intervention consisted of five dimensions, physical activity and diet modifications (daily exercise classes and two nutrition courses), goal setting, coaching and peer support, problem-solving, and self-monitoring. The control arm received an education leaflet. Assessments were performed at baseline, six months, and 18 months. Compared with the control, the intervention participants improved the overall rate of meeting the recommended servings for six health foods, including vegetables, dairy products, and nuts (except whole grains, fruits, and protein); the rate of meeting regular leisure-time physical activity; and criteria biomarkers—waist circumference, fasting blood glucose, high-density lipoprotein cholesterol (except blood pressure and triglycerides); as well as body weight and body mass index; consequently decreased the number of risk factors and rate of metabolic syndrome. In conclusion, the multidimensional self-management intervention improved physical activity, healthy eating, and metabolic syndrome risks among low-education women with metabolic syndrome.

The High Rate of Judicial Divorce among Women of Lower Education in Madura-Indonesia: A Gender Perspective

The High Rate of Judicial Divorce among Women of Lower Education in Madura-Indonesia: A Gender Perspective

Does Online Dating Challenge Gendered Divisions of Household Labor?

Abstract Online dating has modified how people find and select partners. In addition to outcomes already observed (e.g., exogamy), we argue that by subverting normative dating scripts, online courtship practices may set the course for partnerships that display more egalitarian divisions of routine household labor. This may be particularly true for the married and for lower-educated women, who generally report the least egalitarian allocation of domestic work. Furthermore, we posit that the relationship between meeting context and household labor will be partially explained by the selectivity of those who search for partners online but also by mechanisms specific to online dating that allow for greater relationship quality. We use 2008–2019 German Family Panel (pairfam) data in random-effects regression models to predict sharing of routine housework among women in marital and cohabiting opposite-sex unions (N = 3305). We find that meeting online is associated with greater sharing of housework for married women with lower-education, and that the link is robust even after accounting for observed selection into online dating via entropy balancing weights. Contrary to expectations, partnership quality has no mediating effect. Much of the positive association remains unexplained, suggesting that the different ways men and women negotiate power in the dating phase in digital versus non-digital partner markets may indeed play a role in how gender is enacted later on.

The effect of formal education on ovarian cancer, clinical trial access, and clinical trial awareness among Black and Latino US women.

e18667 Background: Ovarian Cancer (OC) is ranked as one of the deadliest women’s cancers in the US. Due to non-specific symptoms, it is often misdiagnosed and detected late. The mortality rate is higher and increasing among Black women. In addition, Black women have poor participation in clinical trials. We conducted a survey study among Black and Latino US women to understand the factors influencing their understanding of genetic risks of OC, clinical trial awareness and ability to access a clinical trial. Methods: MiOra health educators administered an electronic survey to 226 women in their communities in Houston, TX, Atlanta, GA, and Los Angeles, CA. The data was analyzed using two-sided Fisher’s Exact Test. Results: Out of the 226 respondents 63.4% were 30 years of age or younger and 22.9% had high school education or less (low education). Out of 109 respondents, 93 (85.3%) self-identified as Black or Latino. Age did not influence self-reported awareness of genetic risk for OC, clinical trials or how to locate a clinical trial (Table 1). Low education women were significantly less likely to report being knowledgeable about genetic risk factors of OC, clinical trials or locating clinical trials. Thirty out of 48, 62.5% responding low education women and 118 out of 173, 68.2% high education women reported to have an annual provider visit (p &gt; 0.05). The self-reported awareness on how to locate a trial was low in both the low (3 out of 48, 6.2%) and high education groups (34 out of 171, 19.9%, p &lt; 0.05). Only 8 out of 44 (18.1%) respondents who knew someone with OC knew how to locate clinical trials. Conclusions: These results suggest that the level of education influences Black and Latino women’s awareness of OC genetic risk factors, clinical trials and clinical trial access. However, even among college educated Black and Latino women, only a small portion reported to know how to locate a clinical trial. Both high and low education Black and Latino women reported to comply with annual provider visits. These visits may be an opportunity to close the health-literacy disparities in OC and clinical trials for Black and Latino women. [Table: see text]