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Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh
BACKGROUND: The sex composition of existing children has been shown to influence childbearing decision-making and behaviors of women and couples. One aspect of this influence is the preference for sons. In India, where son preference is deeply entrenched, research has normally focused on rural areas...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830318/ https://www.ncbi.nlm.nih.gov/pubmed/29486802 http://dx.doi.org/10.1186/s12978-018-0482-y |
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author | Rajan, Sowmya Nanda, Priya Calhoun, Lisa M. Speizer, Ilene S. |
author_facet | Rajan, Sowmya Nanda, Priya Calhoun, Lisa M. Speizer, Ilene S. |
author_sort | Rajan, Sowmya |
collection | PubMed |
description | BACKGROUND: The sex composition of existing children has been shown to influence childbearing decision-making and behaviors of women and couples. One aspect of this influence is the preference for sons. In India, where son preference is deeply entrenched, research has normally focused on rural areas using cross-sectional data. However, urban areas in India are rapidly changing, with profound implications for childbearing patterns. Yet, evidence on the effect of the sex composition of current children on subsequent childbearing intentions and behavior in urban areas is scant. In this study, we analyze the impact of sex composition of children on subsequent (1) parity progression, (2) contraceptive use, and (3) desire for another child. METHODS: We analyze prospective data from women over a four year period in urban Uttar Pradesh using discrete-time event history logistic regression models to analyze parity progression from the first to second parity, second to third parity, and third to fourth parity. We also use logistic regression models to analyze contraceptive use and desire for another child. RESULTS: Relative to women with no daughters, women with no sons had significantly higher odds of progressing to the next birth (parity 1 – aOR: 1.31; CI: 1.04–1.66; parity 2 – aOR: 4.65; CI: 3.11–6.93; parity 3 – aOR:3.45; CI: 1.83–6.52), as well as reduced odds of using contraception (parity 2 – aOR:.58; CI: .44–.76; parity 3 – aOR: .58; CI: .35–.98). Relative to women with two or more sons, women with two or more daughters had significantly higher odds of wanting to have another child (parity 1 – aOR: 1.33; CI: 1.06–1.67; parity 2 – aOR: 3.96; CI: 2.45–6.41; parity 3–4.89; CI: 2.22–10.77). CONCLUSIONS: Our study demonstrates the pervasiveness of son preference in urban areas of Uttar Pradesh. We discuss these findings for future programmatic strategies to mitigate son preference in urban settings. |
format | Online Article Text |
id | pubmed-5830318 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58303182018-03-05 Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh Rajan, Sowmya Nanda, Priya Calhoun, Lisa M. Speizer, Ilene S. Reprod Health Research BACKGROUND: The sex composition of existing children has been shown to influence childbearing decision-making and behaviors of women and couples. One aspect of this influence is the preference for sons. In India, where son preference is deeply entrenched, research has normally focused on rural areas using cross-sectional data. However, urban areas in India are rapidly changing, with profound implications for childbearing patterns. Yet, evidence on the effect of the sex composition of current children on subsequent childbearing intentions and behavior in urban areas is scant. In this study, we analyze the impact of sex composition of children on subsequent (1) parity progression, (2) contraceptive use, and (3) desire for another child. METHODS: We analyze prospective data from women over a four year period in urban Uttar Pradesh using discrete-time event history logistic regression models to analyze parity progression from the first to second parity, second to third parity, and third to fourth parity. We also use logistic regression models to analyze contraceptive use and desire for another child. RESULTS: Relative to women with no daughters, women with no sons had significantly higher odds of progressing to the next birth (parity 1 – aOR: 1.31; CI: 1.04–1.66; parity 2 – aOR: 4.65; CI: 3.11–6.93; parity 3 – aOR:3.45; CI: 1.83–6.52), as well as reduced odds of using contraception (parity 2 – aOR:.58; CI: .44–.76; parity 3 – aOR: .58; CI: .35–.98). Relative to women with two or more sons, women with two or more daughters had significantly higher odds of wanting to have another child (parity 1 – aOR: 1.33; CI: 1.06–1.67; parity 2 – aOR: 3.96; CI: 2.45–6.41; parity 3–4.89; CI: 2.22–10.77). CONCLUSIONS: Our study demonstrates the pervasiveness of son preference in urban areas of Uttar Pradesh. We discuss these findings for future programmatic strategies to mitigate son preference in urban settings. BioMed Central 2018-02-27 /pmc/articles/PMC5830318/ /pubmed/29486802 http://dx.doi.org/10.1186/s12978-018-0482-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Rajan, Sowmya Nanda, Priya Calhoun, Lisa M. Speizer, Ilene S. Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh |
title | Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh |
title_full | Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh |
title_fullStr | Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh |
title_full_unstemmed | Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh |
title_short | Sex composition and its impact on future childbearing: a longitudinal study from urban Uttar Pradesh |
title_sort | sex composition and its impact on future childbearing: a longitudinal study from urban uttar pradesh |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830318/ https://www.ncbi.nlm.nih.gov/pubmed/29486802 http://dx.doi.org/10.1186/s12978-018-0482-y |
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