Do People Have Reproductive Goals? Constructive Preferences and the Discovery of Desired Family Size

Bhrolcháin, Máire Ní; Beaujouan, Éva

doi:10.1007/978-3-319-93227-9_3

Cited by 44 publications

(52 citation statements)

References 123 publications

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“…The concepts of the curtailment and postponement of childbearing also align with recent literature emphasizing the uncertain, ambivalent, contingent, flexible, and fluid nature of the fertility intentions of women in both contemporary countries and historical Europe (Agadjanian 2005;Fisher 2000;Johnson-Hanks 2004Ní Bhrolcháin and Beaujouan 2019;Towriss et al 2019;Trinitapoli and Yeatman 2018;Yeatman et al 2013). Limiters who have reached their desired family size might revisit their decision to stop childbearing in the (now rather uncommon) circumstance that one of their children dies.…”

Section: Discussionmentioning

confidence: 65%

Pathways to Low Fertility: 50 Years of Limitation, Curtailment, and Postponement of Childbearing

Timæus

Moultrie

2020

Demography

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This study applies survival analysis to the birth histories from 317 national surveys to model pathways to low fertility in 83 less-developed countries between 1965 and 2014. It presents period measures of parity progression, the length of birth intervals and total fertility that have been standardized fully for age, parity, and interval duration. It also examines parity-specific trends in the proportion of women who want no more children. Outside sub-Saharan Africa, fertility transition was dominated by parityspecific family size limitation. As the transition progressed, women also began to postpone their next birth for lengthy periods in many countries. During the first half of the fertility transition in much of sub-Saharan Africa and in some other countries, however, women stopped childbearing without targeting particular family sizes. Moreover, birth intervals in sub-Saharan Africa have been lengthening since the onset of the transition. Birth control is not restricted to a dichotomy between limitation and spacing. Other reasons for curtailing childbearing and postponing having another birth also shape countries' pathways through fertility transition.

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Section: Discussionmentioning

confidence: 65%

Pathways to Low Fertility: 50 Years of Limitation, Curtailment, and Postponement of Childbearing

Timæus

Moultrie

2020

Demography

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“…We grounded conceptualization of pregnancy preferences and the development of the Desire to Avoid Pregnancy scale in preference constructionist theory from psychology and behavioral decision science, 26 as well as item response theory, or item response modeling (IRM) from measurement science. 27–29 In contrast to rational choice models, preference construction theory posits that individuals often do not have clear preferences, particularly preferences that involve complex choices or are context-specific.…”

Section: Methodsmentioning

confidence: 99%

Psychometric Evaluation of an Instrument to Measure Prospective Pregnancy Preferences

Rocca¹,

Ralph²,

Wilson³

et al. 2019

Medical Care

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Background: Existing approaches to measuring women’s pregnancy intentions suffer important limitations, including retrospective assessment, overly simple categories, and a presumption that all women plan pregnancies. No psychometrically valid scales exist to prospectively measure the ranges of women’s pregnancy preferences. Methods: Using a rigorous construct modeling approach, we developed a scale to measure desire to avoid pregnancy. We developed 60 draft items from existing research, assessed comprehension through 25 cognitive interviews, and administered items in surveys with 594 non-pregnant women in seven primary and reproductive health care facilities in Arizona, New Jersey, New Mexico, South Carolina, and Texas in 2016–2017. We used item response theory to reduce the item set and assess the scale’s reliability, internal structure validity, and external validity. Items were included based on fit to a random effects multinomial logistic regression model (partial credit item response model), correspondence of item difficulty with participants’ pregnancy preference levels, and consistency of each item’s response options with overall scale scores. Results: The 14 final items covered three conceptual domains: cognitive preferences, affective feelings, and practical consequences. Items fit the unidimensional model, with a separation reliability of 0.90 (Cronbach’s α: 0.95). The scale met established criteria for internal validity, including correspondence between each item’s response categories and overall scale scores. We found no important differential item functioning by participant characteristics. Conclusions: A robust measure is available to prospectively measure desire to avoid pregnancy. The measure can aid in identifying women who could benefit from contraceptive care and research on less desired pregnancy.

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“…Appropriate denominators for contraceptive uptake (women not using a method at baseline) and continuation (women with a need for contraception at follow-up) should be used. Moreover, fertility intentions are fluid,88–90 and research is needed to identify reasonable length of follow-up for measuring counselling effect on contraceptive behaviour, including after abortion and childbirth.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t?

Cavallaro

Beňová

Owolabi

et al. 2019

BMJ Sex Reprod Health

107

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AimThe aim of this systematic review was to synthesise the evidence on the comparative effectiveness of different counselling strategies for modern contraception on contraceptive behaviour and satisfaction, and to examine their advantages and disadvantages.MethodsSix electronic databases (Medline, Embase, Global Health, Popline, CINAHL Plus, and Cochrane Library) were searched to identify publications comparing two or more contraceptive counselling strategies and reporting quantitative results on contraceptive use, uptake, continuation or switching, or client satisfaction. Studies of women or couples from any country, published in English since 1990 were considered.ResultsA total of 63 publications corresponding to 61 studies met the inclusion criteria. There was substantial heterogeneity in study settings, interventions and outcome measures. Interventions targeting women initiating a method (including structured counselling on side effects) tended to show positive effects on contraceptive continuation. In contrast, the majority of studies of provider training and decision-making tools for method choice did not find evidence of an effect. Additional antenatal or postpartum counselling sessions were associated with increased postpartum contraceptive use, regardless of their timing in pregnancy or postpartum. Dedicated pre-abortion contraceptive counselling was associated with increased use only when accompanied by broader contraceptive method provision. Male partner or couples counselling was effective at increasing contraceptive use in two of five studies targeting non-users, women initiating implants or seeking abortion. High-quality evidence is lacking for the majority of intervention types.ConclusionsThe evidence base and quality of studies are limited, and further research is needed to determine the effectiveness of many counselling interventions in different settings.

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Do People Have Reproductive Goals? Constructive Preferences and the Discovery of Desired Family Size

Cited by 44 publications

References 123 publications

Pathways to Low Fertility: 50 Years of Limitation, Curtailment, and Postponement of Childbearing

Pathways to Low Fertility: 50 Years of Limitation, Curtailment, and Postponement of Childbearing

Psychometric Evaluation of an Instrument to Measure Prospective Pregnancy Preferences

A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn’t?

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