The relative importance of family planning and development for fertility reduction: Critique of research and development of theory

3 recent studies about the relative effects of family planning and development are reviewed in an effort to point out their limitations and to augment them. A tentative theoretical framework is presented from which the problem of fertility reduction may be viewed. Also presented is an analysis of the "outliers" in 1 of the 3 studies. This analysis involves consideration of macrosocial and contextual aspects of different nations as a supplement to other analyses. Mauldin and Berelson (1978) and Tsui and Bogue (1978) used indicators of social setting and family planning effort to explain declines in, respectively, crude birthrate between 1965 and 1975, and total fertility rates between 1968 and 1975. The 2 studies used nearly identical sets of explanatory variables. With both studies using the same indicators, except for "labor force," it is not surprising that the results were the same. The results were previously obtained by Freedman and Berelson (1976), who also used the Lapham Mauldin index of planning effort along with similar indicators of social setting. Freedman and Berelson found that birthrate declines could be explained better by program effort (which independently explained 17% of the variance in crude birthrate (CBR) declines) than by social setting (which independently accounted for 7% of that variance), and that the 1972 birthrate itself was similarly explained (15% of the variance attributed to program effort alone, 5% to social setting alone). Mauldin and Berelson obtained nearly identical results. In the Tsui and Bogue study, the contribution of the 1968 level of fertility was the dominant influence on the 1975 total fertility rate. The standardized regression coefficient indicated that previous fertility explained 50-60% of subsequent fertility by direct relationship, a figure comparable to the social setting family planning interaction effects (44-58%) in the 2 other studies. Much of this discussion is devoted to an analysis of the "outliers" in the exploratory data analysis done by Sykes for Mauldin and Berelson (1978). The outliers in Sykes' exploratory data analysis were divided along 2 dimensions. The first involves the relationship between predicted and actual reductions in fertility. The 2nd dimension refers to the independent variables used to predict the fertility declines. This analysis involves analysis of contextual variables and an analysis of distributional variables. It is limited by missing data, but the analysis of Freedman and Berelson (1976), Mauldin and Berelson (1978), and Tsui and Bogue (1978) is plagued by missing variables: contextual variables; distributional variables; and unique national, regional, or local circumstances. These can only be adequately revealed by case studies and may be important influences on fertility behavior. Effects of family planning and social setting may be conditioned by contextual variables (e.g., island status as in Taiwan), or unique circumstances (e.g., coercion as in India), and distribution appears to have an effect of its own.     

Variability in Hormone Concentrations and Self-Reported Menstrual Histories in Young Adolescents: Menarche as an Integral Part of a Developmental Process

Menarche has been considered a marker for examining interindividual differences in biobehavioral development and for separating pubertal development into 2 stages. The purpose of this study was (1) to compare hormone concentrations in pre- and postmenarcheal girls to determine whether they fit a continuous or dichotomous model of pubertal development surrounding menarche; and (2) to address methodological issues of variability in self-reports of menstrual histories and reliability in reporting age at menarche. Girls (N = 52) ages 9 to 14 years were enrolled in a longitudinal study. Blood was drawn for hormone concentrations. Menstrual-cycle information was collected by questionnaire and oral report. Discrepancies in reporting of age at menarche ranged from 0 to 18 months and variability was noted in length of cycle. There was great overlap in hormones between pre- and postmenarcheal categories. Future studies might consider menarche as the culmination of underlying developmental processes rather than as a discrete event. Limitations of each measure of puberty should be considered by investigators conducting biobehavioral studies of adolescents.     

An approach to evaluating adolescent adaptive processes: Validity of an interview-based measure

The authors present an initial exploration, of the validity of 15 scales designed to assess adaptive ego processes in adolescence. These scales are rated solelyThis study was supported by the Youth Development Project of the Joslin DRTC (NIH AM 20530-01), grants from the Psychoanalytic Research Fund of the American Psychoanalytic Association, the Spencer Foundation, the MacArthur Foundation, the Harris Trust, National Instutute of Mental Health, a Research Scientist Award (K-05-MH-70178) (Dr. Hauser), the Maternal and Child Health Research Grants Program, and a Faculty Scholar Award of the William T. Grant Foundation (Dr. Beardslee).Clinical director, Department of Psychiatry, The Children's Hospital; and assistnt professor in psychiatry, Harvard Medical School. Received M.D. from Case-Western Reserve University. Currently studying adaptation and intervention with youngsters at high risk for psychopathology.Chief of psychiatry, Joslin Diabetes Center; and associate professor in psychiatry, Harvard Medical School. Received M.D. from the University of Chicago. Currently studying psychosocial consequences of diabetes mellitus.Associate professor in psychiatry, Harvard Medical School. Received M.D. from Yale University and Ph.D. from Harvard University (psychology). Currently studying family contexts of adolescent development and outcomes in diabetic adolescents.Director of evaluation research, The Children's Unit of McLean Hospital. Received Dipl. Psych. from Freie Universitat, Berlin (clinical psychology); Ed.D. from Harvard University (School of Education). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.Research associate, Henry A. Murray Research Center of Radcliffe Colleges; and instructor of psychology, Department of Psychiatry, Harvard Medical School. Received Ed.D. from Harvard University (School of Education). Currently studying adolescent and family coping processes in response to stressful events.Currentlyand tudying research methodology and statistics.M.S.W., Smith College School of Social Work. Currently attending Dartmouth Medical School.     

The prevalence of violence and relation to depression and illicit drug use among incarcerated women in Recife, Brazil

PurposeTo assess the prevalence and different types of violence experienced by women prisoners in Brazil and the effects of violence on women's depression and illicit drug use.MethodsParticipants (N = 377) were incarcerated women from a state prison in a northeastern city of Brazil. Multivariate logistic regression models (adjusted for age, education, partner status, prison history, drug related offense, and sentencing status) were used to assess associations between each type of violence (physical abuse, sexual abuse, and life threats) and each outcome variable: recent depression and illicit drug use.ResultsThe majority of participants (87%) reported experiencing some type of violence in their lifetime, including physical violence (83%), sexual victimization (36%), and threats on their life (29%.) Sexual violence was significantly related to both recent depression (Odds Ratio (OR) = 2.8; 95% Confidence Interval (CI) = 1.4–5.3) and recent substance use (OR = 2.7; 95% CI = 1.6–4.4) in adjusted models. Experiences of life threats were also significantly associated with illicit drug use (OR = 2.2; 95% CI: 1.3–3.7), as was physical violence (OR = 2.4; 95% CI: 1.2–4.9); however, neither of these latter two violence variables were significantly associated with depression.ConclusionReports of lifetime violence victimization among this incarcerated sample of women were extremely prevalent and relevant to women's depression and illicit drug use. Prison efforts to address women's depression and illicit drug use may be most effective by incorporating aspects related to women's history of victimization, especially given the high rates of violence experienced by women in this sample.     

Problems and service needs among ex-offenders with HIV risk behaviors entering sober living recovery homes

There is currently a nationwide effort to decrease the number of persons who are incarcerated in jails and prisons. However, many ex-offenders on probation or parole do not have access to affordable housing and larger proportions have histories of HIV risk as well as substance abuse problems. In California, sober living houses (SLHs) are becoming an increasingly popular housing option for these individuals. Based largely on the principles of alcoholics anonymous, SLHs require abstinence from alcohol and drugs and provide peer support for recovery. The current study examined the types of problems experienced among 330 ex-offenders with lifetime risk for HIV during the six months prior to entering SLHs. Nearly three fourths (74%) of all ex-offenders entering the houses had at least one HIV risk. The importance of housing was evident in the finding that housing status and participants’ perceptions of their housing situation were associated with a variety of problem areas, including substance use, HIV risk, psychiatric severity, and legal problems. SLHs represent an important housing option for ex-offenders, but many residents may need additional services to address various problems.