Toward a predictive model of family planning

A study of 1200 women aged 15-45 in Mexico City was conducted with the object of discovering the factors that have the greatest predictive value for attitudes, beliefs, intentions, and behavior in reference to family planning. Information was solicited by questionnaire with respect to 6 groups of variables: 1) independent variables (age, education, occupation and education of spouse, and whether the woman worked before marriage); 2) perceived value of children and family planning; 3) peer group norms; 4) marital relationship; 5) modernization; and 6) motivation. Factor analysis was applied to each of the groups ofvariables to determine which factors had the greatest impact within the group; then multiple regression analysis was applied to determine which factors had the greatest predictive value. A predictive model of family planning according to the results is illustrated and the various aspects discussed. It was found that the intention to use contraceptives and a good marital relationship (one with open communication and shared decision making) were the best predictors of effective family planning behavior.     

Behavioral Intentions: Which Ones Predict Fertility Behavior in Married Couples?1

The published literature on the relationship between behavioral intentions and fertility behavior exhibits four major problems: inconsistent and confusing use of theoretical constructs, limited use of different types of intentions, use of nonbehavioral outcomes, and failure to explore adequately the couple aspects of the intentions/behavior relationship. The study reported here addresses these problems by using a theoretical framework that characterizes the psychological/behavioral sequence leading to a planned conception, three different types of fertility intentions, a behavioral outcome variable, and data from 196 married couples with no children and 185 married couples with one child. Data analysis results in a simultaneous equation, constrained regression model which indicates that child-timing intentions are the most important predictors of proceptive behavior over a 3-1/2 year period and that childbearing intentions are next in importance; that behavioral intentions are the final common pathway through which fertility motivations, attitudes, beliefs, and desires affect behavior; that the use of proceptive behavior as an outcome variable improves the explanatory power of our models; and that the interaction of couple intentions do not demonstrate greater husband or wife influence over couple proceptive behavior but do demonstrate that disagreement has a delaying effect on the onset of that behavior.     

Fertility Behavior and Psychological Stress: The Mediating Influence of Gender Norm Beliefs Among Egyptian Women

The influence of gender norms on women's family planning experiences is a finding that cuts across numerous studies included in Family Health International's multi-country Women's Studies Project. This paper explores findings from one of these studies on the mediating influence of beliefs about gender norms on the relationship between fertility behavior and psychological well-being. Using cross-sectional survey data from 4,908 Egyptian women, hierarchical multiple regression models were tested with depression and anxiety as the dependent variables. Independent variables included three demographic variables, two measures of beliefs about gender norms developed from survey items using exploratory factor analytic techniques, and two fertility behavior variables—use of family planning and number of children. Gender norm beliefs predicted both anxiety and depression. The statistical analyses demonstrated a separate effect of family planning use on anxiety, independent of gender norm beliefs, but the effect of family planning behaviors on depression disappeared when gender norms beliefs were included in the regression model, which indicates a mediating effect of gender norm beliefs. Although cross-sectional data do not allow for the determination of causality among the three types of variables, a conceptual framework is offered for the possible causal mechanisms for the identified relationships.     

To Have–or Not to Have–Another Child: Family Planning Attitudes,Intentions, and Behavior1

Two hundred eighty-two respondents, representing 141 married couples with either one child (N= 71 couples) or two children (N= 70 couples), were interviewed about their considerations and intentions regarding whether or not to have another child. Reports of their actual subsequent family planning behavior were obtained 12 months later via a mailed questionnaire. The data was gathered and analyzed according to Fishbein's attitude-behavior model which stipulates that the individual's actual behavior is a function of one's behavioral intention. This intention, in turn, is determined by two multiple factors: (a) the individual's beliefs about the consequences of performing the behavior multiplied by his/her evaluation of those consequences, and (b) one's normative beliefs multiplied by one's motivation to comply with the perceived norms. The results provided substantial support for the model; both behavioral intention and actual behavior were successfully predicted from the attitudinal and normative components of the model. It was also shown that the behavioral intention mediates the relationship between the model's attitudinal and normative components and actual behavior.     

Extraconjugal Determinants of Spousal Communication About Family Planning in Kenya

Prior researchers have examined the influence of spousal communication on fertility behavior without looking at what causes spouses to start talking about family planning. This study bridges this gap in the literature by examining the extraconjugal (social networks) factors that influence spouses to start talking to each other about family planning. Data from a study conducted in Kenya between 1997 and 1998 show that interspousal communication about family planning is initiated as a result of the operation of the various social network variables. Interacting with others (neighbors, friends, and relatives) appears to encourage the respondents to talk to their spouses about family planning, perhaps because it decreases their fears by giving them adequate background information to introduce the topic to their spouses.     

Motivations for childbearing and fertility behavior among urban and rural families of Iran

A sample of 384 husbands and wives were randomly selected and interviewed to investigate the implication of fertility norms and motivations for childbearing on fertility and family planning behavior among Iranian families in urban and rural areas of Iran, after the Islamic Revolution of 1979. The term "fertility behavior" refers to actual family size, which is defined as number of children the respondent has living at the time of the interview. "Family planning behavior" refers to the duration of time that the subject has used any birth control method(s). Rural families demonstrated larger actual and ideal family sizes than urban families. The rural sample had a median actual family size of 3.5 children and a median ideal family size of 4.7 children. For the urban sample these figures were 2.2 and 2.3, respectively. The median number of years married was 12.33 for rural and 13.91 for urban respondents. Urban respondents tended to emphasize the psychological and emotional benefits and liabilities associated with having children while rural respondents tended to emphasize both economic and security related motivations. Both groups endorsed infant mortality as a motivation for having more children. Male and female respondents were remarkably similar in their endorsed motivations. There was a significant positive correlation between desired and ideal family size. The correlations among ideal/desired family size and practicing birth control methods were the same and significant at the .001 level. The relationship between motivations for childbearing and years of practicing birth control methods was also significant at the .001 level. Stepwise regression analyses were performed to examine the important predictors of fertility and family planning behavior. For both actual family size and years on birth control, males and females were very similar in terms of predictor importance. Those respondents with less education and large ideal family size tended to have larger actual family size. Location (urban/rural) and parents, family size was weighted much more heavily for males than for females. Those respondents with greater education and who lived in an urban areas tended to have used birth control for longer periods of time. Ideal family size did not contribute significantly to this regression. Parents' family size and motivations for childbearing made marginal contributions to regressions on either dependent variable.     

The role of individual and community normative factors: a multilevel analysis of contraceptive use among women in union in Mali

CONTEXT: Unlike in other African countries, the fertility rate in Mali has remained at a relatively high rate of 6.8 births per woman. Little research exists on the role that community norms play in use of family planning, particularly in low-prevalence countries. METHODS: Data on 7,671 women in union from the 2001 Mali Demographic and Health Survey were analyzed using multilevel modeling techniques to assess the effects of individual and community factors on the adoption of modern contraceptive methods. RESULTS: Only 5% of women in union were using a modern contraceptive method in 2001. The odds of contraceptive use were elevated among women in the highest wealth quintile, women who approved and whose partner approved of family planning, those who had had recent discussions on family planning with their partner or others and those exposed to family planning messages (odds ratios, 1.4-2.7). At the community level, the odds of modern contraceptive use rose with the proportion of women who were exposed to family planning messages (5.5), and decreased as the mean number of births per woman rose (0.7). In the final model, which included both individual- and community-level factors, the community factors were no longer significant. CONCLUSIONS: Because approval of family planning and discussion of family planning with partners were shown to be the factors most strongly associated with modern contraceptive use in the multilevel model, programs that seek to increase individual approval and those that teach communication between partners could be particularly helpful to increasing contraceptive use in Mali.     

School-to-work transition: Mentor career support and student career planning,job search intentions,and self-defeating job search behavior

We hypothesized and tested a model where mentor career support predicts college student career planning, job search intentions, and self-defeating job search behavior via student career self-efficacy. Using survey responses collected at two points in time from college students near graduation who were mentored by working business professionals for 8 months in a formal hybrid university-sponsored mentoring program, results showed that mentor career support was positively related to student career planning and job search intentions and negatively related to student self-defeating job search behavior. In addition, results indicated that student career self-efficacy fully mediated the relations between mentor career support and the outcomes. The findings have important implications for future mentoring and job search research. They also provide practical guidance for improving college students' career planning and job searches.     

From intentions via planning and behavior to physical exercise habits

ObjectivesIndividuals who enact a health behavior effortlessly with minimal conscious deliberation can be assumed to have formed a healthy habit. This can be reflected by increases in self-reported habit strength of a behavior. We examined whether physical exercise intentions facilitate changes in exercise habit strength by increasing the use of action planning and exercise.DesignTwo field studies investigated the effect of behavioral intentions on changes in habit strength through a sequential path from action planning to exercise.MethodExercise intentions, action planning, habit strength, and exercise were assessed at two measurement points in time in 231 university students (Study 1), and at four points in time in 134 rehabilitation patients (Study 2).ResultsIn multiple-step mediation models in both samples, there were indirect effects of intentions on habit strength through action planning and behavior.ConclusionAction planning and behavior operated as sequential mediators to bridge the gap between intentions and habit strength. Exercise habit strength may increase as a result of conscious action planning and frequent behavior enactment. Including these constructs jointly into behavior change models may improve the understanding of the mechanisms involved in behavior maintenance.     

Planning is for doing: Implementation intentions go beyond the mere creation of goal-directed associations

Studies on implementation intentions so far have mainly pointed towards strengthened cue-behavior associations as the mechanism underlying the effectiveness of this self-regulatory tool. However, we propose that because it triggers people to look into the future and to mentally simulate their future behavior, planning by means of implementation intentions might go beyond the creation of goal-directed associations and thus lead to more enduring effects on behavior. We tested this hypothesis in an experiment using a longitudinal design, where participants formed an intention for a behavior that deviates from their routine, and furnished it either with associative learning of cue and behavior, forming implementation intentions, or nothing at all. Results showed that initially, learning cue-behavior associations led to the same rate of goal completion as forming implementation intentions. However, only the effect of implementation intentions was maintained at the second measurement one week later. These findings suggest that planning does more than merely create goal-directed associations, which might offer a new perspective on the workings and use of this important tool for behavior change.     

Population growth--a challenge to psychologists

This article briefly reviews research conducted in the U.S. on fertility behavior and the characteristics associated with it. The Indianapolis Study (1941), the Family Growth in America Study (1957, 1969), the Growth of American Family Studies (1955, 1960), and the National Fertility Study (1965) are cited. Working wives are associated with lower fertility while Catholics are more often associated with slightly higher fertility. More study is needed to determine the interactions between the number of children desired and intended before and after families are completed, and between the relationship between knowledge and practice of family planning. Motivations for childbearing are discussed in relation to role definitions especially for women. Research into the value systems that are the bases for motivation is proposed.     

Translating intentions into nutrition behaviors via planning requires self-efficacy: evidence from Thailand and Germany

A first step towards the improvement of daily dietary behaviors is forming an intention to change one's nutrition. However, an intention by itself is not sufficient for successful action. Rather, to translate intentions into behavior, careful planning is recommended. Thus, planning constitutes a mediator between the intention and the behavior. However, if a person lacks self-efficacy, this mediation might fail. Previous research in Costa Rica and South Korea has identified perceived self-efficacy as a moderator of the intention-planning-behavior relationship. To examine further the moderator role of self-efficacy, two additional studies were designed in Thailand and Germany. Study 1 surveyed 1718 Thai university students in terms of a low-fat diet; Study 2 surveyed 1140 German internet users in terms of their fruit and vegetable consumption at two measurement points in time, 6 months apart. Intentions served as predictor, planning as mediator, self-efficacy as moderator, and behaviors as outcomes. First, intentions were translated into nutrition behaviors by planning. Second, self-efficacy moderated this mediation in both studies: The strength of the mediated effect increased along with levels of self-efficacy, even when accounting for baseline behaviors. For planning to mediate the intention-behavior relation, people must not harbor self-doubts. If they lack self-efficacy, intentions are not well translated into nutrition behavior through planning.     

Family predictors of antisocial behavior in adolescence

The goal of the present study was to examine the combined and unique ability of different aspects of family functioning to predict involvement in antisocial behavior in a large nonclinical (community) sample of adolescents. Distinction was made between global (e.g., family socioeconomic status), distal (dispositional characteristics of parents), contextual (family characteristics), and proximal (parent-child interaction) factors that operate within families. Results show that proximal factors were significant predictors of antisocial behavior, independent of their shared variance with other factors. Consistent with the hypothesized mediational model, the effects of distal and contextual factors appear to be mostly indirect: after their association with proximal factors was taken into account, these factors were no longer significantly related to antisocial behavior. The implications of these findings for planning of developmentally appropriate interventions for adolescents and their families are discussed.     

The Influence of Religion and Ethnicity on Family Planning Approval: A Case for Women in Rural Western Kenya

The role of sociocultural factors such as religion and ethnicity in aiding or hampering family planning (FP) uptake in rural Western Kenya, a region with persistently high fertility rates, is not well established. We explored whether attitudes towards FP can be attributed to religious affiliation and/or ethnicity among women in the region. Findings show that religion and ethnicity have no impact; the most significant factors are level of education and knowledge about the benefits of FP for the mother. FP interventions ought to include strategies aimed at enhancing women’s knowledge about the positive impacts of family planning.     

Protestants and Family Planning

There is evidence supporting the hypothesis that the historically favorable views of Protestants regarding the practice of family planning are changing among selected sub-groups. Such an attitudinal shift among Protestants has been rarely investigated by social scientists. This literature review represents an initial step in examining the phenomenon. A profile of Protestants' historical views of family planning will be presented first, followed by a discussion of the recent questioning of this group's favorable attitudes towards the practice. Additionally, research literature on contraceptive behavior and fertility patterns will provide empirical evidence supporting the hypothesis.     

A 10-year prospective study of personality and reproductive success: Testing the mediating role of healthy living

Abstract

Objective: There is some evidence that personality relates to childbearing in adulthood but the importance of personality for reproductive capacity is unknown. This study explored cross-time associations between the major dimensions of trait personality and self-reported fertility and fecundity. Methods: A representative sample of young Australian adults [n?=?4501; age range ≈ 18–44 (women), 18–54 (men)] provided information on personality, fertility, fertility intentions, fecundity and lifestyle factors (cigarette smoking, alcohol consumption, physical activity) in 2006 and again in 2016. Older Australian adults [n?=?4359; age ≥?45 (women), ≥ 55 (men)] provided information on personality, lifestyle factors and completed fertility. Results: After controlling for sociodemographic factors, completed fertility was associated with higher agreeableness in both sexes, and lower conscientiousness and openness in women. In younger adults, higher levels of openness were associated with fewer children 10 years later in both sexes, and higher extraversion was associated with more children 10 years later in men. The association between fertility intentions and subsequent fertility was stronger among women scoring higher on conscientiousness, and women scoring higher on neuroticism were more likely to acquire medical or health difficulties in having children – an effect that was mediated by higher levels of cigarette smoking. Conclusions: The study provides initial evidence for an association between personality and the acquisition of difficulties in having children.     

Intention,Emotion, and Action: A Neural Theory Based on Semantic Pointers

We propose a unified theory of intentions as neural processes that integrate representations of states of affairs, actions, and emotional evaluation. We show how this theory provides answers to philosophical questions about the concept of intention, psychological questions about human behavior, computational questions about the relations between belief and action, and neuroscientific questions about how the brain produces actions. Our theory of intention ties together biologically plausible mechanisms for belief, planning, and motor control. The computational feasibility of these mechanisms is shown by a model that simulates psychologically important cases of intention.     

Intended Sex With Fewer Partners: An Empirical Test of the AIDS Risk Reduction Model Among Injection Drug Users1

The AIDS risk reduction model (ARRM) is a theory-based representation of psychosocial processes by which people may attempt to change their HIV risk behavior. This study tests the degree to which hypothesized relationships among ARRM factors are consistent with cross-sectional data collected from a sample of HIV-negative injection drug users in Los Angeles, California. The data pertain to users' intentions to reduce HIV transmission risk incurred through sex with multiple partners. Findings conform to ARRM hypotheses in some important respects. In particular, findings suggest that perceived self-efficacy for sexual risk reduction may be a crucial factor leading to the formation of intentions to change sex-related HIV risk behavior.     

Gay Asian Australians’ Safer-Sex Behavior and Behavioral Skills: The Predictive Utility of the Theory of Planned Behavior and Cultural Factors1

United States reports highlight that Asian Americans’ increasing HIV-infection rate results primarily from male-to-male sexual contact. Cultural factors, such as strength of identification with the Asian community, have been implicated. The ability of these and the theory of planned behavior (Ajzen, 1985) and information-motivation-behavioral skills model (Fisher & Fisher, 1992) to predict safe sex intentions and behavior were investigated among gay Asian Australians. Consistent with the theory of planned behavior, attitudes, subjective norms, and behavioral skills predicted intentions, while behavioral skills predicted current behavior. Cultural factors were related to components of the model. Notably, strength of identification with the gay community moderated the norm-intention link and was related to behavioral skills. The results suggest it is important to examine the predictors of safe sex behavior for different cultural groups.     

Attitudes, Intentions, and Behavior: A Study of Women's Participation in Collective Action

The present study tests the theories of reasoned action and planned behavior in the context of women's participation in collective action. Participants were 387 women who completed two questionnaires with an interval of 1 year. In the first questionnaire, participants were asked to provide measures of attitudinal, normative, and control factors, as well as measures of intention to participate in 4 group-related activities over the coming year. One year later in the second questionnaire, the same women provided measures of the degree to which they had actually participated in these behaviors during the course of the year. Findings showed strong relationships between attitudinal factors and intentions, and between intentions and behavior. The addition of perceived behavioral control, as specified by the theory of planned behavior, made little difference in regression analyses. Further analyses focused on the mediating role of identification as an activist. This revealed that attitudinal considerations were only important in the prediction of intention for those individuals with a weaker sense of themselves as activists. It is suggested that expectancy-value calculations may be less important in predicting the intentions of strongly committed individuals to engage in group-relevant acts.