Skip to main content
Erschienen in: Demography 6/2020

01.10.2020

The Enduring Case for Fertility Desires

verfasst von: Sara Yeatman, Jenny Trinitapoli, Sarah Garver

Erschienen in: Demography | Ausgabe 6/2020

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Persistently high levels of unintended fertility, combined with evidence that over- and underachieved fertility are typical and not exceptional, have prompted researchers to question the utility of fertility desires writ large. In this study, we elaborate this paradox: widespread unintendedness and meaningful, highly predictive fertility desires can and do coexist. Using data from Malawi, we demonstrate the predictive validity of numeric fertility timing desires over both four-month and one-year periods. We find that fertility timing desires are highly predictive of pregnancy and that they follow a gradient wherein the likelihood of pregnancy decreases in correspondence with desired time to next birth. This finding holds despite the simultaneous observation of high levels of unintended pregnancy in our sample. Discordance between desires and behaviors reflects constraints to achieving one’s fertility and the fluidity of desires but not their irrelevance. Fertility desires remain an essential—if sometimes blunt—tool in the demographers’ toolkit.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Fußnoten
1
We refer to desires throughout the text despite frequently citing literature that uses the language of “intentions.” Although some surveys actually measure intentions, it is far more common for surveys (e.g., NSFG, DHS, PRAMS) to measure desires (e.g., “Did you yourself want to have a(nother) baby?”; “How long would you like to wait before the birth of a(nother) child?”). Responding to calls from fertility researchers, we endeavor to align our terminology with our measurement (Kost and Zolna 2019; Kost et al. 2018; Miller et al. 2004).
 
2
Aspects of this debate parallel broader conversations about the “attitudinal fallacy” taking place across the social sciences, specifically those questioning the predictive power of attitudinal survey items (Jerolmack and Khan 2014; Vaisey 2014).
 
3
Researchers have pointed out that questions on timing desires may be easier to answer for women who seek to space their births or who have yet to start childbearing than for women who seek to postpone their next birth indefinitely (Cleland et al. 2019; Hayford and Agadjanian 2019; Timaeus and Moultrie 2008). These women may introduce some noise into our measurement, although the exceedingly rare responses of “don’t know” or “no preference” and our focus on the short-term suggest the impact will be limited.
 
4
Importantly, this allows us to examine the predictors of pregnancy, not just births, in a context where the health risks of abortion, largely illegal and unsafe, can be severe (Polis et al. 2017). Even with the close spacing of surveys within TLT, however, some early miscarriages and abortions may be missed, and thus the total number of pregnancies will still be underestimated. These missed pregnancies may introduce some bias (in both directions) to our results. As a sensitivity analysis, we include self-reported miscarriages and abortions during the intersurvey period; the findings do not change.
 
5
Women who tested not pregnant or refused a test are considered not to be pregnant. As a sensitivity analysis, we rerun all analyses classifying refusers by their self-reported pregnancy status as well as dropping these women from analyses. The cumulative incidence of pregnancy increases with these approaches, but the key relationships do not change.
 
6
In another sensitivity analysis, we include women who participated in any wave; the results do not change.
 
7
Of the small set of prospective studies of unintended births, it is most common for researchers to allow a one-year grace period before labeling a birth as unintended (see, e.g., Koenig et al. 2006; Singh et al. 2013; Yeatman and Sennott 2015).
 
8
Here, we revert to the terminology of intended and unintended pregnancy as widely used in the literature, with the acknowledgment that what we—and most researchers—actually measure is desires rather than intentions.
 
9
Thus, for the four-month period, women who reported a desire for pregnancy as soon as possible are compared with women who reported a desire for any delay. For the one-year time frame, women who reported a desired birth within two years are compared with women who expressed a desire to delay a birth beyond two years.
 
10
The TLT study focuses on a specific age range in a particular context. However, the gradient that we identify is similar to that found recently among postpartum women in urban Kenya slums (Machiyama et al. 2019).
 
Literatur
Zurück zum Zitat Aiken, A. R., Borrero, S., Callegari, L. S., & Dehlendorf, C. (2016). Rethinking the pregnancy planning paradigm: Unintended conceptions or unrepresentative concepts? Perspectives on Sexual and Reproductive Health, 48, 147–151. https://doi.org/10.1363/48e10316CrossRef Aiken, A. R., Borrero, S., Callegari, L. S., & Dehlendorf, C. (2016). Rethinking the pregnancy planning paradigm: Unintended conceptions or unrepresentative concepts? Perspectives on Sexual and Reproductive Health, 48, 147–151. https://​doi.​org/​10.​1363/​48e10316CrossRef
Zurück zum Zitat Bongaarts, J. (1992). Do reproductive intentions matter? International Family Planning Perspectives, 18, 102–108.CrossRef Bongaarts, J. (1992). Do reproductive intentions matter? International Family Planning Perspectives, 18, 102–108.CrossRef
Zurück zum Zitat Bongaarts, J. (2001). Fertility and reproductive preferences in post-transitional societies. Population and Development Review, 27, 260–281.CrossRef Bongaarts, J. (2001). Fertility and reproductive preferences in post-transitional societies. Population and Development Review, 27, 260–281.CrossRef
Zurück zum Zitat Clark, S., Koski, A., & Smith-Greenaway, E. (2017). Recent trends in premarital fertility across sub-Saharan Africa. Studies in Family Planning, 48, 3–22.CrossRef Clark, S., Koski, A., & Smith-Greenaway, E. (2017). Recent trends in premarital fertility across sub-Saharan Africa. Studies in Family Planning, 48, 3–22.CrossRef
Zurück zum Zitat Cleland, J., Machiyama, K., & Casterline, J. B. (2019). Fertility preferences and subsequent childbearing in Africa and Asia: A synthesis of evidence from longitudinal studies in 28 populations. Population Studies, 74, 1–21.CrossRef Cleland, J., Machiyama, K., & Casterline, J. B. (2019). Fertility preferences and subsequent childbearing in Africa and Asia: A synthesis of evidence from longitudinal studies in 28 populations. Population Studies, 74, 1–21.CrossRef
Zurück zum Zitat Evens, E., Tolley, E., Headley, J., McCarraher, D. R., Hartmann, M., Mtimkulu, V. T., & FEM-PrEP SBC Preparedness Research Groups in South Africa and Malawi. (2015). Identifying factors that influence pregnancy intentions: Evidence from South Africa and Malawi. Culture, Health & Sexuality, 17, 374–389.CrossRef Evens, E., Tolley, E., Headley, J., McCarraher, D. R., Hartmann, M., Mtimkulu, V. T., & FEM-PrEP SBC Preparedness Research Groups in South Africa and Malawi. (2015). Identifying factors that influence pregnancy intentions: Evidence from South Africa and Malawi. Culture, Health & Sexuality, 17, 374–389.CrossRef
Zurück zum Zitat Gibby, A. L., & Luke, N. (2019). Exploring multiple dimensions of young women’s fertility preferences in Malawi. Maternal and Child Health Journal, 23, 1508–1515.CrossRef Gibby, A. L., & Luke, N. (2019). Exploring multiple dimensions of young women’s fertility preferences in Malawi. Maternal and Child Health Journal, 23, 1508–1515.CrossRef
Zurück zum Zitat Günther, I., & Harttgen, K. (2016). Desired fertility and number of children born across time and space. Demography, 53, 55–83.CrossRef Günther, I., & Harttgen, K. (2016). Desired fertility and number of children born across time and space. Demography, 53, 55–83.CrossRef
Zurück zum Zitat Harknett, K., & Hartnett, C. S. (2014). The gap between births intended and births achieved in 22 European countries, 2004–07. Population Studies, 68, 265–282.CrossRef Harknett, K., & Hartnett, C. S. (2014). The gap between births intended and births achieved in 22 European countries, 2004–07. Population Studies, 68, 265–282.CrossRef
Zurück zum Zitat Hayford, S. R., & Agadjanian, V. (2019). Spacing, stopping, or postponing? Fertility desires in a sub-Saharan setting. Demography, 56, 573–594.CrossRef Hayford, S. R., & Agadjanian, V. (2019). Spacing, stopping, or postponing? Fertility desires in a sub-Saharan setting. Demography, 56, 573–594.CrossRef
Zurück zum Zitat Jerolmack, C., & Khan, S. (2014). Talk is cheap: Ethnography and the attitudinal fallacy. Sociological Methods & Research, 43, 178–209.CrossRef Jerolmack, C., & Khan, S. (2014). Talk is cheap: Ethnography and the attitudinal fallacy. Sociological Methods & Research, 43, 178–209.CrossRef
Zurück zum Zitat Koenig, M. A., Acharya, R., Singh, S., & Roy, T. K. (2006). Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India. Population Studies, 60, 243–256.CrossRef Koenig, M. A., Acharya, R., Singh, S., & Roy, T. K. (2006). Do current measurement approaches underestimate levels of unwanted childbearing? Evidence from rural India. Population Studies, 60, 243–256.CrossRef
Zurück zum Zitat Kost, K., & Zolna, M. (2019). Challenging unintended pregnancy as an indicator of reproductive autonomy: A response. Contraception, 100, 5–9.CrossRef Kost, K., & Zolna, M. (2019). Challenging unintended pregnancy as an indicator of reproductive autonomy: A response. Contraception, 100, 5–9.CrossRef
Zurück zum Zitat Kuang, B., & Brodsky, I. (2016). Global trends in family planning programs, 1999–2014. International Perspectives on Sexual and Reproductive Health, 42, 33–44.CrossRef Kuang, B., & Brodsky, I. (2016). Global trends in family planning programs, 1999–2014. International Perspectives on Sexual and Reproductive Health, 42, 33–44.CrossRef
Zurück zum Zitat Lee, R. D. (1980). Aiming at a moving target: Period fertility and changing reproductive goals. Population Studies, 34, 205–226.CrossRef Lee, R. D. (1980). Aiming at a moving target: Period fertility and changing reproductive goals. Population Studies, 34, 205–226.CrossRef
Zurück zum Zitat Levandowski, B. A., Kalilani-Phiri, L., Kachale, F., Awah, P., Kangaude, G., & Mhango, C. (2012). Investigating social consequences of unwanted pregnancy and unsafe abortion in Malawi: The role of stigma. International Journal of Gynecology & Obstetrics, 118(Suppl. 2), S167–S171. Levandowski, B. A., Kalilani-Phiri, L., Kachale, F., Awah, P., Kangaude, G., & Mhango, C. (2012). Investigating social consequences of unwanted pregnancy and unsafe abortion in Malawi: The role of stigma. International Journal of Gynecology & Obstetrics, 118(Suppl. 2), S167–S171.
Zurück zum Zitat Liefbroer, A. C. (2009). Changes in family size intentions across young adulthood: A life-course perspective. European Journal of Population/Revue Européenne de Démographie, 25, 363–386. Liefbroer, A. C. (2009). Changes in family size intentions across young adulthood: A life-course perspective. European Journal of Population/Revue Européenne de Démographie, 25, 363–386.
Zurück zum Zitat Machiyama, K., Baschieri, A., Dube, A., Crampin, A. C., Glynn, J. R., French, N., & Cleland, J. (2015). An assessment of childbearing preferences in northern Malawi. Studies in Family Planning, 46, 161–176.CrossRef Machiyama, K., Baschieri, A., Dube, A., Crampin, A. C., Glynn, J. R., French, N., & Cleland, J. (2015). An assessment of childbearing preferences in northern Malawi. Studies in Family Planning, 46, 161–176.CrossRef
Zurück zum Zitat Machiyama, K., Casterline, J. B., Mumah, J. N., Huda, F. A., Obare, F., Odwe, G., . . . Cleland, J. (2017). Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: Protocol for a multi-site cohort study. Reproductive Health, 14, 23. https://doi.org/10.1186/s12978-016-0268-z Machiyama, K., Casterline, J. B., Mumah, J. N., Huda, F. A., Obare, F., Odwe, G., . . . Cleland, J. (2017). Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: Protocol for a multi-site cohort study. Reproductive Health, 14, 23. https://​doi.​org/​10.​1186/​s12978-016-0268-z
Zurück zum Zitat Miller, W. B., Severy, L. J., & Pasta, D. J. (2004). A framework for modelling fertility motivation in couples. Population Studies, 58, 193–205.CrossRef Miller, W. B., Severy, L. J., & Pasta, D. J. (2004). A framework for modelling fertility motivation in couples. Population Studies, 58, 193–205.CrossRef
Zurück zum Zitat Morgan, S. P., & Bachrach, C. A. (2011). Is the theory of planned behaviour an appropriate model for human fertility? Vienna Yearbook of Population Research, 9, 11–18.CrossRef Morgan, S. P., & Bachrach, C. A. (2011). Is the theory of planned behaviour an appropriate model for human fertility? Vienna Yearbook of Population Research, 9, 11–18.CrossRef
Zurück zum Zitat Morgan, S. P., & Rackin, H. (2010). The correspondence between fertility intentions and behavior in the United States. Population and Development Review, 36, 91–118.CrossRef Morgan, S. P., & Rackin, H. (2010). The correspondence between fertility intentions and behavior in the United States. Population and Development Review, 36, 91–118.CrossRef
Zurück zum Zitat Mueller, M. W., Hicks, J. H., Johnson-Hanks, J., & Miguel, E. (2019). The illusion of stable preferences over major life decisions (NBER Working Paper No. 25844). Cambridge, MA: National Bureau of Economic Research. Mueller, M. W., Hicks, J. H., Johnson-Hanks, J., & Miguel, E. (2019). The illusion of stable preferences over major life decisions (NBER Working Paper No. 25844). Cambridge, MA: National Bureau of Economic Research.
Zurück zum Zitat Ní Bhrolcháin, M., & Beaujouan, É. (2019). Do people have reproductive goals? Constructive preferences and the discovery of desired family size. In R. Schoen (Ed.), Analytical family demography (pp. 27–56). Dordrecht, the Netherlands: Springer.CrossRef Ní Bhrolcháin, M., & Beaujouan, É. (2019). Do people have reproductive goals? Constructive preferences and the discovery of desired family size. In R. Schoen (Ed.), Analytical family demography (pp. 27–56). Dordrecht, the Netherlands: Springer.CrossRef
Zurück zum Zitat Régnier-Loilier, A., Vignoli, D., & Dutreuilh, C. (2011). Fertility intentions and obstacles to their realization in France and Italy. Population, 66, 361–389.CrossRef Régnier-Loilier, A., Vignoli, D., & Dutreuilh, C. (2011). Fertility intentions and obstacles to their realization in France and Italy. Population, 66, 361–389.CrossRef
Zurück zum Zitat Rocca, C. H., Ralph, L. J., Wilson, M., Gould, H., & Foster, D. G. (2019). Psychometric evaluation of an instrument to measure prospective pregnancy preferences: The desire to avoid pregnancy scale. Medical Care, 57, 152–158. Rocca, C. H., Ralph, L. J., Wilson, M., Gould, H., & Foster, D. G. (2019). Psychometric evaluation of an instrument to measure prospective pregnancy preferences: The desire to avoid pregnancy scale. Medical Care, 57, 152–158.
Zurück zum Zitat Sable, M. R. (1999). Pregnancy intentions may not be a useful measure for research on maternal and child health outcomes. Perspectives on Sexual and Reproductive Health, 31, 248–253. Sable, M. R. (1999). Pregnancy intentions may not be a useful measure for research on maternal and child health outcomes. Perspectives on Sexual and Reproductive Health, 31, 248–253.
Zurück zum Zitat Schoen, R., Astone, N. M., Kim, Y. J., Nathanson, C. A., & Fields, J. M. (1999). Do fertility intentions affect fertility behavior? Journal of Marriage and the Family, 61, 790–799.CrossRef Schoen, R., Astone, N. M., Kim, Y. J., Nathanson, C. A., & Fields, J. M. (1999). Do fertility intentions affect fertility behavior? Journal of Marriage and the Family, 61, 790–799.CrossRef
Zurück zum Zitat Schoen, R., Astone, N. M., Nathanson, C. A., Kim, Y. J., & Murray, N. (2000). The impact of fertility intentions on behavior: The case of sterilization. Social Biology, 47, 61–76. Schoen, R., Astone, N. M., Nathanson, C. A., Kim, Y. J., & Murray, N. (2000). The impact of fertility intentions on behavior: The case of sterilization. Social Biology, 47, 61–76.
Zurück zum Zitat Sennott, C., & Yeatman, S. (2012). Stability and change in fertility preferences among young women in Malawi. International Perspectives on Sexual and Reproductive Health, 38, 34–39.CrossRef Sennott, C., & Yeatman, S. (2012). Stability and change in fertility preferences among young women in Malawi. International Perspectives on Sexual and Reproductive Health, 38, 34–39.CrossRef
Zurück zum Zitat Singh, A., Singh, A., & Mahapatra, B. (2013). The consequences of unintended pregnancy for maternal and child health in rural India: Evidence from prospective data. Maternal and Child Health Journal, 17, 493–500.CrossRef Singh, A., Singh, A., & Mahapatra, B. (2013). The consequences of unintended pregnancy for maternal and child health in rural India: Evidence from prospective data. Maternal and Child Health Journal, 17, 493–500.CrossRef
Zurück zum Zitat Timaeus, I. M., & Moultrie, T. A. (2008). On postponement and birth intervals. Population and Development Review, 34, 483–510.CrossRef Timaeus, I. M., & Moultrie, T. A. (2008). On postponement and birth intervals. Population and Development Review, 34, 483–510.CrossRef
Zurück zum Zitat Toulemon, L., & Testa, M. R. (2005). Fertility intentions and actual fertility: A complex relationship. Population & Societies, 415(4), 1–4. Toulemon, L., & Testa, M. R. (2005). Fertility intentions and actual fertility: A complex relationship. Population & Societies, 415(4), 1–4.
Zurück zum Zitat Trinitapoli, J., & Yeatman, S. (2018). The flexibility of fertility preferences in a context of uncertainty. Population and Development Review, 44, 87–116.CrossRef Trinitapoli, J., & Yeatman, S. (2018). The flexibility of fertility preferences in a context of uncertainty. Population and Development Review, 44, 87–116.CrossRef
Zurück zum Zitat Vaisey, S. (2014). The “attitudinal fallacy” is a fallacy: Why we need many methods to study culture. Sociological Methods & Research, 43, 227–231.CrossRef Vaisey, S. (2014). The “attitudinal fallacy” is a fallacy: Why we need many methods to study culture. Sociological Methods & Research, 43, 227–231.CrossRef
Zurück zum Zitat Van der Sijpt, E. (2014). Complexities and contingencies conceptualised: Towards a model of reproductive navigation. Sociology of Health & Illness, 36, 278–290.CrossRef Van der Sijpt, E. (2014). Complexities and contingencies conceptualised: Towards a model of reproductive navigation. Sociology of Health & Illness, 36, 278–290.CrossRef
Zurück zum Zitat Yeatman, S., Chilungo, A., Lungu, S., Namadingo, H., & Trinitapoli, J. (2019). Tsogolo la Thanzi: A longitudinal study of young adults living in Malawi’s HIV epidemic. Studies in Family Planning, 50, 71–84.CrossRef Yeatman, S., Chilungo, A., Lungu, S., Namadingo, H., & Trinitapoli, J. (2019). Tsogolo la Thanzi: A longitudinal study of young adults living in Malawi’s HIV epidemic. Studies in Family Planning, 50, 71–84.CrossRef
Zurück zum Zitat Yeatman, S., & Sennott, C. (2015). The sensitivity of measures of unwanted and unintended pregnancy using retrospective and prospective reporting: Evidence from Malawi. Maternal and Child Health Journal, 19, 1593–1600.CrossRef Yeatman, S., & Sennott, C. (2015). The sensitivity of measures of unwanted and unintended pregnancy using retrospective and prospective reporting: Evidence from Malawi. Maternal and Child Health Journal, 19, 1593–1600.CrossRef
Zurück zum Zitat Yeatman, S., Sennott, C., & Culpepper, S. (2013). Young women’s dynamic family size preferences in the context of transitioning fertility. Demography, 50, 1715–1737.CrossRef Yeatman, S., Sennott, C., & Culpepper, S. (2013). Young women’s dynamic family size preferences in the context of transitioning fertility. Demography, 50, 1715–1737.CrossRef
Metadaten
Titel
The Enduring Case for Fertility Desires
verfasst von
Sara Yeatman
Jenny Trinitapoli
Sarah Garver
Publikationsdatum
01.10.2020
Verlag
Springer US
Erschienen in
Demography / Ausgabe 6/2020
Print ISSN: 0070-3370
Elektronische ISSN: 1533-7790
DOI
https://doi.org/10.1007/s13524-020-00921-4

Weitere Artikel der Ausgabe 6/2020

Demography 6/2020 Zur Ausgabe