Topic
Fertility
About: Fertility is a research topic. Over the lifetime, 29988 publications have been published within this topic receiving 681106 citations.
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TL;DR: To understand the current practices and attitudes in a pediatric hematology/oncology clinic, health care providers were surveyed regarding fertility issues pertinent to their patient care.
Abstract: Purpose
Given the higher survival rates of childhood cancer, health care providers must be aware of the side effects of cancer therapies to educate patients and provide appropriate interventions to reduce cancer-related morbidity. To understand the current practices and attitudes in a pediatric hematology/oncology clinic, health care providers were surveyed regarding fertility issues pertinent to their patient care.
Participants and Instruments
In this study, 93.8% (30/32) health care providers in one pediatric hematology/oncology department completed a 44-item survey assessing knowledge, current practices, obstacles to current practices, perceptions of patient differences, and improvements to future practice.
Results
The majority of health care providers were aware of the adverse effects of alkylating agents (90.7%) and of abdominal and pelvic radiation (100.0%) on fertility. However, only half were aware of gender differences in gonadotoxicity (50.0%) or knowledgeable of current research and technology in fertility preservation (53.3%). While only 34.6% of providers currently consulted with specialists, nearly all (92.8%) indicated a desire to do so in the future, but 64.3% indicated difficulties in finding proper facilities and specialists for their patients. Almost all (96.6%) agreed that providers and patient families need more information regarding the effects of cancer therapy on fertility.
Conclusions
Surveyed pediatric oncology providers considered fertility to be an important issue for childhood cancer patients and desired more resources regarding effects on fertility and fertility preservation. Greater communication needs to be established between pediatric oncology providers and specialists in reproductive medicine and endocrinology to ensure adequate professional collaboration and patient referrals. Pediatr Blood Cancer 2007;48:80–85. © 2006 Wiley-Liss, Inc.
139 citations
TL;DR: It is suggested that declines in contraceptive use, increases in unmet need for family planning, increasing preferences for larger families, and increases in adolescent fertility were consistently associated with stalls in subgroup fertility across all four Eastern African countries.
Abstract: We use data from the Demographic and Health Surveys to examine the patterns of stall in fertility decline in four Eastern African countries. Contrary to patterns of fertility transition in Africa that cut across various socio-economic and geographical groups within countries, we find strong selectivity of fertility stall across different groups and regions in all four countries. In both Kenya and Tanzania where fertility decline has stalled at the national level, it continued to decline among the most educated women and in some regions. While fertility has remained at pre-transition level in Uganda over the past 20 years, there are signs of decline with specific groups of women (especially the most educated, urban and those in the Eastern region) taking the lead. For Zimbabwe, although fertility has continued to decline at the national level, stall is observed among women with less than secondary education and those in some of the regions. We link these intra-country variations to differential changes in socio-economic variables, family planning programme environment and reproductive behaviour models. The results suggest that declines in contraceptive use, increases in unmet need for family planning, increasing preferences for larger families, and increases in adolescent fertility were consistently associated with stalls in subgroup fertility across all four countries. These results are consistent with models that emphasize the role of declines in national and international commitments to family planning programmes in the premature stall in sub-Saharan fertility transition.
139 citations
TL;DR: This paper found that fertility declined by 9 to 11 percent, depending on the measure, and the decline was greater in states that experienced higher increases in unemployment, which suggests postponement rather than forgoing of births.
Abstract: Recessions can alter family life by constraining the choices that individuals and couples make concerning their family lives and by activating the family’s role as an emergency support system. Both effects were visible during and after the Great Recession. Fertility declined by 9 to 11 percent, depending on the measure, and the decline was greater in states that experienced higher increases in unemployment. The decline was greater among younger women, which suggests postponement rather than forgoing of births. The fall in fertility was sharpest for Hispanics, a result the authors attribute to a drop in Mexican immigration, which reduced the number of recent immigrants, the group with the highest fertility. Substantial increases occurred in the percentage of young adults, single and married, who lived with their parents, augmenting a long-term trend toward intergenerational coresidence. There was a slight decline in divorce and separation in states with higher unemployment.
139 citations
TL;DR: It is shown that personality dimensions predict reproductive success differently in men and women in societies with low mortality–fertility schedules and, in women, are associated with a trade-off between offspring quantity and quality.
Abstract: The existence of interindividual differences in personality traits poses a challenge to evolutionary thinking. Although research on the ultimate consequences of personality differences in nonhuman animals has recently undergone a surge of interest, our understanding of whether and how personality influences reproductive decisions in humans has remained limited and informed primarily by modern societies with low mortality–fertility schedules. Taking an evolutionary approach, we use data from a contemporary polygynous high-fertility human population living in rural Senegal to investigate whether personality dimensions are associated with key life-history traits in humans, i.e., quantity and quality of offspring. We show that personality dimensions predict reproductive success differently in men and women in such societies and, in women, are associated with a trade-off between offspring quantity and quality. In women, neuroticism positively predicts the number of children, both between and within polygynous families. Furthermore, within the low social class, offspring quality (i.e., child nutritional status) decreases with a woman's neuroticism, indicating a reproductive trade-off between offspring quantity and quality. Consistent with this, maximal fitness is achieved by women at an intermediate neuroticism level. In men, extraversion was found to be a strong predictor of high social class and polygyny, with extraverted men producing more offspring than their introverted counterparts. These results have implications for the consideration of alternative adaptive hypotheses in the current debate on the maintenance of personality differences and the role of individual factors in fertility patterns in contemporary humans.
139 citations
TL;DR: In this paper, the authors compare the implications of a public and a private schooling regime for economic growth and inequality, and find that private schooling leads to higher growth when there is little inequality in human capital endowments across families.
139 citations