This is a proposal to study the influence of marital processes on childbearing practices in a society just beginning a dramatic fertility transition. This study will focus on the most significant aspects of fertility decline: rates of contraceptive use both for postponement and termination of childbearing. The setting, rural Nepal, is in the midst of transitions in both marital processes and childbearing practices. Both theory and preliminary evidence point toward the importance of changes in multiple dimensions of marital processes as key links between individuals'community context, non-family experiences, and childbearing behaviors. However, the specific mechanisms responsible for creating these links remain unknown. We build on an ongoing program of research that has already made numerous contributions to our understanding of the influence of various community and individual level factors on both marital and childbearing behaviors. We propose to investigate multiple martial processes as mechanisms linking community and individual level factors to fertility specifically contraceptive use. To accomplish this we will integrate existing, culturally appropriate measures of multiple dimensions of marital processes into models of contraceptive use to conduct direct tests of these mechanisms. The data we propose to use contain a particularly rich body of contextual measures, detailed personal interviews with both husbands and wives, and record of contraceptive use spanning more than 50 years. With this wealth of information from and about husbands and wives, we have the measures necessary to significantly advance the scientific understanding of role of marital processes and marital relationships in explaining the effects of context and non-family experience on contraceptive use. The insights we gain from this study are particularly significant because marital processes may strongly affect contraceptive use, and ultimately influence both family and child health and wellbeing.

Public Health Relevance

The project described in this proposal is designed to provide new information regarding the specific factors that promote fertility decline though contraceptive use, including both delayed childbearing and reduced childbearing. It is designed to inform public policy and public health about factors that can reduce fertility and slow population growth in extremely poor countries in which reduced childbearing and lower population growth are likely to improve standards of living and women and children's health and well-being.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Small Research Grants (R03)
Project #
5R03HD055976-02
Application #
7920831
Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
King, Rosalind B
Project Start
2009-09-01
Project End
2011-08-31
Budget Start
2010-09-01
Budget End
2011-08-31
Support Year
2
Fiscal Year
2010
Total Cost
$76,664
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Miscellaneous
Type
Organized Research Units
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Axinn, William G; Ghimire, Dirgha J; Smith-Greenaway, Emily (2017) Emotional Variation and Fertility Behavior. Demography 54:437-458
Ghimire, Dirgha J; Axinn, William G (2013) Marital processes, arranged marriage, and contraception to limit fertility. Demography 50:1663-86
Link, Cynthia F (2011) Spousal communication and contraceptive use in rural Nepal: an event history analysis. Stud Fam Plann 42:83-92