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The role of childhood growth, pre-pr...

Graff, Mariaelisa.

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The role of childhood growth, pre-pregnant nutrition status, and education on fertility in Ladino Guatemalan women.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The role of childhood growth, pre-pregnant nutrition status, and education on fertility in Ladino Guatemalan women./
Author:	Graff, Mariaelisa.
Description:	196 p.
Notes:	Source: Dissertation Abstracts International, Volume: 67-03, Section: B, page: 1381.
Contained By:	Dissertation Abstracts International67-03B.
Subject:	Health Sciences, Obstetrics and Gynecology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3212360
ISBN:	9780542612411

The role of childhood growth, pre-pregnant nutrition status, and education on fertility in Ladino Guatemalan women.
Graff, Mariaelisa.

The role of childhood growth, pre-pregnant nutrition status, and education on fertility in Ladino Guatemalan women. - 196 p.

Source: Dissertation Abstracts International, Volume: 67-03, Section: B, page: 1381.

Thesis (Ph.D.)--Emory University, 2006.

Growth during childhood is positively related to physical maturation and schooling attainment during adolescence. If earlier onset of puberty is associated with enhanced fertility while schooling is associated with reduced fertility, then the net effect in a woman's life is not readily apparent. Furthermore, the processes by which schooling influences women to have fewer children are poorly understood. This study focused on women from rural villages in Guatemala who participated as young children, as adolescents, and/or between the ages of 26-42 years. I sought to (1) examine the influences that schooling had on childbearing beliefs, and (2) elucidate the pathways between childhood growth and fertility outcomes through schooling and pre-pregnant nutrition status. Reproductive histories were analyzed for associations of schooling with fertility. Focus group transcripts were analyzed for meanings that more schooled women (≥6 years) compared to less schooled women (0-3 years schooling) ascribed to the events of childbearing. In a path model, direct and indirect path coefficients were calculated from early childhood growth to age at first pregnancy (AFP) and number of live births to date (NLB) through two mechanisms: pre-pregnant nutrition status (BMI or height) and schooling. Completion of primary school was associated older age at first pregnancy, smaller family size, and increased use of male-controlled contraceptive methods. More schooled women were more likely to consider the risks of adolescent pregnancy, discussion and personal choice in the marital relationship, and schooling for their children. Early childhood growth was positively related to BMI, height, and schooling. Each BMI unit (kg/m2), 5 cm of height, and year of schooling were associated with a -0.21+/-0.10 y (p=0.03), 0.15+/-0.05 y (p=0.02), and 0.31+/-0.06 y (p<0.01) change in AFP, respectively. The proportion change in NLB associated with each kg/m2 of BMI, 5cm of height, or one year of schooling was 0.05+/-0.03 (p=0.2), -0.10+/-0.05 (p<0.01), and -0.15+/-0.0.02 (p<0.01), respectively. The results suggest the positive impact of childhood growth on adolescent growth and schooling attainment influenced reproductive practices mainly through schooling. Schooling likely influenced childbearing behaviors through incorporation of modern beliefs about the risks of adolescent pregnancy, the marital relationship, and providing schooling to children.

ISBN: 9780542612411Subjects--Topical Terms:

1020690
Health Sciences, Obstetrics and Gynecology.

The role of childhood growth, pre-pregnant nutrition status, and education on fertility in Ladino Guatemalan women.
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