Wednesday, November 25, 2015

Premarital First Births: The Influence of the Timing of Sexual Onset Versus Post-Onset Risks in the United States

Motivated by long-standing debates between abstinence proponents and sceptics, we examine how socio-economic factors influence premarital first births via: (i) age at first sexual intercourse and (ii) the risk of a premarital first birth following the onset of sexual activity. Factors associated with an earlier age at first intercourse will imply more premarital first births owing to increased exposure to risk, but many of these same factors will also be associated with higher risks of a premarital first birth following onset. Our analyses confirm previous findings that women from disadvantaged backgrounds are younger at first intercourse and have higher premarital first-birth risks than women from more advantaged backgrounds. However, differences in onset timing have a strikingly smaller influence on premarital first-birth probabilities than do differences in post-onset risks. Our findings thus suggest that premarital first births result primarily from differences in post-onset risk behaviours as opposed to differences in onset timing...

Our empirical results confirm previous findings that women from disadvantaged backgrounds initiate sexual activity earlier and have more premarital first births than those from more advantaged backgrounds. Our hazard regressions reveal strikingly different effects of covariate for the transitions to sexual activity and to a premarital first birth following onset. A standard set of sociodemographic variables have large and statistically significant associations with premarital first birth risks following onset. These same variables have smaller associations with onset risk, and only a subset are statistically significant. These findings provide empirical hints that some aspects of these two processes may be behaviorally distinct. Results from decompositions comparing median onset timing for disadvantaged and advantaged groups show that, net of controls, differences in exposure to risk have only a small influence on the probability of a premarital first birth, but that group differences in post-onset risks have a sizeable influence on the probability of a premarital first birth. This pattern—small effects of differential exposure to risk but sizeable differences in post-onset risks—holds for all the variables we examine.

Why might this be? Some insight can be gleaned by contrasting what is characteristic of sexual onset vs. a premarital first birth. A higher risk of an event usually implies more individuals experiencing the event, and our results show that this holds for premarital first births. Thus, we find that sizeable and statistically significant group differences in post-onset premarital first birth risks imply equally sizeable group differences in the probability of such births. Sexual onset is different. Premarital sexual activity was both close to universal and highly compressed in this birth cohort of women, with estimated group differences in median ages at onset of 0.7 to 9.0 months after conditioning on background controls. Taken together, near universality and compression mean that even sizeable and statistically significant group differences in onset risks imply only modest group differences in onset timing.

These results also speak, in part, to policies such as the abstinence provisions in the 1996 Personal Responsibility and Work Opportunity Reconciliation Act by providing answers to “what if” questions such as “What might be the expected consequence for premarital first births were a policy to delay onset by an amount equal to that for women from intact vs. nonintact families?” Our results suggest that for premarital first births, onset timing plays a quite minor role relative to post-onset risks. This negative finding—that onset timing plays only a minor role—is, we believe, likely to be robust against factors not observed in our data in that the class of unobservables needed to reverse this finding will be far smaller than usual.

Our results thus suggest that policies seeking to influence post-onset behaviors may be far more effective than those seeking to delay sexual onset. But our findings do not distinguish between a variety of post-onset factors, including the frequency of post-onset sexual activity; contraceptive use, knowledge, and consistency; whether pregnancies are planned or unplanned; abortion availability and utilization; and how such options are weighed when individuals confront different sets of circumstances. Our results thus speak to the question of when policies to reduce premarital first births might be most effective, but say little about which post-onset behaviors might be most effectively targeted.

Further caution is warranted in that the outcomes we analyze have been evolving rapidly. In the United States, there have been sharp declines in teen fertility and steady increases in nonmarital fertility, but only modest increases in women’s age at first sexual intercourse, with premarital sexual activity remaining nearly universal. These trends reinforce our belief that our central finding—that for the probability of a premarital first birth, onset timing plays a quite minor role relative to post-onset risks—will likely hold for more recent birth cohorts of women. What has undoubtedly changed are factors influencing post-onset risks—post-onset contraception has improved among sexually active teens and young adults, and there have been sharp increases in births to cohabiting couples. This study thus provides only a first step towards examining these and other proximate determinants, but our findings also suggest that future research on such factors may hold substantial promise for better understanding the behavioral subprocesses underlying nonmarital fertility...

Full article at:  http://goo.gl/Vu9OTZ

By:  Lawrence L. Wu, Steven P. Martin, 




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