Parenting dimensions and views on adolescent decision making in health care: A cross-national study of Belgian and Dutch parents.

BACKGROUND: The aim of this study was to investigate the link between parenting and parents' perspectives on health-related decision making for adolescents. During adolescence, there is a gradual increase in responsibility and autonomy, which influences parenting behavior and child development. Understanding how parenting is associated with parents' views on medical decision making is crucial in the context of the parent-child-physician triad. This study was the first to explore parenting and parents' views on adolescent health care decision making. We compare Belgian and Dutch parents-two countries selected for their different legal frameworks on medical adolescent decision making. METHOD: An online questionnaire surveyed 984 Belgian and 992 Dutch parents (ages 35-55) with at least one child. Analytical methods included t tests, structural equation modeling, and latent profile analysis. RESULTS: Parents considered adolescents to be competent decision makers at 16.7 years old. Dutch parents granted autonomy at younger ages than Belgian parents. Parents with high behavioral expectations granted autonomy to adolescents at higher ages, while those high in autonomy support and punishment granted autonomy at lower ages. When classifying parents into profiles, we distinguished four types: highly permissive, moderately permissive, moderately restrictive, and highly restrictive groups. The majority of the sample was classified into moderately and highly restrictive profiles. CONCLUSION: The study highlighted the importance of providing parents with education and support on adolescent development and autonomy. Parenting practices that encourage autonomy and support open communication between parents and adolescents may contribute to a more trusting and supportive parent-child context for adolescent medical decision making. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

To be a freshman during the COVID-19 pandemic: A cross-lagged model of depression, mentalizing, and epistemic trust.

Research has shown that severity of depression increased in freshmen during their first months at university due to increased social and academic pressures. Since the start of the COVID-19 pandemic, several cross-sectional studies have suggested that levels of depression in university students are higher than before the pandemic, but longitudinal data are largely lacking. This study investigated severity of depression and negative affect linked to the pandemic among freshmen during their first semester at a large university in Flanders, Belgium. We also investigated whether epistemic trust predicted severity of depression and pandemic-related negative affect and whether problems with reflective functioning (or mentalizing) mediated these relations. Participants in this two-wave prospective study were 289 first-year students of the Faculty of Psychology and Educational Sciences of a large Belgian university. We conducted paired samples t-tests and cross-panel analysis to answer the research question. The number of students at risk of clinical depression increased by 41% between T1 (early October 2020) and T2 (late December 2020). Epistemic mistrust at T1 was prospectively associated with an increase in the prevalence and severity of depression at T2. Problems with mentalizing and negative COVID-19-related affect were positively associated with severity of depression at T2 and mediated the association between epistemic mistrust and severity of depression at T2. The findings highlight the key role of epistemic trust in the development of depression among freshmen, with the COVID-19 pandemic presenting an additional source of uncertainty.

Parental Perspectives on Adolescent Health-Related Confidentiality: Trust, Responsibility, and Disease Etiology as Key Themes.

PURPOSE: As children progress through adolescence, they become more independent and more responsible regarding their health. This shift in responsibility from the parents to the adolescent poses a challenge for healthcare professionals who must consider both parties. Pediatricians and other healthcare professionals may encounter problems regarding consent and confidentiality. This study aimed to investigate the opinions of Belgian parents of adolescents concerning cases about confidentiality in adolescent health problems. METHODS: A qualitative methodology with semi-structured interviews and a case-based approach was chosen to answer our study aim. Belgian parents of adolescents were recruited voluntarily; 20 parents were interviewed. Parents' opinions on four different cases regarding confidentiality were obtained. Interviews were audio- and video-recorded and transcribed verbatim. Independent coding of the transcripts was conducted. RESULTS: Parents' opinions differ considerably when asked if a physician has to maintain confidentiality toward the adolescent, depending on the content of the case. Opinions appear underpinned by three factors: trust, responsibility of the different parties, and the etiology of the problem. DISCUSSION: This study shows that the nature, severity, and frequency of the medical issue at hand shape the opinions of parents toward patient confidentiality, on top of the trust and responsibility factors also highlighted in previous work. This is in contrast to the Belgian legislation, which focuses on maturity regardless of context.

The Gender Cliff in the Relative Contribution to the Household Income: Insights from Modelling Marriage Markets in 27 European Countries.

In Western countries, the distribution of relative incomes within marriages tends to be skewed in a remarkable way. Husbands usually do not only earn more than their female partners, but there is also a striking discontinuity in their relative contributions to the household income at the 50/50 point: many wives contribute just a bit less than or as much as their husbands, but few contribute more. This 'cliff' has been interpreted as evidence that men and women avoid situations where a wife would earn more than her husband, since this would go against traditional gender norms. In this paper, we use a simulation approach to model marriage markets and demonstrate that a cliff in the relative income distribution can also emerge without such avoidance. We feed our simulations with income data from 27 European countries. Results show that a cliff can emerge from inequalities in men's and women's average incomes, even if they do not attach special meaning to a situation in which a wife earns more than her husband.

Partners' Educational Characteristics and Fertility: Disentangling the Effects of Earning Potential and Unemployment Risk on Second Births.

This study investigates the link between the educational characteristics of partners in heterosexual relationships and their transition to second births, accounting for the selection into parenthood by fitting multi-level event history models. We compare the fertility of Beckerian unions characterized by gender-role specialization with the fertility of dual-earner couples, characterized by the pooling of incomes. Focusing on the economic aspect of the educational degree, in a first step, we estimate the earning potential and unemployment risks by field and level of education, country and sex using European Labour Force Surveys. Next, we link these results with Generation and Gender Survey data from six countries and model couples' transition to second births. We find evidence in support of both the pooling of resources family model (notably in Belgium) and the Beckerian gender-role specialization model. The effects of the earning potential and unemployment risk attached to his and her field of education tends to vary by country context.

Seeding the gender revolution: Women's education and cohort fertility among the baby boom generations.

In Europe and the United States, women's educational attainment started to increase around the middle of the twentieth century. The expected implication was fertility decline and postponement, whereas in fact the opposite occurred. We analyse trends in the quantum of cohort fertility among the baby boom generations in 15 countries and how these relate to women's education. Over the 1901-45 cohorts, the proportion of parents with exactly two children rose steadily and homogeneity in family sizes increased. Progression to a third child and beyond declined in all the countries, continuing the ongoing trends of the fertility transition. In countries with a baby boom, and especially among women with post-primary education, this was compensated for by decreasing childlessness and increasing progression to a second child. These changes, linked to earlier stages of the fertility transition, laid the foundations for later fertility patterns associated with the gender revolution.

Partners' Educational Pairings and Fertility Across Europe.

We provide new evidence on the education-fertility relationship by using EU-SILC panel data on 24 European countries to investigate how couples' educational pairings predict their childbearing behavior. We focus on differences in first-, second-, and third-birth rates among couples with varying combinations of partners' education. Our results show important differences in how education relates to parity progressions depending on the education of the partner. First, highly educated homogamous couples show a distinct childbearing behavior in most country clusters. They tend to postpone the first birth most and display the highest second- and third-birth rates. Second, contrary to what may be expected based on the "new home economics" approach, hypergamous couples with a highly educated male and a lower-educated female partner display among the lowest second-birth transitions. Our findings underscore the relevance of interacting both partners' education for a better understanding of the education-fertility relationship.

Partner Choice and the Transition to Parenthood for Second-Generation Women of Turkish and Moroccan Origin in Belgium.

Studies on fertility among second-generation migrant women across Europe have mainly treated the second generation as a rather homogenous group, not linking and distinguishing fertility patterns by type of partner. This study investigates how and to what extent the origin and generation of the partner (endogamous or exogamous as well as diversity in endogamy) of Turkish and Moroccan second-generation women in Belgium is related to first-birth rates. We distinguish three types of partnerships: those in an endogamous union with a first-generation partner, those in an endogamous union with a second-generation partner, and those in an exogenous union where the partner is of native Belgian origin. We use linked Census-Register data for the period 2001-2006. Applying event history models, our findings reveal clear differences between the endogamous and exogamous unions with respect to the timing of first births. Second-generation women of both origin groups have the lowest parenthood rates when the partner is of native Belgian origin. However, no variation is found within endogamous unions. For endogamous unions with a first-generation partner, the parenthood rates are approximately the same (and not higher, as was expected) compared to when the partner is also of second generation.

His and Her Education and Marital Dissolution: Adding a Contextual Dimension.

Educationally hypogamous marriages, where the wife is more educated than the husband, have been expected to be less stable than other educational pairings, in part because they do not conform to social norms. With the reversal of the gender gap in education, such marriages have become more common than in the past. Recent research suggests that this new context might be beneficial for the stability of hypogamous unions compared to other educational pairings. Here, we investigate how educational matches in married couples are associated with divorce risks taking into account the local prevalence of hypogamy. Using Belgian census and register data for 458,499 marriages contracted between 1986 and 2001, we show that hypogamy was not associated with higher divorce rates than homogamy in communities where hypogamy was common. Against expectations, marriages in which the husband was more educated than the wife tend to exhibit the highest divorce rates. More detailed analysis of the different types of educational matches revealed that marriages with at least one highly educated partner, male or female, were less divorce prone compared to otherwise similar couple types.

Educational Pairings, Motherhood, and Women's Relative Earnings in Europe.

As a consequence of the reversal of the gender gap in education, the female partner in a couple now typically has as much as or more education compared with the male partner in most Western countries. This study addresses the implications for the earnings of women relative to their male partners in 16 European countries. Using the 2007 and 2011 rounds of the European Union Statistics on Income and Living Conditions (N = 58,292), we investigate the extent to which international differences in women's relative earnings can be explained by educational pairings and their interaction with the motherhood penalty on women's earnings, by international differences in male unemployment, or by cultural gender norms. We find that the newly emerged pattern of hypogamy is associated with higher relative earnings for women in all countries and that the motherhood penalty on relative earnings is considerably lower in hypogamous couples, but neither of these findings can explain away international country differences. Similarly, male unemployment is associated with higher relative earnings for women but cannot explain away the country differences. Against expectations, we find that the hypogamy bonus on women's relative earnings, if anything, tends to be stronger rather than weaker in countries that exhibit more conservative gender norms.

The reversal of the gender gap in education and relative divorce risks: A matter of alternatives in partner choice?

Recent evidence from the United States suggests that the reversal of the gender gap in education was associated with changes in relative divorce risks: hypogamous marriages, where the wife was more educated than the husband, used to have a higher divorce risk than hypergamous marriages, where the husband was more educated, but this difference has disappeared. One interpretation holds that this may result from cultural change, involving increasing social acceptance of hypogamy. We propose an alternative mechanism that need not presuppose cultural change: the gender-gap reversal in education has changed the availability of alternatives from which highly educated women and men can choose new partners. This may have lowered the likelihood of women leaving husbands with less education and encouraged men to leave less educated spouses. We applied an agent-based model to twelve European national marriage markets to illustrate that this could be sufficient to create a convergence in divorce risks.

Education and the Transition to Fatherhood: The Role of Selection Into Union.

Although advanced education has been found to be consistently associated with a later transition to parenthood for women, findings about education and the transition to parenthood have been much less consistent for men, and no stylized fact has emerged from the literature. We argue that the inconsistency of findings for men is due to the fact that the selection process involved in union formation has been disregarded in earlier studies. We hypothesize that men's educational attainment consistently and positively affects the transition to fatherhood via higher rates of union formation. We apply multiprocess event-history analysis to data from the Generations and Gender Surveys for 10 European countries. Our results show indeed a consistent positive effect of education on the transition to fatherhood, but it operates chiefly through selection into union. Failing to account for this selection process leads to a major underestimation of the salience of education for the transition to fatherhood.

The Reversed Gender Gap in Education and Assortative Mating in Europe.

While in the past men received more education than women, the gender gap in education has turned around: in recent years, more highly educated women than highly educated men are reaching the reproductive ages. Using data from the European Social Survey (rounds 1-6), we investigate the implications of this reversed gender gap for educational assortative mating. We fit multilevel multinomial regression models to predict the proportions of men and women living with a partner of a given level of education, contingent on respondents' own educational attainment and on the cohort-specific sex ratio among the population with tertiary education at the country level. We find that highly educated women tend to partner more often "downwards" with less educated men, rather than remaining single more often. Medium educated women are found to partner less often "upwards" with highly educated men. For men, there is no evidence that they are more likely to partner with highly educated women. Rather, they are found to be living single more often. In sum, women's advantage in higher education has affected mating patterns in important ways: while women previously tended to form unions with men who were at least as highly educated as themselves, they now tend to live with men who are at most as highly educated. Along the way, advanced education became a bonus on the mating market for women as well as for men.

The End of Hypergamy: Global Trends and Implications.

The gender gap in education that has long favored men has reversed for young adults in almost all high and middle-income countries. In 2010, the proportion of women aged 25-29 with a college education was higher than that of men in more than 139 countries which altogether represent 86% of the world's population. According to recent population forecasts, women will have more education than men in nearly every country in the world by 2050, with the exception of only a few African and West Asian countries (KC et al. 2010). The reversal of the gender gap in education has major implications for the composition of marriage markets, assortative mating, gender equality, and marital outcomes such as divorce and childbearing (Van Bavel 2012). In this work, we focus on its implications for trends in assortative mating and, in particular, for educational hypergamy: the pattern in which husbands have more education than their wives. This represents a substantial update to previous studies (Esteve et al. 2012) in terms of the number of countries and years included in the analysis. We present findings from an almost comprehensive world-level analysis using census and survey microdata from 420 samples and 120 countries spanning from 1960 to 2011, which allow us to assert that the reversal of the gender gap in education is strongly associated with the end of hypergamy and increases in hypogamy (wives have more education that their husbands). We not only provide near universal evidence of this trend but extend our analysis to consider the implications of the end of hypergamy for family dynamics, outcomes and gender equality. We draw on European microdata to examine whether women are more likely to be the breadwinners when they marry men with lower education than themselves and discuss recent research regarding divorce risks among hypogamous couples. We close our analysis with an examination of attitudes about women earning more money than their husbands and about the implications for children when a woman works for pay.

Assortative mating and the reversal of gender inequality in education in europe: an agent-based model.

While men have always received more education than women in the past, this gender imbalance in education has turned around in large parts of the world. In many countries, women now excel men in terms of participation and success in higher education. This implies that, for the first time in history, there are more highly educated women than men reaching the reproductive ages and looking for a partner. We develop an agent-based computational model that explicates the mechanisms that may have linked the reversal of gender inequality in education with observed changes in educational assortative mating. Our model builds on the notion that individuals search for spouses in a marriage market and evaluate potential candidates based on preferences. Based on insights from earlier research, we assume that men and women prefer partners with similar educational attainment and high earnings prospects, that women tend to prefer men who are somewhat older than themselves, and that men prefer women who are in their mid-twenties. We also incorporate the insight that the educational system structures meeting opportunities on the marriage market. We assess the explanatory power of our model with systematic computational experiments, in which we simulate marriage market dynamics in 12 European countries among individuals born between 1921 and 2012. In these experiments, we make use of realistic agent populations in terms of educational attainment and earnings prospects and validate model outcomes with data from the European Social Survey. We demonstrate that the observed changes in educational assortative mating can be explained without any change in male or female preferences. We argue that our model provides a useful computational laboratory to explore and quantify the implications of scenarios for the future.

Choice of study discipline and the postponement of motherhood in Europe: the impact of expected earnings, gender composition, and family attitudes.

Theory suggests that the field of study may be at least as consequential for fertility behavior as the duration and level of education. Yet, this qualitative dimension of educational achievement has been largely neglected in demographic studies. This article analyzes the mechanisms relating the field of study with the postponement of motherhood by European college-graduate women aged 20-40. The second round of the European Social Survey is used to assess the impact of four features of study disciplines that are identified as key to reproductive decision making: the expected starting wage, the steepness of the earning profile, attitudes toward gendered family roles, and gender composition. The results indicate that the postponement of motherhood is relatively limited among graduates from study disciplines in which stereotypical attitudes about family roles prevail and in which a large share of the graduates are female. Both the level of the starting wage and the steepness of the earning profile are found to be associated with greater postponement. These results are robust to controlling for the partnership situation and the age at entry into the labor market.

Subreplacement fertility in the West before the baby boom: past and current perspectives.

Between 1920 and 1940, fertility dropped below replacement level in many Western countries. In today's scholarly literature, the drop is usually explained as a temporary reaction to the exceptional conditions of the inter-war period. This paper confronts that interpretation with the interpretations offered by scholars writing between the wars. According to leading demographers of the time, low fertility was due not to war or economic crisis, but rather to processes that now tend to be associated with the Second Demographic Transition, including secularization, individualization, rising consumerism, and women's emancipation. Since these were seen as structural features of modernization, most inter-war scholars argued that subreplacement fertility would remain an obstinate feature of modern society for an extended period of time.

The effect of fertility limitation on intergenerational social mobility: the quality-quantity trade-off during the demographic transition.

The hypothesis that family size limitation by parents enhances the upward mobility chances of their children in (post)industrial populations has a long-standing record in many disciplines, including sociology and economics, as well as evolutionary anthropology and social biology. Yet the empirical record supporting or contradicting the theory is surprisingly limited. The aim of this contribution is to develop a test of the effect of family size limitation on children's intergenerational mobility. This test is applied to an urban population in Belgium that was in the process of experiencing its demographic transition, including the decline of fertility, at the end of the 19th century. The results indicate that the effect of family size was strong, even after controlling for parental social status as well as birth order. Surprisingly, the effects of birth order and family size appear to be largely independent.

Deliberate birth spacing before the fertility transition in Europe: evidence from nineteenth-century Belgium.

Many scholars have argued that deliberate birth spacing may have played a role before and during the modern fertility transition. There are good historical and theoretical reasons for this view, but it has proved to be hard to demonstrate convincingly that birth intervals were in fact partly determined by attempts at deliberate fertility control. This paper suggests a method of securing evidence on the issue for married couples. The method is applied to three cohorts living in a Belgian town in the nineteenth century. The findings indicate that, even before the fertility transition, couples in the working class were controlling their fertility by deliberate spacing.