Attitudes Toward Intimate Partner Violence in Dyadic Perspective: Evidence From Sub-Saharan Africa.

Although intimate partner violence (IPV) is inherently a relational event shaped by couple-level factors, most empirical examinations of IPV-related attitudes have used individuals as the unit of analysis. We apply a dyadic perspective to the study of attitudes about the acceptability of IPV, harnessing couple-level data from 33 countries in sub-Saharan Africa, a region characterized by particularly high levels of both the incidence and acceptance of IPV. We document considerable geographic heterogeneity in the distribution of attitudinal concordance or discordance regarding the acceptability of IPV within couples, a descriptive finding that is overlooked by studies focused on individuals as the unit of analysis. In addition, applying a dyadic perspective to the correlates of attitudinal concordance, we demonstrate that joint exposure to schooling, work, and media is more predictive of joint rejection of IPV than are singular exposures of wives or husbands. Finally, we show that distinct combinations of attitudes within couples are associated with differential likelihoods of wives reporting having recently experienced emotional, physical, or sexual IPV. In particular, when both partners reject IPV, wives are significantly less likely to report experiencing each type of IPV in the past year compared with any other combination of attitudes. Our results reveal that a dyadic perspective provides a comprehensive understanding of intracouple contexts that enhances our perspective on these important demographic outcomes.

Vaccine Delay and Its Association With Undervaccination in Children in Sub-Saharan Africa.

INTRODUCTION: Improving the timeliness and completion of vaccination is the key to reducing under-5 childhood mortality. This study examines the prevalence of delayed vaccination for doses administered at birth and age 6 weeks, 10 weeks, 14 weeks, and 9 months and its association with undervaccination among infants in Sub-Saharan Africa. METHODS: Pooling data across 33 Sub-Saharan Africa countries, vaccination timing and series completion were assessed for children aged 12-35 months who were included in the immunization module of the Demographic and Health Surveys conducted between 2010 and 2019. Survey design-adjusted logistic regression modeled the likelihood of not fully completing the basic immunization schedule associated with dose-specific delays in vaccination. Data were obtained and analyzed in May 2020. RESULTS: Among children with complete date records (n=70,006), the proportion of children vaccinated with delays by ≥1 month was high: 25.9% for Bacille Calmette-Guerin (at birth); 49.1% for the third dose of pentavalent combination vaccine (at 14 weeks); and 63.9% for the first dose of measles vaccines (at 9 months). Late vaccination was more common for children born to mothers with lower levels of educational attainment (p<0.001) and wealth (p<0.001). Controlling for place, time, and sociodemographics, vaccination delays at any dose were significantly associated with not completing the immunization schedule by 12 months (Bacille Calmette-Guerin: AOR=1.93, [95% CI=1.83, 2.02]; pentavalent 3: AOR=1.50 [95% CI=1.35, 1.64]; measles: AOR=3.76 [95% CI=3.37, 4.15]). CONCLUSIONS: Timely initiation of vaccination could contribute to higher rates of immunization schedule completion, improving the reach and impact of vaccination programs on child health outcomes in Sub-Saharan Africa. SUPPLEMENT INFORMATION: This article is part of a supplement entitled Global Vaccination Equity, which is sponsored by the Global Institute for Vaccine Equity at the University of Michigan School of Public Health.

Intramarital Status Differences across Africa's Educational Expansion.

OBJECTIVE: This paper documents how intra-marital differences in educational status vary across Africa's heterogeneous educational expansion, which has encompassed an enormous breadth of educational opportunities over the past 50 years. BACKGROUND: Educational expansion influences intra-marital status differences both by altering the educational composition of men and women and by reconfiguring the social conventions associated with a given educational context. Status differentials between marital partners can influence spousal wellbeing and, in the aggregate, determine the extent to which marriage provides a pathway to upward social mobility. METHOD: Using Demographic and Health Survey data representing 32 sub-Saharan African countries and 5 decades of birth cohorts, the paper examines the prevalence and propensity of educational pairings as a function of educational access (the percentage of a cohort who ever attended school) and wife's education level. RESULTS: Educational expansion created gendered changes in educational compositions of married individuals, which led to increased prevalence of hypergamy (wives who married "up") in most countries. Educational expansion has also led hypogamous marriages to become less of a social aberration: in lower-education contexts (but less so in higher-education contexts), conventions lead women to "marry down" at far lower rates than would be expected based on the sex-specific compositions of husbands and wives. CONCLUSION: Educational attainment remains a central determinant of social positioning in African society. However, as schooling expands across the continent, social conventions regarding educational status are playing a weakening role in determining who marries whom.

Fearing Such a Lady: University Expansion, Underemployment, and the Hypergamy Ideal in Kampala, Uganda.

In Uganda, the cultural norm of hypergamy, which dictates that husbands should have higher economic and social status than wives, is pervasive and influential. Yet hypergamy has recently been challenged by women's gains in education relative to men and by an unemployment crisis leaving educated young men unable to find steady work. Using interviews with recent university graduates in Kampala, we investigate how highly-educated young adults navigate frictions between the hypergamy ideal and these recent transformations in gendered status. Some women reduce the salience of hypergamy by preventing their relationships from becoming serious, while other women intentionally perform the role of submissive housewife while preserving their autonomy. Men reframe their romantic circumstances to underplay their inability to achieve economic hypergamy, portraying educated women as undesirable and characterizing their partners as non-materialistic. These findings reveal how demographic and economic changes reconfigure relationship norms, gendered power dynamics, and family formation processes.

A Leak in the Academic Pipeline: Identity and Health Among Postdoctoral Women.

Several challenges (e.g., sexism, parental leave, the glass ceiling, etc.) disproportionately affect women in academia (and beyond), and thus perpetuate the leaky pipeline metaphor for women who opt-out of an academic career. Although this pattern can be seen at all levels of the academic hierarchy, a critical time for women facing such challenges is during the postdoctoral stage, when personal life transitions and professional ambitions collide. Using a social identity approach, we explore factors affecting the mental health of postdoctoral women, including identity development (e.g., as a mother, a scientist) and lack of control (uncertainty about one's future personal and professional prospects), which likely contribute to the leak from academia. In this mixed-method research, Study 1 comprised interviews with postdoctoral women in North America (n = 13) and Europe (n = 8) across a range disciplines (e.g., psychology, physics, political science). Common themes included the negative impact of career uncertainty, gender-based challenges (especially sexism and maternity leave), and work-life balance on mental and physical health. However, interviewees also described attempts to overcome gender inequality and institutional barriers by drawing on support networks. Study 2 comprised an online survey of postdoctoral women (N = 146) from a range of countries and academic disciplines to assess the relationships between social identification (e.g., disciplinary, gender, social group), perceived control (i.e., over work and life), and mental health (i.e., depression, anxiety, stress, and life satisfaction). Postdoctoral women showed mild levels of stress and depression, and were only slightly satisfied with life. They also showed only moderate levels of perceived control over one's life and work. However, hierarchical regression analyses revealed that strongly identifying with one's discipline was most consistently positively associated with both perceived control and mental health. Collectively, these findings implicate the postdoctoral stage as being stressful and tenuous for women regardless of academic background or nationality. They also highlight the importance of disciplinary identity as a potentially protective factor for mental health that, in turn, may diminish the rate at which postdoctoral women leak from the academic pipeline.

From Privilege to Prevalence: Contextual Effects of Women's Schooling on African Marital Timing.

In Africa and elsewhere, educated women tend to marry later than their less-educated peers. Beyond being an attribute of individual women, education is also an aggregate phenomenon: the social meaning of a woman's educational attainment depends on the educational attainments of her age-mates. Using data from 30 countries and 246 birth cohorts across sub-Saharan Africa, we investigate the impact of educational context (the percentage of women in a country cohort who ever attended school) on the relationship between a woman's educational attainment and her marital timing. In contexts where access to education is prevalent, the marital timing of uneducated and highly educated women is more similar than in contexts where attending school is limited to a privileged minority. This across-country convergence is driven by uneducated women marrying later in high-education contexts, especially through lower rates of very early marriages. However, within countries over time, the marital ages of women from different educational groups tend to diverge as educational access expands. This within-country divergence is most often driven by later marriage among highly educated women, although divergence in some countries is driven by earlier marriage among women who never attended school.

The pleasure of pursuit: recreational hunters in rural Southwest China exhibit low exit rates in response to declining catch.

Hunting is one of the greatest threats to tropical vertebrates. Examining why people hunt is crucial to identifying policy levers to prevent excessive hunting. Overhunting is particularly relevant in Southeast Asia, where a high proportion of mammals and birds are globally threatened. We interviewed hunters in Southwest China to examine their social behavior, motivations, and responses to changes in wildlife abundance. Respondents viewed hunting as a form of recreation, not as an economic livelihood, and reported that they would not stop hunting in response to marked declines in expected catch. Even in scenarios where the expected catch was limited to minimal quantities of small, low-price songbirds, up to 36.7% of respondents said they would still continue to hunt. Recreational hunting may be a prominent driver for continued hunting in increasingly defaunated landscapes; this motivation for hunting and its implications for the ecological consequences of hunting have been understudied relative to subsistence and profit hunting. The combination of a preference for larger over smaller game, reluctance to quit hunting, and weak enforcement of laws may lead to hunting-down-the-web outcomes in Southwest China.

Physical attractiveness and women's HIV risk in rural Malawi.

BACKGROUND: Qualitative evidence from sub-Saharan Africa, where a generalized AIDS epidemic exists, suggests that attractiveness may play a role in shaping individual-level HIV risk. Attractive women, who are often blamed for the epidemic and stigmatized, are believed to pose a higher HIV risk because they are viewed as having more and riskier partners. OBJECTIVE: We examine the association between perceived attractiveness and HIV infection and risk in rural Malawi in the midst of the country's severe AIDS epidemic. METHODS: We use interviewers' ratings of respondents' attractiveness, along with HIV test results and women's assessments of their own likelihood of infection, to estimate the association between perceived attractiveness and HIV infection and risk for a random sample of 961 women aged 15-35. RESULTS: Results show that women who are rated by interviewers as 'much less' or 'less' attractive than other women their age are 9% more likely to test positive for HIV. We also find that attractiveness is associated with women's own assessments of their HIV risk: Among women who tested negative, those perceived as 'much less' or 'less' attractive than average report themselves to be at greater risk of HIV infection. CONCLUSIONS: These results suggest that attractiveness is negatively associated with HIV risk in Malawi, countering local beliefs that hold attractive women responsible for perpetuating the epidemic. CONTRIBUTION: This study highlights the need to consider perceived physical attractiveness, and sexual desirability more broadly, as an under-examined axis of inequality in HIV risk in high-prevalence settings.

The demography of words: The global decline in non-numeric fertility preferences, 1993-2011.

This paper examines the decline in non-numeric responses to questions about fertility preferences among women in the developing world. These types of response-such as 'don't know' or 'it's up to God'-have often been interpreted through the lens of fertility transition theory as an indication that reproduction has not yet entered women's 'calculus of conscious choice'. However, this has yet to be investigated cross-nationally and over time. Using 19 years of data from 32 countries, we find that non-numeric fertility preferences decline most substantially in the early stages of a country's fertility transition. Using country-specific and multilevel models, we explore the individual- and contextual-level characteristics associated with women's likelihood of providing a non-numeric response to questions about their fertility preferences. Non-numeric fertility preferences are influenced by a host of social factors, with educational attainment and knowledge of contraception being the most robust and consistent predictors.

When Aspirations Exceed Expectations: Quixotic Hope Increases Depression among Students.

A paradox exists in modern schooling: students are simultaneously more positive about the future and more depressed than ever. We suggest that these two phenomena may be linked. Two studies demonstrated that students are more likely to be depressed when educational aspirations exceed expectations. In Study 1 (N = 85) aspiring to a thesis grade higher than one expected predicted greater depression at the beginning and end of the academic year. In Study 2 (N = 2820) aspiring to a level of education (e.g., attending college) higher than one expected to achieve predicted greater depression cross-sectionally and five years later. In both cases the negative effects of aspiring high while expecting low persisted even after controlling for whether or not students achieved their educational aspirations. These findings highlight the danger of teaching students to aspire higher without also investing time and money to ensure that students can reasonably expect to achieve their educational goals.

Ideals as Anchors for Relationship Experiences.

Research on young-adult sexuality in sub-Saharan Africa typically conceptualizes sex as an individual-level risk behavior. We introduce a new approach that connects the conditions surrounding the initiation of sex with subsequent relationship well-being, examines relationships as sequences of interdependent events, and indexes relationship experiences to individually held ideals. New card-sort data from southern Malawi capture young women's relationship experiences and their ideals in a sequential framework. Using optimal matching, we measure the distance between ideal and experienced relationship sequences to (1) assess the associations between ideological congruence and perceived relationship well-being, (2) compare this ideal-based approach to other experience-based alternatives, and (3) identify individual- and couple-level correlates of congruence between ideals and experiences in the romantic realm. We show that congruence between ideals and experiences conveys relationship well-being along four dimensions: expressions of love and support, robust communication habits, perceived biological safety, and perceived relationship stability. We further show that congruence is patterned by socioeconomic status and supported by shared ideals within romantic dyads. We argue that conceiving of ideals as anchors for how sexual experiences are manifest advances current understandings of romantic relationships, and we suggest that this approach has applications for other domains of life.

Bright Futures in Malawi's New Dawn: Educational Aspirations as Assertions of Identity.

Imagined futures, once a vital topic of theoretical inquiry within the sociology of culture, have been sidelined in recent decades. Rational choice models cannot explain the seemingly irrational optimism of youth aspirations, pointing to the need to explore other alternatives. This article incorporates insights from pragmatist theory and cognitive sociology to examine the relationship between imagined futures and present actions and experiences in rural Malawi, where future optimism appears particularly unfounded. Drawing from in-depth interviews and archival sources documenting ideological campaigns promoting schooling, the author shows that four elements are understood to jointly produce educational success: ambitious career goals, sustained effort, unflagging optimism, and resistance to temptation. Aspirations should be interpreted not as rational calculations, but instead as assertions of a virtuous identity, claims to be "one who aspires."

Improving disclosure and consent: "is it safe?": new ethics for reporting personal exposures to environmental chemicals.

The recent flood of research concerning pollutants in personal environmental and biological samples-blood, urine, breastmilk, household dust and air, umbilical cord blood, and other media-raises questions about whether and how to report results to individual study participants. Clinical medicine provides an expert-driven framework, whereas community-based participatory research emphasizes participants' right to know and the potential to inform action even when health effects are uncertain. Activist efforts offer other models. We consider ethical issues involved in the decision to report individual results in exposure studies and what information should be included. Our discussion is informed by our experience with 120 women in a study of 89 pollutants in homes and by interviews with other researchers and institutional review board staff.