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UNC Carolina Population Center

 

2005 PAA Posters

Poster Session 1:
Aging, Life Course, Health, Mortality, and Health Care

Projections of the Older Population: An Examination of the U.S. Census Bureau’s Projections over Time

Michelle Cheuk, University of North Carolina at Chapel Hill

Population aging is one of the most important demographic dynamics affecting families and societies throughout the world. Information on the number of older people and their proportional share of the total population help guide policy makers and planners. Projections of the older population have changed over time as assumptions about future trends in fertility, mortality, and migration have changed. This paper examines several different sets of projections of the 65 and over population and the 85 and over population done at the U.S. Census Bureau. We examine how these projections have changed over time and compare past projections with actual population numbers. We specifically look at assumptions about mortality and compare those assumptions to the observed mortality levels. We examine the changes in assumptions about fertility, mortality, and migration that account for this change.
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Poster Session 2:
Education, Gender, Religion, Language and Culture

The Relationship between Gender Socialization and Adolescent Educational Expectations

Shannon N. Davis, University of North Carolina at Chapel Hill
Lisa D. Pearce, University of North Carolina at Chapel Hill

Much empirical research has been devoted to examining how early life socialization and experiences shape adolescent aspirations. This paper adds to this body of research by examining adolescent educational expectations at a crucial developmental stage with a focus on ideational processes. We test hypotheses derived from the Eccles et al. model of achievement-related choices regarding links between gender socialization and expected educational attainment. Using survey data from children of a nationally representative sample of women in the United States, we demonstrate a positive relationship between both gender egalitarianism and self-esteem and expected educational attainment for ninth- and tenth-grade girls, while no such relationship exists for ninth- and tenth-grade boys. This relationship persists after controlling for family characteristics and academic achievement. Our findings suggest the pivotal role of gender socialization in shaping girls’ educational trajectories and more generally highlight the importance of ideology and worldview in the construction of achievement goals.
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The Effects of School Racial and Ethnic Composition on Academic Achievement in Adolescence

Hedwig Lee, University of North Carolina at Chapel Hill

This research examines the effects of school racial and ethnic composition on students’ academic achievement in the U.S. using the National Longitudinal Study of Adolescent Health (AddHealth) and Hierarchical Linear Models. This analysis includes Hispanics as an ethnic group, which stands apart from other research in this area that has traditionally focused on black and white student racial composition. In addition, peer group influences are measured by utilizing the comprehensive peer network data available for all respondents in the AddHealth sample. Interactions between individual race/ethnicity and school racial/ethnic composition are also tested to better understand the possible differential effects of racial/ethnic composition for each race/ethnicity. This research seeks to test if racial and ethnic inequality in academic achievement outcomes is partly explained by differences in school racial/ethnic composition. The results show that school and peer racial/ethnic composition has important effects on individual level achievement for white, black and Hispanic students.
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Poster Session 3:
Fertility, Family Planning, Unions, and Sexual Behavior

Determinants of Provider Intention to Offer Medical Abortions in Bihar and Jharkhand, India

Lisa Patel, University of North Carolina at Chapel Hill

Unsafe abortion is one of the leading causes of maternal mortality and morbidity in India. Medical abortion using a regimen of mifepristone coupled with misoprostol was legalized in India in April 2002 and provides an opportunity to expand women’s options for safe abortions. Medical abortions have been found to be safe and acceptable for women living in both urban and rural settings worldwide. No published studies have looked at provider knowledge, attitudes and practices regarding medical abortion in India. This study uses 2004 data from probability sample surveys of over 1,341 health care facilities and 2,455 health care providers in Bihar and Jharkhand, India to describe factors associated with family planning providers’ intentions to provide medical abortions. A better understanding of the characteristics of abortion services providers is necessary to design effective interventions to help improve and save the lives of women.
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Accessibility of Family Planning Services and Contraceptive Use Dynamics among Limited Mobility Populations in the Western Chitwan Valley of Nepal

Elizabeth G. Sutherland, University of North Carolina at Chapel Hill

Limited mobility populations are of special concern because they are vulnerable groups whose health outcomes are often highly dependent upon local services due to a constrained ability to travel to seek care. Limited mobility populations considered in this analysis are poor women, women with low status, and women tied closely to home by heavy natural resource related responsibilities. In this study multilevel discrete-time hazard models are employed to estimate the impact of family planning service accessibility on the probablity of adoption and discontinuation of contraception among limited mobility populations. The Chitwan Valley Family Study presents a unique opportunity to examine these relationships because of extensive data collection on longitudinal contraceptive use, natural resource behaviors, healthcare service accessibility, family organization, and social participation. The study presents suggestions for family planning programs seeking to improve the accessibility of family planning services and the health outcomes of women with limited mobility.
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Correlates of Condom Use among Adolescent School Boys in Nairobi, Kenya

Marcel Yotebieng, University of North Carolina at Chapel Hill
Carolyn Tucker Halpern, University of North Carolina at Chapel Hill
Ellen M.H. Mitchell, Ipas
Adaora A. Adimora, University of North Carolina at Chapel Hill

Purpose. To examine the association between condom use and perceived susceptibility to HIV among adolescent males in Nairobi, Kenya. Method. A cross-sectional logistic regression analysis, based on data from 214 sexually experienced students who completed web-based questionnaires in the TeenWeb study, was conducted. Condom use at first and most recent sex, and consistent condom use were regressed on perceived susceptibility to HIV, and the perceived benefits and obstacles to condom use. Results. None of the perceptual factors examined was significantly associated with condom use. However, later sexual debut and higher SES were significantly associated with a greater likelihood of condom use at first sex. Having used a condom at first sex was significantly associated with more consistent use and use at most recent sex. Conclusion. Interventions targeted at conveying the benefits of condom use for HIV prevention and at delaying sexual debut are needed.
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Poster Session 4:
Migration, Income, Employment, Neighborhoods and Residential Context

Household Dynamics, Village Characteristics and Consumption Patterns in Nang Rong, Thailand

Susana B. Adamo, University of North Carolina at Chapel Hill

Rural areas of developing countries have undergone a number of transformations, which include economic, social and demographic changes. These transformations have resulted in increasing heterogeneity, the fading of the identity between rural and agriculture, and a more “urbanized” lifestyle. In this context, the aim of the paper is to examine changes in consumption (looking at basic services, social services and durable goods) in relation to two sets of determinants, namely household dynamics and villages’ characteristics, in the rural district of Nang Rong, Thailand. The data come from a prospective and multilevel (individuals, households and villages) survey covering all the households in 51 villages of the district, fielded in 1984, 1994 and 2000. Preliminary results show, as expectd, the presence of overall changes in consumption between 1984 and 2000. They also highlight the role of the villages in the provision of and access to services, and the increasing differentiation among households.
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Divergent Pathways: An Examination of Race Differences in Women’s Labor Force Exit Patterns

Tyson H. Brown, University of North Carolina at Chapel Hill

This study uses five waves of panel data from the Health and Retirement Study (HRS) in tandem with multivariate event history models and a life course perspective to explore racial disparities in labor force exit behavior among women. analyzes suggest that Black women are disadvantaged relative to White women with respect to educational attainment, work and family patterns, income, wealth, and health, and that these disparities underlie race differences in labor force exit patterns. Specifically, compared to White women, Black women are less likely to exit the labor force via retirement and are more likely to exit the labor force due to a disability. Theoretical implications of this study and policy relevance are also discussed.
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Quantifying the Urban Environment: A Newly Constructed Scale of Urbanicity Outperforms the Traditional Urban-Rural Dichotomy

Darren L. Dahly, University of North Carolina at Chapel Hill
Linda Adair, University of North Carolina at Chapel Hill

The rapid urbanization of the developing world has important consequences for human health. Although several authorities have called for better research on the relationships between urbanicity and health, most researchers still use a poor measurement of urbanicity, the urban-rural dichotomy. Our goal was to construct a scale of urbanicity using community level data from the Cebu Longitudinal Health and Nutrition Survey. We used established scale development methods to validate the new measure, and tested its performance against the dichotomy. The new scale illustrated misclassification by the urban-rural dichotomy, and was able to detect differences in urbanicity, both between communities and across time, that were not apparent before. Furthermore, using a continuous measure of urbanicity allows for much more meaningful illustrations of the relationships between urbanicity and health. The new scale is a better measure of urbanicity than the traditionally used urban-rural dichotomy.
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Internal Migration of Floodplain Populations in Four Riverine U.S. Cities

Daniel H. de Vries, University of North Carolina at Chapel Hill
James Fraser, University of North Carolina at Chapel Hill

Since the early 1970s “buyout” programs which acquire and remove repetitively flooded properties from flood prone areas have been implemented in hundreds of communities across the United States as a new focus in the Federal Emergency Management Administration’s (FEMA) overall strategy to mitigate flood losses. Yet, very little is known about floodplain and buyout populations and the consequences and motivations behind such small-scale risk induced internal migrations. This paper will provides a descriptive socio-demographic and geographic overview of a buyout population sample from four U.S. cities that experienced flooding and decided to participate in a buyout program in order to relocated elsewhere. The surveyed Cities are Austin (TX), Grand Forks (ND), Kinston (NC), and Greenville (NC). Two questions will be answered. First, what populations are impacted by buyout and acquisitions programs? Second, to what extent did this demographic displacement help property owners relocate to better off areas? Results illustrate the population diversity and commonalities across sites.
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Neighborhood Crime, Deprivation and Preterm Birth

Lynne Messer, University of North Carolina at Chapel Hill
Jay S. Kaufman, University of North Carolina at Chapel Hill
Barbara A. Laraia, University of North Carolina at Chapel Hill
David A. Savitz, University of North Carolina at Chapel Hill

This study addresses two questions about how the neighborhood crime and deprivation environments may contribute to the disparity in preterm births between black and white non-Hispanic women for 14,758 live births within 131 Raleigh NC census block groups (1999-2001). It finds first that black and white women live in distinct neighborhood environments, as approximated by their neighborhood deprivation score and block group violent, theft, property and vice crime counts (i.e., almost 50% of black women live in block groups with very high counts of violent crime compared with under 10% of white women). Second, it finds the odds of preterm birth associated with crime (by type) and deprivation to be different for black and white women in this sample, after adjusting for individual and neighborhood covariates. These findings suggest differential neighborhood exposure may contribute to the preterm burden borne by black non-Hispanic women in this country.
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Measuring Housing Quality in the Absence of a Monetized Real Estate Market: The Case of Rural Northeast Thailand

Martin Piotrowski, University of North Carolina at Chapel Hill
Varachai Thongthai, Mahidol University
Pramote Prasartkul, Mahidol University

Dwelling units are found universally throughout every society. The quality of accommodations can vary considerably from household to household, and in some contexts, creating a measure of housing quality can be quite difficult. In many settings, putting a price on a dwelling unit is fairly straightforward. However, in settings where an active real estate market does not exist, where household members supply the labor themselves to construct their house, and where houses are frequently constructed or improved incrementally over time, it is extremely difficult to monetize the value of dwelling units. In this paper we develop a new approach to the measurement of housing quality as part of a larger on-going longitudinal data collection in Nang Rong, Thailand. We develop a method of measuring the relative quality rating of several dwelling units that takes advantage of general knowledge within an area as to what constitutes high-quality versus low quality housing.
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Poster Session 5:
Union Formation and Dissolution, Fertility, Family and Well-being

Household Structure and Infant Feeding Behavior among Low-Income African Americans

Judith B. Borja, University of North Carolina at Chapel Hill
Jean Hamilton, University of North Carolina at Chapel Hill
Michelle Mendez, University of North Carolina at Chapel Hill
Margaret Bentley, University of North Carolina at Chapel Hill
Carby-Shields Kenitra, University of North Carolina at Chapel Hill

While substantial research has explored how household structure may influence numerous domains of child well-being, data are more limited with respect to effects on current diet and feeding patterns in the U.S. This study of low-income African Americans--a population at high risk of obesity--explores whether household structure is related to infant feeding behaviors that may promote rapid weight gain in early life and increase the long-term risk of obesity. We found that compared to households with grandmothers or fathers, single mother households were less likely to exhibit feeding behaviors (e.g. talking to the child to encourage eating) thought to promote appropriate eating. However, we found no difference across all household types in other behaviors which could promote obesity (e.g. trying to get the child to finish his/her food). Further research is needed to confirm our preliminary results and to ascertain which behaviors may be normative in this population.
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Early Sexual Debut and Sexually Transmitted Infections in Adolescents and Young Adults

Christine E. Kaestle, University of North Carolina at Chapel Hill
Carolyn Tucker Halpern, University of North Carolina at Chapel Hill
William Miller, University of North Carolina at Chapel Hill
Carol Ford, University of North Carolina at Chapel Hill

Objectives: Test the relationship between age of first vaginal intercourse and sexually transmitted infection (STI) and examine variation by current age, sex, race and ethnicity. Methods: A nationally representative sample of 9,844 respondents ages 18-26 was interviewed and tested for chlamydial infection, gonorrhea, and trichomoniasis in Wave III of Add Health. Results: Early ages of debut were associated with higher odds of STIs compared to later debut, but the effect diminished with increasing age. For example, the odds of having an STI for an 18 year old with debut at age 13 were over twice those of an 18 year old with debut at age 17. In contrast, the odds of an STI among 24 year olds with debut at age 13 vs. debut at age 17 were the same. Conclusions: Earlier sexual debut is strongly associated with STIs for older adolescents but not for young adults over age 23.
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Household Strategy, Return Migration and the Role of Remittance in Nang Rong, Thailand

Yuying Tong, University of North Carolina at Chapel Hill
Martin Piotrowski, University of North Carolina at Chapel Hill

This study examines the effect of remittances on return migration using social survey data from Nang Rong, Thailand. We use a longitudinal design spanning three waves of data, which avoids problems inherent in many existing studies. Our findings are consistent with the view that migration and remittance are part of a household strategy whereby migrants leave in order to earn money, which they send back as remittance, thereafter returning to their origin household. While remittance is positively related to return migration, it is especially so if the household owns agricultural equipment. This suggests that migrants pursue a self-interested strategy motivated by the inheritance or safeguard of property.
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Poster Session 6:
Applied Demography, Methods, Health and Mortality

Adjusting for Unequal Selection Probability in Structural Equation and Multilevel Models: Applications to Demographic Survey Data

Kim Chantala, University of North Carolina at Chapel Hill
C. M. Suchindran, University of North Carolina at Chapel Hill

Most demographic surveys collect data using complex sampling plans involving selection of both clusters and individuals with unequal probability of selection. Research in methods of using structural equation modeling (SEM) and multilevel modeling (MLM) procedures to analyze such data is relatively new. Often sampling weights based on selection probabilities of individuals are used to estimate population-based models. However, sampling weights used for estimating multilevel models need to be constructed differently than weights used for single-level (population-average) models. This paper provides guidelines for using SEM or MLM techniques with complex survey data. First, the capabilities of popular SEM and MLM analysis software for analyzing data collected with a complex sampling plan are summarized. Next, we discuss how sampling weights needed for MLM analysis differ from weights needed for analyzing population-average models. Finally, we use existing software to demonstrate SEM and MLM analysis using data from the National Longitudinal Survey of Adolescents.
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Covariate Analysis of Multistate Life Tables: Application to Women’s Contraceptive Dynamics

C. M. Suchindran, University of North Carolina at Chapel Hill
Tzy-Mey (May) Kuo, Research Triangle Institute
Helen P. Koo, Research Triangle Institute

Past research indicates that women often make changes among several contraceptive methods. Multi-state life table method is a useful tool for examining such a dynamic behavior. Currently, the method is used as a descriptive tool lacking capability for covariate analysis of data. This paper fills the gap by performing covariate analysis of multi-state life tables. We derived transition probabilities for multi-state life tables using multinomial logit models via the Generalized Estimating Equations approach to take into account the correlation among multiple observations from a given woman. We also computed summary measures from multi-state life tables. We used contraceptive history data from 1840 women to estimate models containing race, education, age, and gravidity at baseline as covariates. Results indicate that Black women switched their contraceptive methods more often than Whites. Women with less than high school education also made more changes and had more pregnancies than better educated women.
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Demography, Socioeconomics, and Geography: Endeavoring to Explain Land Cover Change in and around the Cuyabeno Wildlife Reserve, Ecuador

Christine M. Erlien, University of North Carolina at Chapel Hill
Carlos F. Mena, University of North Carolina at Chapel Hill
Alisson F. Barbieri, University of North Carolina at Chapel Hill
Stephen J. Walsh, University of North Carolina at Chapel Hill

The literature on land cover change in national parks and protected areas is limited, prompting Sanchez-Azofeifa (2001) to comment, “information is sparse on the nature, dynamics, and spatial dimension of land use and land cover change processes that contribute to park vulnerability.” This work aims to provide information about landscape changes in and around the Cuyabeno Wildlife Reserve as well as extend the study of landscape change in parks and protected areas by examining possible socio-economic, demographic, and geographic drivers. Datasets integrated for this project include a 1998/99 cross-sectional survey of 652 households located in territory ceded by the Reserve, a 2000 survey of communities in the northern Ecuadorian Amazon, a 2001 survey of indigenous communities within and nearby the Reserve, a satellite image time-series, and a GIS database of geographic accessibility and resource endowments. Land cover change will be quantified and three OLS models of land cover change estimated.
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