Komposisi jenis kelamin anak, program Keluarga Berencana dan fertilitas

The number and sex composition of children are important for some married couples in Indonesia. Having sons in the family is considered as a must since they are argued to be the successor of the family lineage. The presence of daughters is expected to help with household chores and care for their elderly parents. The sex preference for children by the married couples can affect their number of children. This study aims to assess the relationship between the number and sex composition of children, contraceptive use, and the desire to have more children among women in Indonesia. The study employed the data from the 2017 Indonesian Demography and Health Survey (IDHS), with the unit of analysis of currently married women aged 15-49 who have at least one living children. The results show that women with two or more children of the same sex had a higher tendency to have additional children and no use of contraceptives. The Family Planning program's campaign of similar values shared between son and daughter is still hardly accepted, hence, sex preference still exists. It is necessary to reformulate an effective concept for proper socialization of these values as an effort to control the fertility rate in Indonesia.

Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review

Background Women do not participate in cardiac rehabilitation (CR) to the same degree as men; women-focused CR may address this. This systematic review investigated the: (1) nature, (2) availability, as well as (3a) utilization of, and (b) satisfaction with women-focused CR. Methods Medline, Pubmed, Embase, PsycINFO, CINAHL, Web of Science, Scopus and Emcare were searched for articles from inception to May 2020. Primary studies of any design were included. Adult females with any cardiac diseases, participating in women-focused CR (i.e., program or sessions included ≥ 50% females, or was 1-1 and tailored to women’s needs) were considered. Two authors rated citations for inclusion. One extracted data, including study quality rated as per the Mixed-Methods Assessment Tool (MMAT), which was checked independently by a second author. Results were analyzed in accordance with the Synthesis Without Meta-analysis (SWiM) reporting guideline. Results 3498 unique citations were identified, with 28 studies (53 papers) included (3697 women; ≥ 10 countries). Globally, women-focused CR is offered by 40.9% of countries that have CR, with 32.1% of programs in those countries offering it. Thirteen (46.4%) studies offered women-focused sessions (vs. full program), 17 (60.7%) were women-only, and 11 (39.3%) had gender-tailoring. Five (17.9%) programs offered alternate forms of exercise, and 17 (60.7%) focused on psychosocial aspects. With regard to utilization, women-focused CR cannot be offered as frequently, so could be less accessible. Adherence may be greater with gender-tailored CR, and completion effects are not known. Satisfaction was assessed in 1 trial, and results were equivocal. Conclusions Women-focused CR involves tailoring of content, mode and/or sex composition. Availability is limited. Effects on utilization require further study.

COVID-19 Susceptibility, Mortality, and Length of hospitalization based on age-sex composition: Evidence from Davao Region Philippines

The coronavirus disease is spreading continuously worldwide with an unprecedented amount of impact on every human society. In order to reduce the risks of infections and mortality, several interventions such as mobility restrictions for different age groups and vaccination prioritization programs are implemented in the Philippines. Identifying age-sex composition with greater susceptibility, longer hospitalization, and higher fatality is useful to guide the targeted intervention and establish risk stratification for patients infected with COVID-19 within communities and localities. Furthermore, it is also helpful in the allocation of medical resources and assessment of vaccination priority. We analyzed the COVID-19 data provided by the Davao Center for Health Development of the Department of Health Davao Region in the Philippines. The dataset contains records of COVID-19 cases reported from March 2020 to April 2021. Methods that were used include descriptive statistics, graphical presentations, and nonparametric statistical methods. The study reveals that male children and female senior citizens are the most susceptible age-sex composition while male senior citizen is the subgroup with the highest case fatality and mortality. Furthermore, regardless of sex groups, the senior citizen is the subgroup with the longest hospitalization. Susceptibility due to exposure should be included as a criterion in determining the age-sex compositions for vaccination priority against COVID-19 and other potentially deadly viruses. Further, Proper planning and allocation of medical resources for the elderly should be prioritized in the provincial levels.

Brothers increase women’s gender conformity

I examine how one central aspect of the family environment—sibling sex composition—affects women’s gender conformity. Using Danish administrative data, I causally estimate the effect of having a second-born brother relative to a sister for first-born women. I show that women with a brother acquire more traditional gender roles as measured through their choice of occupation and partner. This results in a stronger response to motherhood in labor market outcomes. As a relevant mechanism, I provide evidence of increased gender-specialized parenting in families with mixed-sex children. Finally, I find persistent effects on the next generation of girls.

Housework time within family households: Mothers', fathers', and siblings' contributions

Objective: To investigate time use of housework for all members of shared family households with a special focus on how time allocation varied by siblings’ sex-composition. Background: Two knowledge gaps were addressed: first, young people’s contribution to housework, since studying children in their primary socialization environment adds to the understanding of the foundations of gender inequality in unpaid work times over the life course and in society; second, the allocation of housework time between all family members, as there is yet no study that includes every household member in the analysis of housework time allocation within family households. Methods: 1,263 four-person-households were sampled from the German Time Use Study (pooled data from 1991/1992, 2001/2002 and 2012/2013). Using information from 13,525 time diaries, the absolute and relative time use for several housework activities was analyzed for weekdays and weekends by siblings’ sex-composition, applying linear regression. Results: Mothers and daughters spent more time for housework and routine chores than fathers and sons in shared family households. Total housework time was lowest in households with two sons and highest in households with two daughters. In households with opposite-sex siblings, daughters and sons performed a division of housework that closely resembled the traditional model of gender inequality. Conclusion: Even in times of gender convergence, traditional housework behavior is transmitted from parents to their children.