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Biomedical subjects

Heather Joshi

Publications and source records attributed to Heather Joshi.

6 recordsLinked to original sources

Changing compatibility of cohabitation and childbearing between young British women born in 1958 and 1970.

We investigate the effect of parenthood on whether non-marital unions led to marriage or parting for two cohorts of British women when they were aged between 16 and 29. We compare the effect of conceptions leading to births and the presence and characteristics of children on the odds that a cohabitation was dissolved, or that it was converted to marriage, for women born in 1958 and 1970. A multilevel, multiprocess, competing-risks model allows for multiple cohabitation per woman and endogeneity of fertility status. We find that cohabiting couples' response to impending parenthood and the presence of children changed over time. In particular, the proportion of cohabiting couples who married before a birth decreased and, in the 1970 cohort only, the risk of dissolution declined during pregnancy. There is also evidence that the presence of a child cemented a cohabiting union for women from the 1970, but not the earlier, cohort.

Adult↗

Health visitors' awareness of local service accessibility.

This paper describes a study using a postal survey which was sent to health visitors throughout the UK to ascertain their knowledge, and the accessibility, of services used by young families in the areas in which health visitors practiced. The survey was an enhancement to the UK's most recent longitudinal birth cohort study--the Millennium Cohort Study. We studied differences in service accessibility between UK countries, and between areas within countries in terms of poverty levels ('advantaged' versus 'disadvantaged' electoral wards) and high ethnic minority populations. A total of 302 health visitors supplied information on childcare, health, family support and leisure services, and on local statutory initiatives (69 per cent response). Results showed that there were no great differences within countries by type of area, and that families in Northern Ireland had overall access to fewer services. It was apparent that health visitors' awareness of local service accessibility was good but they were less aware of local statutory initiatives.

Attitude of Health Personnel↗

Mother's consent to linkage of survey data with her child's birth records in a multi-ethnic national cohort study.

BACKGROUND: The increased use of computer-based records has facilitated linkage of routine data with that obtained for research. When children are involved, parental consent for linkage is usually required. The Millennium Cohort Study, of 18,819 UK babies born in 2000-02, over-sampled families from disadvantaged and ethnic wards, providing the opportunity to investigate factors associated with mother's consent to access her child's birth records. METHODS: Factors considered included ward type and mother's socioeconomic status, ethnicity, education, age, and language. Logistic regression was used to investigate the relationship of these factors with consent. RESULTS: Consent for linkage to birth register and/or hospital maternity data was obtained from 92% of the cohort mothers. The proportions consenting differed according to the mother's country of residence, age, and education, with consent being less likely among minority ethnic group mothers, lone parents, and those with higher degrees or no qualifications. Where interviews had been translated, consent was significantly less likely if the interpreter was a male. CONCLUSION: A large proportion of mothers who were interviewed gave permission for linkage. However, there were some groups who were less likely to do so, particularly those from minority ethnic groups. These sources of non-consent bias should be taken into account when analysing linked data from socially and ethnically mixed populations. Efforts should be made to understand the reasons for non-consent, which in turn will help determine the best ways to encourage more mothers to consent in future.

Adolescent↗

The relationship between childbearing and transitions from marriage and cohabitation in Britain.

In this article, we describe a general framework for the analysis of correlated event histories, with an application to a study of partnership transitions and fertility among a cohort of British women. Using a multilevel, multistate competing-risks model, we examine the relationship between prior fertility outcomes (the presence and characteristics of children and current pregnancy) and the dissolution of marital and cohabiting unions and movements from cohabitation to marriage. Using a simultaneous-equations model, we model these partnership transitions jointly with fertility, allowing for correlation between the unobserved woman-level characteristics that affect each process. The analysis is based on the partnership and birth histories that were collected for the 1958 birth cohort (National Child Development Study) aged 16-42. The findings indicate that preschool children have a stabilizing effect on their parents 'partnership, whether married or cohabiting, but the effect is weaker for older children. There is also evidence that although pregnancy precipitates marriage among cohabitors, the odds of marriage decline to prepregnancy levels following a birth.

Adolescent↗

The Millennium Cohort Study.

The Millennium Cohort Study is the latest in the line of British birth cohort studies. MCS resembles its predecessors which follow people born in 1946, 1958 and 1970 in the intention to become multi-purpose longitudinal data resource charting many aspects of individual's lives over time. The families of a sample of around 20,000 babies are being interviewed during 2001-02, when eligible babies reach 9 months, to establish the conditions from which they set out in life. The survey contrasts with the previous cohort studies in various ways. Instead of taking all births in one week, the sample of births is spread over a year; the births are from a selection of electoral wards, thereby enabling eventual analysis by neighbourhood characteristics; it also over samples children living in deprived areas, wards with high ethnic minority populations and samples have been boosted in Scotland, Wales and Northern Ireland. The latter UK country has not been covered by the other studies. It interviews fathers as well as mothers, and given that its initial funding comes via the ESRC, puts a greater emphasis on socio-economic data than in early parts of the other studies. MCS has been enhanced by additional Government funding. The research team, based at the Institute of Education, aims to deposit a multi-purpose dataset for public use at the ESRC data Archive in the Spring of 2003.

Birth Rate↗

The influence of context, timing, and duration of risk experiences for the passage from childhood to midadulthood.

This study investigated the long-term effects of social disadvantage on academic achievement and on subsequent attainments in adulthood. The study drew on data collected for over 30,000 individuals born 12 years apart, following their development from birth to adulthood. The pathways that link social disadvantage to individual development across the life course were analyzed in a developmental-contextual systems model. The results showed that the influence of risk factors associated with socioeconomic disadvantage depended on the developmental stage of the individual, the experience of long-term or continuous disadvantage, and the overall sociohistorical context. Early risk had a moderate influence on the formation of individual competences. The greatest risk was associated with persisting and accumulating experiences of socioeconomic disadvantage throughout childhood and adolescence. Material conditions improved for the later-born cohort, yet pervasive social inequalities existed that affected outcomes during childhood and were consequently reflected in adult attainment.

Achievement↗