Research Type: Reproduction, Fertility & Pregnancy

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Understanding Recent Fertility Trends in the UK and Improving Methodologies for Fertility Forecasting

The project ‘Understanding Recent Fertility Trends in the UK and Improving Methodologies for Fertility Forecasting’ will examine the significant fluctuations in fertility levels in the UK in the last two decades, will investigate their causes, and will develop improved methodologies for fertility forecasting. The last two decades have witnessed dramatic changes in fertility levels, which were not predicted by demographers or government statisticians: Fertility significantly increased in the first decade of the 21st century, whereas it has declined thereafter.  These changes when translated into numbers of births, have had important implications, for example in the provision of health services, childcare, and school places. The project aims, first, to produce detailed measures of fertility changes in recent years in the UK. Second, it will decompose the overall changes into those attributable to compositional changes in the UK population, e.g. by country of birth, migrant population, education, and those which are attributable to behavioural changes over time, i.e. women have fewer or more children. Finally, these insights will be used to develop new methodologies for more accurate forecasting of fertility applying them to the UK and its constituent countries. The developed methodologies could be applied to project fertility trends in other industrialised countries.

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NILS-SLS-peer-effects-in-health

Developing the potential of the NILS and SLS for studying peer effects in health: A case study of fertility amongst neighbours and co-workers.

Neighbours and work colleagues can all potentially have an influence on our behaviour. For instance, poor health behaviours amongst neighbours and colleagues may normalise and reinforce our own poor health behaviours. This is one example of a peer effect. Imitative behaviour can cause small initial changes in individual behaviour to spread amongst their social networks and result in a ’social multiplier’ effect. Understanding the size and mechanisms behind the ’social multiplier’ effect allows for more effective health interventions. It also helps us understand why persistent health inequalities exist across different neighbourhoods and social groups.

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maternal-obesity.

Social and Economic Determinants of Maternal Obesity

The obesity epidemic continues to be one of the biggest public health challenges in the 21st century. Rates continue to rise globally and at all stages of the life course. In pregnant women this can be especially problematic due to the increased risk of pregnancy complications, subsequent non-communicable diseases, adverse birth outcomes and increased risk of obesity and metabolic diseases in later life for the offspring.

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Fertility in Northern Ireland 2001-2011: The Influence of Education and Migration.

Fertility in Northern Ireland 2001-2011: The Influence of Education and Migration.

This is a development of the NILS022 project where a statistical analysis was based upon a panel of women aged 15-44 over the period 1997-2007 that was constructed from the NILS. A similar methodology is proposed; the statistical analysis consists of a panel logit analysis of whether a birth occurs in a period; the explanatory variables will include parity, duration, religion and locality variables.

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Is the risk of teenage pregnancy influenced by area of residence?

Is the risk of teenage pregnancy influenced by area of residence?

The UK has the highest rates of teenage pregnancy in Western Europe and while these have been gradually falling across the UK (including NI) since 2002, rates of pregnancy for girls aged less than 20 remains high. While it is acknowledged that not all teenage pregnancies are unintended and that the life course for teenage parents is not necessarily negative, unintended pregnancy remains a major component of adolescent pregnancies and can risks considerable adverse health problems for teenagers and their infants as well as generating enormous emotional, economic and social costs1 for adolescents, their families and society globally.

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Who you are or where you live? Examining the impact of individual and area level effects on reproductive decision-making, health and risky causes of deaths in Northern Ireland. Part one: fertility and reproductive behaviour.

Who you are or where you live? Examining the impact of individual and area level effects on reproductive decision-making, health and risky causes of deaths in Northern Ireland. Part one: fertility and reproductive behaviour.

There is a growing understanding that there are social gradients in health, teenage birth rates and causes of morbidity and mortality. However, the more ultimate causes and the more precise patterns that underlie this variation is yet largely unknown (Nettle 2010). The overall project aims to better understand individual and area level effects on reproductive decision-making, health and a range of “risky” behaviours related to mortality in Northern Ireland.

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Forecasting Fertility in Northern Ireland using a Time Varying Coefficients Model.

Forecasting Fertility in Northern Ireland using a Time Varying Coefficients Model.

The project builds upon the earlier study NILS 022, Predicting Short Run Changes in Fertility in Northern Ireland. The project assembled a panel of women from 1997 – 2007 aged between 16 and 44 years in each year, together with their characteristics drawn from the 2001 census and the births they had each year from the GRO. The analysis was based on the logit model with time dummies employed as the basis of the forecast model. This was unsatisfactory due to the importance of the trend element in the forecast – essentially the projection of the trend into the future was arbitrary.

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Prevalence and patterns of antidepressant use among women of reproductive age in Northern Ireland.

Prevalence and patterns of antidepressant use among women of reproductive age in Northern Ireland.

Antidepressant exposure is high among women of childbearing age in Northern Ireland. A preliminary analysis of Health and Social Care Business Services Organisation Enhanced Prescribing Database has estimated a prevalence rate at 19.2% among women aged 15-45 years for July 2008 – February 2010. It is important to regularly monitor medicinal drug use among women of childbearing age and those in early pregnancy because the teratogenicity of most prescription drugs is undetermined and many pregnancies are unplanned. A meta-analysis of studies found exposure to paroxetine (paxil) in early pregnancy to increase the risk of major birth defects, (OR 1.24, 95% CI 1.08, 1.43) and specifically cardiac defects (OR 1.46, 95% CI 1.17, 1.82) (Wurst et al. 2009). The potential public health problem of antidepressant use in pregnancy depends both on prevalence and risk of exposure.

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