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Copyright of Estudios Demográficos y Urbanos is the property of El Colegio de Mexico AC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Estudios Demográficos y Urbanos is the property of El Colegio de Mexico AC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To preserve male fertility after diagnosis of any kind of cancer, a prompt assessment of the semen quality and an appropriate semen cryopreservation must be performed before radio-chemotherapy starts. The present work aims to evaluate the semen parameters at diagnosis of different cancer patients before cryopreservation and after thawing. Testicular tumors and lymphomas are among the most common cancers in younger patients, and while chemotherapy significantly increases patients' survival, it can epigenetically alter the semen fluid, resulting in temporary or permanent infertility. We analyzed data from the database of the Gamete Cryopreservation Center (Annunziata Hospital, CS; Italy) in the period of 2011–2020 from a cohort of 254 cancer patients aged 18–56 years. The evaluation was performed in a blind manner and anonymously recovered; the main parameters referring to semen quality were assessed in accordance with the WHO guidelines and decision limits (6th edition; 2021). The cancer types were as follows: testis cancers (TC; n = 135; 53.1%), hematological cancers (HC; n = 76; 29.9%), and other types of cancer (OC; n = 43; 17%). Comparing TC vs. HC (P1) and vs. OC (P2), TC had the worst semen quality: sperm number/mL (P1 = 0.0014; P2 = 0.004), total motility (P1 = 0.02; P2 = 0.07), progressive motility (P1 = 0.04; P2 = 0.05), viability (P1 = 0.01; P2 = 0.02), and percentage of atypical morphology (P1 = 0.05; P2 = 0.03). After semen thawing, viability and progressive motility recovery lowered, accounting for 46.82% and 16.75%, respectively, in the whole cohort; similarly, in the subgroups ascribed to TC, they showed the lowest recovery. Strong correlation existed between pre- and post-cryopreservation viability and progressive motility in the whole cohort (p < 0.001) and in the TC subgroup (p < 0.05). All cancer subgroups, to significantly different extents, had semen findings below the WHO reference values, suggesting diverse sperm susceptibilities to different cancers and cryodamage. Cancer and associated treatments epigenetically affect patients' semen quality, meaning cryopreservation should be considered a useful personalized prerogative for any kind of cancer in a timely manner. [ABSTRACT FROM AUTHOR]

This study accounts for the heterogeneous consequences of the Covid-19 pandemic on fertility plans and behaviours, by focusing on the motivations for suspended pre-Covid fertility plans and on those for new fertility plans that arose during the pandemic. We rely on unique data collected with a repeated cross-sectional survey conducted in April/May 2021 and October/November 2021 on a sample of young Italians (aged 18–34). We estimate a set of multinomial and logit models to examine some correlates of fertility plans and behaviours. Then, we provide a more qualitative analysis of the reasons behind the resulting patterns of associations. Changes in fertility plans and behaviours from pre-COVID intentions clearly show that the economic recession burdens unequally individuals and their opportunities to cope with obstacles to both work and family involvement. At the same time, those who started to plan childbirth during the pandemic, frequently cite as important motivations the increased opportunities to enjoy the family life, the more balanced work and family involvement, the higher share of domestic tasks in the couple, and the improved relationship quality. Our results suggest the need for exploring also positive channels through which the Covid-19 crisis had provided opportunities for planning new births. [ABSTRACT FROM AUTHOR]

Background: Endometrial scratching (ES) or injury is intentional damage to the endometrium performed to improve reproductive outcomes for infertile women desiring pregnancy. Moreover, recent systematic reviews with meta-analyses and randomized controlled trials demonstrated that ES is not effective, data on the safety are limited, and it should not be recommended in clinical practice. The aim of the current study was to assess the view and behavior towards ES among fertility specialists throughout infertility centers in Italy, and the relationship between these views and the attitudes towards the use of ES as an add-on in their commercial setting. Methods: Online survey among infertility centers, affiliated to Italian Society of Human Reproduction (SIRU), was performed using a detailed questionnaire including 45 questions with the possibility to give "closed" multi-choice answers for 41 items and "open" answers for 4 items. Online data from the websites of the infertility centers resulting in affiliation with the specialists were also recorded and analyzed. The quality of information about ES given on infertility centers websites was assessed using a scoring matrix including 10 specific questions (scored from 0 to 2 points), and the possible scores ranged from 0 to 13 points ('excellent' if the score was 9 points or more, 'moderate' if the score was between 5 and 8, and 'poor' if it was 4 points or less). Results: The response rate was of 60.6% (43 questionnaires / 71 infertility SIRU-affiliated centers). All included questionnaires were completed in their entirety. Most physicians (~ 70%) reported to offer ES to less than 10% of their patients. The procedure is mainly performed in the secretory phase (69.2%) using pipelle (61.5%), and usually in medical ambulatory (56.4%) before IVF cycles to improve implantation (71.8%) without drugs administration (e.g., pain drugs, antibiotics, anti-hemorrhagics, or others) before (76.8%) or after (64.1%) the procedure. Only a little proportion of infertility centers included in the analysis proposes formally the ES as an add-on procedure (9.3%), even if, when proposed, the full description of the indications, efficacy, safety, and costs is never addressed. However, the overall information quality of the websites was generally "poor" ranging from 3 to 8 and having a low total score (4.7 ± 1.6; mean ± standard deviation). Conclusions: In Italy, ES is a procedure still performed among fertility specialists for improving the implantation rate in IVF patients. Moreover, they have a poor attitude in proposing ES as an add-on in the commercial setting. [ABSTRACT FROM AUTHOR]

This study investigates the association between objective and subjective indicators of economic uncertainty, generated by the COVID-19 health and economic crisis, and young Italians' fertility plans during the 2020. We use unique repeated cross-sectional data, collected at different time points during the pandemic (March and October/November 2020) together with pre-COVID data (2016). The data offer a standard fertility intention question pre- and during-COVID, and also a direct question on whether pre-COVID fertility plans have been confirmed, postponed or abandoned. In March 2020, individuals with more vulnerable occupations show a lower probability of intending to have a(nother) child in the short-term and a higher probability of abandoning their pre-COVID fertility plan; in October 2020 changes in fertility plans do not vary by employment condition. Instead, both in March and October, those who suffered from a negative income shock and those with negative expectations on their future income and occupation are more likely to abandon their pre-pandemic fertility plan compared to their better off counterparts. Overall, economic uncertainty seems to have similarly affected men and women's fertility intentions. Our findings point to the fact that the unequal economic consequences of the pandemic also produced and will produce heterogeneous effects on fertility intentions. [ABSTRACT FROM AUTHOR]

The current study examines the quantum of childbearing of migrants from low‐fertility contexts (Poland and Romania) at multiple destinations (Italy and the United Kingdom), and compares them to stayers at origin and to nonmigrants at destination, combining the multiorigin/multidestination approach with the 'context‐of‐origin' perspective. Using data from the Labour Force Surveys (2009–2015) and adopting a gender and a couple perspective, we show that Polish and Romanian women have fewer children than nonmigrants at destinations. Romanian migrant women and men have a fertility similar to that of stayers at the origin, especially in United Kingdom, suggesting a socialization pattern for this group. Our findings also suggest the presence of the disruption mechanism for migrants, mainly in the short term, combined with a 'catch‐up' in the long run explained by family reunification, primarily in Italy. However, the 'catch‐up' over time of residence is found to be slower compared to previous studies. Finally, we find selection into migration and into different destination play an important role. [ABSTRACT FROM AUTHOR]

Background: Offering ovarian function and/or fertility preservation strategies in premenopausal women with newly diagnosed breast cancer candidates to undergo chemotherapy is standard of care. However, few data are available on uptake and main reasons for refusing these options. Methods: The PREFER study (NCT02895165) is an observational, prospective study enrolling premenopausal women with early breast cancer, aged between 18 and 45 years, candidates to receive (neo)adjuvant chemotherapy. Primary objective is to collect information on acceptance rates and reasons for refusal of the proposed strategies for ovarian function and/or fertility preservation available in Italy. Results: At the study coordinating center, 223 patients were recruited between November 2012 and December 2020. Median age was 38 years (range 24 – 45 years) with 159 patients (71.3%) diagnosed at ≤40 years. Temporary ovarian suppression with gonadotropin-releasing hormone agonists (GnRHa) was accepted by 58 out of 64 (90.6%) patients aged 41-45 years and by 151 out of 159 (95.0%) of those aged ≤40 years. Among patients aged ≤40 years, 57 (35.8%) accepted to access the fertility unit to receive a complete oncofertility counseling and 29 (18.2%) accepted to undergo a cryopreservation technique. Main reasons for refusal were fear of delaying the initiation of antineoplastic treatments and contraindications to the procedure or lack of interest in future childbearing. Patients with hormone-receptor positive breast cancer had a tendency for a higher acceptance rates of ovarian function and/or fertility preservation strategies than those with hormone-receptor negative disease. Conclusions: More than 90% of premenopausal women with early breast cancer, and particularly those with hormone receptor-positive disease, were concerned about the potential risk of chemotherapy-induced premature ovarian insufficiency and/or infertility and accepted GnRHa administration. Less than 1 out of 5 women aged ≤40 years accepted to undergo cryopreservation strategies. [ABSTRACT FROM AUTHOR]

BACKGROUND Family patterns in Western countries have changed substantially across birth cohorts. The spread of unmarried cohabitation, the decline and postponement of marriage and fertility, and the rise in nonmarital births, partnership instability, and repartnering lead to an increasing diversity in family life courses. OBJECTIVE In this paper we demonstrate how to set up a tool to explore family life trajectories. This tool models the changing family patterns, taking into account the complex interrelationships between childbearing and partnership processes. METHODS We build a microsimulation model parameterised using retrospective partnership and childbearing data. The data cover women born since 1940 in Italy, Great Britain, and two Scandinavian countries (Norway and Sweden), three significantly different cultural and institutional contexts of partnering and childbearing in Europe. RESULTS We guide readers through the modelling of individual life events to obtain a set of aggregate estimates, providing information on the power, technical structure, and underlying assumptions of microsimulations. Validation of the simulated family life courses against their real-world equivalents shows that the simulations not only closely replicate observed childbearing and partnership processes, but also provide high quality predictions when compared to more recent fertility indicators. CONCLUSIONS Using observed population estimates to systematically validate the results both validates our model and increases confidence that microsimulations satisfactorily replicate the behaviour of the original population. [ABSTRACT FROM AUTHOR]

Fertility, a key process shaping long-term population dynamics, has reflected demographic transitions and responds—more or less rapidly—to economic downturns. Assuming a non-neutral role of space on birth rates, the present study investigates the spatio-temporal evolution (1952–2018) of total fertility rate (TFR) at regional scale in Italy, a country with intense decline of births and enlarged socioeconomic divides between the wealthiest Northern regions and the most disadvantaged Southern regions. A progressive reduction of the traditional North–South fertility divide was observed in Italy since the 1980s with a rapid decline of TFR. Results of descriptive statistics and time series analysis indicate that regional fertility in Italy was increasingly associated with economic downturns. Considering the spatial response of birth rates to economic expansions and recessions, heterogeneous regional fertility trends underlie more individualistic behaviors that reflect a different propensity to childbearing in recent times. With both expansion and recession, fertility rates in Northern Italy—thanks to the contribution of internal and international migrations—were responding more rapidly to economic downturns than in Southern Italy—a disadvantaged region with a more stagnant population, emigration and aging, reverting the typical framework of the 1950s. [ABSTRACT FROM AUTHOR]

BACKGROUND In recent decades, several Western countries have experienced a large increase in childlessness. Relatively little is known about the profiles of childless women in Italy, and virtually nothing about childless men. OBJECTIVE The aim of this paper is to address this gap by identifying typical life course trajectories of childless women and men in Italy from a gender perspective and in a cross-cohort comparison. METHODS In order to identify typical patterns I adopted a holistic perspective, applying sequence analysis to data on partnership, employment, and education for a sample of childless women and men derived from the 2009 Italian Family and Social Subjects survey. RESULTS Six profiles each were identified for childless women and men, which illustrate the marked heterogeneity of the childless universe. Four out of the six were similar for both genders. Importantly, the life course of the childless evolved across cohorts, with an increasing proportion of employed women and single men in the youngest generations. CONTRIBUTION This work sheds light on differences in childlessness in Italy by gender and generation. It confirms the role of factors such as not having a partner, and adds new empirical findings such as the pattern of disadvantaged, less-educated women and that of highly educated men with a history of unstable employment. [ABSTRACT FROM AUTHOR]

Background: Fertility and pregnancy issues are of key importance for young breast cancer patients. Despite several advances in the field, there are still multiple unmet needs and barriers in discussing and dealing with these concerns. To address the significant challenges related to fertility and pregnancy issues, the PREgnancy and FERtility (PREFER) study was developed as a national comprehensive program aiming to optimize care and improve knowledge around these topics.Methods: The PREFER study is a prospective cohort study conducted across several Italian institution affiliated with the Gruppo Italiano Mammella (GIM) group evaluating patterns of care and clinical outcomes of young breast cancer patients dealing with fertility and pregnancy issues. It is composed of two distinctive studies: PREFER-FERTILITY and PREFER-PREGNANCY. The PREFER-FERTILITY study is enrolling premenopausal patients aged 18-45 years, diagnosed with non-metastatic breast cancer, who are candidates to (neo)adjuvant chemotherapy and not previously exposed to anticancer therapies. The primary objective is to obtain and centralize data about patients' preferences and choices towards the available fertility preserving procedures. The success and safety of these strategies and the hormonal changes during chemotherapy and study follow-up are secondary objectives. The PREFER-PREGNANCY study is enrolling survivors achieving a pregnancy after prior history of breast cancer and patients diagnosed with pregnancy-associated breast cancer (PABC). The primary objectives are to obtain and centralize data about the management and clinical outcomes of these women. Patients' survival outcomes, and the fetal, obstetrical and paediatric care of their children are secondary objectives. For both studies, the initial planned recruitment period is 5 years and patients will remain in active follow-up for up to 15 years. The PREFER-FERTILITY study was first activated in November 2012, and the PREFER-PREGNANCY study in May 2013.Discussion: The PREFER study is expected to support and improve oncofertility counseling in Italy, to explore the real need of fertility preserving procedures, and to acquire prospectively more robust data on the efficacy and safety of the available strategies for fertility preservation, on the management of breast cancer survivors achieving a pregnancy and of women with PABC (including the possible short- and long-term complications in their children).Trial Registration Number: ClinicalTrials.gov identifier: NCT02895165 (Retrospectively registered in August 2016). [ABSTRACT FROM AUTHOR]

Italy is a case study in lowest-low fertility. Its internal heterogeneity is substantial and changing over time. The paper has two main aims. First, it aims at investigating whether the theoretical framework offered by the diffusionist perspective to fertility transition could still be relevant in explaining fertility changes in contemporary advanced societies. Second, the paper aims at investigating if and how the associations between fertility and a series of indicators of secularisation, female occupation, contribution of fertility of immigrants, and economic development change across space and over time. We make use of geographically weighted regressions and spatial panel regressions to model explicitly spatial dependence in fertility among Italian provinces over the period between 1999 and 2010. Results show that spatial dependence in provincial fertility persists even after controlling for standard correlates of fertility, consistently with a diffusionist perspective. Further, the local association between fertility and its correlates is not homogeneous across provinces. The strength and in some cases also the direction of such associations vary spatially, suggesting that the determinants of low fertility change across space. Finally, the associations between fertility and its correlates change over time. Copyright © 2015 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Sex preference, and its association with fertility, has been frequently, if not exclusively, studied for transitional and post-transitional populations. Many studies have concerned Asian countries, where patriarchal families and gender discrimination were common cultural traits favouring preference for sons. Conversely, little attention has been paid to pretransitional populations, where it was believed that couples' sex preferences were met because of their larger average completed family size. However, the pretransitional Italian sharecropping society shares the same cultural features as some contemporary Asian societies, such as patriarchal families, strong gender inequality, and a rigid gender division of work within the household that led to sons being valued over daughters. This article investigates the relationship between sex composition of surviving children and fertility in a sharecropping population of mid-nineteenth-century Tuscany. The analysis is based on the longitudinal reproductive life-histories of the women living in Casalguidi between 1819 and 1859. [ABSTRACT FROM AUTHOR]

summary The paper investigates the relationship between fertility and women's education in Italy, using data from the 2009 Household Multipurpose Survey of Family and Social Subjects. We use event history models, adopting a Bayesian approach for inference to study the association between fertility and women's education in the presence of a time varying unobserved component. Our analysis shows that either disregarding the unobserved component or assuming a time constant unobserved heterogeneity can lead to misleading results, at least in the context studied. [ABSTRACT FROM AUTHOR]

Hoem and Mureşan (2011a) have recently shown that the most widely used macro-level indicator of fertility, the total fertility rate (TFR), can be reconciled with fertility estimates that derive from applications of event history analysis (EHA) to micro-data. The purpose of this paper is to extend their ideas and show that they can be usefully applied to short panels, i.e. when the same people are interviewed in two or more successive rounds over a very limited number of years. This method can also be applied to data collected for general purposes and not strictly for demographic research, including data of an economic nature (employment, income, geographic or professional mobility, etc.). Despite the absence of questions on fertility, group-specific fertility estimates can be obtained that are not otherwise available (e.g. fertility by income level before the birth of the child), which are not biased by memory or selection of respondents and can be made consistent with the TFR observed in that period for the entire population. An application to Italian EU-SILC data in the years 2004-2007 highlights the advantages and the limitations of the method. [ABSTRACT FROM AUTHOR]

We investigate the impact of delaying the first birth on Italian mothers' labor market outcomes around childbirth. The effect of postponing motherhood is identified using biological fertility shocks; namely, the occurrence of miscarriages and stillbirths. Focusing on mothers' behavior around the first birth, our study is able to isolate the effect of motherhood postponement from that of total fertility. Our estimates suggest that delaying the first birth by 1 year raises the likelihood of participating in the labor market by 1.2 % points and weekly working time by about half an hour, while we do not find any evidence that late motherhood prevents worsening of new mothers' job conditions (the so-called 'mommy track'). Our findings are robust to a number of sensitivity checks, among which are controls for partners' characteristics and a proxy for maternal health status. [ABSTRACT FROM AUTHOR]

The present study addresses the issue of economic insecurity and its relationship with the reproductive plans of 5,358 Italian women in couples who have recently had their first child. Data were sourced from the ISTAT Sample Survey on Births, 2005 edition. This article's originality lies in the conceptualization of economic insecurity and the investigation of its effects on fertility intentions. We propose to capture economic insecurity by considering both the insecurity associated to the two partners' employment status and a variety of aspects that contribute to the household's ability to cope with possible unpredictable future events. Then, we investigate whether and how economic insecurity shapes the fertility intentions of women over their entire reproductive life span. With specific respect to women who intend to have one additional child only, we also observe the effect of economic insecurity on their intention to give birth sooner (i.e., within the next 3 years) or later. Our data show the existence of a critical factor in the passage from the generic fertility intentions to the contingent plan to have a child in the next 3 years: only half of women with one child who intend to follow the two-child family model feel ready to plan to have a second child in the next 3 years. The study also reinforces an argument that is frequently made: fertility intentions over the entire lifetime are less conditioned upon contingent constraints, and are often more closely related to individual traits and/or preferences. [ABSTRACT FROM AUTHOR]

In this paper, we contribute to the analysis of fertility differentials between female migrants and the native-born by examining the transition to first child using event history analysis. We use event history as a quantitative translation of the life-course approach. The data examined are the Italian Families and Social Subjects (FSS) survey, conducted in 2003, and the Russian Parents and Children, Men and Women in Family and Society survey, conducted in 2004. We examine the data sets separately and contrast the results. The objective of the study is twofold. First, we seek to determine whether differences exist in the decision and timing of childbearing between native and immigrant women in Italy and in Russia. Second, we aim to compare the experiences of immigrants in the two countries, to determine whether there may be any commonalities inherent to the immigrant populations despite moving into widely different contexts. Our results suggest that the age profiles and marital status similarly affect the immigrant regardless of whether she is migrating to Russia or to Italy. In Italy, educational attainment is positively correlated with first-birth intensities for immigrants - the opposite of what is observed for the native-born. In Russia, education is not a significant determinant for immigrants. This leads us to the following conclusion: the similarity in the risk profiles of our immigrants into vastly different country contexts is more suggestive of immigrants following a distinct life course, with common risk profiles for bearing their first child, than assimilating or conforming to the native fertility patterns. Social capital in particular may play a different role in determining fertility patterns for immigrants, as it does for the native-born. [ABSTRACT FROM AUTHOR]

Using data from the Eurostat Database and European Value Surveys we assess if recent fertility trends in Europe are associated with a change in values. A special emphasis is given to Spain and Italy that, together with the other Southern European countries, are often seen as a homogeneous group sharing the same 'traditional' values and demographic behaviours --as opposed to Scandinavian countries which are seen as progressive. We show that Italy and Spain are not that similar in terms of values. We also show that similarities at the country level with respect to TFR hide considerable variation at the regional level. We argue that an analysis at the regional level, as carried out here, is crucial to better understand changes in fertility levels. Our analyses provide evidence that recent fertility trends are associated with value dynamics, namely that the highest increases in TFR happened in regions where both individualism with respect to relationships and individual autonomy grew at the same time that individualism with respect to children diminished. We also provide empirical evidence in support of McDonald's theory that both gender equity in market-oriented and family-oriented institutions is necessary for fertility to rise. [ABSTRACT FROM AUTHOR]

Selected highlights from the 14th International Congress on Twin Studies, set in Florence, Italy in April 2012, are presented. This meeting, which traditionally occurred every three years, is now being held every two years. Reviews of research on the topics of stress and aging (telomere erosion), the genetics of MZ twinning, developmental dysplasia, and fertility of mothers of twins follow. The final section includes several public interest items, namely an exhibit of twins' video portraits, unusual physical look-alikes, and young and adult twin television and film actors. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Population is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article contains the initial results of a larger research project that adopts a micro-data perspective to re-examine the fertility transition in Italy. The present study considers the communities of San Donnino and San Nicolò di Villola, two rural parishes situated in the northeastern suburban hinterland of Bologna. Its purpose is to confirm the theory that, even in the pretransitional era, reproductive behavior was significantly shaped by the specific features of the domestic economy and the family situation. In this context, the rural hinterland of Bologna offers an illuminating socioeconomic profile, since it was characterized by the typical Italian sharecropping economy based on large-scale families. Previous studies about the influence of kin on fertility in pre- and posttransitional periods and the peculiarly high fertility level of sharecropping families indicate that a newborn represented an asset to sharecroppers, since children often performed light agricultural tasks. The younger and older women living in large and complex sharecropping families could offer immediate child-care support, reducing the opportunity cost of a birth to the child's parents. In addition to further examining the importance of family context for reproductive outcomes, this study also tests whether the socioeconomic transformations of the late nineteenth century determined family characteristics and thus--according to our expectations--reproductive behavior. Because an aggregative approach is inadequate to the assessment of specific mechanisms of reproductive behavior, we adopt a micro-analytic methodology, drawing on data that combine information from parish registers and Status Animarum. The process of longitudinal reconstruction engaged herein goes beyond traditional family reconstitution, not only taking into account the sequence of events in individual life histories and the female population at risk of childbirth but also identifying household structure and socioeconomic status at the time of each child's birth. The results invite comparison to the findings from another study of reproductive behavior in two central Italian villages, Madregolo in Tuscany and Casalguidi near Parma. These two communities were analyzed with the same sources, longitudinal approach, and discrete event-history model as the two parishes examined herein. [ABSTRACT FROM AUTHOR]

BACKGROUND Previous studies show that migration and fertility may be strongly connected and that the migration history and duration of stay should be included in the analysis of reproductive behavior of foreign women. OBJECTIVE This study investigates the risk of having a first child in Italy for Albanian, Moroccan, and Romanian women, currently the three largest groups of immigrants to Italy. METHODS By implementing record linkage procedures, we were able to use a longitudinal approach on Italian cross-sectional administrative data on births and international migration. Following the 2003 cohort of immigrants, we estimated the hazard ratio of having a first birth in Italy in the period 2003-2006 using the piecewise-exponential model. RESULTS Strong differences by citizenship in the fertility pattern remain even when we control for migratory and demographic factors. At the same time, there is a clear pattern in the timing of motherhood for the different types of migration. CONCLUSIONS Different citizenships also have different timings of reproduction when the migratory model is taken into account. The high risk for family reasons in the short period is obviously related to the hypothesis of interrelated events, whereas women who come for work reasons need more time to adjust and to decide to have children in the host country. COMMENTS This study in line with the international literature confirms that, besides the strong arrival effect for the new immigration cohorts on the risk of having a birth in Italy, there is a strong interrelation between the migration and family behavior. [ABSTRACT FROM AUTHOR]

At the turn of the twentieth century Italy registered a lowest-low fertility level, i.e., a total fertility rate of 1.26 children per woman in 2000. In this paper we investigate whether and how in that period economic resources and, in particular, income and job stability were linked with couples' decisions to enter parenthood. With this aim, we use data from ECHP and carry out a longitudinal analysis on a sample of childless married couples to study the transition to their first child. Results show that the couples' employment arrangement played some role in first child rates, with the single earner arrangement experiencing the highest first birth rates. We also find that employed women with labour income have much lower first birth rates than non-working women, while no evidence is found for male earnings and other sources of income. As concerns job instability, we find evidence that it was not significantly linked with the transition to first time parenthood during the investigated period. [ABSTRACT FROM AUTHOR]

Meggiolaro S. Do neighbourhoods have an influence on reproductive intentions? Empirical evidence from Milan, Regional Studies. This paper aims at studying the contextual effect on reproductive intentions with an innovative approach. It considers women and the groups to which they belong 'close up', using data in very great territorial detail with reference to an Italian metropolitan area: Milan. This allows context to be described in an in-depth and original way, thus allowing an examination to be made of the mechanism underlying the formation of fertility intentions. Results suggest that besides the importance of individual factors and preferences, reproductive choices are also influenced by some characteristics of the places in which individuals live. [image omitted] Meggiolaro S. Les voisinages, influencent-ils les intentions de reproduire? Des preuves empiriques provenant de Milan, Regional Studies. Employant une facon innovatrice, cet article cherche a etudier l'impact du milieu sur les intentions de reproduire. A partir des donnees regionales tres detaillees sur une zone metropolitaine, a savoir Milan, on considere 'en gros plan' les femmes et les groupes auxquels elles appartiennent, Cela permet la presentation du mileu d'une facon approfondie et originale, facilitant un examen du mecanisme qui etaye l'etablissement des intentions de reproduire. Les resultats laissent voir que le choix de reproduire est influence aussi par certains caracteristiques du milieu ou habitent l'individu, a part l'importance des facteurs et des preferences particuliers. Intentions de reproduire Impact du milieu Donnees sous-municipales Milan Meggiolaro S. Wirkt sich die Nachbarschaft auf die reproduktiven Absichten aus? Empirische Belege aus Mailand, Regional Studies. In diesem Beitrag wird der Kontexteffekt auf reproduktive Absichten mit Hilfe eines innovativen Ansatzes untersucht. In einer 'Nahaufnahme' untersuchen wir Frauen und die Gruppen, zu denen sie gehoren, wofur ausserst detaillierte territoriale Daten des italienischen Metropolitangebiets Mailand zum Einsatz kommen. Auf diese Weise lasst sich der Kontext auf ausfuhrliche und originelle Weise beschreiben, was wiederum eine Untersuchung der Mechanismen ermoglicht, die der Bildung von reproduktiven Absichten zugrundeliegen. Aus den Ergebnissen geht hervor, dass die Reproduktionsentscheidungen nicht nur von individuellen Faktoren und Vorlieben abhangen, sondern auch von einigen Merkmalen der Orte, an denen die Personen wohnen. Reproduktive Absichten Kontexteffekte Details unterhalb der Gemeindeebene Mailand Meggiolaro S. ¿Influyen los vecindarios en las intenciones reproductivas? Evidencia empirica de Milan, Regional Studies. La finalidad de este articulo es estudiar el efecto contextual en las intenciones reproductivas con un enfoque innovador. Analizamos en primer plano a las mujeres y los grupos a los que pertenecen usando datos con gran detalle territorial con referencia a un area metropolitana de Italia: Milan. De esta manera podemos describir un contexto de un modo profundo y original, lo que nos permite hacer un analisis de los mecanismos subyacentes en la formacion de las intenciones de fertilidad. Los resultados indican que ademas de la importancia de factores y preferencias individuales, las decisiones reproductivas tambien estan influenciadas por algunas caracteristicas de los lugares en los que viven las personas. Intenciones reproductivas Efectos contextuales Datos submunicipales Milano [ABSTRACT FROM AUTHOR]

Tondo L, Lepri B, Baldessarini RJ. Reproduction among 1975 Sardinian women and men diagnosed with major mood disorders. Disability varies in patients with major affective disorders [type I and II bipolar disorders (BPD) and recurrent unipolar major depressive disorder (UP-MDD)]. It may include reproductive functioning, which has rarely been studied systematically. We compared information acquired over several years pertaining to marital/reproductive status among 1975 systematically evaluated, treated, and followed women ( n = 1351) and men ( n = 624) diagnosed with DSM-IV type I ( n = 300) or II BPD ( n = 223), or MDD ( n = 1452). We compared factors between patients with vs. without children and associated with fertility rate (children/fertile years × 100), using standard bivariate methods followed by multivariate modeling. Childless patients were younger at illness onset, more likely men, diagnosed with type I BPD, more educated, and unmarried, but similar in many aspects of clinical history to those with children. Fertility rate ranked: BP-I < BP-II ≤ MDD, and men < women. Mood-disorder patients had 17% fewer children/person than in the comparable general population of Sardinia. Among mood-disorder patients, fertility appeared to decline in Sardinia in recent decades, more in men than women. Type I BPD was associated with lower fertility than BP-II or UP-MDD, consistent with their relatively high levels of other disabilities. [ABSTRACT FROM AUTHOR]

Copyright of Population (00324663) is the property of Institut National d'Etudes Demographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Population (00324663) is the property of Institut National d'Etudes Demographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe an innovative method to preserve fertility in young women with stage IA endometrial cancer with use of hysteroscopic resection followed by administration of 160 mg of megestrol acetate. Design: Prospective study. Setting: Division of Gynecologic Oncology, Catholic University of the Sacred Heart, and the Endoscopic Gynecologic Unit, Nuova Villa Claudia, Rome, Italy. Patient(s): Six young patients with stage IA endometrial cancer. Intervention(s): Conservative resectoscopic treatment using a three-step technique in which each step is characterized by a pathologic analysis: the removal of the tumor (step 1), the removal of the endometrium adjacent to the tumor (step 2), and the removal of the myometrium underlying the tumor (step 3). Main Outcome Measure(s): Therapy of stage IA endometrial cancer and pregnancy. Result(s): The conservative surgery was effective because results of transvaginal ultrasound examination and diagnostic hysteroscopy with target biopsies at 3, 6, 9, and 12 months after surgery were negative for atypia or malignancy. Moreover, four out of six patients (66%) achieved childbearing. Conclusion(s): This method, under a close postsurgical follow-up, might represent a novel therapeutic option for those women with stage IA endometrial cancer who wish to preserve fertility. [Copyright &y& Elsevier]

Stelvio, Martello and Curon, three villages of the Venosta Valley, South Tyrol (Italy), were recently included in a large genetic survey because of their isolation. This study focuses on the long-term reproductive behaviour of these villages. Family size, age at marriage and marital fertility were estimated based on a genealogy going back in the 17th century. Marriage behaviour was characterized by an elevated age at marriage and a large proportion of adults never getting married. Marital fertility was among the highest worldwide, because couples tried to use the short time at their disposal to have the largest possible number of children. Together with the already known null population expansion and high geographic endogamy rates, the reduced number of siblings who had the opportunity to get married could have favoured an increased genetic homogeneity. [ABSTRACT FROM AUTHOR]

The own-children method (OCM) applied to the Italian Labour Force Survey (ILFS) is an alternative way to give information on fertility for the years before the survey. By deriving children information and the population at risk on the basis of parents’ characteristics, a large-scale dataset for fertility analysis in Italy becomes available, also to reconstruct event histories. The quality assessment provided by comparing the total fertility rate (TFR) calculated on ILFS with the official regional and national TFRs by ISTAT gives us usable outcomes. [ABSTRACT FROM AUTHOR]

The aim of the study was to describe the recent trends in antiretroviral treatment in late pregnancy and the sociodemographic changes among pregnant women with HIV over the last 6 years. Data from the National Program on Surveillance on Antiretroviral Treatment in Pregnancy in Italy were grouped per calendar year, and changes in antiretroviral treatment, population characteristics, maternal immunovirologic status and newborn clinical parameters were analyzed. A total of 981 HIV-infected mothers who delivered between 2002 and 2008 were evaluated. The proportion of women receiving at least three antiretroviral drugs at delivery increased significantly from 63.0% in 2002 to 95.5% in 2007–2008, paralleled by a similar upward trend in the proportion of women who achieved complete viral suppression at third trimester (from 37.3 in 2002 to 80.9 in 2007–2008; p < 0.001). The co-formulation of zidovudine plus lamivudine remained the most common nucleoside backbone in pregnancy, even if a significant increase in the use of tenofovir plus emtricitabine was observed in more recent years. Starting from 2003, nevirapine prescription declined, paralleled by a significant rise in the use of protease inhibitors (PI), which were present in more than 60% of regimens administered in 2007–2008. Nelfinavir was progressively replaced by ritonavir-boosted PIs, mainly lopinavir. No significant changes in preterm delivery, Apgar score, birth weight, and birth defects were observed during the study period, and the rate of HIV transmission remained below 2%. These data demonstrate a significant evolution in the treatment of HIV in pregnancy. Constant improvements in the rates of HIV suppression were observed, probably driven by the adoption of stronger and more effective regimens and by the increasing options available for combination treatment. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Population is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of European Journal of Population is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Gender equity and its effects on fertility vary across socio-political contexts, particularly when comparing less with more developed economies. But do subtle differences in equity within more similar contexts matter as well? Here we compare Italy and Spain, two countries with low fertility levels and institutional reliance on kinship and family, but with employment equity among women during the 1990s slightly greater in Italy than Spain. The European Community Household Panel is used to explore the effect of this difference in gender equity on the likelihood of married couples having a second birth during this time period. Women's hours of employment reduce the birth likelihood in both countries, but non-maternal sources of care offset this effect to different degrees. In Spain, private childcare significantly increases birth likelihood, whereas in Italy, father's greater childcare share increases the likelihood, particularly among employed women. These results suggest that increases in women's employment equity increase not only the degree of equitywithin the home, but also the beneficial effects of equity on fertility. These equity effects help to offset the negative relationship historically found between female employment and fertility. [ABSTRACT FROM AUTHOR]

Abstract: An increasing number of observations suggestive for a causal link between pesticide exposure and reproductive dysfunctions have appeared in literature during recent years. The present epidemiological analysis was undertaken to evaluate whether living in rural areas, where large amounts of pesticides are applied, represents a risk factor for infertility. Fertility rate (FR) was taken as statistical indicator for potential changes in fertility mediated by pesticides. The study analyzed a large population from an agricultural area of the North Eastern Italy, the Veneto Region. According to the estimated quantities of sprayed pesticides, the area was divided in three sub-areas with expected low, intermediate and high pesticide exposure. Comparisons of FR failed to detect significant differences among populations from the three selected areas, while regression analysis showed a significant decrease of FR relative to the total amount of pesticides used. Although several investigative shortcomings prevent the results from being conclusive, this study seemingly challenges the hypothesis that living in rural areas where large amounts of pesticides are applied represents a risk factor for fertility. [Copyright &y& Elsevier]

The article focuses on the combination of two important processes regarding the demographic structure of Italian contemporary population: low fertility rates and growing immigration. In particular, it discusses the Dalla Zuanna hypothesis of «population replacement», considering, in the first place, Istat data on fertility of Italian and immigrant women and, secondarily, proposing a critical review of studies and theories on immigration and fertility. The article thus aims at examining the international debate on this specific issue and suggesting a possible research agenda. [ABSTRACT FROM AUTHOR]

Considering its very low fertility and high age at childbearing, Italy stands alone in the European context and can hardly be compared with other countries, even those in the Southern region. The fertility decline occurred without any radical change in family formation. Individuals still choose (religious) marriage for leaving their parental home and rates of marital dissolution and subsequent step-family formation are low. Marriage is being postponed and fewer people marry. The behaviours of young people are particularly alarming. There is a delay in all life cycle stages: end of education, entry into the labour market, exit from the parental family, entry into union, and managing an independent household. Changes in family formation and childbearing are constrained and slowed down by a substantial delay (or even failure) with which the institutional and cultural framework has adapted to changes in economic and social conditions, in particular to the growth of the service sector, the increase in female employment and the female level of education. In a Catholic country that has been led for almost half a century by a political party with a Catholic ideology, the paucity of attention to childhood and youth seems incomprehensible. Social policies focus on marriage-based families already formed and on the phases of life related to pregnancy, delivery, and the first months of a newborn's life, while forming a family and childbearing choices are considered private affairs and neglected. [ABSTRACT FROM AUTHOR]

In this paper we investigate the relationship between fertility decisions and union dissolution in Italy and Spain. We ask whether these processes affect each other directly and whether they are simultaneously influenced by the same unobserved characteristics. The analysis is based on the 1996 Fertility and Family Survey for Italy and Spain. Results show that the direct effect between processes is significant in both countries: as expected, childbearing decreases the risk of union dissolution, and union dissolution decreases the risk of further childbearing. Individual unobserved characteristics simultaneously shape both processes in Italy, where individuals who have a higher risk of having children also have a lower risk of dissolving their union (and vice versa). In contrast, this result does not hold in Spain. [ABSTRACT FROM AUTHOR]

Copyright of Migraciones is the property of Universidad Pontificia Comillas, Instituto Universitario de Estudios sobre Migraciones and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article focuses on the evaluation of the Andrology Center at the University of Catania in Italy. The center has become a component of the Andrology and Reproductive Endocrinology Unit (AREU), developed to give an essential and complete work-up to patients with andrological diseases and infertility by a team collaborating with gynecologists and urologists. The European Academy of Andrology recommended that the center should be extended for 4 years.

Copyright of Population (00324663) is the property of Institut National d'Etudes Demographiques and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Many scholars have expressed alarm at the low fertility and sustained immigration that have characterized Italy in the last decade (1.3 children per woman and an increase of more than 200,000 immigrants per year). This article takes a different approach, showing how low fertility and strong migratory balances (involving migration both between Italian regions and from abroad) have enhanced the formation of human capital, facilitating family strategies of upward social mobility, the construction of a more balanced labor market, increases in income and a decline in the graying of the population. The combination of low fertility and sustained immigration, therefore, has been and still is a fundamental resource for development of the population and of Italian society, especially in central and northern Italy. The article also discusses modifications in family and immigration policies suggested by these findings. [ABSTRACT FROM AUTHOR]

With the collaboration of Italian centres providing services on natural family planning, a prospective study collected data on 2755 menstrual cycles of 193 women. A database was constructed using information on the daily characteristics of cervical mucus and episodes of intercourse. Taking the day of peak mucus as a conventional marker of ovulation, the database identified the length (12 days) and location of a 'window' of potential fertility, the highest level of conception probability being confined to the central five to six days. Univariate analysis provided evidence of the impact on fecundability of the woman's age and the basic infertile pattern of a cycle. Several analytical approaches highlighted the relationship between daily mucus characteristics and levels of fecundability [ABSTRACT FROM AUTHOR]

During the last two decades of the twentieth century, Italy, Greece, Spain, Portugal, and Japan were characterized by very low fertility levels and limited diffusion of the pill, IUD and sterilization for contraceptive purposes. This paradox is discussed for Italy by revisiting the history of contraception and reproduction during the second half of the twentieth century, and by using new data for the end of that century and the early twenty-first century. The main results are: (1) it has been possible to maintain low rates of planned and unplanned fertility without resorting to more effective contraceptive methods thanks to a careful use of coitus interruptus; (2) the pace of diffusion of the pill and IUD was so slow because of the opposition to contraception of the Catholic Church, a gender system emphasizing traditional male and female roles, and a medical culture that made physicians reluctant to prescribe the pill for their patients; and (3) the contraceptive patterns of Italian women born after 1960 are more similar to those of their Western counterparts, although new peculiarities appear, for example, substantial reliance on the condom by people living as couples as well as sexually active singles. [ABSTRACT FROM AUTHOR]

Cyclic seasonal variation of genotype-specific fertility could interact with endemic diseases characterized by seasonal variation of severity resulting in changes of gene frequencies in the course of generations. Assuming that a given allele A has a frequency pw in infants conceived in the cold season and a frequency of ps in those conceived in the warm season and assuming that general fertility is the same in the two seasonal periods, the gene frequency in the population is pm = (pw + ps)/2; this frequency remains constant over the course of generations. The introduction of an endemic disease bearing negatively on general fertility and characterized by a seasonal pattern of severity could result in variations of the A allele frequency. If the maximum of endemicity coincides with the maximum value of the allele A frequency, the frequency of allele A will progressively decrease. A simple mathematical algorithm has been applied to two polymorphic enzymes (ACP1 and G6PD) correlated with past malarial morbidity in Sardinia and the Po River delta. The two systems show differences in gene frequency in relation to season of conception. The theoretical changes fit quite well with the data observed in Sardinian and Po delta populations, thus suggesting a mechanism that is an alternative to or concurrent with the classical mechanism that assumes a direct connection between the genetic systems and the biology of the malarial parasite. [ABSTRACT FROM AUTHOR]