In this study, I aim to understand general knowledge of menstruation and reproductive health among women who live and work in Dakar, Senegal. While there is an established nationalized sex education curriculum and robust HIV prevention campaigns, there is nonetheless an unmet need for sexual health education in Senegal and limited access to family planning services in low-income communities. I examine data obtained from surveys conducted with participants selected using convenience sampling in five different neighborhoods in Dakar, as well as ethnographic observations during the four month period of study. Qualitative and quantitative analyses address women's comforts levels during menstruation, barriers to access of high quality menstrual care products, familiarity with different kinds of contraceptive methods, and information on where women receive information regarding puberty, sex, and menstruation. Results show that most participants seek out family members, female friends and other respected members in the community for reproductive development information. National programs and international organizations sponsor youth to become community educators, who offer an informal and more accessible method of education. Earlier research shows that informal methods of education can be extremely effective ; in the setting of Dakar, young health educators are also creating inclusive and safe spaces for meaningful discussions about sexuality to be held, combating the negative effects of the traditional patriarchal and conservative culture. Relationships with one's community are extremely important, and can be an invaluable resource in transmitting sexual and reproductive health information to women. Improved understanding of reproductive health among women in Senegal can encourage them to make informed decisions about family planning.

With aggregate background knowledge and best methodology practices from the literature review, this exploratory study seeks to further gather and advance knowledge on the subject of birthrate trends with respect to the economic conditions affecting the decisions to reproduce. The scope of the study particularly investigates the possible effects of the 2008 downturn of the economy and the concurring home mortgage crisis on birthrates in Arizona.

The beginning of the large Baby Boomer cohort's retirement, coupled with the increased divorce rate among older adults, means that there will be more single older adults than ever before beginning to consider living arrangements and long-term care needs as they age. Using a cumulative (dis)advantage framework and logistic regression, this research examines whether marital disruption and social support at Wave 1 increase the odds of having a specific chronic disease at Wave 2, diabetes, heart failure, and hypertension. The sample consists of 2,261 adults age 57-85 who participated in the first two waves of the National Social Life, Health, and Aging Project (NSHAP). Being female and having more positive social support reduced the odds of having diabetes at Wave 2. Being older at Wave 1 increased the odds of having congestive heart failure at Wave 2. Being black and having a happy family life in childhood increased the odds of having hypertension at Wave 2. Suggestions for increasing positive social support are discussed, along with implications for long-term care and health education.

The objective of this dissertation is to investigate the association of mother's autonomy and male labor migration with child's health and education, taking into account possible differences by child's gender. The dissertation uses data from a household longitudinal survey conducted in rural southern Mozambique in 2006, 2009 and 2011 to address three main questions: 1) Is decision-making autonomy associated with child's schooling and child mortality? 2) Is father's labor migration associated with children's health outcomes? 3) If so, do these relationships change by gender of the child? The dissertation makes three main contributions to the literature. First, it finds a significant effect of mother's decision-making autonomy on child's outcomes, independent of other characteristics related to women's status. Second, it illustrates the cumulative nature of the effect of father's labor migration on the health of children left behind. And finally, the dissertation shows that women's decision-making autonomy and male migration affect children's outcomes differently depending on the gender of the child and on the outcome being analyzed. The dissertation is structured in five chapters. The first chapter gives an introductory overview of women's autonomy and male migration as determinants of children's outcomes, and presents the setting. The second chapter examines the relationship between mother's decision-making autonomy and enrollment for primary school-age children. Results show a positive association of women's decision-making autonomy with the probability of being enrolled for daughters, but not for sons. The effect of women's decision-making autonomy is net of other characteristics associated with autonomy. The third chapter analyzes the association of mother's decision-making autonomy and under-five child mortality. Results show a positive effect women's decision-making autonomy for sons' survival chances. The fourth chapter examines the effect of father's labor migration on health of children left behind. Results indicate that a proportion of child's life spent away by the father has a negative effect on the child's chances of being stunted but that it also decreases the likelihood of the child receiving age-adequate immunization. These results are gendered as the effect of father's migration on both outcomes is significant only for daughters. Chapter five presents the concluding remarks.

This thesis builds upon previous research exploring the different factors that influence divorce access attitudes, using data drawn from the General Social Survey in 1991, 1994, and 2008. I examine different social values and economic characteristics and their influence on divorce access attitudes, and explore gender differences within these factors. I examine how information drawn from this analysis supports the argument for Second Demographic Transition Theory as a theoretical framework to explain influential factors in the formation of divorce access attitudes. I conclude that social values variables related to attitudes towards sex behaviors remain significant predictors of divorce access attitudes. I also recognize that socioeconomic context bears influence on the formation of divorce access attitudes. Gender differences lead to the conclusion that behavior and interactions around divorce access attitude formation are dynamic and complex, but are effectively explained using Second Demographic Transition Theory.

Health-seeking behaviors are influenced by multiple factors including an assessment of the symptoms, what degree of personal commitment is involved in treatment, and what, if any, alternative methods of treatment are available. In the case of infertility, seeking treatment is likely to occur after the inability to get pregnant or carry a pregnancy to term persists for longer then a year or more. This is after prolonged exposure to the risk of pregnancy fails to provide a successful pregnancy, and the desire for children remains. Most research on health-seeking behaviors for infertility focus on the nulliparous woman who is at risk of primary infertility. This research furthers this examination by comparing the rates of health-seeking behaviors for women at risk of primary infertility to women at risk of secondary infertility. A woman at risk of primary infertility is identified as nulliparous in that she has never been pregnant, or has never had a pregnancy end in live birth. A woman at risk of secondary infertility is identified as parous and has already had one pregnancy end in live birth. Using three pathways that include social factors, biological mechanisms, and contextual effects, I hypothesize that the rates of health-seeking behaviors will vary by infertility risk and that women at risk of primary infertility will have higher rates of health-seeking behaviors for infertility. These hypotheses are based on the Behavioral Model of Health Services Utilization and the Health Belief Model that states health-seeking behaviors are influenced by the presence of enabling and predisposing factors, combined with internal and external cues. Findings from this dissertation suggest that the rates of health-seeking behaviors do indeed vary by infertility risk.

The AIDS epidemic has tremendously impacted the population of Mozambique. The rate of newly infected young women continues to grow disproportionately which is why consideration of health interventions specific to this population to combat the spread of the disease is critical. The Health Belief Model emphasizes the importance of self efficiency in the process of health related behavioral changes. Previous research has found that low levels of autonomy increase one's risk of contracting HIV/AIDS. This research uses data from a study conducted in 2006 in Mozambique to test whether higher levels of autonomy are associated with the practice of self protective behaviors related to the contraction of HIV/AIDS. Results suggest that some measures of autonomy such as education are positively associated with the practice of self protective behaviors. However, higher levels of decision making powers were negatively associated with the practice of self protective behaviors.

This dissertation examines associations between religious affiliation, religious community context and health of women and their children in Mozambique focusing on the following issues: (1) attending prenatal consultations and delivering children in a health facility; (2) women's symptoms of STDs; and (3) under-five mortality. Estimation of random intercept Poisson regression for the outcome about attending prenatal consultations demonstrated a favorable effect of affiliation to Catholic or Mainline Protestant and Apostolic religious groups. The concentration of Zionist churches in the community had a negative influence. Random intercept logistic regression was used to estimate the relationship between religion and institutional child delivery. Affiliation to Catholic or Mainline Protestant denominations as well as concentration of Catholic or Mainline Protestant churches in the community had some beneficial effect on giving birth in health clinics. The presence of Zionist churches in the community had some negative effect and that of other groups no significant influence. Random intercept logistic regression was also employed for investigating the influence of religion on women's symptoms of STDs. Belonging to the Catholic or Mainline Protestant church had some protective effect on reporting symptoms of STDs. There was no effect of religious context, except that the concentration of Other Pentecostal churches had a positive effect on reporting symptoms of SDTs. Event-history analysis was conducted for examining relationships between maternal religious affiliation with under-five mortality. Affiliation to Catholic or Mainline Protestant churches and to Apostolic denominations increased the odds of child survival, although, the influence of having a mother belonging to Catholic or Mainline Protestant churches lost statistical significance after accounting particularly for the average level of education in the community, for the period of 5 years preceding the survey date. Taken together, the results in this dissertation show some protective effect of religion that varies primarily by denominational group to which women are affiliated. They also indicate that religious community context may have some negative effect on health of women and children. The nature of the effect of religious community context varies with the type of outcome considered and the type of religious mixture in the community.

Welfare recipients must engage in a specified number of hours of work-based activities. Work-based activities include providing childcare for others, enrolling to obtain a GED, participating in job clubs, and working for pay. Welfare recipients may choose to get a GED or participate in job clubs to improve their chances of finding employment. As some states require participation in job clubs to receive welfare benefits, this study examined the likelihood of job club participation by low-income females in states where job club participation is optional, not mandatory. Using data from a sample of 3,642 low-income mothers participating in the Survey of Income and Program Participation (SIPP), I explored the relationship between educational attainment and the probability of attending job club or searches in the past month. Sociodemographic and state-level characteristics were used to control for other factors in logistic regression models. Results show that low-income women with higher educational attainment were more likely to attend a job club. Other significant factors were marital status, metropolitan residence, number of children, number of family members, and state poverty rate. Policy implications suggest that attendees already have the necessary skills to obtain a job and time limits and enrollment caps may hinder the changes of the targeted population.