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Author: Karasek, Deborah
Resulting in 2 citations.
1. Karasek, Deborah
Reproductive Decision-making under Uncertainty: Exploring the Relationship of Economic Preferences and Reproductive Health
Ph.D. Dissertation, Department of Epidemiology, University of California, Berkeley, 2017.
Also: https://escholarship.org/uc/item/4t84067t
Cohort(s): NLSY97
Publisher: University of California - Berkeley
Keyword(s): Contraception; Pregnancy and Pregnancy Outcomes; Risk-Taking; Sexual Behavior

Permission to reprint the abstract has not been received from the publisher.

Drawing on behavioral economics, this dissertation expands understanding of uncertainty and reproductive health decision-making in several steps. My three papers examine if there are general decision-making constructs, including risk-taking propensity and degree of present bias that may extend beyond financial decisions to health behavior and ultimately reproductive health outcomes. In the first paper, I review the state of the literature on temporal and risk preferences and sexual and reproductive health. Next, I examine how risk preferences are related to sexual behavior and contraceptive use in the National Longitudinal of Youth (NLSY97). Finally, I examine the relationship between national economic uncertainty and pregnancy intentions and outcomes in the National Survey of Family Growth (NSFG). This work draws on economics, psychology, and social epidemiology.
Bibliography Citation
Karasek, Deborah. Reproductive Decision-making under Uncertainty: Exploring the Relationship of Economic Preferences and Reproductive Health. Ph.D. Dissertation, Department of Epidemiology, University of California, Berkeley, 2017..
2. Karasek, Deborah
Reproductive Decision-Making Under Uncertainty: How Economic Preferences Shape Reproductive Behavior
Presented: Chicago IL, Population Association of America Annual Meeting, April 2017
Cohort(s): NLSY79
Publisher: Population Association of America
Keyword(s): Contraception; Fertility; Pregnancy and Pregnancy Outcomes; Risk-Taking

Permission to reprint the abstract has not been received from the publisher.

Measures of risk aversion and temporal discounting have long been included in population surveys to examine economic behavior. Little research has examined how these preferences affect decision-making surrounding fertility intention, contraceptive behavior and unintended pregnancy, an area where intention-behavior inconsistencies are widely acknowledged. I test if individual risk tolerance and temporal discounting are associated with contraceptive use and fertility intention, using data from the National Longitudinal Survey of Youth (NLSY). Preliminary results indicate that women who are most risk tolerant are more likely to report using abstinence and low efficacy methods, but also slightly more likely to report the highest efficacy methods. The most risk averse women appear least likely to experience an unwanted pregnancy. Results of this work will inform a conceptual model for how risk perception and time preferences affect reproductive health behaviors and outcomes, and how this pathway may be modified by different social contexts.
Bibliography Citation
Karasek, Deborah. "Reproductive Decision-Making Under Uncertainty: How Economic Preferences Shape Reproductive Behavior." Presented: Chicago IL, Population Association of America Annual Meeting, April 2017.