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Life course perspectives on women's autonomy and health outcomes

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Gupta, Monica Das

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Health Transition Centre, National Centre for Epidemiology and Population Health, The Australian National University

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This paper examines how different patterns of kinship and inheritance affect intergenerational relationships and the ramifications of gender inequality. Peasant societies of pre-industrial Northern Europe are contrasted with those of contemporary South Asia to illuminate some of these relationships. While Northern European kinship and inheritance systems made for high status in youth and a loss of power and status as people aged, South Asian systems make for lower power and status in youth and a rise as people age. From this follow more conflict-ridden relationships between the generations and a stronger conjugal bond in Northern Europe, while in South Asia intergenerational ties are strong and the conjugal bond is weak. This in turn leads to a greater potential for marginalizing women in South Asia, although gender inequality exists in both settings. The convergence of low autonomy due to youth as well as sex amongst young married women in South Asia means that women are at the lowest point in their life cycle in terms of autonomy during their peak childbearing years. As shown in this paper, this has considerable implications for demographic and health outcomes: in terms of poorer child survival, slower fertility decline, and poorer reproductive health.

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