Karina M Shreffler
Datos Biográficos
| ID | 118700 |
|---|---|
| NOMBRE | Karina M Shreffler |
| NOMBRES | Karina M |
| APELLIDO | Shreffler |
| FIRMA | SHREFFLER K M |
| AFILIACIONES | Oklahoma State University |
| ORCID | 0000-0003-0475-5817 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 48 |
| TOTAL DE CITAS | 271 |
| TOTAL COMO AUTOR | 48 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2008 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 10 |
Quality time in quarantine
Objective This study examined the impact of quality time spent with family in modifying the relationship between various negative home and social consequences of the pandemic and subsequent social and behavioral outcomes. Background Adverse consequences related to economic, health, and social factors were brought about by the COVID‐19 pandemic. In other contexts, family protective factors and resiliency have been found to mitigate similar adverse…
Determining what matters
Maternal morbidity and mortality (MMM) rates in the U.S. are high and increasing, and are disproportionately experienced by understudied, underrepresented, and underreported (U3) populations, especially Black, Indigenous, and/or rural women. Decreasing MMM among U3 women would substantially improve maternal health equity and health outcomes, yet current data limitations inhibit our ability to fully understand the reasons underlying the disparitie…
Adverse childhood experiences, resilience, and cannabis use in early motherhood
The findings suggest that although ACEs are a social determinant of cannabis use in early motherhood, resilience may be protective, particularly among those with low and moderate ACE exposure. However, its protective effect diminishes with higher ACE exposure
Maternal Satisfaction with Perinatal Care and Breastfeeding at 6 Months Postpartum
Positive childbirth experiences increase breastfeeding in the early postpartum period. Using a diverse, clinic-based sample of predominately low-income women (n = 118) recruited at their first prenatal appointment in 2017-2018 and followed through six months postpartum, binary logistic regression analyses were used to examine the association between maternal satisfaction with perinatal care measured two weeks postpartum and breastfeeding at six m…
Evaluating Associations Among Maternal ACEs, Perinatal Depression, and Infant Experiences of Adversity
Supporting Health Equity Through APRN Workforce Development
Graduate nursing programs have an opportunity to support health equity, especially for people who live in rural communities and other health care provider shortage areas. The Advanced Practice Registered Nurse (APRN) bridges access to care gaps across a variety of care settings and populations, but the employment of APRNs is generally skewed toward urban areas. Institutions of higher education are uniquely positioned to address this imbalance. Th…
The Protective Role of Maternal-Fetal Bonding for Postpartum Bonding Following a Nicu Admission
Maternal Adverse Childhood Experiences and Perceived Stress During Pregnancy
Prospective Attitude about the Importance of Planning Pregnancies Is Associated with Retrospective Attitude toward a Specific Pregnancy
Several theories of fertility behavior assume that planning is important to women. Is this a reasonable assumption? To answer this question, the authors used the National Survey of Fertility Barriers. Among women with unsure or positive fertility intentions at wave 1, most (75 percent) agreed with the statement “It is important to plan my pregnancies.” Logistic regression, adjusted for control variables, indicated that fertility intentions are a …
Bearing the Reproductive Load? Unequal Reproductive Careers Among U.S. Women
Immigration Enforcement and Hispanic Youth Substance Use
Changes in Importance of Motherhood Following Pregnancy Loss
Pregnancy loss (i.e., miscarriage, stillbirth) is a relatively common and often traumatic experience. Although prior research has examined mental health consequences of pregnancy loss, to our knowledge, none have examined how the experience of pregnancy loss affects how women perceive or value the importance of motherhood. Using longitudinal data from the National Survey of Fertility Barriers, we applied change-score regression analysis to examin…
Pregnancy intendedness, maternal–fetal bonding, and postnatal maternal–infant bonding
This study models associations between pregnancy intendedness and prenatal maternal–fetal bonding with postnatal maternal–infant bonding. Unintended pregnancies are associated with disruptions in maternal–infant bonding, which has long‐term adverse implications for maternal and child well‐being. Given the high proportion of births that are unintended in the United States, identifying protective factors is critical. Pregnant women (ages 16–38) wer…
Integrating and synthesizing adversity and resilience knowledge and action
This article proposes a model for understanding the effects of adverse childhood experiences (ACEs) as dynamic and interrelated biobehavioral adaptations to early life stress that have predictable consequences on development and health. Drawing upon research from multiple theoretical and methodological approaches, the intergenerational and cumulative adverse and resilient experiences (ICARE) model posits that the negative consequences of ACEs res…
Is Reproductive Orientation Associated with Sexual Satisfaction Among Partnered U.S. Women
Is a dyadic stressor experienced as equally distressing by both partners? The case of perceived fertility problems
Using data from a population survey, this article explores whether perceptions of having a fertility problem among 926 U.S. couples in heterosexual relationships (women aged 25-45 and male partners) are associated with distress. Most couples did not perceive a fertility problem (58%). In almost a third (30%) of the couples, only women perceived a fertility problem; in 4%, only the men; and in nearly a fifth (19%), both perceived a problem. Adjust…
Does Self-Identifying as Having a Health Problem Precede Medical Contact? The Case of Infertility
Studies of medical help-seeking presume that self-identifying as having a health problem precedes medical contact, but this ordering of the identity-behavior relationship has not been systematically examined. We used longitudinal data from the National Survey of Fertility Barriers (2004 to 2010) on 412 women with infertility to document the temporal relationship between self-identifying as having a fertility problem and making medical contact. Th…
Latino Parent-Child English Language Fluency
Latino parents have lower levels of school involvement compared to other ethnic groups, which is often attributed—though not tested—to low English language proficiency. Using a population-based sample of 637 7th grade Latino youth attending an urban school district, we find no significant difference in maternal school involvement when mothers and students are either both fluent in English or both non-fluent. When students are more fluent than the…
Infertility and Self-identification
Nearly one-third to one-half of U.S. women meets the medical criteria for infertility at some point in their reproductive lives. Yet many do not view lack of conception as problematic. Why might some women self-identify as having a fertility problem but others do not? Using two waves of the National Survey of Fertility Barriers, we conducted binary and longitudinal multinomial logistic regression to answer this question. Results suggest that only…
Trauma and Early Adolescent Perceptions About Sex and Parenthood
Using a population-based sample of 1,311 seventh graders in an urban school district in the South Central United States, we examined the associations between early-life trauma, anger regulation, and early adolescent perceptions about sex and parenthood. Girls and boys with more trauma exposure were more likely to perceive adolescent parenthood as ideal for them (odds ratio [OR] = 1.29, p < .01 and OR = 1.24, p < .01, respectively). Childhood trau…
Immigration-related arrest, parental documentation status, and depressive symptoms among early adolescent Latinos
The study findings suggest that there are significant consequences for youth well-being when a family member is arrested for immigration-related violations. Further, among youth whose parents are both undocumented, there appears to be a compounding effect on mental health. Immigration policies, programs, and schools need to consider the emotional needs of youth who have undocumented parents, particularly in the context of elevated immigration enf…
Middle School Teachers’ Academic and Behavioral Perceptions of Their Students and Expectations for High School Graduation
Teacher expectations of students have been consistently linked with student academic achievement. What is less known is how students’ actual behaviors and performance shape teachers’ perceptions of them, particularly when considering student gender and race/ethnicity. A diverse dyadic sample of 1,653 seventh graders with 63 reporting teachers was used to examine how teaching experience, student behavioral citations, and grade point average were r…
Partner congruence on fertility intentions and values
In heterosexual couples, both partners' intentions to have a baby (or not) are associated with the likelihood of a subsequent birth, yet most studies only measure women's intentions. Therefore, little is known about the potential association of couple agreement or disagreement on intentions or on such values as importance of parenthood, career, and leisure and the implications for childbearing. The goal of this article is to assess whether couple…
Tough Decisions
Approximately half of all pregnancies are unintended. Many (58%) are carried to term, but a substantial proportion of unintended pregnancies are terminated. In this paper, we draw from qualitative interviews with 33 women who experienced an unintended pregnancy in an effort to examine the meanings women attributed to their pregnancies and to explore how narratives differ for women who chose to continue their pregnancies versus those who opted for…
Fertility and Infertility
The Importance of Motherhood Among Women in the Contemporary United States
We contribute to feminist and gender scholarship on cultural notions of motherhood by analyzing the importance of motherhood among mothers and non-mothers. Using a national probability sample (N = 2,519) of U.S. women ages 25-45, we find a continuous distribution of scores measuring perceptions of the importance of motherhood among both groups. Employing OLS multiple regression, we examine why some women place more importance on motherhood, focus…
Race-Ethnicity and Medical Services for Infertility
Evidence of group differences in reproductive control and access to reproductive health care suggests the continued existence of 'stratified reproduction' in the United States. Women of color are overrepresented among people with infertility but are underrepresented among those who receive medical services. The authors employ path analysis to uncover mechanisms accounting for these differences among black, Hispanic, Asian, and non-Hispanic white …
Infertility treatment and fertility-specific distress
The Importance of Motherhood and Fertility Intentions among U.S. Women
Fertility intentions are associated with achieved fertility; therefore, understanding the factors associated with fertility intentions is important. Considerable research has examined factors associated with fertility intentions, but no one has explored the importance of motherhood to women. Guided by life course and identity theories, we use the National Survey of Fertility Barriers, a data set collected from a random sample of U.S. women aged 2…
Did Australia’s Baby Bonus Increase Fertility Intentions and Births
Does the Reason Matter? Variations in Childlessness Concerns Among U.S. Women
Does the reason why women have no children matter with regard to level of childlessness concerns? Reasons include biomedical barriers, situational barriers, delaying motherhood, and choosing to be childfree. The concept of “childlessness concerns” captures the idea that holidays and family gatherings are difficult because of not having children or feeling left out or sad that others have children. Life course and identity theories guided the stru…
Partner congruence on fertility intentions and values
In heterosexual couples, both partners' intentions to have a baby (or not) are associated with the likelihood of a subsequent birth, yet most studies only measure women's intentions. Therefore, little is known about the potential association of couple agreement or disagreement on intentions or on such values as importance of parenthood, career, and leisure and the implications for childbearing. The goal of this article is to assess whether couple…
Fertility and Infertility
Surgical sterilization, regret, and race
Infertility and fertility intentions, desires, and outcomes among US women
Little is known about how the experience of infertility or identification as someone with infertility shapes womenâ s fertility intentions, desires, or birth outcomes. The purpose of this paper is to help fill this gap in knowledge for fertility-intentions
Variation in Attitudes toward Being a Mother by Race/Ethnicity and Education among Women in the United States
Do differences in experiences of motherhood (e.g., number of children, age at first child, and relationship type) by race/ethnicity and social class mean that attitudes toward motherhood also vary by social location? We examine attitudes toward being a mother among black, Hispanic, Asian, and white women of higher and lower socioeconomic status (SES, as measured by education). Results using the National Survey of Fertility Barriers ( N = 4,796) i…
Relationship Satisfaction Among Infertile Couples
We use path analysis to analyze heterosexual couples from the U.S. National Survey of Fertility Barriers, a probability-based sample of women and their male partners. We restrict the sample to couples in which the women are infertile. We estimate a path model of each partner's relationship satisfaction on indicators of self-identifying as having a fertility problem or not at the individual and couple levels. We find a gender effect: for women, bu…
Ethical problems with infertility treatments
Although media coverage of infertility treatments has increased markedly over the past decade, there is a dearth of empirical information about public perceptions of the ethics of infertility procedures (e.g. artificial insemination, in-vitro fertilization, donor eggs, surrogate mothering, gestational carriers) and about the factors that shape them. Two representative telephone survey samples (930 adults in a Midwestern state, and 580 adult women…
The role of intergenerational transfers, land, and education in fertility transition in rural Kenya
Contextual Understanding of Lower Fertility Among U.S. Women in Professional Occupations
Despite decades of research indicating that employed women in the United States have fewer children than other women, it remains unclear what it is about work, beyond work hours, that constrains fertility. The current study links a sample of 1,800 women of childbearing age who are employed at least part-time from the National Survey of Fertility Barriers with the Department of Labor’s Occupational Information Network to examine how characteristic…
Parenting, Peers, and Perceived Norms
Although attitudes strongly predict later sexual behaviors, few studies have investigated the factors that influence early adolescent attitudes toward sex. Using a general population sample of urban seventh-grade students ( N = 1,736), we examined how supportive parenting, television viewing, perceived social norms, and having a friend and/or sibling who is a teen parent were uniquely associated with the probability and extent that early adolesce…
Interpersonal Trauma and Depressive Symptoms in Early Adolescents
Interpersonal traumas experienced early in life adversely impact psychological well-being in children and adolescents, yet the specific role that social support can have in reducing negative outcomes following trauma exposure is unclear. Using a general population sample of seventh-grade students in an urban public school district in the South Central United States ( n = 1,712), we examined the effects of early life interpersonal trauma exposure …
Do parent–child acculturation gaps affect early adolescent Latino alcohol use? A study of the probability and extent of use
The literature has been mixed regarding how parent-child relationships are affected by the acculturation process and how this process relates to alcohol use among Latino youth. The mixed results may be due to, at least, two factors: First, staggered migration in which one or both parents arrive to the new country and then send for the children may lead to faster acculturation in parents than in children for some families. Second, acculturation ma…
The Importance of Social Cues for Discretionary Health Services Utilization
Infertility is a discretionary health condition; although it carries with it important life course implications, treatment is rarely necessary for health reasons. Sociological theories of medical help-seeking emphasize demographic factors, perceived need, and enabling conditions in health services utilization, but we find that social cues are also strongly associated with health services utilization for infertility. Adjusted for conventional pred…
The loss of self
A child's death augments how grieving parents view the world, the family, and the self. Using a representative sample of women ages 25-45 who have ever given birth, we assessed whether miscarriage, stillbirth, and child death impact self-esteem and whether this loss is moderated by maternal identity. We found that stillbirth and child death, but not miscarriage, negatively impacted self-esteem. For those who experienced a loss, the impact on self…
Bearing the Reproductive Load? Unequal Reproductive Careers Among U.S. Women
Pregnancy intendedness, maternal–fetal bonding, and postnatal maternal–infant bonding
This study models associations between pregnancy intendedness and prenatal maternal–fetal bonding with postnatal maternal–infant bonding. Unintended pregnancies are associated with disruptions in maternal–infant bonding, which has long‐term adverse implications for maternal and child well‐being. Given the high proportion of births that are unintended in the United States, identifying protective factors is critical. Pregnant women (ages 16–38) wer…
Is a dyadic stressor experienced as equally distressing by both partners? The case of perceived fertility problems
Using data from a population survey, this article explores whether perceptions of having a fertility problem among 926 U.S. couples in heterosexual relationships (women aged 25-45 and male partners) are associated with distress. Most couples did not perceive a fertility problem (58%). In almost a third (30%) of the couples, only women perceived a fertility problem; in 4%, only the men; and in nearly a fifth (19%), both perceived a problem. Adjust…
Infertility and Self-identification
Nearly one-third to one-half of U.S. women meets the medical criteria for infertility at some point in their reproductive lives. Yet many do not view lack of conception as problematic. Why might some women self-identify as having a fertility problem but others do not? Using two waves of the National Survey of Fertility Barriers, we conducted binary and longitudinal multinomial logistic regression to answer this question. Results suggest that only…
Parental Documentation Status and Educational Aspirations Among Latino Adolescents
Research suggests that Latino adolescents face challenges with respect to their perceptions of success in academia while falling behind in school competencies. This study examines pathways between parent characteristics, adolescent perceptions of parental academic importance, school connectedness, and academic aspirations/expectations for Latinos using a structural equation model. The entire population of seventh grade students was surveyed in th…
The Importance of Motherhood Among Women in the Contemporary United States
We contribute to feminist and gender scholarship on cultural notions of motherhood by analyzing the importance of motherhood among mothers and non-mothers. Using a national probability sample (N = 2,519) of U.S. women ages 25-45, we find a continuous distribution of scores measuring perceptions of the importance of motherhood among both groups. Employing OLS multiple regression, we examine why some women place more importance on motherhood, focus…
The role of intergenerational transfers, land, and education in fertility transition in rural Kenya
Pregnancy Intentions Among Women Who Do Not Try
Ethical problems with infertility treatments
Although media coverage of infertility treatments has increased markedly over the past decade, there is a dearth of empirical information about public perceptions of the ethics of infertility procedures (e.g. artificial insemination, in-vitro fertilization, donor eggs, surrogate mothering, gestational carriers) and about the factors that shape them. Two representative telephone survey samples (930 adults in a Midwestern state, and 580 adult women…
Did Australia’s Baby Bonus Increase Fertility Intentions and Births
Infertility treatment and fertility-specific distress
Race-Ethnicity and Medical Services for Infertility
Evidence of group differences in reproductive control and access to reproductive health care suggests the continued existence of 'stratified reproduction' in the United States. Women of color are overrepresented among people with infertility but are underrepresented among those who receive medical services. The authors employ path analysis to uncover mechanisms accounting for these differences among black, Hispanic, Asian, and non-Hispanic white …
Exploring the Increased Odds of Divorce Following Miscarriage or Stillbirth
We build on recent studies on the consequences of miscarriage and stillbirth for women to assess the (a) odds of divorce among women who experienced a loss compared to those who did not; and (b) fertility-specific characteristics that increase odds of divorce. Utilizing a nationally representative sample of 3,461 women who have ever been pregnant and married, we find that women who experienced miscarriage or stillbirth have greater odds of divorc…
Does the Reason Matter? Variations in Childlessness Concerns Among U.S. Women
Does the reason why women have no children matter with regard to level of childlessness concerns? Reasons include biomedical barriers, situational barriers, delaying motherhood, and choosing to be childfree. The concept of “childlessness concerns” captures the idea that holidays and family gatherings are difficult because of not having children or feeling left out or sad that others have children. Life course and identity theories guided the stru…
Do parent–child acculturation gaps affect early adolescent Latino alcohol use? A study of the probability and extent of use
The literature has been mixed regarding how parent-child relationships are affected by the acculturation process and how this process relates to alcohol use among Latino youth. The mixed results may be due to, at least, two factors: First, staggered migration in which one or both parents arrive to the new country and then send for the children may lead to faster acculturation in parents than in children for some families. Second, acculturation ma…
The Importance of Social Cues for Discretionary Health Services Utilization
Infertility is a discretionary health condition; although it carries with it important life course implications, treatment is rarely necessary for health reasons. Sociological theories of medical help-seeking emphasize demographic factors, perceived need, and enabling conditions in health services utilization, but we find that social cues are also strongly associated with health services utilization for infertility. Adjusted for conventional pred…
Variation in Pregnancy Intendedness Across U.S. Women’s Pregnancies
The Importance of Motherhood and Fertility Intentions among U.S. Women
Fertility intentions are associated with achieved fertility; therefore, understanding the factors associated with fertility intentions is important. Considerable research has examined factors associated with fertility intentions, but no one has explored the importance of motherhood to women. Guided by life course and identity theories, we use the National Survey of Fertility Barriers, a data set collected from a random sample of U.S. women aged 2…
Parenting, Peers, and Perceived Norms
Although attitudes strongly predict later sexual behaviors, few studies have investigated the factors that influence early adolescent attitudes toward sex. Using a general population sample of urban seventh-grade students ( N = 1,736), we examined how supportive parenting, television viewing, perceived social norms, and having a friend and/or sibling who is a teen parent were uniquely associated with the probability and extent that early adolesce…
Interpersonal Trauma and Depressive Symptoms in Early Adolescents
Interpersonal traumas experienced early in life adversely impact psychological well-being in children and adolescents, yet the specific role that social support can have in reducing negative outcomes following trauma exposure is unclear. Using a general population sample of seventh-grade students in an urban public school district in the South Central United States ( n = 1,712), we examined the effects of early life interpersonal trauma exposure …
Surgical sterilization, regret, and race
The loss of self
A child's death augments how grieving parents view the world, the family, and the self. Using a representative sample of women ages 25-45 who have ever given birth, we assessed whether miscarriage, stillbirth, and child death impact self-esteem and whether this loss is moderated by maternal identity. We found that stillbirth and child death, but not miscarriage, negatively impacted self-esteem. For those who experienced a loss, the impact on self…
Variation in Attitudes toward Being a Mother by Race/Ethnicity and Education among Women in the United States
Do differences in experiences of motherhood (e.g., number of children, age at first child, and relationship type) by race/ethnicity and social class mean that attitudes toward motherhood also vary by social location? We examine attitudes toward being a mother among black, Hispanic, Asian, and white women of higher and lower socioeconomic status (SES, as measured by education). Results using the National Survey of Fertility Barriers ( N = 4,796) i…
Infertility and fertility intentions, desires, and outcomes among US women
Little is known about how the experience of infertility or identification as someone with infertility shapes womenâ s fertility intentions, desires, or birth outcomes. The purpose of this paper is to help fill this gap in knowledge for fertility-intentions
Decline in ethical concerns about reproductive technologies among a representative sample of US women
Public awareness and utilization of assisted reproductive technology has been increasing, but little is known about changes in ethical concerns over time. The National Survey of Fertility Barriers, a national, probability-based sample of US women, asked 2031 women the same set of questions about ethical concerns regarding six reproductive technologies on two separate occasions approximately 3 years apart. At Wave 1 (2004–2007), women had more con…
Contextual Understanding of Lower Fertility Among U.S. Women in Professional Occupations
Despite decades of research indicating that employed women in the United States have fewer children than other women, it remains unclear what it is about work, beyond work hours, that constrains fertility. The current study links a sample of 1,800 women of childbearing age who are employed at least part-time from the National Survey of Fertility Barriers with the Department of Labor’s Occupational Information Network to examine how characteristic…
Tough Decisions
Approximately half of all pregnancies are unintended. Many (58%) are carried to term, but a substantial proportion of unintended pregnancies are terminated. In this paper, we draw from qualitative interviews with 33 women who experienced an unintended pregnancy in an effort to examine the meanings women attributed to their pregnancies and to explore how narratives differ for women who chose to continue their pregnancies versus those who opted for…
Fertility and Infertility
Parental Documentation Status and Educational Aspirations Among Latino Adolescents
Research suggests that Latino adolescents face challenges with respect to their perceptions of success in academia while falling behind in school competencies. This study examines pathways between parent characteristics, adolescent perceptions of parental academic importance, school connectedness, and academic aspirations/expectations for Latinos using a structural equation model. The entire population of seventh grade students was surveyed in th…
Relationship Satisfaction Among Infertile Couples
We use path analysis to analyze heterosexual couples from the U.S. National Survey of Fertility Barriers, a probability-based sample of women and their male partners. We restrict the sample to couples in which the women are infertile. We estimate a path model of each partner's relationship satisfaction on indicators of self-identifying as having a fertility problem or not at the individual and couple levels. We find a gender effect: for women, bu…
Psychology (33 obras) · Population (29 obras) · Medicine (28 obras) · Demography (26 obras) · Sociology (22 obras) · Pregnancy (20 obras) · Family Dynamics and Relationships (19 obras) · Fertility (19 obras) · Demography (17 obras) · Developmental psychology (17 obras)