Labour Market Participation and Fertility in Seven European Countries: A Comparative Perspective

Although evidence suggests a correlation between fertility and employment, comparative studies on this topic are relatively scarce, particularly when considering the diverse ways in which the two variables interact in different countries. The aim of this article is to analyse the relationship between the employment and reproductive behaviours of women born between 1940 and 1979 in seven European countries (Bulgaria, Czech Republic, France, Germany, Georgia, Italy, and Lithuania). Using data from the second wave of Generation and Gender Surveys (GGS) and the Istat survey Famiglia e Soggetti Sociali (FSS) in Italy, we estimated the propensity of first and second childbirth through multi-process modelling. The article’s contribution is both theoretical and methodological. First, this research aims to investigate the correlation between employment and the timing of first and second births in a comparative perspective challenging the traditional East-West divide in Europe and the potential convergence in the impact of employment on fertility behaviours across European countries. Furthermore, the study asks whether the relationship between employment and fertility is changing similarly across European countries or whether differences tend to persist over time. The results are discussed considering women’s emancipation in different institutional settings, highlighting how women’s participation in labour markets affects reproductive behaviour. In particular, the relationship between employment and fertility behaviour is examined in relation to the opposing macro-level thesis, which suggests that the association between employment and fertility changed from negative to positive after the mid-80s. The second contribution of the article is a methodological one. It involves using simultaneous models with three equations to account for potential unobserved factors that influence the timing of the first and second childbirth and the potential endogeneity of employment status on fertility behaviour. The three equations include two log-Hazard equations for the transitions to the first and second birth order and an additional probit model to estimate the probability of being currently employed over the life course. By using this approach, we aim to provide a more comprehensive understanding of the relationship between employment and fertility, while controlling for potential confounding factors. Results suggest relevant national differences. On the one hand, the three Western countries considered in the analysis, France, Germany, and Italy, show a clear incompatibility of work and childbearing. However, in the first two, younger cohorts seem to be less affected by employment, likely because they benefitted from family policies introduced after the mid-1980s. On the other hand, the post-socialist countries are highly heterogeneous. In this area, we can find three different models. First, in Bulgaria and the Czech Republic employment is largely compatible with fertility choices resulting in a higher propensity of having the first and the second childbirth among working women. Second, in Lithuania the positive impact of employment for the first childbirth turns negative for the second one. Third, in Georgia we found a clear postponement of childbirth among working women for both birth orders. Overall, our results show deep differences across countries, suggesting that some European countries are far from demonstrating convergence in the relationship between employment and fertility

Correction to: The nexus between education and fertility in six European countries

An amendment to this paper has been published and can be accessed via the original article

Investigating PhDs’ early career occupational outcomes in Italy: individual motivations, role of supervisor and gender differences

The paper examines how individual motivations, the role of the supervisor and gender influence the early career path of doctorate holders. We investigate PhD graduates' occupational outcomes beyond academia in the framework of current literature on the oversupply of PhD holders and labor market constraints. Our analysis relies on two unique datasets. The first, at the national level, includes microdata from the Italian National Institute of Statistics regarding about 41,000 graduates who account for over 70% of the population of 6 cohorts surveyed for the period 2004-2014. The other dataset is from a single university, and resulted from an original survey of 760 PhD holders who earned their doctorates from the University of Turin in 2007-2017. We find that PhD holders' motivation towards science is associated with their subsequent employment in academia or in other research and non-research jobs. Sponsoring support in early career and the supervisor's propensity for basic research also play a role in the future academic career path. Gender differences in type of occupation, however, continue to persist even taking motivations and the supervisor's role into account

Evaluation of a synthetic single-crystal diamond detector for relative dosimetry on the Leksell Gamma Knife Perfexion radiosurgery system

Purpose: To evaluate the new commercial PTW-60019 synthetic single-crystal microDiamond detector (PTW, Freiburg, Germany) for relative dosimetry measurements on a clinical Leksell Gamma Knife Perfexion radiosurgery system. Methods: Detector output ratios (DORs) for 4 and 8 mm beams were measured using a micro- Diamond (PTW-60019), a stereotactic unshielded diode [IBA stereotactic field detector (SFD)], a shielded diode (IBA photon field detector), and GafChromic EBT3 films. Both parallel and transversal acquisition directions were considered for PTW-60019 measurements. Measured DORs were compared to the new output factor reference values for Gamma Knife Perfexion (0.814 and 0.900 for 4 and 8 mm, respectively). Profiles in the three directions were also measured for the 4 mm beam to evaluate full width at half maximum (FWHM) and penumbra and to compare them with the corresponding Leksell GammaPlan profiles. Results: FWHM and penumbra for PTW-60019 differed from the calculated values by less than 0.2 and 0.3 mm, for the parallel and transversal acquisitions, respectively. GafChromic films showed FWHM and penumbra within 0.1 mm. The output ratio obtained with the PTW-60019 for the 4 mm field was 1.6% greater in transverse direction compared to the nominal value. Comparable differences up to 0.8% and 1.0% for, respectively, GafChromic films and SFD were found. Conclusions: The microDiamond PTW-60019 is a suitable detector for commissioning and routine use of Gamma Knife with good agreement of both DORs and profiles in the three directions

Minimally invasive vs. open segmental resection of the splenic flexure for cancer: a nationwide study of the Italian Society of Surgical Oncology-Colorectal Cancer Network (SICO-CNN)

Background Evidence on the efficacy of minimally invasive (MI) segmental resection of splenic flexure cancer (SFC) is not available, mostly due to the rarity of this tumor. This study aimed to determine the survival outcomes of MI and open treatment, and to investigate whether MI is noninferior to open procedure regarding short-term outcomes. Methods This nationwide retrospective cohort study included all consecutive SFC segmental resections performed in 30 referral centers between 2006 and 2016. The primary endpoint assessing efficacy was the overall survival (OS). The secondary endpoints included cancer-specific mortality (CSM), recurrence rate (RR), short-term clinical outcomes (a composite of Clavien-Dindo > 2 complications and 30-day mortality), and pathological outcomes (a composite of lymph nodes removed >= 12, and proximal and distal free resection margins length >= 5 cm). For these composites, a 6% noninferiority margin was chosen based on clinical relevance estimate. Results A total of 606 patients underwent either an open (208, 34.3%) or a MI (398, 65.7%) SFC segmental resection. At univariable analysis, OS and CSM were improved in the MI group (log-rank test p = 0.004 and Gray's tests p = 0.004, respectively), while recurrences were comparable (Gray's tests p = 0.434). Cox multivariable analysis did not support that OS and CSM were better in the MI group (p = 0.109 and p = 0.163, respectively). Successful pathological outcome, observed in 53.2% of open and 58.3% of MI resections, supported noninferiority (difference 5.1%; 1-sided 95%CI - 4.7% to infinity). Successful short-term clinical outcome was documented in 93.3% of Open and 93.0% of MI procedures, and supported noninferiority as well (difference - 0.3%; 1-sided 95%CI - 5.0% to infinity). Conclusions Among patients with SFC, the minimally invasive approach met the criterion for noninferiority for postoperative complications and pathological outcomes, and was found to provide results of OS, CSM, and RR comparable to those of open resection