Infant mortality in the Marshall Islands

Levy and Booth present previously unpublished infant mortality rates for the Marshall Islands. They use an indirect method to estimate infant mortality from the 1973 and 1980 censuses, then apply indirect and direct methods of estimation to data from the Marshall Islands Women's Health Survey of 1985. Comparing the results with estimates of infant mortality obtained from vital registration data enables them to estimate the extent of underregistration of infant deaths. The authors conclude that 1973 census appears to be the most valid information source. Direct estimates from the Women's Health Survey data suggest that infant mortality has increased since 1970-1974, whereas the indirect estimates indicate a decreasing trend in infant mortality rates, converging with the direct estimates in more recent years. In view of increased efforts to improve maternal and child health in the mid-1970s, the decreasing trend is plausible. It is impossible to estimate accurately infant mortality in the Marshall Islands during 1980-1984 from the available data. Estimates based on registration data for 1975-1979 are at least 40% too low. The authors speculate that the estimate of 33 deaths per 1000 live births obtained from registration data for 1984 is 40-50% too low. In round figures, a value of 60 deaths per 1000 may be taken as the final estimate for 1980-1984.     

Recent fertility declines in Hong Kong: the role of the changing age structure

Abstract The birth rate in Hong Kong fell rapidly from 1961 to 1966: from 35·5 in 1961 to 25·8 in 1966 1 These rates are based on corrected estimates of population and of births made after the 1966 census. They differ somewhat from rates published before that, because the earlier rates had not been adjusted for some underregistration of births and had been calculated on larger population bases than proved to be justified by the census. - a decline of27%. Such a decline deserves special attention, because there are only a few examples of such trends in poor, high-fertility populations since World War II. We have just begun to find evidence of such declines in a few of the other rapidly developing countries of Asia: Taiwan, Korea, Singapore, and Malaysia.     

New african American life tables from 1935–1940 to 1985–1990*

New life tables for African Americans are presented from 1935 through 1990. They are based on a historical series of vital statistics data on deaths that have been corrected for age misreporting, on reconstructed population counts that have been adjusted for census underenumeration, and on births that have been corrected for underregistration. The new life tables show rapid mortality declines for both African American males and females from 1935 to 1950, and relatively steady reductions thereafter for females. The smaller declines in male mortality in young adulthood and middle age since the 1950s have led to exceptionally high ratios of male to female mortality at these ages. Corrections for census undercounts lead to higher values of life expectancy than in official life tables, but to less improvement over time. Official estimates of life expectancy at age 65 appear to be about 10% too high around 1940 but only about 1.5% too high in the late 1980s.     

Estimation of vital rates for Ghana

Abstract A complete and efficient registration system, of the type which would provide good data on births and deaths, does not exist in Ghana. However, registration of vital events is supposed to be compulsory in 39 towns in the country but the data collected in these areas are too inadequate and defective to provide a sound basis for the analysis of the dynamics of population growth. The results of the censuses conducted by the colonial governments are so defective and unreliable that they do not allow scientific research in the field of population analysis. Before 1960, therefore, when the national census and the post-enumeration survey (based on a 5% sample of the population) were carried out, estimates of fertility and mortality levels were little more than guesses. In this study an attempt has been made to utilize the information on the age-sex composition provided by the 1960 census and post-enumeration survey data on births and deaths to determine, as far as possible, the levels of fertility and mortality and the rates of population growth in Ghana. The fertility estimates-i.e. a crude birth rate of 50, total fertility rate of 6.9 and a gross reproduction rate of 3.4-show that Ghana's fertility is one of the highest in the world. An expectation of life at birth of 40 years, an infant mortality of 160 and a crude death rate of 23 appear to be the most plausible estimates. These estimates yield a rate of natural increase of 2.7% and a growth rate of 3.0% per annum.     

Registration completeness and international comparisons of infant mortality

The physical development of the live born infant is the single most important variable governing its survival: infant mortality among those weighing 2,500 grams (5 1/2 pounds) or less at birth is 17 times the mortality among those weighing more than 2,500 grams at birth. The variation in mortality according to birth weight (or gestation) is greater than for subclasses of color, sex, maternal age, or birth order. Infant mortality in the United States is significantly higher than in a number of other countries e.g., Sweden, Netherlands, Norway. The difference is thought, by some, to be due to underregistration of low birth weight infants in other countries. In this paper, distributions of live births by birth weight for Denmark, England and Wales, New Zealand, and the United States, and infant mortality data for Denmark and the United States are examined. The data do not support a hypothesis of gross underregistration of live born infants in other countries. The results indicate that some index of physical development (birth weight, gestation, or a combination of both) should be included in any appraisal of infant mortality.     

Development of birth registration and birth statistics in the United States

The registration of vital events in the United States has always been under the authority of State and local areas. The preparation of national birth statistics has been made possible through a co-operative working arrangement between the Federal Government and the States. This paper traces the development of registration systems in the United States from colonial days to the present period. The absence of adequate registration systems throughout the country, during the nineteenth century, led to the use of data collected in the decennial population censuses of 1850–1900 for estimating birth rates. This procedure was abandoned because of the unreliability of the results. Steps leading to the formation of the national birth-registration area in 1915, when it included ten States and the District of Columbia, and. activities resulting in its completion in 1933 are discussed.

A major portion of the paper outlines the nation-wide test of birth-registration completeness conducted in 1940 in conjunction with the decennial census of population. Important results of the test are presented, and the methodology is explained. A similar test is being carried out in 1950. Data derived will be used to focus attention on local areas requiring registration promotion. Correction factors for statistical series based on registered events will also be obtained. The final section of the paper indicates the steps States are taking to improve quality of reporting on the birth record. Changes in the content of the standard certificate of live birth since 1915 are summarized and the statistics tabulated from birth certificates detailed.     

Bayesian Estimation of Age-Specific Mortality and Life Expectancy for Small Areas With Defective Vital Records

High sampling variability complicates estimation of demographic rates in small areas. In addition, many countries have imperfect vital registration systems, with coverage quality that varies significantly between regions. We develop a Bayesian regression model for small-area mortality schedules that simultaneously addresses the problems of small local samples and underreporting of deaths. We combine a relational model for mortality schedules with probabilistic prior information on death registration coverage derived from demographic estimation techniques, such as Death Distribution Methods, and from field audits by public health experts. We test the model on small-area data from Brazil. Incorporating external estimates of vital registration coverage though priors improves small-area mortality estimates by accounting for underregistration and automatically producing measures of uncertainty. Bayesian estimates show that when mortality levels in small areas are compared, noise often dominates signal. Differences in local point estimates of life expectancy are often small relative to uncertainty, even for relatively large areas in a populous country like Brazil.     

Estimating infant mortality trends from child survivorship data

Summary Brass's procedure for estimating mortality from census or survey data on numbers of children born to women by age group and numbers of children surviving is generalized to allow the estimation of mortality trends. The new procedure is applied to data for Costa Rica and peninsular Malaysia. The resulting infant mortality rate estimates are compared with rates calculated from vital registration figures. The comparisons suggest, surprisingly, that the estimates derived from statistics for women aged 30-50 are not noticeably inferior to those derived from those for women aged 20-30. This suggests that the common practice of disregarding statistics for women aged over 30 or 35 years may be a mistake. Figures are presented which suggest that estimates based on women aged less than 20 are likely to be very seriously biased because of differential infant mortality by age of mother at birth.     

Maternal Education, Birth Weight, and Infant Mortality in the United States

This research determines whether the observed decline in infant mortality with socioeconomic level, operationalized as maternal education (dichotomized as college or more, versus high school or less), is due to its “indirect” effect (operating through birth weight) and/or to its “direct” effect (independent of birth weight). The data used are the 2001 U.S. national African American, Mexican American, and European American birth cohorts by sex. The analysis explores the birth outcomes of infants undergoing normal and compromised fetal development separately by using covariate density defined mixture of logistic regressions (CDDmlr). Among normal births, mean birth weight increases significantly (by 27–108 g) with higher maternal education. Mortality declines significantly (by a factor of 0.40–0.96) through the direct effect of education. The indirect effect of education among normal births is small but significant in three cohorts. Furthermore, the indirect effect of maternal education tends to increase mortality despite improved birth weight. Among compromised births, education has small and inconsistent effects on birth weight and infant mortality. Overall, our results are consistent with the view that the decrease in infant death by socioeconomic level is not mediated by improved birth weight. Interventions targeting birth weight may not result in lower infant mortality.     

Estimates of vital rates for the Canadian Indians, 1960–1970

The present paper is an attempt to evaluate the registered data on Canadian Indians collected by the Department of Indian Affairs and Northern Development and to prepare vital rates for 1960–1970 using the adjusted data. A cursory examination of registered data for the purpose of developing various demographic indices and for making future estimates of population indicates certain anomalies that call for a careful appraisal of the data. The main problem is the inconsistency in the reporting of births, due largely to the late registration of births. One plausible reason for late registration may be the increased outward movement of Indians from their reserves. Indirect methods are used to adjust the number of births and infant deaths reported annually since 1960. On the basis of the adjusted data, vital rates for the Canadian Indians are calculated for the period 1960–1970. The crude death rate decreased from 10.9 in 1960 to 7.5 in 1970. The infant mortality rate registered a drastic decline, from 81.5 deaths per 1,000 births in 1960 to 34.9 in 1970. During this same time period the birth rate also declined, from 46.5 to 37.2.     

Data on survival of recent births as a source of child mortality estimates in the developing world: An assessment of census data

In many less developed countries, household surveys collect full and summary birth histories to provide estimates of child mortality. However, full birth histories are expensive to collect and cannot provide precise estimates for small areas, and summary birth histories only provide past child mortality trends. A simple method that provides estimates for the most recent past uses questions about the survival of recent births in censuses or large household surveys. This study examines such data collected by 45 censuses and shows that on average they tend to underestimate under-5 mortality in comparison with alternative estimates, albeit with wide variations. In addition, the high non-sampling uncertainty in this approach precludes its use in providing robust estimates of child mortality at the country level. Given these findings, we suggest that questions about the survival of recent births to collect data on child mortality not be included in census questionnaires.     

Estimation of demographic measures for India, 1881-1961, based on census age distributions

Abstract India is one of the very few developing countries which have a relatively long history of population censuses. The first census was taken in 1872, the second in 1881 and since then there has been a census every ten years, the latest in 1971. Yet the registration of births and deaths in India, even at the present time, is too inadequate to be of much help in estimating fertility and mortality conditions in the country. From time to time Indian census actuaries have indirectly constructed life tables by comparing one census age distribution with the preceding one. Official life tables are available for all the decades from 1872-1881 to 1951-1961, except for 1911-1921 and 1931-1941. Kingsley Davis(1) filled in the gap by constructing life tables for the latter two decades. He also estimated the birth and death rates ofIndia for the decades from 1881-1891 to 1931-1941. Estimates of these rates for the following two decades, 1941-1951 and 1951-1961, were made by Indian census actuaries. The birth rates of Davis and the Indian actuaries were obtained basically by the reverse survival method from the age distribution and the computed life table of the population. Coale and Hoover(2), however, estimated the birth and death rates and the life table of the Indian population in 1951 by applying stable population theory. The most recent estimates of the birth rate and death rate for 1963-1964 are based on the results of the National Sample Survey. All these estimates are presented in summary form in Table 1.     

The American Community Survey in counties with “seasonal” populations

The U.S. Census Bureau designed the American Community Survey (ACS) to provide annual estimates of social and economic characteristics for states, counties, municipalities, census tracts, and block groups. Because of its April 1 reference date, in northern nonmetropolitan counties with substantial seasonal population fluctuations the decennial census provides a statistical representation of the demographic and social characteristics of the population at a time when the population is close to its annual minimum. The year-round monthly ACS sample survey has the potential to provide local communities with an unprecedented understanding of the average population characteristics over the course of a year. In the future, the ACS even has the potential for providing social and economic characteristics of the population by season. This paper examines four ACS pilot data collection counties, Oneida and Vilas Counties in northern Wisconsin, and Lake and Flathead Counties in northwest Montana. We hypothesize that the ACS will reflect a resident population over the course of the year that is different from the traditional April 1 decennial census population. While the ACS holds much promise, our research uncovered some sampling problems that are not yet fully resolved. In addition, our analysis was not able to examine ACS estimates for minor civil divisions (MCDs), which are functioning governmental units in many states. The fact that these MCDs often have very small populations, together with the fact that estimated standard errors at the much larger census tract level in these counties are disconcertingly large, raises (currently unanswerable) questions concerning the eventual statistical quality of ACS estimates for small MCDs. Consequently, the adequacy of the ACS as a replacement for the census long form may depend on the ability of the Census Bureau to effectively address the concerns presented in this analysis.     

The cocos-keeling islands: A demographic laboratory

The Cocos Islands, which are situated in the Indian Ocean approximately halfway between Colombo and Fremantle, were first peopled early in the nineteenth century and were gradually developed as a very isolated coconut plantation with a labour force consisting partly of persons of Malay stock descended from the original group of settlers and partly of Bantamese contract labourers from Java. As the Cocos-born population increased in size, the dependence on contract labour decreased and, before the end of the century, all immigration ceased. The 1947 Malay population of the islands was about 1,800.

The islands are fascinating from a demographer's point of view because there was a virtually complete registration of live births, deaths and marriages and a partial registration of stillbirths. With these registration records it was possible to construct the life history of every individual from birth, through infancy and childhood to marriage, and thence through fatherhood or motherhood to death.

The picture revealed by an analysis of these records is that of a population with very high fertility and with mortality at a high level before the first World war and at a medium level after that war. Crude birth rates varied between 50 and 60 per thousand population during the period 1888 to 1947. Crude death rates were between 30 and 40 per thousand population until 1912 but under 2.0 per thousand population after 1918.

Most Cocos girls married before reaching the age of 20 and there were an average of between eight and nine live births per woman living through the childbearing period. There was a steady decline in the average number of live births with advancing age at marriage from age 16 onwards. A significantly high proportion of those dying in the middle of the childbearing period had never married, but the fertility of those marrying at an early age (14, 15 and 16) and dying before reaching the age of 36 was slightly higher than that of those who married at a similar age and survived. Women who survived to the age of 55 were of higher fertility than those who died between the ages of 40 and 55. An analysis of birth intervals revealed significant differences (a) between birth intervals after a stillbirth or after a live birth in which the child died in early infancy, and birth intervals after a live birth in which the offspring survived for longer than 0.4 years, and (b) between the interval from first to second birth and the subsequent birth intervals. There was a difference of almost exactly a year between the average birth interval after a stillbirth or live birth ending in a neo-natal death and the average birth interval after the birth of a child surviving to age 2; there was a similar difference of a year between corresponding median birth intervals.

From 1888 to 1912 infant mortality was well above 300 per thousand. After 1918 infant mortality averaged rather under 100 infant deaths per 1,000 live births. The reduction in infant mortality rates was accompanied by an increase in the mortality of children aged 1 to 4, and the heavy incidence of mortality at these ages after 1918 is the most striking feature of the analysis of mortality by age. Whilst mortality in infancy fell much more heavily on males than on females, early childhood mortality was much higher in Cocos for girls than for boys. The life table computed for the period 1918 to 1947 indicated a life expectancy of about 50 years for males and 47 years for females.     

Infant mortality,birth order,and sibship size: The role of heterogeneous risk and the previous‐death effect

This paper derives an analytic model to study biases in infant mortality estimates by birth order and sibship size, which occur when the death of an infant tends to shorten the next birth interval and mortality risk varies among families. We find that order‐specific and sibship‐size‐specific estimates are biased by a selection for high‐risk women across birth orders, since women with higher risk will tend to have shorter intervals, and more births, within a given period of time. Sibship‐size‐specific estimates are, in addition, biased by a selection of women who have experienced deaths, even if there is no heterogeneity in risk. Numerical examples based on data from Matlab, Bangladesh, are used to illustrate the possible magnitude of these biases. The results resemble patterns of infant mortality by birth order and sibship size which are often observed empirically.     

A method for deriving mortality estimates from incomplete vital Statistics

Summary Although they are available in many developing countries vital registration records are very little used for mortality estimation which is still mainly based on census returns. However, defective death records may yield accurate estimations of mortality. This procedure requires few data only; a sex-age distribution of the population (preferably at the middle of a period) and a sexage distribution of deaths, either derived from vital records or from census returns to questions relating to deaths during the preceding twelve months. This method is based on the observation that for a fixed age structure of the population, there is a one-one relation between the age structure of deaths (measured by the proportion of deaths at older ages) and the level of mortality (measured by the death rate above a certain minimum age). It is assumed that at ages above this minimum the rate of underregistration of deaths does not vary significantly with age. Therefore, the age distribution of registered deaths makes it possible to estimate the true proportion of deaths at older ages. This in its turn will permit the estimation of the true level of mortality, because of the relation which exists between age structure of deaths and level of mortality. The true level is then compared with the observed, to estimate the rate of underregistration, and observed age-specific death rates can be adjusted in the light of this knowledge.     

Regional trends in fertility and mortality in Brazil

Abstract Questions asked in the 1970 Brazilian census allow the application of fertility and childhood mortality techniques developed by W. Brass. Using some propositions based on fertility estimates from the 1970 census data it was possible to extend the analysis to the 1940, 1950 and 1960 censuses. Estimates are also provided for ten Brazilian regions, for 1940, 1950 and 1970. These estimates show a slight decrease in the fertility level for the country as a whole, but two different trends at regional levels. Between 1940-50 and 1960-70 the poorer regions experienced constant or increasing fertility levels while developed regions experienced declining ones, with only one exception. The mortality estimates indicate a consistent decline in the mortality level of all regions, but also a divergent trend between poor and developed regions, in life expectancies at birth. This work is a summarized version of Chapters II, III and IV of my Ph.D. thesis written under the supervision of Professor D. V. Glass and Mr J. Hobcraft at the University of London. I am most grateful to my supervisors as well as to Professor W. Brass for valuable comments on several aspects of the thesis. While carrying out this study, the author was supported by grants from the Federal University of Minas Gerais, Brazil, and the Ford Foundation.     

Estimation of vital rates by means of monte carlo simulation

Monte Carlo simulation has been used to estimate age-specific fertility and mortality rates for a small population,the French-derived isolate of Northside on St. Thomas, U. S. Virgin Islands. Estimates were based on data collected in a household census and genealogical survey and on birth, death, and marriage records for the years 1916to 1966. During this 50-year period (in which the population size increased from 202 to 657), the numbers of births and deaths were too, small to estimate age-specific rates directly, and in addition, death registration was incomplete. Mortality rates were estimated using a simulation program in which mortality was the only stochastic variable. A model mortality schedule was chosen which most accurately reproduced the growth pattern of the population over the 50-year period. To estimate fertility rates, a more complex simulation model was used in which fertility, nuptiality, and mortality were random variables with probability distributions. Preliminary estimates of fertility were made from the birth records and used as input to this simulation program. Birth probabilities were adjusted empirically from one set of simulation runs to the next, until population growth rates, as well as other demographic characteristics, were similar in the real and simulated populations. The birth rates which produced the best fit to the real population data were taken as the estimated age-specific fertility schedule. To reproduce the real population age structure more closely, secular changes in birth probabilities were applied.     

Assessing post-census state poverty estimates

While the decennial census provides poverty figures for states and other subnational geographic units every ten years, their utility declines over the course of a decade. Consequently, there is growing interest in producing post-census estimates for a variety of indicators. This study extends recent efforts to estimate post-census poverty figures for states by producing such estimates using a multiple regression approach. The accuracy of the multiple regression estimates along with recently produced estimates from the Current Population Survey (CPS) are evaluated relative to the decennial census. The mean absolute percentage point error (MAPPE) using the ratio-correlation technique (1.56 percentage points) was somewhat higher than the MAPPE of 1989 CPS (1.37 percentage points) and an average of 1988–1990 CPS data (1.15 percentage points). However, a simple regression technique using data from 1979 to estimate poverty in 1989 produced a set of estimates where the MAPPE (1.37 percentage points) is nearly as accurate as the single-year CPS estimates. Estimates which average regression estimates and CPS-based estimates are more accurate than either regression or CPS estimates used alone. Several suggestions are offered for improving regression estimates.This article is a revised version of a paper presented at the annual meeting of the Population Association of America, 1–4 April 1993, Cincinnati, OH, USA.     

New estimates of the vital rates of the United States black population during the nineteenth century

The difficulties of obtaining credible estimates of vital rates for the black population throughout the entire nineteenth century are overcome in this study. The methodology employed the notion of deviating networks of mortality rates for each general mortality level, which was taken from the United Nations studyThe Concept of a Stable Population. Period life tables and vital rates for intercensal periods were generated from the new estimates of the black population at each census date. The results of this study are highly compatible both with the life tables for the death-registration states in the twentieth century and the recent Coale and Rives reconstruction for the period from 1880 to 1970 and with several estimates of vital rates previously made for the mid-nineteenth century. This study places the mean life expectancy at birth for the black population during the nineteenth century at about 33.7 years for both sexes. The infant death rate (1000m (0)) is shown to have varied between 222 and 237 for females and between 266 and 278 for males. The intrinsic crude death rate centered on 30.4 per thousand during the century, while the birth rate declined from 53.2 early in the century to about 43.8 at the end.