Public policy and the total fertility rate: cross-sectional evidence from the LDCs

A framework developed by Easterlin for the analysis of fertility in developing societies is modified and then tested using a sample of 65 less-developed countries. The focus is on assessing the impact of public policy on the national fertility rate. Public policy is reflected in the average levels of education and health in the population and in the condition of the national family planning program. To test for threshold effects with respect to socioeconomic development, the sample is divided on the basis of the infant mortality rate. Fertility rates in those nations characterized by high infant mortality are likely to be determined more by conditions of natural fertility. Those nations with lower infant mortality, and hence greater socioeconomic development, are more likely to exhibit deliberate fertility control. The results of the regression analysis do suggest that different factors influence the national fertility rate depending upon the stage of development. For the least-developed nations, the secondary school enrollment rate, an indicator of the extent of economic mobility, and the ratio of school age children to teachers, a proxy for the national commitment to human capital formation, are important. For the more advanced of the LDCs, adult literacy and the infant mortality rate seem to predominate. For all the developing nations, however, the results confirm the importance of strong family planning programs. The paper concludes with a discussion of the policy implications of the research.     

Income inequality and fertility: A comparative view

Summary Most studies pertaining to the relationship between population and economic development suffer from a major flaw. Researchers use aggregate measures like income or energy consumption per head as indicators of economic development. Such aggregate measures fail to take into account the nature of the distribution of income or energy consumption to the population. The present study attempts to demonstrate the importance of incorporating the nature of distribution of resources as an important intervening variable in the study of the overall relationship between population and economic development. A measure of income inequality is developed which represents the difference between rural and urban incomes. This measure is justified in terms of the distinctiveness of urban and rural sectors in the process of development. The data used relate to societal measures of fertility, income, income inequality, etc. Consistently with existing literature, we observe that, generally speaking, economic development does entail a reduction in rural-urban income inequalities. On the other hand, a substantial part of the negative effect of an increase in income per head can be nullified if such an increase were not also accompanied by a reduction in rural-urban income inequality. Also, a substantial part of the negative effect of an increase in income per head and the level of education in reducing the level of infant mortality would be nullified if it did not also result in a reduction of rural-urban income inequality. On the other hand, it is quite possible for the level of education in a society to increase together with an increase in income per head without substantially altering the extent of inequality of income between the rural and the urban population. It is suggested that the positive relationship between rural-urban income inequality and the level of fertility is due to higher rural fertility rates in a high-inequality country. By implication, this would mean that higher standards of living for the rural population compared with its urban counterpart will have a favourable impact in reducing rural fertility.     

Kenya's record population growth: a dilemma of development

The causes and implications of Kenya's 4% rate of natural increase and fertility rate of 8.1 births per woman were examined. Attention was directed to the following: pronatalist pressures; inadvertent pronatalist impact of development; women's education and employment and fertility; population growth and pressures; mortality decline and population growth; fertility levels and differentials; fertility desires; the family planning program; and family planning knowledge, attitudes, and practice. Kenya's development success has worked to push up the population growth rate. Improved health care and nutrition halved infant mortality from 160 to 87 deaths/1000 live births between 1958 and 1977 and a marked increase in primary school enrollment may be factors in the birthrate increase to 53/1000 population. At this time fertility is highest among women with 1-4 years of education. The 1977-1978 Kenya Fertility Survey showed that only 5.8% of married women were using modern contraception, indicating that the national family planning program, established in 1967, has made little progress. Program difficulties have included shortages of staff, supplies and easily accessible clinic as well as an almost universal desire on the part of Kenyans for families of at least 7 children. Children are viewed as essential to survival and status to the rural population.     

Family and economic growth: A review

The interplay between fertility decisions and per capita growth of income by investment decisions in human capital constitutes the key element of growth models based on the microeconomic theory of family behavior. A strategy that raises the fixed cost per child, reduces the cost of education, stimulates the accumulation of human capital, diminishes the opportunity cost of parents to send their children to school, encourages female activity, accelerates economic development and contributes to a reduction of inequality.     

Comparing relative effects of education and economic resources on infant mortality in developing countries

Research on the social determinants of health has often considered education and economic resources as separate indicators of socioeconomic status. From a policy perspective, however, it is important to understand the relative strength of the effect of these social factors on health outcomes, particularly in developing countries. It is also important to examine not only the impact of education and economic resources of individuals, but also whether community and country levels of these factors affect health outcomes. This analysis uses multilevel regression models to assess the relative effects of education and economic resources on infant mortality at the family, community, and country level using data from demographic and Health Surveys in 43 low-and lower-middle-income countries. We find strong effects for both per capita gross national income and completed secondary education at the country level, but a greater impact of education within families and communities.     

Social security and fertility: An international perspective

A number of population scholars have asserted that social security programs such as old-age programs lead to decreased fertility levels because parents need not rely on children for "security" in old age. There is, however, a paucity of empirical data on the above. This paper analyzes 67 countries and shows that social security programs have a measurable negative effect on subsequent levels of fertility. In fact, the social security programs appear to have as much of an independent impact on fertility as do the traditional correlates of fertility (infant mortality, education and per capita income).     

Total fertility rate,women's education,and women's work: What are the relationships?

This paper presents the results of a statistical study, using cross-national data, on the relationships between total fertility rate and women's level of education and women's labor participation. Aggregate data on seventy-one countries were collected from numerous sources. Eight variables related to women's fertility, mortality, economic status, labor participation, and education are analyzed using multivariate linear regression analyses. Two models are considered. The first model regresses five variables on total fertility rate: per capita Cross National Product (GNP), percentage of women ages 15 to 19 who are married, female life expectancy at birth, calories available as a percentage of need, and percentage of married couples using contraception. The second model includes two additional regressors: the average number of years of schooling for women, and the percentage of women in the labor force. These seven variables are regressed on total fertility rate. Although the data are crude, the results of the analyses suggest that the model which incorporates women's level of education and women's labor participation captures the data better than the smaller model. The full model suggests that the percentage of women in the labor force is directly related to total fertility rate, whereas the average number of years of education for women is indirectly related to total fertility rate.     

A macrodynamic analysis of changes in mortality indexes in the United States, 1946–75: Some preliminary results

This paper extends earlier research by Brenner and by Land and Felson on the specification and estimation of macrodynamic structural-equation models to explain changes in American mortality indexes as a function of exogenous changes in societal conditions (social, demographic, economic, and health care). After reviewing the record of annual changes in several general and cause — specific mortality indexes for the post-World War II United States, patterns of temporal covariation in the indexes are discussed and some tentative structural-equation models are described. Among other findings, these models indicate: (1) that changes in the age structure of the American population have substantial impacts on changes in mortality rates for diseases of the respiratory and circulatory systems as well as on deaths due to cirrhosis of the liver, accidents, and violence; (2) that the infective and parasitic diseases mortality rate is more closely related to per capita public health expenditures than to improvements in the general level of living in this post — war period; (3) that the business cycle, as indexed by the unemployment rate, has significant impacts on the cardiovascular, accident, and violence mortality rates; (4) that Brenner's finding of a positive association of an increase in the unemployment rate with an increase in cardiovascular diseases mortality two to three years later is partially mediated by an increase in per capita cigarette consumption during the economic recovery following a recession; (5) that an increase in the per capita level of cigarette consumption increases the respiratory systems mortality rate; (6) that both the general and the respiratory neoplasms mortality rates are more strongly affected by long-term moving averages of annual per capita levels of cigarette consumption than by single-years levels; (7) that the level of the degenerative diseases mortality rate is positively affected by an increase in per capita liquor consumption and negatively affected by an increase in health care utilization; (8) that the percentage of all vehicles traveling on highways at high speed is the exposure index most closely associated (of several that were studied) to the motor vehicle accident mortality rate; (9) that the levels of the maternal and infant mortality rates are positively related to an increase in the fertility rate (exposure) and negatively related to those advances in health care services associated with hospital births; (10) that the accuracy with which short-term changes in the crude mortality rate can be predicted from a knowledge of cause-specific mortality rates and how the latter are affected by societal conditions is effectively limited by the degree of accuracy of predictions of the respiratory diseases mortality rate because of its volatile influenza, pneumonia, and bronchitis component; and (11) that short-term changes in the life expectancy index can be somewhat more accurately predicted from such knowledge. Although most of these relationships have been noted before in mortality studies, only a small fraction have been studied in a macrodynamic structural-equation models context. These findings thus constitute a baseline of statistical evidence which can be explored in future research.     

Determinants of temporal and areal variation in infant mortality in Germany, 1871–1933

This article investigates how sociodemographic, economic, medical, and public health factors influence infant mortality by using data about German administrative areas from 1871 to 1933. Marital fertility has the largest impact on infant mortality, followed by illegitimacy, medical care, urbanization, and infant welfare centers. The variables considered here account for most of the variation in infant mortality. Some of the unexplained variance is due to factors associated with regions, such as breastfeeding patterns, and with time periods, such as national health insurance. The analyses found no evidence that advances in medical technology affected infant mortality or that the influence of economic development changed over time.     

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.     

Fertility and development in Brazil

In the past, one of the concomitants of development has been a sustained reduction in fertility. As a result of this experience, demographers hypothesize that in a society in which fertility is lower in urban areas, among the upper socioeconomic status groups and the better-educated, fertility will decline to a moderate level as the country changes from a rural, agricultural socioeconomic structure, with low levels of living and education, to an urban, industrial structure, with rising levels of living and education.The data analyzed in this study indicate, however, that though substantial social and economic development (as measured by changes in industrial structure, per capita income, urbanization, and education) occurred in Brazil from at least 1920-40 to 1960, during which time fertility differentials of the kind indicated above existed, fertility has shown little or no tendency to decline. Between 1940 and 1960, in fact, the birth rate appears to have remained fairly constant around 43. With the death rate steadily dropping, the rate of natural increase and population growth (given a small net in-migration) has been accelerating. p ]From a theoretical point of view, these facts reinforce a growing realization, based on similar findings in some other developing countries, that the prevailing theoretical ideas concerning the relationship between development and fertility require modification, particularly in the direction of greater specificity. On the practical side, the question is raised whether Brazil's rate of economic development during the postwar period up to 1960 can be maintained, let alone increased, in the face of a population growth rate which will probably average 3.2-3.5 percent for the period 1960-70 and which, in the absence of a decline in fertility, is likely to accelerate further.     

The multilevel dependence of contraceptive use on socioeconomic development and family planning program strength

Using World Fertility Survey data for 15 developing countries, we estimate an equation in which the dependent variable—whether the respondent has ever used an efficient contraceptive method—depends on the respondent’s education and location of childhood residence. All of the coefficients of this equation, including the intercept, vary over countries. Analysis based on new methodology shows that the intercept and education effects vary as a function of national family planning program efforts and that none of the parameters of the equation depend on gross national product per capita. The results demonstrate the efficacy of multilevel analysis, provide a partial test of the theory underlying the analysis, and refocus discussion of the contributions of development and policy variables to fertility reduction.     

Population growth,economic development and family planning

This report discusses research conducted to determine whether reduction in population growth rates contributed to the rapid economic growth of Indonesia, South Korea, Japan and Thailand. The 5-year research projects, jointly sponsored by the UN Fund for Population Activities, the Nihon University Population Research Institute, and the East-West Population Institute, concluded that development and family planning programs contributed substantially to fertility decline in these countries. The project examined 3 factors that influence the long-term productive capacity and growth of the 4 Asian economies: savings, the size of the labor force, and the quality of labor (measured by educational attainment). Available evidence indicates a strong positive contribution of population decline toward growth of savings, a growth in labor force concurrent with a decline in fertility rates which enables per capita income to rise, and an increase in 2ndary education enrollment ratios as fertility is lowered. Development factors by themselves explain no more than 1/2 of the decline in fertility observed, suggesting that family planning programs particularly in Thailand, South Korea and Indonesia since 1976 have had an important impact on fertility and economic development.     

Population aging and endogenous economic growth

We investigate the consequences of population aging for long-run economic growth perspectives. Our framework incorporates endogenous growth models and semi-endogenous growth models as special cases. We show that (1) increases in longevity have a positive impact on per capita output growth, (2) decreases in fertility have a negative impact on per capita output growth, (3) the positive longevity effect dominates the negative fertility effect in case of the endogenous growth framework, and (4) population aging fosters long-run growth in the endogenous growth framework, while its effect depends on the relative change between fertility and mortality in the semi-endogenous growth framework.     

The effects of demographic factors on age composition and the implications for per capita income

Multiple regression analysis techniques are used to measure the impact of variations in fertility and mortality rates on the population of labor-force age. The results of this analysis suggest that the impact of reductions in mortality on age composition are dependent on the level of mortality already attained, whereas reductions in fertility, as expected, increase the population in the nondependent age groups. The direct effect of vital rates on potential per capita income is assessed using the results of the regression equations, and such results suggest that variations in per capita income as large as 20 percent could be accounted for by variations in vital rates.     

An attempt at evaluation of the economic and social factors [influencing] the Polish population's fertility formation

This analysis of economic determinants of fertility in Poland shows that couples' fertility decisions are negatively influenced by factors affecting family income. Social and demographic factors were found to be unrelated to fertility. 17 socioeconomic measures were grouped as those expressing the level of economic development and determining family income size, those reflecting the level of socioeconomic development and determining the level of children's education, and those characterizing the level of social development and determining the need for health care and social security. The level of actual fertility is modeled as a linear function of variables in a main components factor analysis. Average monthly pay in the national economy (37.6%), the sold industrial production per person (13.8%), and the global agricultural production per person (13.2%) account for 64.6% of the variance. Among the social factors, findings indicate that a higher feeling of security is related to lower fertility, but economic factors have a stronger influence. Voivodeships are grouped as having low levels of economic development (24), as having high educational levels (24), and as having low levels of social security (24). Voivodeships with low levels of economic development and high parity include all the grouped voivodeships with the exception of three. Low-security voivodeships showed mixed patterns of fertility. High-education voivodeships showed a weak correlation with high fertility. Only three voivodeships have low economic and security factors and high education factors, and only one voivodeship has high fertility. Of the three voivodeships with high security and economic factors and low education factors, all have low parity.     

Approaches to the Fertility Transition in Victorian England

The secular decline of marital fertility which took place in late nineteenth and early twentieth-century England and Wales is considered by using a number of approaches. Among the theoretical approaches considered are those of transition models, and social diffusion. The former overemphasises the role of industrialization and urbanization; the latter is inappropriate when dealing with the development of a small-family ideal in Victorian society. Explanations of fertility decline using ecological and time-series analysis are considered. The registration districts of England and Wales provide the framework for analyses of spatial variations in marital fertility and its correlates in 1861, 1891 and 1911. A time-series analysis attempts to establish the sequential nature of social, economic and demographic changes during the sixty years preceding the First World War. The following points are emphasised in conclusion. The Victorian fertility transition was not directly related to the development of an urban-industrial society, the social diffusion of family ideals or the use of appliance methods of contraception. But its immediate cause was probably linked to the substantial increase in family planning literature available from the 1870s, and the challenge that this posed to the tradition of unlimited marital fertility. This critical change in social attitudes to family planning was facilitated both by developments in mass education and, ultimately by the decline of infant mortality.     

Population growth and poverty in the developing world

The links between rapid population growth and the absolute poverty currently affecting 780 million people in the developing countries (excluding China and other centrally planned economies) were examined. Absolute poverty is defined as having less than the income necessary to ensure a daily diet of 2150 calories per person ($200 per person a year in 1970 United States dollars). Focus is on poverty and demography in the developing world (defining poverty; income, fertility and life expectancy; demographic change and poverty), effect of poverty on fertility, family planning programs and the poor, and the outlook for the future. Rapid population growth stretches both national and family budgets thin with the increasing numbers of children to be fed and educated and workers to be provided with jobs. Slower per capita income growth, lack of progress in reducing income inequality, and more poverty are the probable consequences. Many characteristics of poverty can cause high fertility -- high infant mortality, lack of education for women in particular, too little family income to invest in children, inequitable shares in national income, and the inaccessibility of family planning. Experience in China, Indonesia, Taiwan, Colombia, Korea, Sri Lanka, Cuba and Costa Rica demonstrate that birthrates can decline rapidly in low income groups and countries when basic health care, education, and low-cost or free family planning services are made widely available.     

Impact of population changes on education cost

This paper has two principal aims: (1) to analyze and measure how the demographic variables—mortality, fertility, and im migration — affect the cost of education; (2) to evaluate what possibilities developing countries, such as those of Latin America, have for a rapid educational improvement. The paper relates demographic and educational variables of three different populations: Sweden, 1840–1965; the United States, 1850–1960; and Latin America, 1930–2000. Three educational variables are also considered: (a) school attendance rates by sex and age; (b) distribution of students of same age by grade; and (c) cost of student by grade. Demographic changes in countries such as Sweden and the United States were favorable for the development of education. For the future, unless an increase of fertility occurs, mortality and fertility changes will not have a significant effect on the cost of education in these countries. In current less developed countries the demographic changes during the past were less favorable to educational development. A future reduction of fertility will significantly help them to achieve a higher educational level.     

Fertility decisions when infant survival is endogenous

There is evidence that fertility is positively correlated with infant mortality, and that a child‘s chance of surviving to maturity increases with the level of nutrition, medical care, etc. received in the early stages of life. By modelling parental decisions as a problem of choice under uncertainty, the paper shows that fertility and infant mortality are most likely to move in opposite directions if, as implicitly assumed by existing economic theories, parents believe that there is nothing they can do to improve the survival chances of their own children. By contrast, if parents realize that those chances improve with the amount they spend for the health, nutrition, etc. of each child that they put into the world, then fertility and infant mortality may move in the same direction. Under such an assumption, the model has the strong policy implication that directly death-reducing public expenditures are most effective, but stimulate population growth, at low levels of development. By contrast, at high levels of development, such expenditures tend to crowd out parental expenditures, and are a factor in fertility decline. Received: 14 October 1996 / Accepted: 28 July 1997