HIV and Unintended Fertility in Sub-Saharan Africa: Multilevel Predictors of Mistimed and Unwanted Fertility Among HIV-Positive Women

Population Research and Policy Review - Sub-Saharan Africa (SSA) has a disproportionate burden of both unintended fertility and HIV infection, but the relationship between these two reproductive...     

Fertility estimation from open birth-interval data*

Censuses and surveys frequently collect information on period fertility through questions on the timing of last births. The standard approach to estimating fertility with open-interval data uses the proportion of women giving birth in the year before the interview. I propose a more efficient, maximum likelihood method for estimating fertility from open-interval data. I illustrate a mathematical derivation of the new method, perform sensitivity analyses, and conduct empirical tests with Brazilian census data. The new estimators have small biases and lower variance than standard estimators for open-interval data. Consequently, the new method is more likely to generate accurate results from small or moderately sized samples.     

Fertility and mortality estimation from the Panama Retrospective Demographic Survey, 1976

Summary Data from the Retrospective Demographic Survey of Panama offer a unique opportunity to test a wide range of methods for estimating indirectly basic demographic parameters from inaccurate and incomplete data. Our primary emphasis is to evaluate methods for estimating adult mortality from information on widowhood and orphanhood, though estimates of childhood mortality obtained from information on sibling and child survivorship are assessed as well. The results for most of the estimating procedures are consistent; this finding is encouraging because it lends support to the hypothesis that the techniques can provide good estimates of mortality. Methods which produce results which are inconsistent provide valuable lessons. In particular, methods for providing unconditional estimates of values ofl (x) for adults by combining directly information on childhood mortality and adult mortality are shown to produce estimates which predominantly reflect the level of childhood mortality employed. Furthermore, within-method consistency of estimates appears to be a very poor indicator of reliable performance of the estimating technique or quality of data, since most methods yielded estimates which were internally consistent, though estimates made by different methods could differ considerably. In summary, the analysis indicates a birth rate of around 35 per thousand, a death rate of around 7.5 per thousand, a total fertility ratio of about 4.8, and expectations of life at birth of approximately 59 and 64 years for men and women respectively.     

Fertility estimation from retrospective surveys: Biases attributable to pregnancy-related movement of mothers

In a number of developing countries, especially in South Asia, there is a custom for a pregnant woman to go to her mother's home for delivery and remain for some months afterwards. In this context, estimates of various fertility measures, based on data from a sample survey of resident women, will be seriously biased. Inclusion of data for visitors to the sample households does not fully compensate for this bias. The presence and magnitude of the bias is illustrated by the analysis of data from large-scale sample surveys conducted in the state of Orissa in India and by World Fertility Survey data from Bangladesh and Nepal.     

Fertility adaptation of rural-to-urban migrant women: A method of estimation applled to Korean women

This study proposes to test for the existence of an adaptation effect of rural-to-urban migration. The design is to divide migrants into two groups at the time of observation: one group which had migrated by that time, and another group consisting of individuals who had not yet migrated but are known to migrate later. It is presumed that if the former group had not migrated it would have had a birth path similar to the latter group. Adaptation is measured by the difference between this hypothetical birth path and the actual birth path of migrants observed after they migrate. The model is tested on Korean women and found to support the existence of an adaptation effect.     

Unwanted pregnancies and unwanted fertility: Conceptual variations

The concepts of pregnancy unwantedness and unwanted fertility have a range of definitions, nor are reports consistent for concept use. This report examines various definitions and their application. Considering a measure of unwantedness as underinvestment in the child, a scale is described which examines the extent to which the unwanted child may be subjected to underinvestment. The hypothesis of an association between unwantedness and underinvestment was not supported. The conclusion is that unwantedness requires conceptual standardization and a behavioral definition for sociological use.     

The Determinants of Low Fertility in India

Using a conceptual framework focusing on factors that enhance or reduce fertility relative to desired family size (see Bongaarts 2001), we study fertility variation across time (1992–2006) and space (states) in India. Our empirical analyses use data from three waves of the Indian National Family Health Surveys. We find that this framework can account for a substantial portion of the variation in the total fertility rate (TFR) over time and across states. Our estimates focus attention on the critical components of contemporary Indian fertility, especially desired family size, unwanted fertility, son preference, and fertility postponement.     

The Changing Institutional Context of Low Fertility

Using data for 1960–97 for 22 low fertility countries, we document a dramatic change in the association of fertility levels to women's levels of labor force participation. Until the 1980s, this association had been strongly negative. However, during the 1980s itbecame positive, and since 1990 strongly positive. We also document an emerging positive association of the country-level total fertility ratio (TFR) and nonmarital ratio (e.g., the proportion of births to unmarried women). We argue that these transformed associations reflect societal level responses that, in some contexts, have eased the incompatibility between mother and worker roles, and loosened the link betweenmarriage and childbearing. These arguments imply that societal responses to mother/worker incompatibility exert substantial influence on fertility levels in low fertility countries.     

The Origins of the Chinese Fertility Decline

Education and urbanization are shown to have been negatively correlated to marital fertility in both urban and rural China prior to the initiation of the substantial family planning programs. We maintain that early use of contraception by better educated and urban strata is a plausible cause of the observed fertility differentials because other proximate variables are unlikely. Coale's m, a presumed indicator of controlled fertility, suggests early fertility control in urban and better educated strata. The apparent preprogram beginnings of fertility control among educational and urban elites does not, however, minimize the awesome effects on fertility of the powerful Chinese family planning programs, once begun.     

国民生育心理的必然性与不确定性

国民生育心理是有着其历史的、生物的客观基础,它有着不为外在条件所左右的客观必然性,但随着制约条件的变化,其生育意愿也会发生一些非实质性的改变。     

Fertility levels and differentials in Beirut during wartime: an indirect estimation based on maternity registers

In this paper, total fertility estimates for Greater Beirut in the mid-eighties and early nineties are presented, and changes in socio-religious differentials of fertility across time are explored. The baseline information was recorded from registration details for all maternities in Beirut and its inner suburbs in 1984 and 1991: age of mother, number of children ever-born, hospital class, and religion of newborn. An indirect method was used to estimate total fertility from the joint distribution of mothers by age and parity, and, using hospital class as a proxy for social class, differentials in fertility were investigated by Poisson regression. The estimates of total fertility for Beirut shifted from 2.60 in 1984 to 2.52 in 1991, and were higher for Muslims than for Christians in the two periods. The regression analysis showed that: (1) the difference between the two religious groups persisted after control for social class, and in fact applied to the lower social class; (2) fertility dropped between the two dates in the lower social class, and more so for Muslims than for Christians. In comparison with other countries of the region, the decline in Beirut was found to be relatively modest. If the trends assessed in this study were to continue, the religious-based fertility differentials would taper off progressively in the capital city of Lebanon.     

Unwanted pregnancies and preventive health care use in Thailand

Research on the consequences of unwanted pregnancies can offer useful perspectives on the need to improve and expand the range of family planning options available to women in developing countries. This paper investigates the use of maternal and child health services by women who have unwanted or mistimed pregnancies. The results of our analysis indicate that wantedness of births exerts a significant influence on health care use in Thailand, after controlling for other determinants of utilization. Women with unwanted pregnancies are less likely to seek prenatal care or receive tetanus toxide inoculations. Further, women from disadvantaged socioeconomic groups, women with high parity and those with lower educational levels have the highest proportion of unintended pregnancies. The study concludes by making suitable policy recommendations.     

论生育文化和生育文明

生育文明中表现了生育文化的种种现象和活动,生育文化也体现了生育文明的历史轨迹、进程和内容。生育文化的发展表现了不同时期人类生育文明的进步与发展,不体现生育文化内涵的生育文明显然是不存在的。然而,严格说来,生育文化和生育文明是既有密切联系,又有一定区别的两个不完全等同的概念。正确认识和理解生育文化和生育文明的概念、内涵、功能及其相互关系,对于推动新时期人口计生工作的深入发展,进一步开展人口和计划生育的理论研究,具有十分重要的意义和作用。     

进一步降低生育率的必要性和可能性

就生育控制而言,中国正面临着两个颇具争议性的重大人口理论和政策问题:第一,是有没有必要进一步尤其是显著地降低生育率?第二,是有没有可能而且是显著地降低生育率?笔者的结论是,既非常必要!又完全可能!     

The Effects of Children's Schooling on Fertility Limitation

Many theories of fertility predict that mass education reduces fertility, but this effect may be produced in a variety of ways. In this paper, microdemographic data from a rural community in Nepal, in which the spread of mass education and fertility limitation is just beginning, are used to examine these links. The analyses contrast the influence of parents' and children's educational experiences of parents' fertility preferences and behaviour. The results indicate that children's schooling has a strong influence on both fertility preferences and behaviour. The effects of parental schooling are weaker, and also inconsistent in different models. These findings provide support for theories that link mass education to the onset of fertility limitation through children's schooling experience.     

The Surprising Global Variation in Replacement Fertility

It is frequently assumed by the general public and alsoby some population experts that the value ofreplacement-level fertility is everywhere an averageof 2.1 lifetime births per woman. Nothing could befurther from the truth. The global variation inreplacement fertility is substantial, ranging by almost1.4 live births from less than 2.1 to nearly 3.5. Thisrange is due almost entirely to cross-country differencesin mortality, concentrated in the less developed world.Policy makers need to be sensitive to own-countryreplacement rates. Failure to do so could result infertility levels that are below replacement and lead tolong-run population decline. For example, the currentreplacement total fertility rate for the East Africa regionis 2.94. Lowering fertility to 2.10 would, under currentmortality conditions, result in a regional birthrate 29 percentbelow replacement.     

从政策生育率看中国生育政策的多样性

以政策生育率为量化指标以期具体地反映我国的生育政策在地区分布、人口分布和地理分布上的多样性。本文的分析表明 ,1 3～ 1 5之间的政策生育率都在全国占主导地位 ,全国人口的大多数处于 1 3～ 2 0之间的政策生育率地区 ,实行“1 5孩”生育政策的人口占全国的一半以上。从本文可以得出结论 ,在鼓励“少生”的总原则下 ,从当地的实际出发 ,全国各地的生育政策呈现出相当多样化的情况 ,把中国的生育政策笼统地归结为是一个不加区别的、全国一律的“一孩政策”是不符合实际的     

The Economic Theory of Fertility Over Three Decades

A large proportion of cohabitors in the Statistics Norway Omnibus Surveys of 1996 reported economic reasons for their hesitation to marry, and in particular the costs of the wedding. In line with this, the Norwegian Family and Occupation Survey of 1988 revealed effects both of women's cumulated income and men's non-employment on the actual choice of union type. Also some other evidence suggests that affordability matters, although there are plausible alternative interpretations. On the other hand, several estimates suggest that economic strength does not induce marriage. Since there also has been no deterioration of young adults' economic situation in Norway, except for the delay of economic independence owing to longer college enrolment, one can hardly claim that lack of affordability is a dominating force behind the massive drift away from marriage. The analysis is anchored in a theoretical framework that may prove useful in other studies of cohabitation as an alternative to marriage.