Adolescent fertility programs: taking the first few steps

Adolescent fertility programs in Asia and the Pacific have a long way to go to check the problems associated with adolescent fertility, but a start has been made. Delegates from 8 countries met in 1982 to share their problems and experiences in their own countries. The conference participants drew up plans to deal with a high rate of adolescent fertility, sexually active adolescents, out-of-wedlock births, unwanted pregnancies, sexually transmitted diseases, prostitution, rape, abortion, and drug addiction. The delegates felt that for adolescent fertility programs to be effective the program workers must first be equipped with the needed skills through proper training. Inadequate knowledge of the subject matter, inability to communicate with adolescents, personal bias, and lack of counseling skills were among the worker-related problems that conference participants identified. A few months after the conference, participant countries conducted a training program on the effective delivery of adolescent fertility-related information and counseling services. The training program, held in Manila from January 23 to February 2, 1984, was conducted by the Population Center Foundation and sponsored by the Family Planning International Assistance. Training program objectives included: in crease the participants' knowledge of sexuality-related matters; help them to communicate better with adolescents on matters related to sexuality and fertility; make them aware of other ways of responding to fertility-related information needs of adolescents; and improve their skills in counseling adolescents. Lectures, structured learning activities, discussions, role playing, and other methods were used to maximize learning. The training program was divided into 6 modules: group dynamics; human sexuality; information dissemination; counseling techniques; management; and action planning. The plans of Fiji, India, Indonesia, Nepal, Sri Lanka, Thailand, and the Philippines are reviewed. Organizers of the training program are confident that the action plans of the individual countries will take shape soon and clear the path toward more effective adolescent fertility programs.     

Adolescent pregnancy and childbearing - growing concerns for Americans

The negative impact of the increase in sexual activity among teen-agers and the health and life chances of those involved are examined. The barriers to effective contraception by teen-agers, racial differences, and the U.S. experience in relation to that of other countries are discussed. Some of the major topics discussed are: 1) overall fertility rates among teen-agers, 2) legitimate and illegitimate births, 3) marriage among teen-agers, 4) adoption, 5) abortion as an outlet, 6) sexual activity, 7) patterns in conceptions, and 8) patterns of contraceptive practice. Also discussed are: 1) teen-agers and clinical services, 2) health consequences of adolescent childbearing, 3) teen-agers health and sex, 4) child development, 5) life chances for a t een-age mother, 6) consequences for society, and 7) international comparisons. 6 figures and 11 tables are included.     

Adolescent fertility programs: responding to the needs of today's youth

The 1983 conference on Adolescent Fertility Management in Asia and the Pacific provided a forum for sharing information and experiences. The project was designed to stimulate interest in and strengthen existing programs on adolescent fertility in participating countries, i.e., Bangladesh, Fiji, India, Indonesia, Nepal, Philippines, Sri lanka, and Thailand. Specifically, the conference sought to identify adolescent fertility problems and share experiences in managing adolescent fertility programs, identify gaps in the development and implementation of adolescent fertility programs and projects, and formulate plans to meet the adolescent fertility needs of the participating countries. Capsule presentations of the experiences of the participating countries are presented. Focus is on the projects they have undertaken and proposed activities. In Bangladesh Jatio Tarum Sangha, the national youth organization, seeks to get youth involved in family planning activities through information/education/motivation programs and community development projects. Fiji proposes to establish a youth center to be operated by the Ministry of Health to reduce the incidence of unplanned pregnancy and sexually transmitted diseases in adolescents and to make them more aware of sex-related health problems and the importance of responsible sex. India's Family Planning Association has initiated population education programs for youth. Several projects have been launched in Jakarta to cope with adolescent fertility problems including the adolescent health project, the Consultation Center for Adolescents, and the university-based family health project. The Family Planning Association of Nepal has completed some major programs under its youth project. The Philippines' proposed youth centers are planned to respond to the fertility related needs and problems of Filipino adolescents. Innovations of the center are: the operation of several youth-serving government and private agencies under 1 roof, and encouragement of youth participation in designing and running the center. Sri Lanka does not have much of an adolescent fertility problem. Virtually all fertility is said to occur within marriage. A study on adolescent fertility is planned. Thailand has launched several government and nongovernment programs to reach adolescents both in and out of school. Government programs include counseling services and the National Family Planning Communication for Premarriage adolescents. Key issues are identified and recommendations are made.     

Adolescent fertility and religion in Rio de Janeiro,Brazil in the year 2000: The role of Protestantism

We use survey data from Bulgaria and Hungary to investigate the determinants of whether women intend to have a first or a second child and, if so, whether they intend to have the child within the ensuing 2 years or later. These determinants differ significantly by the order and timing of the intended birth. The variables used include measures of anomie and social capital and these appear to be among the factors that determine both whether to have a child and when. There is some evidence that these measures and economic factors are relatively more important in Bulgaria than in Hungary, and that ideational factors are more important in Hungary, particularly in the case of voluntary childlessness.     

Adolescent fertility and religion in Rio de Janeiro, Brazil in the year 2000: the role of Protestantism

Social transformations in Brazil in recent years have included a substantial increase in adolescent fertility, a dramatic rise in membership of Protestant religious denominations, and an accompanying decline in the number of Catholics. We used the 2000 Brazil Census to examine differentials in fertility and family formation among adolescents living in Rio de Janeiro by the following religious denominations: Catholic; Baptist; other mainline Protestant; Assembly of God Church; Universal Church of the Kingdom of God; other Pentecostal Protestant; and no religion. Results from logistic regression models show that the majority of the Protestants are at a lower risk of adolescent fertility than Catholics, and that among adolescents who have had a child, most Protestants are more likely than Catholics to be in a committed union. Our findings offer some support for the hypothesis that Protestant churches are more effective than the Catholic Church in discouraging premarital sexual relations and childbearing among adolescents.     

Adolescent alienation: Evaluating the hypotheses

Statistics reveal the steady, long-term, increase of self-and-other-destructive conduct among American youths. The conduct involved includes suicide, homicide, out-of-wedlock births, drug abuse and recorded crimes. A variety of hypotheses have been proposed to interpret this conduct — and to indicate possible remedies. Some of these hypotheses are briefly characterized, generally evaluated, and rejected. One hypothesis, the so-called youth bulge theory, suggests that the conduct is due to a disproportinate relationship between the youth population and the adult population; this disproportion — the so-called youth bulge — ultimately led to various modes of youth alienation. The youth bulge hypothesis was tested through a regression analysis which estimated the contemporaneous relationship between a measure of adolescent disorder (the youth suicide rate over time) and the proportion of youths to adults. A statistically significant but small relationship was found between the two variables. The implications of this conclusion are briefly sketched.     

Frustrated fertility: a population paradox

This Bulletin examines the causes of subfecundity -- the diminished ability to reproduce -- and its effect today and in the past on the fertility, or actual reproductive performance, of individuals and, hence, populations. By definition, all real populations are subfecund since all experience some degree of involuntary biological factors affecting coitus, conception, or the ability to carry a conceptus to live birth which reduces their fecundity below the estimated biological population maximum of 15 children per woman. Affecting both men and women, these factors fall into 5 categories: genetic factors such as blood group incompatibilities and inherited sickle cell anemia or diabetes; psychopathology, including psychic stress and behavioral disorders (e.g., drug and alcohol abuse); infectious diseases such as gonorrhea, malaria, tuberculosis, and postabortion infection; malnutrrition, including the chronic undernutrition of the 3rd World and the overnutrition of developed societies; and hazards posed by increasing amounts of radiation and toxic chemicals in the environment. Reducing subfecundity requires improved living conditions, avoidance of or protection from known hazards, and adoption of medical advances which now can help 40 to 60% of subfecund couples. But even in the U.S. fertility would certainly rise among the 15% of couples now estimated to be involuntarily childless and the 10% who have fewer children than they want, and among disadvantaged groups, and teenagers.     

Seasonality of fertility: New evidence

This paper presents evidence that the seasonal pattern of American fertility applies to nonwhites as well as whites. The patterns are also changing in the same way over time: the summer trough in births is shrinking in magnitude, and the spread of airconditioning, reducing the heat of summer, can explain this shrinkage. The summer hypothesis is further buttressed by evidence, for the total population, that summer temperature extremes can explain a significant portion of the variation around the seasonal trend, in both the North and South. These temperature-induced variations appear to be offset within seven months of their occurrence.This research was supported in part by a grant from the National Institute of Child Health and Human Development. Dennis Sullivan made a number of valuable critical comments on an earlier draft of this paper. Valuable research assistance was provided by Amy Powell and Robert Schoeni.     

Religion and fertility: A replication

Jones and Westoff (1979) reported a study offertility trends among white women in intact first marriages. They found that the fertility of white Catholic and non-Catholic wives was converging. The differential had all but disappeared, as had the differential by frequency of communion among Catholic wives. We replicated their study using data from the 1976 National Survey of Family Growth. We found that the fertility of the two religious groups was indeed converging, but the Catholic-non-Catholic differential was larger than that found by Jones and Westoff—how much larger depends on what measure is used. Moreover, we found that the differential by frequency of communion among Catholic wives was not converging. Possible explanations of the apparent differences in the findings are discussed.     

Aboriginal fertility: Trends and prospects

Estimates of Aboriginal fertility compiled from an analysis of 1981 and 1986 Census data on children ever borne by Aboriginal women reveal age-specific fertility rates slightly higher than those of other Australian women at ages above 25, but very much higher rates for younger women. The result is a total fertility ratio more than 50 per cent higher than in the total Australian population, with no more than slight variation between States and Territories. A differential analysis using standardized indices shows considerable differences in levels of fertility of categories of young Aboriginal women classified by education, labour force status and income, and also differences between urban and rural areas. Analysis of prospects for Aboriginal fertility levels confirms the likelihood of continuation in the downward drift in levels of fertility that has been established during the past decade. Comparison of the estimates with another recent set of estimates obtained using the own-children method shows broad conformity in levels of total fertility ratios over time, except in the most recent period, the mid-1980s. Nevertheless, the own-children estimates distort the recent trend and also the age distribution of Aboriginal fertility.     

Intermediate fertility variables and marital fertility rates

Summary Using relatively simple mathematical techniques, an analysis is made of a comprehensive reproductive model that describes the relationships between a set of intermediate fertility variables and the marital fertility rate. Two types of intermediate fertility variables are distinguished: (1) biological parameters and (2) control variables. A homogeneous model is outlined first. Next, this version is extended to include heterogeneity with respect to fecundability and coital rates. Tests of the model with data from two historical populations (i.e. Crulai, 1674-1742, and Tourouvre au Perche, 1665-1765) demonstrate that the model is, indeed, consistent with observed reproductive behaviour in actual populations.     

Global concerns,local negotiations and moral selves:

Parents are contradictorily positioned within the “sexualisation of childhood” debate. They (“we”) are assumed to be concerned about sexualisation, and are urged to challenge it through campaigning, “saying no,” discussing “media messages” with children, and so on. Yet “irresponsible” consumption practices, particularly by mothers, are also held responsible for sexualisation. We argue that parental concern may be overstated: participants in our qualitative research into “sexualised goods” tended not to perceive their own children as “sexualised,” did not accept that products are inherently sexualised, and subscribed to ideas about child development and “good” parenting that entailed letting children make their own decisions about such items. Nonetheless, mothers are increasingly compelled to participate in the “sexualisation debate,” and doing so appears to encourage perpetual self-scrutiny and surveillance of others to maintain boundaries between “acceptable,” peer-group-appropriate and “inappropriate” practices and choices. In this sense sexualisation can be seen as a site for the formation of ethical, responsibilised parent subjectivities. We argue that it has costs for (working-class) women and girls in particular: it naturalises social inequalities by obscuring the constraints on individual choice, converges with older discourses that make women responsible for male sexual violence, and reinforces narrow and conventional moral agendas.     

Tribal affiliation and fertility: A note

This not extends T. L. F. Devis's recent investigation of the relationship between tribal affiliation and fertility in Sierra Leone. Controls are introduced for age structure and economic variables. The findings suggest that tribal affiliation does not have much independent influence on fertility after these factors are allowed for.     

Income and fertility: The elusive relationship

This paper uses longitudinal data for 1962–1977 to examine the relationship of husband’s income to 1962 expected fertility, to final parity, and to the discrepancy between initial expectations and final parity, separately for four groups of women who in 1962 either had just given birth to a first, second, or fourth child or had just been married. Although economic reasons frequently were cited in 1977 for downward revisions in family size goals, husband’s income was not positively related to fertility in three of the four parity groups. For the merged sample, excluding women with unwanted births, husband’s income showed a small positive relationship to completed fertility.     

Tribal affiliation and fertility: A note

Summary This not extends T. L. F. Devis's recent investigation of the relationship between tribal affiliation and fertility in Sierra Leone. Controls are introduced for age structure and economic variables. The findings suggest that tribal affiliation does not have much independent influence on fertility after these factors are allowed for.     

Case study: fertility decline in Iran

Iran has experienced one of the most successful family planning programs in the developing world, with 64 percent decline in total fertility rate (TFR) between 1986 and 2000. This paper focuses on Iranians’ unique experience with implementation of a national family planning program. Recognition of sensitive moral and ethical aspects of population issues resulted in successful collaboration of technical experts and religious leaders. Involvement of local health workers, women health volunteers and rural midwives led to great community participation. Demographic and Health Survey (DHS) data in 2000 indicated a TFR of 2.0 births per women and 74 percent contraceptive use among married women. This case study will help policy makers and researchers in Moslem countries and other developing countries with high fertility rate to consider a successful family program as a realistic concept with positive impacts on nation’s health and human development.     

The Bangladesh fertility decline: an interpretation

The claim has been made, notably in a 1994 World Bank report, that the Bangladesh fertility decline shows that efficient national family planning programs can achieve major fertility declines even in countries that are very poor, and even if females have a low status and significant socioeconomic change has not occurred. This article challenges this claim on the grounds that Bangladesh did experience major social and economic change, real and perceived, over the last two decades. This proposition is supported by official data and by findings of the authors' 1997 field study in rural southeast Bangladesh. That study demonstrates that most Bangladeshis believe that conditions are very different from the situation a generation ago and that on balance there has been improvement. Most also believe that more decisions must now be made by individuals, and these include decisions to have fewer children. In helping to achieve these new fertility aims, however, the services provided by the family planning program constituted an important input.