生育理性和生育决策与我国低生育水平稳定机制的转变

自改革开放以来 ,我国人口生育率水平出现了迅速的转变 ,特别是 1 992年我国确立了市场经济为目标的经济改革以来 ,生育率水平更是进一步降低到更替水平以下。如果说 ,生育率的迅速转变是在国家计划生育政策干预下启动的 ,那么 ,在 1 990年代生育率的下降应该主要是社会和经济发展的结果。以市场经济为导向的经济改革和经济的迅速发展 ,已经为稳定我国城市地区人口低生育率水平提供了必要的经济条件 ,同时 ,制度、技术和文化等因素的变革已经为我国个人生育决策理性化创造了条件 ,低生育水平的稳定机制已经开始从政策控制为主转向群众自我控制为主的转变     

Maternity health care: The experiences of Sub-Saharan African women in Sub-Saharan Africa and Australia

Background

Increasing global migration is resulting in a culturally diverse population in the receiving countries. In Australia, it is estimated that at least four thousand Sub-Saharan African women give birth each year. To respond appropriately to the needs of these women, it is important to understand their experiences of maternity care.

曲折、艰难、辉煌的中国生育转变

从1979～2009年30年人口变动的历程来看,中国人口转变是成功的,其结果是辉煌的,但其转变的历程,尤其是生育转变的历程是曲折和艰难的,历史留给人们的经验和教训是深刻的。本文将近30年来的生育转变历程为四个阶段,从而突显了不同阶段生育水平的变化,以及生育水平与社会经济变革、生育行为以及生育政策博弈的结果。1979～1984年生育水平反弹波动,反映出严格的生育政策遇到强大阻力,结果是欲速而不达。1985～1991年生育高峰如期而至,显示了人口内在规律的强大威力,从而最大限度地调动了人口控制的力量。1992～1999生育率再次下降,并穿透替代水平生育率,宣告人口转变基本完成。2000～2009低生育水平持续稳定,人口结构性问题逐步显现,统筹解决人口问题势在必行。     

Education,employment, and fertility in Kinshasa and prospects for changes in reproductive behavior

This paper examines fertility behavior of women in Kinshasa, Zaire's capital city with a population of roughly four million. We look at relationships linking women's education, employment, and fertility behavior (children ever born, age at first marriage, contraception, abortion, breastfeeding, and postpartum abstinence), using data from a 1990 survey of reproductive-age women. Other things equal, there are significant differences by educational attainment and by modern sector employment in lifetime fertility and in most of the proximate determinants as well. The results suggest that modern contraception and abortion are alternative fertility control strategies in Kinshasa, with abortion appearing to play an important role in contributing to the observed fertility differentials by education and employment. The dramatic increases that have taken place in women's access to secondary and higher education are likely to reduce fertility in the future, while the effects of Zaire's current economic and political crisis are uncertain. Our findings are consistent with some of the arguments of Caldwell et al. (1992) on a new type of fertility transition in sub-Saharan Africa. If Zaire seeks to lower fertility, policy efforts should be made to soften the impact of economic crisis on school enrollments and enhance opportunities for young women to remain in school, at least well into the secondary level. Policy should also seek to promote more effective marketing and delivery of modern family planning services, so as to induce women to substitute modern contraception for abortion as a means of controlling their fertility.     

The role of intergenerational transfers,land, and education in fertility transition in rural Kenya: the case of Nyeri district

This qualitative study reveals how population pressures, land availability, inheritance norms, and educational opportunities intertwine to influence fertility decline in rural Kenya. Focus group discussions with men and women whose childbearing occurred both before and after the onset of rapid, unexpected fertility transition in Nyeri, Kenya allowed individuals who actually participated in, or witnessed, the fertility transition to “voice” their perceptions as to the mechanisms underlying the transition. Findings suggest that, since land inheritance is a cultural norm, land scarcity and diminishing farm size often influence fertility decision-making and behavior via preferences for fewer children. Further, education does not appear to be the driving cause of fertility behavior change, but rather is adopted as a substitute for land inheritance when land resources are scarce. These findings have implications for our understanding of fertility behavior as well as for improving predictions of fertility transition in other rural sub-Saharan African contexts.     

A cohort analysis of the timing of first birth and fertility in Ghana

This paper examines the nature of the inverse association between age at first birth and fertility across successive generations of Ghanaian women. Within the context of enhanced non-marital opportunities for contemporary women and declining fertility, we develop a rationale for and test the hypothesis that in a medium fertility environment as currently found in Ghana, the effect of age at first birth on fertility becomes more important than ever before. Five birth cohorts were identified (1938–1944; 1945–1949;1950–1954; 1955–1959; 1960–1964)from a merged file of the 1988, 1993 and 1998 Ghana Demographic and Health Surveys. The analyses were restricted to women over 35 years old at the time of the surveys, which allowed us to use current parity as a reasonable proxy for completed fertility. Preliminary results suggest that women who had first births early tend to have a higher number of births than those whose first births occur late, regardless of birth cohort. In multivariate analyses, the effect of age at first birth as a determinant of fertility was found to be more substantial among later cohorts. The implications of the findings are discussed.     

Unmet need for couples: An analytical framework and evaluation with DHS data

While estimates of unmet need continue to be an important measure of the extent of demand for contraception and family planning programs success in developing countries, there are various reservations about the validity of these estimates. For instance, the traditional formulation of the measurement has relied solely on information from women while inferences from the findings are often drawn for couples. As more survey data have become available for both men and women in a number of countries, there is increasing evidence suggesting that husbands' preferences are indeed important determinants of the reproductive behavior of couples. This paper developsan analytical framework for measuring unmet need for couples. The approach: (1) takes a fresh look at the classification of pregnant and amenorrheic women, and (2) incorporates the contraceptive use and fertility preferences of husband and wife in estimating the level of unmet need in six sub-Saharan African countries. Our findings shows that taking these factors into account results in a 50 to 66 percent reduction in the level of unmet need in these countries. The importance of husbands' variables in determining the level of unmet need is clearly evident when examined among fecund couples in which the wife is neither pregnant nor amenorrheic. The implications of these findings for family planning programs and research are discussed.     

Religious Affiliation and Fertility in a Sub-Saharan Context: Dynamic and Lifetime Perspectives

We use uniquely detailed data from a predominantly Christian high-fertility area in Mozambique to examine denominational differentials in fertility from two complementary perspectives—dynamic and cumulative. First, we use event-history analysis to predict yearly risks of birth from denominational affiliation. Then, we employ Poisson regression to model the association between the number of children ever born and share of reproductive life spent in particular denominations or outside organized religion. Both approaches detect a significant increase in fertility associated with membership in a particular type of African-initiated churches which is characterized by strong organizational identity, rigid hierarchy, and insular corporate culture. Membership in the Catholic Church is also associated with elevated completed fertility. We relate these results to extant theoretical perspectives on the relationship between religion and fertility by stressing the interplay between ideological, social, and organizational characteristics of different types of churches and situate our findings within the context of fertility transition and religious demographics in Mozambique and elsewhere in sub-Saharan Africa.     

中国人口生育变化及影响因素——基于第六次人口普查的分析

本文在"六普"汇总数据的基础上,定量分析中国人口的生育水平、生育模式的变化和生育变化的影响因素。研究发现,在生育水平持续下降的情况下,结构性因素逐渐成为左右未来中国生育水平走向的决定性因素;生育模式正在向初婚初育间隔扩大,生育孩次向低孩次集中的方向发展;尽管年龄别已婚生育率的变化使得中国一般生育率上升9.613%,在导致生育水平下降的各因素中,育龄妇女年龄结构、婚姻状态等人口因素的影响显得越来越重要。研究结果对于正确理解我国的人口形势,科学地规划和调整人口政策具有十分重要的意义。     

女性受教育程度与婚配模式对二孩生育意愿的影响

在人口转变过程中,女性受教育程度的提升往往被认为是促进生育率下降的因素之一,但是在后人口转变时期,许多针对发达国家的研究发现女性的受教育程度与生育水平呈现正相关的关系。本文使用2010年、2012年和2013年中国综合社会调查数据,分析和比较中国女性的二孩生育意愿在不同受教育程度和不同教育婚配模式下的差异。结果显示在不考虑政策限制的情况下,受教育程度较高或较低的女性的二孩生育意愿更高,即便考虑了女性的收入水平后这一关系依然显著。研究发现在考虑夫妇的相对特征后,相比受教育程度均为初中的夫妇,夫妇受教育程度均较高或较低的女性的二孩生育意愿更高。文章使用生育的性别公平理论对生育意愿在女性受教育程度及婚配模式上的这一U型变化模式进行解释。生育行为不仅与经济水平或夫妻间的相对经济实力相关,还会受到性别观念的影响,更加平等的性别观念与性别关系有利于促进生育意愿的提升。政府应推广具有普惠性质的托育支持体系,促进女性就业和性别平等,使生育率维持在稳定水平。     

Cohort Parity Analysis and Fertility Transition Dynamics: Reconstructing Historical Trends in Fertility Control from a Single Census

The Cohort Parity Analysis (CPA) method for the indirect measurement of the extent of marital fertility control makes use of parity distribution data of the kind reported, for specified marriage duration and marriage-age (or current age) groups of women, by a fertility census. Corresponding to every such distribution, CPA yields efficient upper and lower bounds on the proportion of controllers in the specified cohort, as well as bounds for the parity distribution of the controllers. As the women who belong to different marriage cohorts are observed at different durations of marriage in a census, it is possible to infer inter-cohort trends in the extent of fertility control (at some specified marriage duration(s)) if one knows the time pattern of the adoption of control among the members of each cohort. It is shown in this paper that robust estimates of the intracohort diffusion pattern can be obtained from the census cross-section itself, by supplementing the basic assumptions of the CPA framework with a plausible assumption about the behaviour of the ‘representative’ controller in a given cohort. The estimation technique is illustrated by applications to data for married women in urban Eire from the Census of Ireland in 1911, and to native white married women in the U.S. South from the U.S. Census of 1910.     

Fertility beyond the frontier: indigenous women,fertility, and reproductive practices in the Ecuadorian Amazon

Recent research suggests that after decades of population decline, indigenous populations of the lowland tropics of Latin America are now experiencing rapid growth. At the same time, conservationists have pronounced indigenous lands as a key to the future of Amazon forests. As such, conservationists should have a good understanding of indigenous demography and impacts on conservation and development. Yet, there is little depth to understanding of these demographic changes and a dearth of quantitative research on the reproductive practices of indigenous populations. This study addresses these gaps through analyses of a household survey of 648 women of reproductive age from five distinct ethnic populations in the Ecuadorian Amazon. We estimate fertility, analyze reproductive intentions and contraceptive use, and determine the unmet need for reproductive health services. The analyses confirm high fertility rates and high levels of unmet need for contraception. With regard to program and policy implications, we conclude by arguing that isolation and cultural barriers present unique challenges to meet the reproductive health needs of these populations. Innovative approaches, such as those merging population–health–environment topics, may be most relevant for meeting these challenges.

The Role of Contraceptive Supply and Demand in Mexican Fertility Decline: Evidence from a Microdemographic Study

This paper uses retrospective life history data to assess the impact of family planning services on contraceptive use in a rural Mexican township. Between 1960 and 1990 contraceptive use rose and fertility declined dramatically. Both contraceptive supply and demand factors were influential in these trends. The start of the government-sponsored family planning programme in the late 1970s was associated with a sharp rise in female sterilization and use of the IUD. However, once we controlled for the changing socio-economic and demographic characteristics of the sample, the presence of family planning services had no significant effect on the likelihood that women used modern reversible methods compared to traditional methods. Men and women expressed concerns about the safety of modern methods such as the pill and the IUD. Efforts to increase modern contraceptive use should place greater emphasis on communicating the safety of these methods and improving the quality of services.     

The transition to lower fertility in the West Bank and Gaza Strip: evidence from recent surveys

Using recent data from three national-level surveys conducted in 1995, 2000, and 2004, we provide evidence that Palestinian fertility rates in the West Bank and Gaza Strip, historically among the highest in the world, began to slow especially in the West Bank, but stalled in Gaza during the recent Intifada. The TFR in the early 2000s was 4.6 per woman, down from 6.2 a decade earlier. However, most of the decline in Gaza’s fertility appears to have taken place during the early 1990s, before the onset of the second Intifada. In Gaza, the TFR decreased from 7.4 to 5.7 during the 1990s, but changed only slightly to 5.6 during the second Intifada period. Surprisingly, contraceptive prevalence has not changed during these years, and the transition to lower fertility was mainly due to changes in nuptiality. Demand for children remains high, although there is evidence of unmet need for contraception. The continuing conflict and worsening economic situation provide clues to the persistence of high fertility among Palestinian women.

The intergenerational transmission of divorce in cross-national perspective: Results from the Fertility and Family Surveys

We used data on women's first marriages from the Fertility and Family Surveys to analyse the intergenerational transmission of divorce across 18 countries and to seek explanations in macro-level characteristics for the cross-national variation. Our results show that women whose parents divorced have a significantly higher risk of divorce in 17 countries. There is some cross-national variation. When compared with the USA, the association is stronger in six countries. This variation is negatively associated with the proportion of women in each cohort who experienced the divorce of their parents and with the national level of women's participation in the labour force during childhood. We conclude that differences in the contexts in which children of divorce learn marital and interpersonal behaviour affect the strength of the intergenerational transmission of divorce.     

Aids and population growth in sub-Saharan Africa: Assessing the sensitivity of projections

Despite different models to project the course of the AIDS pandemic and a scarcity of data to provide standard input parameters for those models, a limited consensus emerges from distinct sets of population projections. In sub-Saharan Africa, population growth rates are projected to remain positive in spite of the pandemic over the next few decades. To investigate this conclusion, alternative projections of an HIV/AIDS epidemic and its related mortality are first produced from different sets of input parameters and assumptions. Their incorporation into the population projections of a fast-growing country illustrates the robustness of projected population growth rates under very different scenarios of the future epidemic but with the common assumption that it will not affect the mortality of the uninfected population, fertility nor migration. This paper then shows that the projected growth rates are much less robust when interactions between the epidemic and the demographic regime are allowed and identifies several potential mechanisms for such interactions. In particular, it suggests that improving our confidence in the medium-term projections of the demographic impact of AIDS in the region requires less a refinement of the projections of the epidemic than a better understanding of its impact on the timing of the postulated fertility decline.     

Structural Change in Life Cycle Fertility During the Fertility Transition: France Before and After the Revolution of 1789

This paper explores the hypothesis that the fertility transition in France entailed a structural change in behaviour from natural to controlled fertility. We define the hypothesis in terms of an empirically estimable model of lifetime fertility. The model produces separate estimates of the three main proximate determinants: the hazard rate of conception for ovulating women, the timing of ovulation resumption after a birth, and permanent sterility. Fertility control is defined as responsiveness of the conception hazard to number of surviving children. We demonstrate key features of the model by simulated family histories. The historical application provides support for the transition hypothesis in the south of France, and mixed results for the north. We also find strong evidence of persistent couple-specific heterogeneity even after controlling for unobserved heterogeneity in fecundability. We suggest how future research might improve the model.     

Fertility decline in a US population favoring large families: A hazard-model analysis of the effect of sib death on Amish fertility

This paper uses proportional hazards techniques and population data from a directory of the Old Order Amish of the Lancaster, PA settlement. It examines the effect of death of the immediately prior sibling on the risk of childbearing for up to 11 children. Prior research typically has pooled data for maternal cohorts. In contrast, separate models are estimated for each maternal cohort. The results are based on all reported first marriages of Amish women born between 1884–1973 (N = 4066). Hazard models run separately for children of each birth order reveal that net of maternal age and length of the prior birth interval (and other statistical and design controls), the death of the prior sib significantly increases the risk of a subsequent birth for the lower birth orders. Separate models by maternal cohort show that sib death increases the risk primarily for later cohorts. The pattern of effects from child mortality and other variables suggests changes in fertility behavior among the Amish, who have strong, traditional norms opposing contraception and favoring large families.     

Determinants of infant and child mortality in Kenya: an analysis controlling for frailty effects

In this paper, Weibull unobserved heterogeneity (frailty) survival models are utilized to analyze the determinants of infant and child mortality in Kenya. The results of these models are compared to those of standard Weibull survival models. The study particularly examines the extent to which child survival risks continue to vary net of observed factors and the extent to which nonfrailty models are biased due to the violation of the statistical assumption of independence. The data came from the 1998 Kenya Demographic and Health Survey. The results of the standard Weibull survival models clearly show that biodemographic factors are more important in explaining infant mortality, while socioeconomic, sociocultural and hygienic factors are more important in explaining child mortality. Frailty effects are substantial and highly significant both in infancy and in childhood, but the conclusions remain the same as in the nonfrailty models.     

中国生殖健康方案的推进和已婚育龄人口避孕模式转变——ICPD 10:避孕方法的医控模式和自控模式有变化吗

避孕节育是生殖健康极为重要的内容。文章利用国家人口和计划生育委员会1988年至2001年全国生育节育抽样调查和全国计划生育/生殖健康调查数据,分析了已婚育龄人口在避孕模式上的时空变化特征,在此基础上进一步研究了在已婚育龄人口的年龄、子女数和生活的不同区域环境等方面避孕模式的时空变化。结果表明,在我国人口转变的过程中,低生育水平下的避孕模式以及推行避孕节育知情选择后已婚育龄人口的避孕模式,特别是医院控制的避孕方法与自己控制的避孕方法的构成已经发生了变化,有必要进一步改善生殖健康服务的技术服务等。