Life expectancy, fertility, and educational investment

In this study, we develop a model of overlapping generations where adults make decisions on consumption, fertility, and their personal education. We show that under the assumption of exogenous mortality, there are multiple steady states with club convergence occurring when mortality is sufficiently high. If mortality is sufficiently low, there will be a unique, stable steady state, and the economy will converge to a “good” steady state irrespective of where it starts from. Under the assumption of endogenous mortality with “threshold effects,” we find that club convergence will occur if the threshold is sufficiently high; conversely, a low threshold can help the economy to steer clear of the underdevelopment trap.     

Perceiving Mortality Decline

In the demographic literature on developing countries, studies of mortality perceptions are conspicuous by their absence. Perhaps it has been assumed that when mortality declines, the decline will be quickly recognized by individuals and will then influence their demographic decisions. The possibility of substantial lags and biases in risk perception, which cause individual perceptions to diverge from the changing empirical realities, has not been much considered. Yet studies in cognitive and social psychology indicate that individual mortality perceptions are likely to be diffuse and may well be biased upward in relation to the declining empirical risks. If individuals are poorly equipped to recognize mortality decline, so too may be social groups—social learning will not necessarily correct individual misapprehensions. This note discusses the perceptual limitations that may delay recognition of mortality decline and examines the implications for demographic behavior in three areas: modern health care, fertility control, and children's schooling.     

Self-Forgiveness and Mortality in Late Life

The purpose of this study is to see if older people who are able to forgive themselves have a lower mortality risk than older adults who are not able to forgive themselves. In addition, it is hypothesized that the relationship between self-forgiveness and mortality will be contingent upon the level of an older individual’s education. More specifically, it is predicted that the potentially beneficial effects of self-forgiveness will be more evident among older people with more years of schooling. Data from a nationwide survey of older people provide support for this view. Self-forgiveness does not provide a mortality benefit for less educated elders. But as the level of educational attainment rises, self-forgiveness is associated with a progressively smaller mortality risk.     

Agency in Fertility Decisions in Western Europe During the Demographic Transition: A Comparative Perspective

We use a set of linked reproductive histories taken from Sweden, the Netherlands, and Spain for the period 1871–1960 to address key issues regarding how reproductive change was linked specifically to mortality and survivorship and more generally to individual agency. Using event-history analysis, this study investigates how the propensity to have additional children was influenced by the number of surviving offspring when reproductive decisions were made. The results suggest that couples were continuously regulating their fertility to achieve reproductive goals. Families experiencing child fatalities show significant increases in the hazard of additional births. In addition, the sex composition of the surviving sibset also appears to have influenced reproductive decisions in a significant but changing way. The findings offer strong proof of active decision-making during the demographic transition and provide an important contribution to the literature on the role of mortality for reproductive change.     

Survivorship Of Sons Under Conditions Of Improving Mortality

The strong desire of fathers to be assured that at least one son will outlive them, coupled with the traditional belief in a high probability of sons predeceasing their father, is often a deterrent to restriction of family size. A calculation of the probabilities of survivorship of sons on the basis of the United Nations Model Life Tables, however, shows that the probabilities of a father being outlived by even one son are remarkably high, particularly after that son has survived the first two years of life. When cohort tables are used, reflecting expected mortality improvements, the probabilities are even higher. In general, it is found that the probability that a two-year-old son will outlive his father is 80% or better, subject to the current mortality level and the age of the father.Finally, this paper examines (1) probabilities of a father being outlived by at least one of two or three sons, (2) probabilities of a mother or of both parents being outlived by a son, and (3) the probability that at least one of two sons will outlive a father when allowance is made for the fact that mortality probabilities of the sons are not independent of one another.     

Fertility decline in the modern world and in the original demographic transition: Testing three theories with cross-national data

This study uses aggregate data on a large number of the world's societies to test three theories of fertility decline in the modern world and in the original demographic transition. One prominent theory relates fertility decline to the changing economic value of children. With industrialization and overall modernization the economic value of children's labor shifts from positive to negative. This interpretation has been challenged by those who claim that the flow of wealth in preindustrial societies is always from parent to child rather than from child to parent. An alternative interpretation is that fertility levels reflect people's efforts to promote their reproductive success, and that this requires the careful tracking of infant and child mortality. Fertility rates are adjusted to the rate of infant and child survival, and will be high when survival rates are low and low when survival rates are high. A third theory emphasizes female empowerment. Fertility will be high when women are highly subordinated to men, but as women gain more autonomy and control over their own lives they reduce their fertility levels because, among other possibilities, higher levels of fertility present them with serious burdens. We tested all three theories through multiple regression analyses performed on two samples of societies, the first a large sample of the world's nation-states during the period between 1960 and 1990, and the second a sample of now-developed societies between 1880 and 1940. Our findings showed that infant mortality was an excellent predictor of fertility, and that female empowerment was a good predictor. However, there was only weak support for the argument that the economic value of children's labor plays an important role in fertility decisions. The findings were discussed in the context of a broader interpretation of fertility behavior in societies with high levels of industrialization and modernization.     

Extending the Lee-Carter Method to Model the Rotation of Age Patterns of Mortality Decline for Long-Term Projections

In developed countries, mortality decline is decelerating at younger ages and accelerating at old ages, a phenomenon we call “rotation.” We expect that this rotation will also occur in developing countries as they attain high life expectancies. But the rotation is subtle and has proved difficult to handle in mortality models that include all age groups. Without taking it into account, however, long-term mortality projections will produce questionable results. We simplify the problem by focusing on the relative magnitude of death rates at two ages (0 and 15–19) while making assumptions about changes in rates of decline at other ages. We extend the Lee-Carter method to incorporate this subtle rotation in projection. We suggest that the extended Lee-Carter method could provide plausible projections of the age pattern of mortality for populations, including those that currently have very high life expectancies. Detailed examples are given using data from Japan and the United States.     

On the dependence of age structure on asequence of mortality and fertility schedules: An exposition of a cyclical model of population change

In this paper a method to investigate the dependence of age structure and growth rate on a given sequence of fertility and mortality schedules under the conditions of unchanging mortality and absence of migration is discussed. The method consists in projecting an arbitrary population classified by age to the ends of successive periods assuming that a given age pattern of mortality will remain without change and that a given sequence of fertility schedules will repeatedly operate on the population in a cyclical fashion. It is shown that after a sufficiently large number of repetitions of the cycle, the shifts in age structure between the ends of successive periods and the changes in the growth of the different age groups from one period to the next show a cyclical pattern. Formulas are derived expressing the above changes in terms of a sequence of k growth multipliers, k being the number of schedules in the fertility sequence, and the survival rates in the mortality schedule. A numerical illustration of the theory is given using fertility data from Finland.     

Why do the children of the poor die in Dhaka,Bangladesh?

Mortality data from much of the developing world show that the health advantage of urban over rural areas is being eroded. The single most important factor is the very high mortality of the slum populations, mostly rural-urban migrants in the large cities. This has been shown to be true of Dhaka, Bangladesh, where much of the mortality differential between the poor and other residents can be explained by higher mortality in the slums among young children, especially infants. This paper reports on a collaborative project, Access to Health and Reproductive Health Services in the Dhaka Slums, which confirmed this situation in a 1999 survey and employed an in-depth approach in 2000 to investigate the circumstances of child deaths. It is shown that these deaths mostly occur among illiterate rural-urban migrants who have brought pre-Islamic folk beliefs about illness and its treatment with them. This and cost in most cases preclude modern medical treatment. These disadvantages are reinforced by treatment decisions being made in a purdah society almost entirely by women, especially old women, with husbands and other male relatives often being beyond contact. Suggestions are advanced for improving the situation.     

Age patterns of mortality for older women: an analysis using the age-specific rate of mortality change with age

"In this paper we propose a mortality measure that seems useful in analyzing age patterns of death rates. The measure, which will be denoted by k(x), indicates the proportional increase or decrease with age in the risk of death at a given age x, and is called the age-specific rate of mortality change with age." Estimations are presented for women in 10 countries. "Eight of the selected sets of data are for developed nations in the 1960s and 1970s, and the other two sets of data, for Taiwan, 1931-35, and for Germany, 1910-11, represent relatively high mortality. For France and West Germany, three different periods are included for an investigation of cohort effects on the observed age patterns." Other mathematical models of age-specific mortality rates are discussed and compared. (SUMMARY IN FRE)     

Bargaining over family size: The determinants of fertility in Brazil

Understanding how households make fertility decisions is important to implementing effective policy to slow population growth. Most empirical studies of this decision are based on household models in which men and women are assumed to act as if they have the same preferences for the number of children. However, if men and women have different preferences regarding fertility and are more likely to assert their own preferences as their bargaining power in the household increases, policies to lower fertility rates may be more effectively targeted toward one spouse or the other. In this paper, we test the relevance of the single preferences model by investigating whether men and women's nonwage incomes have the same effects on the number of children in the household. We find that while increases in both the man and woman's nonwage income lower the number of children in the household, an equivalent increase in the woman's income has a significantly stronger effect than the man's. In addition, we find that increases in women's nonwage transfer income have the strongest effects on the fertility decisions of women with low levels of education. The most important policy implication of our results is that policies aimed at increasing the incomes of the least-educated women will be the most effective in lowering fertility rates.     

Mortality–fertility synergies during the demographic transition in the developed world

The classic theory used to explain the demographic transition assumes that mortality is the key explanatory variable influencing the decline in fertility. However, the empirical results obtained in what is known as the Princeton European Fertility Project have led many specialists to question this assumption. Using both national and provincial aggregated data for 25 countries over a long time span, the analysis reported in this paper found that mortality does indeed play a fundamental role in accounting for the main demographic changes that occurred both before and during the transitional period. Others’ research based on individual data has shown clearly that the number of surviving children was indeed an important factor for reproductive decisions. My analysis, using aggregated data, reached largely similar conclusions regarding the role of mortality in changing reproductive trends, via its impact on nuptiality and marital fertility at different stages of the demographic transition.     

The empowerment of women,fertility, and child mortality: Towards a theoretical analysis

This paper examines one avenue through which female autonomy impinges on fertility and child mortality in developing countries. A simple model is set out in which couples are motivated to have children for old age security purposes. The decisions of a couple regarding fertility and allocation of resources for the healthcare of their children are made within a bargaining framework. An increase in female autonomy translating into an increase in the relative bargaining power or the threat point utility of mothers is shown to reduce fertility and also to reduce child mortality rates. Paradoxically, the increase in female autonomy within a household may increase the disadvantage suffered by female children in that household with respect to survival. Received: 4 August 1999/Accepted: 7 September 2000     

Post-War trends in Maori population growth

Abstract Recent levels and trends of mortality and fertility of the minority Maori population of New Zealand are analysed. On this basis two projections for the year 1976 are presented, the first assuming a further rise in life expectation, which has already increased rapidly over the last two decades; and the other that both mortality and the consistently high fertility levels will be reduced. The conclusion is that, regardless of which projection one accepts, growth will be rapid (an increase of 60% to 70% in the period 1961-76), although the age distribution will be different at the youngest ages. Unless fertility is reduced, as in Projection 2, the dependency burden of Maori family heads will be extremely heavy.     

Post-War trends in Maori population growth

Recent levels and trends of mortality and fertility of the minority Maori population of New Zealand are analysed. On this basis two projections for the year 1976 are presented, the first assuming a further rise in life expectation, which has already increased rapidly over the last two decades; and the other that both mortality and the consistently high fertility levels will be reduced. The conclusion is that, regardless of which projection one accepts, growth will be rapid (an increase of 60% to 70% in the period 1961–76), although the age distribution will be different at the youngest ages. Unless fertility is reduced, as in Projection 2, the dependency burden of Maori family heads will be extremely heavy.     

Mortality From the Influenza Pandemic of 1918–1919: The Case of India

Estimates of worldwide mortality from the influenza pandemic of 1918-1919 vary widely, from 15 million to 100 million. In terms of loss of life, India was the focal point of this profound demographic event. In this article, we calculate mortality from the influenza pandemic in India using panel data models and data from the Census of India. The new estimates suggest that for the districts included in the sample, mortality was at most 13.88 million, compared with 17.21 million when calculated using the assumptions of Davis (1951). We conclude that Davis' influential estimate of mortality from influenza in British India is overstated by at least 24%. Future analyses of the effects of the pandemic on demographic change in India and worldwide will need to account for this significant downward revision.     

The Significance of Education for Mortality Compression in the United States

Recent studies of old-age mortality trends assess whether longevity improvements over time are linked to increasing compression of mortality at advanced ages. The historical backdrop of these studies is the long-term improvement in a population's socioeconomic resources that fueled longevity gains. We extend this line of inquiry by examining whether socioeconomic differences in longevity within a population are accompanied by old-age mortality compression. Specifically, we document educational differences in longevity and mortality compression for older men and women in the United States. Drawing on the fundamental cause of disease framework, we hypothesize that both longevity and compression increase with higher levels of education and that women with the highest levels of education will exhibit the greatest degree of longevity and compression. Results based on the Health and Retirement Study and the National Health Interview Survey Linked Mortality File confirm a strong educational gradient in both longevity and mortality compression. We also find that mortality is more compressed within educational groups among women than men. The results suggest that educational attainment in the United States maximizes life chances by delaying the biological aging process.     

The influence of cause-specific mortality conditions on the age pattern of mortality with special reference to Taiwan

Abstract This paper discusses the relationship between the level of mortality at ages one to four, on one hand, and five to 34 on the other. This relationship has been observed to vary considerably among mortality schedules at different levels of mortality and even among schedules at the same general level of mortality. This variation is shown among the modem life table systems of the Regional Model Life Tables and the United Nations Model Life Tables. Controlling for the leyel ofmortality from age five to age 34, the West Tables and the United Nations Tables embody approximately the same 'average' relationship between early childhood and adult mortality. Relatively to this average relationship, the South and East Tables consistently display higher childhood mortality rates for a given level of adult mortality. Indeed, the childhood rates of the South Table are twice those of the West Tables over a range of life expectancy at birth from 40 to 70 years. The relationship between childhood and adult mortality from 1957 to 1968, a period of rapid mortality decline, was investigated in Taiwan. In 1957, the Taiwanese data reflected the severe childhood mortality of the South Model Tables. However, by 1968, due to an especially large decline in childhood mortality, this relationship was more moderate and resembled the mortality pattern of the West or East Model Tables. An analysis of the decline in cause-specific mortality during the period revealed that a dramatic decline in childhood mortality from gastro-enteritis was primarily responsible for the shift in the relationship between childhood and adult mortality in Taiwan. It is asserted that, while any of several diseases which result in fatalities primarily among children of pre-school ages, could cause relatively severe childhood mortality, gastro-enteritis is likely to be a primary contributor to such an age pattern. This assertion is based on the fact that, especially in the developing areas of the world, malnutrition and gastro-enteritis are usually precipitating and complicating factors of other childhood diseases. A limited test of this hypothesis was provided by considering the causal components of childhood mortality rates in two populations known, for certain periods, to have exhibited relatively severe childhood mortality conditions; Spain and Portugal. For the years in which those populations were characterized by the South mortality pattern, gastro-enteritis was a principal cause of mortality in childhood. Moreover, with the decline in mortality from gastro-enteritis, the mortality pattern in Spain and Portugal no longer exhibited childhood mortality rates which were severe relative to those of adult life. The implications of these findings for the analysis of mortality conditions in many areas of the developing world, where the gastro-enteritis malnutrition syndrome annually claims a heavy toll of life in early childhood, are not clear. In those areas, the effect of this syndrome on the age pattern of mortality could be offset by special conditions inflating adult mortality rates. Nevertheless, in circumstances where there is evidence indicating substantial childhood mortality from this syndrome and no evidence indicating compensating severe adult mortality, there is reason to suspect that the existing mortality pattern reflects the relatively severe childhood mortality conditions of the South Model Tables. Additionally, where mortality from the gastro-enteritis malnutrition syndrome has been severe in past years, but has been reduced to low levels in recent years, it is probable that the relationship between childhood and adult mortality will shift in favour of the former - quite possibly, in the manner of Taiwan, from a South to an East or West age pattern.     

Setbacks for pro-choice

In June, 1977, the U.S. House of Representatives voted against all abortion funding with Medicaid money, the Supreme Court issued 3 decisions stating that states are not required to finance abortions for low-income women, and the Senate limited Medicaid funding for abortion to pregnancies resulting from rape or incest or abortions deemed "medically necessary." These decisions will certainly result in increased antiabortion pressure on state legislatures to cut off state abortion funding and to restrict the provision of abortions in public hospitals. Private hospitals and clinics will have to reconsider their ability to subsidize abortion services for low-income women. These developments make it necessary for the procchoice lobby around the nation to reassess its political priorities.     

Mortality,past and future

The study of mortality in previous centuries and of the trends in recent decades helps to elucidate some present-day medical problems and to contribute to their solution. The author considers, from a historical and socio-economic point of view, the factors which, during the last 200 years, have influenced the trends of mortality. This analysis indicates the lines along which present research, aimed at reducing mortality and extending expectation of life, should be directed.

Infancy (0–1 year): In backward countries, the whole of infancy is a period of high mortality. In progressive countries, on the other hand, the main reproductive wastage is in the ‘perinatal’ period, that is to say, covering stillbirths and deaths during the first week of life. For example, even in New Zealand, the death risk per day is more than eighty times as high during the first week of life than in the following 358 days.

Historical studies and social class comparisons suggest that further reduction of perinatal mortality is likely to depend on socio-economic, housing and cultural factors rather than on improvements in obstetric skill. Evidence cited by the author indicates that a crucial factor may be to provide expectant mothers with adequate rest during the weeks immediately prior to delivery. In general, research into mortality in infancy is too much bounded by a purely medical point of view whereas a socio-medical approach is needed.

Childhood (1–14 years): There has been an immense reduction in childhood mortality during the last 200 years. Less than 200 years ago the mortality among children aged 1–4 and 5–9 years was thirty-three times, and among those aged 10–14 years twelve times, that of the present day. Future reduction of mortality among children will be primarily a function of social factors and trends.

Adolescence and maturity (15–49 years): One of the outstanding trends of the last 200 years has been a relative increase in tuberculosis mortality among those aged 15–49 years, whereas among children tuberculosis has become relatively less important

as a cause of death. Recently, however, there has been a decline in the relative importance of tuberculosis as a cause of death among the adolescent and mature and, among New York males, it now takes second place to the cardiovascular

diseases. The total mortality of people in this age group has fallen, since the sixteenth century, by 77% for men and 81% for women. No spectacular discoveries are needed to reduce the mortality of this group by a further third; in doing this, control of environment will be the important factor.

Later maturity and old age (50 years and over): In the four centuries since the Renaissance the mortality of people over 50 years of age has been reduced by half. Among the factors contributing to this reduction is a fall in mortality due to tuberculosis. But even cancer, which is popularly supposed to have increased, used to be more common in the eighteenth century than it is now and to appear at an earlier. age. Moreover, there has been a change in the organs most commonly affected. The distribution of the greater proportion of cancer in a given population is a function of living conditions in the broadest sense of the term. Studies of groups exposed to carcinorelevant factors suggest that a high incidence of cancer in one organ is associated with a low incidence in other organs. But on many other causes of death at the older ages far more research is required, especially on the cardio-vascular-renal complex, and on the degenerative joint and bone diseases.