The United Nations on the Demographic Impact of the AIDS Epidemic

A report prepared by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and released in Geneva on 27 June 2000 (just prior to the XIIIth International AIDS Conference held in Durban, South Africa) updates estimates of the demographic impact of the epidemic. It characterizes AIDS in the new millennium as presenting “a grim picture with glimmers of hope”—the latter based on the expectation that national responses aimed at preventing and fighting the disease are in some places becoming more effective. According to the report, which emphasizes the considerable statistical weaknesses of its global estimates, the number of people living with HIV/AIDS in 1999 was 34.3 million (of which 33.0 million were adults and 1.3 million were children under age 15; slightly less than half of the adults affected, 15.7 million, were women). Deaths attributed to AIDS in 1999 amounted to 2.8 million, bringing the total since the beginning of the epidemic to 18.8 million. These figures represent moderate upward revisions of earlier UN estimates shown in the Documents section of PDR 25, no. 4. The revised estimate of the number of persons newly infected with HIV in 1999 is, in contrast, slightly lower: 5.4 million, of which 4.7 million were adults and 2.3 million were women. An excerpt from the 135‐page Report on the Global HIV/AIDS Epidemic, focusing on countries in the worst‐affected area, sub‐Saharan Africa, is reproduced below. (Figures shown have been renumbered.)     

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.     

Introducing the Disease Outbreak Resilience Index (DORI) Using the Demographic and Health Surveys Data from sub-Saharan Africa

Social Indicators Research - Although most studies on disease emergencies underscore the need for household readiness for shocks associated with disease outbreaks, no study to date has provided a...     

Demographic Differentials and Demographic Integration of Turkish and Kurdish Populations in Turkey

The objectives of the study are threefold: (1) to provide estimates of the total populations and spatial distributions of different language groups in Turkey, (2) to test whether the commonly held belief that Turkish-speaking and Kurdish-speaking populations are “actors” of different demographic regimes is true, and (3) to assess whether a process of integration, in the form of intermarriage of Turks and Kurds is under way in Turkey. Data come mainly from the 2003 Turkish Demographic and Health Survey (TDHS-2003). Based on the assumption that the mother tongue composition of women is also representative of that of the whole population, the results of the TDHS-2003 imply that of the population of Turkey, 83% are Turkish-speaking, 14% are Kurdish-speaking, 2% are Arabic-speaking and the remaining 1% belong to other language groups. Results show that despite intensive internal migration movements in the last 50 years, strong demographic differentials exist between Turkish and Kurdish-speaking populations, and that the convergence of the two groups does not appear to be a process under way. Turks and Kurds do indeed appear to be actors of different demographic regimes, at different stages of demographic and health transition processes.     

Prime-age adult mortality in sub-Saharan Africa: examining trends in Demographic and Health Surveys conducted between 1990 and 2014

Adult mortality rate is a critical indicator used to assess the level of national development in most sub-Saharan African countries. However, estimation of adult mortality rates requires comprehensive and accurate reporting of adult deaths, which is one of the challenges faced by most sub-Saharan African countries. Using data from Demographic and Health Surveys conducted between 1990 and 2014 in 25 countries in sub-Saharan Africa, we examine trends in all-cause prime adult mortality (measured by the probability of dying between exact ages 15 and 50) and sex differences in adult mortality by region. Our paper provides a basis for tracking progress in reducing adult mortality and improving overall health. The median probability of dying was 173 per 1000 for women in the latest surveys, an increase from 166 per 1000 during the initial surveys. The median value for men was 177 per 1000; a decrease from the initial surveys which was 202 per 1000. Across all countries, the average annual increase in the probability of dying was higher for women (1.08%) than men (0.49%). Intensive efforts are needed to improve adult survival and ensure that sub-Saharan Africa achieves the Sustainable Development Goals by 2030. In particular, efforts to mitigate the premature risk of dying among women need to be intensified.     

The Impact of the AIDS Pandemic on Health Services in Africa: Evidence from Demographic and Health Surveys

We document the impact of the AIDS crisis on non-AIDS-related health services in 14 sub-Saharan African countries. Using multiple waves of Demographic and Health Surveys (DHS) for each country, we examine antenatal care, birth deliveries, and rates of immunization for children born between 1988 and 2005. We find deterioration in nearly all these dimensions of health care over this period. The most recent DHS survey for each country collected data on HIV prevalence, which allows us to examine the association between HIV burden and health care. We find that erosion of health services is the largest in regions that have developed the highest rates of HIV. Regions of countries that have light AIDS burdens have witnessed small or no declines in health care, using the measures noted above, while those regions shouldering the heaviest burdens have seen the largest erosion in non-HIV-related health services for pregnant women and children. Using semiparametric techniques, we can date the beginning of the divergence in the use of antenatal care and in children’s immunizations between high- and low-HIV regions to the mid-1990s.     

Late marriage and the HIV epidemic in sub-Saharan Africa

The causes of large variation in the sizes of HIV epidemics among countries in sub-Saharan Africa are not well understood. Here we assess the potential roles of late age at marriage and a long period of premarital sexual activity as population risk factors, using ecological data from 33 sub-Saharan African countries and with individual-level data from Demographic and Health Surveys (DHS) in Kenya and Ghana in 2003. The ecological analysis finds a significant positive correlation between HIV prevalence and median age at first marriage, and between HIV prevalence and interval between first sexual intercourse and first marriage. The individual-level analysis shows that HIV infection per year of exposure is higher before than after first marriage. These findings support the hypothesis of a link between a high average age at marriage and a long period of premarital intercourse during which partner changes are relatively common and facilitate the spread of HIV.     

中国的家庭结构转变--来自居住方式与人口因素的作用

基于历次人口普查数据,利用SOCSIM微观模拟方法将家庭转变的关键影响因素分解为人口因素和居住方式因素两个方面,并进一步将人口因素分解为人口惯性、生育率、死亡率和结婚率四个层面进行计量分析.结果发现,当前人口变动相对稳定,较小的波动使其在家庭转变中的贡献率相对较小,而居住方式的影响相对较大;对人口因素的进一步分解还发现,人口惯性及生育率水平的作用相对更大,生育率水平、结婚率水平带来的影响与人口因素的总影响方向是一致的,均提高了一人户、一代户、二代户的人口比重,降低了三代及以上户的人口比重.与之相反,死亡率的影响与人口因素的总影响方向是相反的.     

A Demographic Profile of Obesity in the Adult and Veteran US Populations in 2008

Obesity is increasing in the US population and seems to be disproportionately burdening disadvantaged groups. Veterans using the Veterans Healthcare System (VHS) tend to be more disadvantaged socioeconomically than the general population and in poorer health. It is important to understand how the veteran population differs from or is similar to the general population and whether the VHS is able to mediate obesity risk among veterans. This research assesses the sociodemographic, behavioral, and health risk factors for obesity in the US adult and veteran populations in 2008. We use data from the 2008 Behavioral Risk Factor Surveillance System (BRFSS) to empirically assess predictors of obesity risk. We find that women have lower odds of obesity than men once controls for sociodemographic, behavioral, and health conditions are included in our models. We also observe a veteran obesity disadvantage in the full adult sample when conducting bivariate tests, but no significant association with the odds of obesity in the logistic regression models among veterans and non-veterans. Gender specific models indicate that male veterans have increased odds of obesity compared to non-veterans, but no difference in obesity risks among veterans and non-veterans are noted for women, controlling for all variables. Further, we find no significant differences in the odds of obesity of veterans using VHS for all, some, or none of their health care needs; further no significant gender differences in obesity risk were observed among VHS usages and non-users. Based on the strong, positive association between the number of chronic health conditions and the odds of obesity, we suggest that health policy should focus efforts on weight management counseling for obese patients that have obesity related co-morbidities, and more targeted attention to male veterans would help to address the high level of obesity in this vulnerable population group.     

Examining the Impact of Demographic Factors on Air Pollution

This study adds to the emerging literature examining empirically the link between population size, other demographic factors and pollution. We contribute by using more reliable estimation techniques and examine two air pollutants. By considering sulfur dioxide, we become the first study to explicitly examine the impact of demographic factors on a pollutant other than carbon dioxide at the cross-national level. We also take into account the urbanization rate and the average household size neglected by many prior cross-national econometric studies. For carbon dioxide emissions we find evidence that population increases are matched by proportional increases in emissions while a higher urbanization rate and lower average household size increase emissions. For sulfur dioxide emissions, we find a U-shaped relationship, with the population-emissions elasticity rising at higher population levels. Urbanization and average household size are not found to be significant determinants of sulfur dioxide emissions. For both pollutants, our results suggest that an increasing share of global emissions will be accounted for by developing countries. Implications for the environmental Kuznets curve literature are described and directions for further work identified.     

New evidence about effects of reproductive variables on child mortality in sub-Saharan Africa

There is still considerable uncertainty about how reproductive factors affect child mortality. This study, based on Demographic and Health Survey data from 28 countries in sub-Saharan Africa, shows that mortality is highest for firstborn children with very young mothers. Other children with young mothers, or of high birth order, also experience high mortality. Net of maternal age and birth order, a short preceding birth interval is associated with above average mortality. These patterns change, however, if time-invariant unobserved mother-level characteristics of importance for both mortality and fertility are controlled for in a multilevel–multiprocess model. Most importantly, there are smaller advantages associated with longer birth intervals and being older at first birth. The implications of alternative reproductive ‘strategies’ are discussed, taking into account that if the mother is older at birth, the child will also be born in a later calendar year, when mortality may be lower.     

中国农村人口结构与居民消费研究

本文运用生命周期模型、家庭储蓄需求模型和家庭生育决策理论等分析了人口结构变化对居民消费的影响渠道,并利用2001～2009年中国农村省际面板数据对人口年龄结构、性别结构与居民消费的关系进行了经验分析。研究表明,农村少儿抚养比与农村居民消费率显著负相关,农村老年抚养比与农村居民消费率显著正相关,而农村人口性别比系数的稳健性较差。     

The inequality of maternal health care in urban sub-Saharan Africa in the 1990s

Numerous studies document the disadvantage in child health of the urban poor in African cities. This study uses Demographic and Health Survey data from 23 countries in sub-Saharan Africa to examine whether the urban poor experience comparable disadvantages in maternal health care. The results show that, although on average the urban poor receive better antenatal and delivery care than rural residents, the care of the urban poor is worse than that of the urban non-poor. This suggests that the urban bias in the allocation of health services in Africa does not benefit the urban poor as much as the non-poor. Multilevel analyses reveal significant variations in maternal health in urban areas across countries of sub-Saharan Africa. The dis-advantage of the urban poor is more pronounced in countries where maternal health care is relatively good. In these countries the urban poor tend to be even worse off than rural residents, suggesting that the urban poor have benefited least from improvements in maternal health care.     

Impacts of Demographic Trends on US Household Size and Structure

We use a household projection model to construct future scenarios for the United States designed to reflect a wide but plausible range of outcomes, including a new set of scenarios for union formation and dissolution rates based on past trends, experience in other countries, and current theory. The period covered is from 2000 to 2100. We find that the percentage of people living in households headed by the elderly may climb from 11 percent in 2000 to 20–31 percent in 2050 and 20–39 percent in 2100, while the average size of households could plausibly be as low as 2.0 or as high as 3.1 by the second half of the century. We assess the sensitivity of household size and structure to various demographic events, and show that outcomes are most sensitive to changes in fertility rates and rates of union formation and dissolution. They are less sensitive to the timing of marriage and childbearing and to changes in life expectancy.     

Effects of changes in rainfall and temperature on age- and sex-specific patterns of rural-urban migration in sub-Saharan Africa

We evaluate how changes in weather patterns affected rural-urban migration across 41 sub-Saharan African countries, by age and sex, over the 1980–2015 period. We combine recent age- and sex-specific estimates of net rural-urban migration with historical data on rainfall and temperature from the Climate Research Unit (CRU). We also compare standard unweighted estimates of rainfall and temperature to estimates weighted by the proportion of the country’s total rural population in the CRU grid. Results show that rural out-migration of young adults is the most sensitive to shifts in weather patterns, with lower rainfall, lower variability in rainfall, and higher temperatures increasing subsequent rural out-migration—though the last of these is not observed in weighted models. The strength of these effects has grown stronger over time for 20–24 year olds, though weaker above age 30. In contrast, increasing temperature variability is associated with a higher rural in-migration of children (0–9) and older adults (55–64). Gender differences in these effects are minimal and concentrated in areas which experienced heavy reductions in rainfall.

     

二元经济结构下的人口红利及其实现

本文介绍了人口红利的概念及其实现条件。通过对中国人口年龄结构和经济环境变化的分析 ,论证了我国人口视窗开启的时间 ,分析了过去人口红利未能充分兑现的原因。在此基础上 ,提出了在我国二元经济结构下兑现人口红利的途径是通过转移农村剩余劳动力 ,一方面利用城镇经济发展机会解决农村就业问题 ,另一方面延缓城镇人口老龄化 ,延长人口视窗开放时间 ,实现经济再次飞跃发展。完成劳动力的顺利转移需要政府在建设城乡间统一公平的劳动力市场上发挥重要作用。     

新疆人口较少民族人口结构差异及其问题研究——基于第四、五、六次人口普查数据的对比分析

合理的人口结构是人口较少民族经济社会健康发展的重要条件.文章基于第四、五和六次人口普查数据的统计分析,发现新疆人口较少民族在行业分布、城市化进程、文化素质、性别结构和老龄化方面存在较为明显的结构差异.这表明新疆部分人口较少民族劳动力转移较慢、城市化水平低、文化素质相对低、性别失衡、婚姻挤压和老龄化等问题较为突出.文章提出改变就业环境和结构、发展区域小城镇、调整教育资源的分配、扩大婚姻市场以及发展老年社会服务等对策,以促进新疆人口较少民族经济社会健康发展.     

Measuring Cohabitation and Family Structure in the United States: Assessing the Impact of New Data From the Current Population Survey

In 2007, the Current Population Survey (CPS) introduced a measure that identifies all cohabiting partners in a household, regardless of whether they describe themselves as ??unmarried partners?? in the relationship to householder question. The CPS now also links children to their biological, step-, and adoptive parents. Using these new variables, we analyze the prevalence of cohabitation as well as the demographic and socioeconomic characteristics of different-sex cohabiting couples during the years 2007?C2009. Estimates of cohabitation produced using only unmarried partnerships miss 18?% of all cohabiting unions and 12?% of children residing with cohabiting parents. Although differences between unmarried partners and most newly identified cohabitors are small, newly identified cohabitors are older, on average, and are less likely to be raising shared biological or adopted children. These new measures also allow us to identify a small number of young, disadvantaged couples who primarily reside in households of other family members, most commonly with parents. We conclude with an examination of the complex living arrangements and poverty status of American children, demonstrating the broader value of these new measures for research on American family and household structure.     

Motor Vehicles in China: The Impact of Demographic and Economic Changes

While China's transportation sector is relatively small compared to other nations—both in absolute terms and relative to the size of the population—the nation is currently experiencing one of the highest annual motorization growth rates in the world. This rapid growth has raised both excitement among business leaders over the potentially enormous market for automobiles and concern among environmentalists over their further impact on the global environment. This paper examines the influence of population growth, increased urbanization, and economic development on the rapid growth of motor vehicles in China, and considers their implications for future motor vehicle growth in the country.     

Child labour in the Era of HIV/AIDS in sub-Saharan Africa: A case study of Tanzania

Exploitation of child labour is an endemic problem in sub-Saharan Africa. The situation is increasingly worsening due to increasing poverty and HIV/AIDS. We carried out a study to understand how the AIDS epidemic facilitates the presence of child labour in Iringa Rural District in Tanzania. The findings revealed that children opt for early participation in the labour force due to the ever-increasing poverty existing at their household level. There is a correlation between poverty and HIV/AIDS in general, and particularly between HIV/AIDS and the poor socio-economic condition of orphans. Current interventions to stop child labour do not yield good results because of low level of awareness on child labour issues at village levels. The government and its partners, such as ILO, should improve the coordination between the district and the communities (villages) in order to make sure that communities at the village level are reached and assisted. Furthermore, reducing rural poverty is imperative if child labour is to be eliminated.