Annual mortality rates and excess deaths of children under five in Iraq, 1991-98

Data from two parallel household surveys conducted in Iraq by UNICEF in 1999 show that under-5 mortality declined steadily from 1974 to 1990, reaching about 63 per 1,000 live births in the period 1986-90. It then rose dramatically to 118 per 1,000 in 1991, the year of the Gulf War. The number of 'excess' under-5 deaths (i.e., the number in excess of the number predicted from past trends) in Iraq between 1991 and 1998 was calculated assuming that, instead of the rates measured by the 1999 survey for this period, either (a) average mortality rates for the period 1986-90 had been maintained, or (b) mortality had continued to decline at the rate observed between 1974 and 1990. According to these calculations, the estimated number of excess deaths resulting from the Gulf War and its aftermath up to 1998 was between 400,000 (assumption a) and 500,000 (assumption b).     

Literature Review on Population and Childbirth Research in China in 2006

In China, the total fertility rate has remained at a low level since the 1990s. The evaluation, causes and impacts of this low fertility rate is an important research area. In 2006, research on population and childbirth behaviour in China concentrated on estimation of the current fertility rate and on future family planning policies; attention was also given to a new childbirth culture.     

Childbirth experience in women participating in a continuity of midwifery care project

BackgroundContinuity models of care are rare in Sweden, despite the evidence of their benefit to women and babies. Previous studies have shown certain factors are associated with a positive birth experience, including continuity of midwifery care.AimThe aim was to investigate women's childbirth experiences in relation to background data, birth outcome and continuity with a known midwife, in a rural area of Sweden.MethodsAn experimental cohort study. Participating women were offered continuity of midwifery care in pregnancy and birth, during selected time periods. Data were collected in mid-pregnancy and two months after birth. The Childbirth Experience Questionnaire was used to determine women's birth experiences.ResultA total of 226 women responded to the follow-up questionnaire. Not living with a partner, fear of giving birth, and a birth preference other than vaginal were associated with a less positive birth experience. Having had a vaginal birth with no epidural, no augmentation and no birth complication all yield a better birth experience. Women who had had a known midwife were more likely to have had a positive birth experience overall, predominantly in the domain Professional support.ConclusionsThe results of this study showed that women who received care from a known midwife in labour were more likely to have a positive birth experience. The results also pointed out the benefits of a less medicalized birth as important for a good birth experience, and that some women may need extra support to avoid a less positive birth experience.     

Weather,nutrition, and the economy: Short-run fluctuations in births,deaths, and marriages,France 1740–1909

This paper analyzes short-run fluctuations in national time series of vital events for France in the period 1740 to 1909. Fertility, mortality, and nuptiality form a simultaneous system which interacts with economic and meteorological conditions. In the short run, the demographic variables are endogenous. Economic and meteorological conditions are exogenous. Our indicator of economic conditions is the price of wheat, the principal food crop. Biometric models of fertility and empirical research on the biologically-based interrelations of fertility and mortality provide insight into the expected timing of events. We combine these results with empirical research on the effects of nutrition on fertility and mortality, research in medical biometeorology, and French historical demographic and economic research to formulate our model. The resultant distributed lag system is estimated. We find that the economic/nutritional effects are more likely to be statistically significant in predicting the time path of vital events than are the demographic variables or the effects of meteorological conditions.     

20世纪90年代我国婚育模式的初步分析

20世纪90年代以来,中国女性人口的平均初婚年龄平稳缓慢上升,育龄妇女平均初育年龄在波动中小幅度上升,已婚育龄妇女的平均初婚初育间隔呈波动式扩大。     

Mortality estimation from registered deaths in less developed countries

Age-specific population growth rates were introduced to demographic analysis in earlier work by Bennett and Horiuchi (1981) and Preston and Coale (1982). In this paper, we derive a method which uses these growth rates to transform what may be a set of incompletely recorded deaths by age into a life table that accurately reflects the true mortality experience of the population under study. The method does not rely on the assumption of stability and, for example, in contrast to intercensal cohort survival techniques, is simple to implement when presented with nontraditional intercensal interval lengths. Thus we can obtain mortality estimates for less developed countries with defective data, despite departures from stability. Further, we assess the sensitivity of the method to violations in various assumptions underlying the procedure: error in estimated growth rates, existence of non-zero net intercensal migration, age dependence in the completeness of death registration, and misreporting of age at death and age in the population. We demonstrate the use of the method in an application to data referring to Argentine females during the period 1960 to 1970.     

Change point detection for COVID-19 excess deaths in Belgium

Journal of Population Research - Emerging at the end of 2019, COVID-19 has become a public health threat to people worldwide. Apart from deaths with a positive COVID-19 test, many others have died...     

Childbirth evacuation among rural and remote Indigenous communities in Canada: A scoping review

ProblemRoutine evacuation of pregnant Indigenous women from remote regions to urban centres for childbirth is a central strategy for addressing maternal health disparities in Canada. Maternal evacuation continues despite mounting evidence of its negative impacts on Indigenous women and families.BackgroundSince the 1960s, pregnant Indigenous women living in remote regions in Canada have been transferred to urban hospitals for childbirth. In the following decades, evidence emerged linking maternal evacuation with negative impacts on Indigenous women, their families, and communities. In some communities, resistance to evacuation and the creation of local birthing facilities has resulted in highly diverse experiences of childbirth and evacuation.AimA scoping review mapped the evidence on maternal evacuation of Indigenous women in Canada and its associated factors and outcomes from 1978 to 2019.MethodsWe searched MEDLINE, Embase, and CINAHL, and grey literature from governmental and Indigenous organizations. We collated the evidence on maternal evacuation into 12 themes.ResultsFactors related to evacuation include (a) evacuation policies (b) institutional coercion (c) remoteness and (d) maternal-fetal health status. Evacuation-related outcomes include (e) maternal-child health impacts (f) women’s experience of evacuation (g) financial hardships (h) family disruption (i) cultural continuity and community wellness (ij) engagement with health services (k) self-determination, and (l) quality of health services.DiscussionNumerous emotional, social and cultural harms are associated with evacuation of Indigenous women in Canada. Little is known about the long-term impacts of evacuation on Indigenous maternal-infant health. Evidence on evacuation from remote Métis communities remains a critical knowledge gap.     

The Missing Baby Bust: The Consequences of the COVID-19 Pandemic for Contraceptive Use,Pregnancy, and Childbirth Among Low-Income Women

Population Research and Policy Review - Multiple episodes in US history demonstrate that birth rates fall in response to recessions. However, the 2020 COVID-19 recession differed from earlier...     

Matching experimentation in a dual record system for births and deaths in Morocco

Summary In an effort to improve the quality and completeness of birth and death reporting in Morocco, a sample of 84,000 persons was established, for whom birth and death data were collected by two methods. Each household was contacted once a month by interviewers in a registration method; independently, each household was interviewed once every six months by a survey team. Interviewing continued from April 1972 to July 1973. Results of these two methods were then compared through matching the vital events recorded by the two sources. First a 'true match status' was established by teams of 'experts', supplemented by field verification of uncertain cases. Of the 15 variables on the vital event reporting forms, eight were studied to establish the optimal tolerance limits for deciding whether any two completed recording forms (one from each method) were recording a single birth (or death) or two different ones. Next, those characteristics were selected which introduced the fewest matching errors; for births, this was the dwelling unit number, the name of the mother, and the name of the baby; for deaths, the dwelling unit number, the name of the person, and the name of the head of household. Aside from its manifest function, the matching operation also improved the fieldwork and helped to clean the data.     

Beliefs and practices resulting in female deaths and fewer females than males in India

A preference for sons and the low status of females are implicated in the preponderance of males over females as reported in each census of India from the first one taken in the 19th century. A number of cultural practices, some of which are quite ancient, are involved in this sexual imbalance, namely, maternal mortality due to unhygienic lying-in and postpartum conditions and practices, female infanticide, female feticide, Sati, murder, dowry murder, and suicide. This discussion is based both on 19th and 20th century sources and on fieldwork conducted in the North Indian village of Shanti Nagar in 1958–59 and 1977–78. These practices are most prominent in Punjab, Uttar Pradesh, Maharashtra, Gujarat, and the Union Territory of Delhi. Initially the British tended to overlook some of them, but in the early 19th century and thereafter the British Raj passed laws to curb, especially, female infanticide and Sati. The modern Government of India has also sought to abolish dowry which would, presumably, put an end to dowry murder. Moreover, the Government has issued three circulars directing that action be taken under the penal code against anyone using a prenatal sex-determination test with the object of abortion—a directive aimed at stopping female feticide. Again with the intent of curbing female feticide, a bill providing for punishment and heavy fines for doctors violating the ban on sex-determination tests has recently been introduced in the state legislature of Maharashtra. Despite these efforts, most of the beliefs and practices here described have proved to be tenacious.     

Disability in Herefordshire, 1851-1911

Disability history is a comparatively new field of study, and to date little use has been made of the British census as a source because of its perceived difficulties. This article shows that it is possible to study a local, disabled population in the second half of the nineteenth century from this source, even thought the way in which individuals' disabilities are described can sometimes vary from one census to the next. Age distribution for each condition and was found to vary between those with congenital and those with acquired conditions. Among those with a handicap of sight, hearing or speech a higher proportion remained unmarried. Disabled people were likely to remain in the parental home until their late thirties, and when their parents died they moved in with siblings or became a lodger or inmate. Although few of the disabled children seemed to be receiving education, over 60 per cent of the adult males were found to be working and almost 25 per cent of the adult females. Disabled people, it appears, were viewed not merely as statistics, but were included as members of the local population, and not always dependent members.     

Validation of the Childbirth Attitudes Questionnaire in Greek and psychosocial characteristics of pregnant women with fear of childbirth

BackgroundFear of childbirth has been found to be a factor that influences women's decision about their choice of delivery. The investigation of psychological factors that relate to fear of childbirth as well as the validation of the Childbirth Attitudes Questionnaire (CAQ) can help identify pregnant women with high fear of childbirth.AimThis study aimed to (a) translate and validate the Childbirth Attitude Questionnaire in Greek and (b) explore how fear of childbirth was related to childbirth self-efficacy, state anxiety, depression, neuroticism, self-esteem and optimism.Methods145 nulliparous pregnant women, in late pregnancy, attending routine antenatal visit in a private maternity clinic participated. All participants completed the CAQ (fear of childbirth) and other self-report questionnaires that measured childbirth self-efficacy, self-esteem, optimism, neuroticism, state anxiety and depressive symptomatology. Factor structure was investigated using principal axis factoring. Cronbach's α was used to measure internal consistency reliability. Pearson's correlation coefficients were calculated between all study variables, followed by multiple linear regression.FindingsThe factor analysis suggested the existence of one-factor structure. Construct validity was confirmed by computing correlations between the CAQ and childbirth self-efficacy, self-esteem and optimism. Multivariate analysis showed that childbirth self-efficacy, self-esteem and optimism were negatively and significantly associated with fear of childbirth.Conclusion and implications for practiceThe Greek version of the CAQ is a reliable and valid measure. The clinical use of CAQ may enable midwives and other health care professionals to identify pregnant women with low childbirth confidence and to provide information and support.     

Estimating the completeness of reporting of adult deaths in populations that are approximately stable

An elaboration of Preston's (Preston and Hill, 1980) procedure for determining the completeness with which deaths are recorded in approximately stable populations is presented. Both the procedures of Preston and that of Brass are conventionally limited to mortality beyond early childhood, to mortality above age 5 or age 10. The method considered here is based on characteristics of stable populations, i.e., populations that have been subject for a long time to little variation in age-specific mortality schedules or in overall levels of fertility. The essential features of a stable population are maintained even if fertility has changed. This is the case as long as no strong trend in fertility existed more than 15 or 20 years before the date at which the population is observed. Recent changes in fertility may affect the structure of the population at adult ages, but the effect on estimates of completeness of death records can generally be kept within tolerably narrow limits. Prior to showing how explicit estimates of the relative completeness of recording of numbers of deaths and persons can be derived from counts of deaths and persons by age, it is noted that a life table for a stable population can be constructed directly from the recorded distribution of deaths by age, or from the recorded distribution of persons. The procedures described are applied to several different populations in order to illustrate the computational steps necessary to estimate the completeness of death records at ages above childhood in populations that are approximately stable.