AIDS-phobia, contact with AIDS, and AIDS-related job stress in hospital workers

In a survey of 237 hospital workers involved in the care of AIDS patients at a major AIDS inpatient-care facility, negative attitudes toward AIDS and AIDS patients (AIDS-phobia) and AIDS-related job stress (AIDS-stress) were common. In multivariate analyses, AIDS-phobia is significantly higher among older staff, those having low contact with AIDS patients (AIDS-contact), and those holding homophobic attitudes. AIDS-phobic attitudes and low AIDS-contact can be interpreted as predicting each other. Finally, AIDS-stress is predicted by low contact with AIDS and AIDS-phobic attitudes.     

The demographic assessment of family planning programs: a bibliographic essay

Over the past 15-20 years a substantial literature has accumulated in the area of determining the effect of family planning programs upon fertility, and a selected bibliography is provided. The development of modern contraceptive techniques coincided with the development of large national programs designed to reduce the fertility of the general population, and literature is presented on each of the several evaluation methods that have been used to examine program-induced changes in 1 or more fertility measures. 2 methods deal with data on individuals - births averted among acceptors and individual matching; the latter compares the fertility experience of acceptors and matched non-acceptors. A different class of methods is aggregated methods. Either areas and areal variables are the focus of the analysis proceeds with measures on general subgroups identified by such factors as residence, age, or marital status. The aggregate methods are multiple regression, program experiemnts, matching of areas, correspondence between program activity and fertility change, decomposition, and simulation. The disparity in methods has conspired with large differences in programs, data sets, and investigator interests to produce serious problems of non-comparability in results.     

The effect of income on fertility

Abstract Cross-sectional data and long-period time series data have generally shown an inverse relationship between income and fertility. But short-period time series data over the business cycle have shown a direct relationship. The first part of this paper resolves this apparent paradox by showing that it arises from a statistical illusion-specification bias due to omitted lagged variables. The second part of the paper then considers the likely unconditional effect of income on fertility in several sorts of situations: (a) secular income increase in less developed countries; (b) cyclical income change in industrialized countries; (c) secular income increase in industrialized countries; and (d) incentive payments for higher and lower fertility.     

Sample registration in India

Abstract The Sample Registration Project in India is designed to obtain current estimates of birth and death rates for the whole country. It is being implemented quite rapidly. Rural and urban areas in all states and Union Territories in India will be covered before the close of 1969. Bigger states have 150 sample units in rural areas and 60 to 100 units in urban areas. Essential elements of the project for each unit are: (1) continuous enumeration of births and deaths in respect of usual resident population by a paid part-time local enumerator; (2) a six-month household survey to detect births and deaths which occurred to the usual resident population during the previous six months; and (3) manual matching of all event from enumeration and surveys and field re-check of unmatched events to obtain the 'best' count of real number of events. The results of a full-scale sample in four states and pilot sample in ten states indicate that the crude birth and death rates are around 40 and 18 per 1,000, respectively, for India's rural population. Most of the problems of implementation are operational or administrative rather than statistical. The main problem in the whole project is to maintain control of field operations well enough at each stage to ensure that prescribed instructions and methodology are being followed; particularly in the six-month survey. Experience in India indicates that sample registration techniques are capable of providing reliable birth and death rates in similar conditions in developing countries. However, there are still a number of methodological problems which must be tested as the sample registration evolves.     

Human sexuality: the controversy continues

Sex education should be an integrated component of population education programs in the Philippines. There are, however, a variety of objections to this approach, which are linked to proposals that sex education is more relevant to biology and medicine curriculums. The Population Education Program of the Philippines conducted a study of 2093 parents and 4550 teachers to determine who registered objections to teaching certain population education content, what they objected to, and why such objections were raised. Findings show that only 3% of the sample reacted unfavorably to the inclusion of controversial topics, such as sex terms, illustrations of sex organs and the naming of contraceptive devices. The issues remaining to be solved are: content, terminology, teacher competence, parents' involvement, and teaching aids.     

The continuation of education after marriage among women in the United States: 1970

Data from the 1970 National Fertility Study are used to assess the extent and determinants of post-nuptial education among women in the United States. Over one-fifth of all women have attended high school or college since marriage; over one-third either have returned to school or anticipate returning to an academic institution sometime in the future. This phenomenon is apparently increasing since women married less than five years have already attended school in as great a proportion as women married 15-19 years. Examination of differentials reveals for both blacks and whites that post-nupital education is higher among women who: (1) attended college before marriage, (2) married early, (3) are currently separated or divorced, (4) support egalitarian sex-role attitudes, or (5) whose most recent occupation is in the professional, managerial, or administrative category. Post-nuptial trends in education undoubtedly reflect the much broader social phenomenon of changing sex-role perceptions.     

Demographic crisis: The impact of the Bangladesh civil war (1971) on births and deaths in a rural area of Bangladesh

Summary In Matlab Bazaar Thana the Cholera Research Laboratory has registered the births, deaths and migrations in a population of approximately 125,000 since 1966. Although this rural area was not the scene of any significant armed encounters, striking changes in birth and death rates were registered during and after the conflict. Birth rates did not change during the relatively brief period of the civil war, but a small decline was registered for one year after the war. Fertility rates which had been declining slightly and irregularly in the pre-war baseline period may have increased slightly during the war and fell substantially in all age groups in the year following the war. The crude death rate, which rose by 37 per cent during the war, was a very sensitive reflection of the administrative and economic problems. Overall infant mortality rose by only 15 per cent over pre-war levels because all of the increase was observed in the post-neo-natal component, which traditionally accounts for less than one-third of the total infant mortality in Bangladesh. Children and older adults accounted for the majority of excess deaths which were largely attributed to acute diarrhoeas and other gastro-intestinal causes. The death rate at ages 1-4 rose by 43 per cent and at ages 5-9 soared to 208 per cent above pre-war baseline rates. All increases in age-specific mortality rates fell to baseline levels during the year following the war, except the 5-9-year age group, in which rates continued to be high largely because of deaths due to dysentery.     

Age at marriage and timing of the first birth

Summary An attempt has been made to measure the effect of age at marriage of brides on the timing of the first birth. In Australian vital statistics, first nuptial confinements have been tabulated by age of mothers and by single years of marriage duration in single months for the first two years and by single years for all other durations since 1916. A simple technique has been used to link such data with marriage cohorts. The study briefly reviews the prevailing patterns of the timing of first births by mothers' age at marriage and changes in this pattern since the marriages of the 1925/9 period. The analysis shows that after a period of relative stability of family formation patterns in the 1950s and early 1960s, women married in the late 1960s started postponing the first birth beyond the first two years of marriage. It is suggested that a fraction of the decline in total births recorded in Australia since 1972 can be attributed to the postponement of first nuptial confinements by women married in the late 1960s and early 1970s.