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Fertility in the United States.

From the postwar high of 3.8 births per woman at the peak of the baby boom, the total fertility rate in the United States has fallen to 1.8, where it has remained unchanged for nearly a decade. This below-replacement level of fertility has, in recent decades, characterized most Western countries, some of which have shown declines to well below 1.5 births per woman. Were it not for the continued infusion of immigrants, the U.S. population, which already shows the aging characteristic of low fertility, would stop growing and begin to decline before the middle of the next century. The low fertility in the United States has been accomplished by a postponement of marriage and by the widespread use of contraception, with heavy reliance on surgical sterilization as a contraceptive method. Judging from the experience of other Western countries and from our own historical experience of two centuries of fertility decline interrupted only by the baby boom, as well as from the absence of social trends that would counteract those contributing to that decline, the prognosis is for a continued low level of fertility in the United States.

Adolescent↗

[A study on the proximate determinants of fertility decline in China].

To study the biological and behavioral process of the recent drastic fertility decline in China, the authors reviewed relating factors (proximate determinants) and applied the Bongaarts model to the population of China for the years 1971 and 1981, during which the fertility rate dropped most rapidly and substantial population control policies were performed. By application of the model, the decrease of TFR of 2.78 between 1971 and 1981 was estimated to be contributed by widespread of contraception (68%), later marriage (49%), and increase of induced abortion (28%), through shortening of the length of postpartum breastfeeding showed negative effects (-32%), on the assumption that local data could be substituted for some national data. Compared with other countries, China was characterized by coexistence of strong fertility-inhibiting effects of nonmarriage, contraception, induced abortion, and relatively strong fertility-inhibiting effects of breastfeeding. It strongly suggested that the fertility transition in China was realized by powerful population policies in the context of insufficient socioeconomic development to lead to the transition.

Abortion, Induced↗

Transition from high to replacement-level fertility in a Kerala village.

This paper uses a micro-approach to examine the motivation and processes of rapid fertility decline in a Kerala village. Fertility declined in the village substantially during the 1970s and continued to decline to reach replacement level at the time of study. The proximate determinants are postponement of marriage and extensive use of contraceptives. However, the changes in these factors were the result of changing socio-economic conditions. At the time of study the singulate age at marriage was 29 years for males and 23 years for females, higher than elsewhere in India. Delayed age at marriage was a combined effect of favourable attitudes to education and economic changes. Smaller families became advantageous because of decreasing agricultural opportunities, expanded education and mortality decline. Contraceptives were available with the implementation of the family planning program. Higher use of contraceptives can be attributed to favourable conditions resulting from socio-economic changes.

Adolescent↗

Motivating the masses for family planning in the People's Republic of China.

China's family planning efforts give the appearance of being substantial and effective, though in terms of hard data the precise degree of success achieved is hard to gauge. The author's five-week tour of China, upon which this article is based, showed a country that seemed capable of controlling its rate of population growth, but it was unclear whether the desired level of growth had in fact been attained. What was clear is that several unusual ingredients are primarily responsible for the marked progress made to date. Foremost among them is a public attitude of strict adherence to a moral code which effectively limits sexual relations to married couples and which encourages delay of marriage well beyond the teenage years. Enhancing this, a wide-ranging State publicity campaign promotes birth control through public address systems, brochures given newlyweds, classes and information provided to expectant parents, discussion groups designed to elicit "voluntary" adoption of birth control methods, and other means. To complement this, the Government provides a nationwide network of free or nearly free family planning services organized down to the local level and fully equipped to assist with contraception, sterilization, or termination of pregnancy upon request. Although general statistics have not been made available, it seems obvious that a substantial reduction in China's potential rate of population growth has been achieved.

Age Factors↗

Lessons from the Chinese experience: China's planned birth program and its transferability.

This article describes the most salient developments in the planned birth program of the People's Republic of China during the 1970s and discusses the potential for transfer of some features to other countries. Many Chinese activities are of interest because they are designed for a country with scarce resources for development and a low-income population. Some particular program features worth noting are: the encouragement of local initiative and experimentation: specific methods for the diffusion of innovation; and total integration of the health system with other development-political, administrative, economic, and social-at the grass-roots level.

Birth Rate↗