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PubMedDate not supplied

[Recent trends in fertility in the state of Sao Paulo].

Fertility trends in the Brazilian state of Sao Paulo are analyzed for the period 1960-1980 using census and vital statistics data. The total fertility rate declined from 4.69 in 1960 to 3.40 in 1980; however, fertility has remained constant since 1975 following a rapid decline in the early 1970s. "The stability of the 1975-80 period is explained by an increase in the order of 10% of the native population of the State, an increase of the proportion of migrants, and an improvement of mortality levels, favoring women in the reproductive ages. Taking the socio-economic conjuncture of the State and the birth registration data of the first years of the 1980 decade as a reference, it is expected that the fertility decline will continue." (summary in ENG)

Americas↗
PubMed1997

Fertility levels and trends in the face of the AIDS epidemic in Uganda.

The paper uses data on ever-married women interviewed in 1992 and 1995 surveys in six districts of Uganda. Total fertility rates declined during the inter-survey period from 7.3 to 6.0. Women in households that experienced AIDS-related deaths had lower fertility levels than women in non-AIDS-affected households in both 1992 and 1995. This pattern was true of women at older ages, in polygamous unions, the widowed and separated, and among the highly educated and the uneducated.

Adolescent↗
PubMed1992

Surprising success in Kenya's FP programme.

Mrs. Margaret Gachara, Deputy Director of the Ministry's Family Health Division, explained that the strengths and weaknesses of the program have recently been examined using a new operations research approach, known as situation analysis. "If family planning was not working in Kenya, we had to know why in order to decide what to do about it. We began the study to find out where our weaknesses lay. To our surprise, we found that we were not weak, but moderately successful," she said. The Kenya Situation Analysis Study, conducted by the Health Ministry and the Population Council, revealed that contraceptive prevalence increased by 2%/year between 1984-89, from 17% to 27%. "That is quite acceptable by World Bank and WHO standards. Our total fertility rate has dropped from 7.9% to 6.7%, and in urban areas is down to 3.8%. We are now continuing with in-depth studies, but we expect to be able to say next year that our family planning program should have a moderately high rating, especially in terms of quality of care." Since the 1st results of the Analysis Study were published, family planning agencies in several other African, Asian and Latin American countries have requested similar studies. The Kenyan study showed that the Pill is the most popular method of contraception, used by about 80% of family planning acceptors. However, the use of injectable contraceptives has risen about 4-fold in recent years, from 0.5 to 1.8 million doses a year, Mrs. Gachara said. When the study was conducted, availability of injectable contraceptives was very poor and did not have strong logistical support. This has now been changed, and its use is going up very fast in rural areas. 1 of the reasons is that women who want to use contraception, but do not have support from their husbands, can have injection without their husbands knowing. Although the 3 monthly injectable initially had a very bad press and little Parliamentary support, research has shown that many of the fears were unfounded. Kenyan policy is to make the injectable available to women with 4 children and to those over 35. Guidelines have recently been changed, to require 1 live birth before injectables are offered, rather than 2. The government is also making efforts to promote the use of Noristerat, and a pilot program is currently underway to study implants. The situation analysis did reveal problems in a number of areas, and a list of recommendations has now been drawn up to improve the quality of care. The recommendations include improved supply of information on permanent contraceptive methods and on the side-effects of other contraceptives, a reduction in waiting times for family planning services and an increase in follow-up. "The future looks good for family planning in Kenya, but we have to match our services to contraceptive health benefits and to focus more on maternal health in its totality," Mrs. Gachara said.

Africa↗
PubMedDate not supplied

A regression approach to the projection of U.S. fertility based on past fertility data.

The method of fertility projection used by the U.S. Bureau of the Census involves assumptions about the ultimate cohort total fertility rate and the ultimate cohort mean age at childbearing based on recent levels of fertility and women's birth expectations. This paper provides an outline of a general regression approach to fertility projection based on past data which would generate these two ultimate cohort characteristics. The technique is illustrated by using the U.S. single-year age-specific fertility rates up to 1986 for total women and projecting them indefinitely into the future until they become stable for both calendar years and cohorts.

Adolescent↗
PubMed1981

Fertility decline and differences in less-developed countries: an anthropological microstudy of some communities of West Bengal, India and Upper Khumbu, Nepal.

The role of socioeconomic and other cultural factors as determinants of fertility change has been widely discussed, with some scholars emphasising an inverse relation between socioeconomic development and fertility, others suggesting that no such relation necessarily exists, and yet others indicating that by using data from various sources it is possible to "prove" that a given country's crude birth rate has declined, remained unchanged or increased. Demographic data are presented on age-sex structure, completed and total fertility rates, and age specific fertility rates by age cohorts of women, from several small, anthropological population units of West Bengal, India and Upper Khumbu, Nepal, exposed to various physical and cultural environmental stresses. The data show that fertility has declined in most of the populations/subpopulations studied and that the decline may, deductively, be attributed to economic development via greater family planning practices.

Adolescent↗
PubMed1995

Singapore's "three or more" policy: the first five years.

"Although this article does not attempt a full evaluation of the 'selectively pro-natalist' national population policy of Singapore, it does bring out some indicative findings useful for assessing the effects of the policy on fertility. It finds that, while the new policy has succeeded in increasing the annual number of births, the total fertility rate still remains under two children per woman."

Asia↗
PubMed1985

Morocco WFS.

Although richer in natural resources than many developing countries, Morocco's economic development has been plagued by repid population growth, along with declines in the world price of its main export, phosphate, and a costly war in Western Sahara. Situated on the northwest corner of Africa, the Kingdom of Morocco is dominated geographically by its long coastline and the rugged Atlas mountain range to the east ans south. Abour 1/3 of the population live in remote mountain villages and speak Berber rather than the official language, Arabic. Despite large expanses of desert, agriculture has always been an economic mainstay. Morocco has hab near self-sufficiency in foodstuffs, but is now threatened by the burgeoning population, growing at 2.9% annually. The Moroccan governemnt officially recognized the role of population in development as early as 1966 and initiated a family planning program the following year. In 1979-80, a nationwide survey was conducted in conjunction with the World Fertility Survey program in part to assess the progrss of the family planning and health delivery systems. The newly published results show that contraceptive use is higher than expected. About 23% of the married women use birth control, and almost 20% use one of the more reliable methods. The pill is the most popular method, accounting for 71% of all users, followed by withdrawal, the IUD, and rhythm. Large families are valued, women want about 5 children each, but actual fertility exceeds even these levels. The Total Fertility Rate (TFR) for the 1974-79 period was 5.9 children per woman. This indicated a significant decline in childbearing among younger women, since women aged 40 and over reported an average total of 7 children. The WFS results support evidence of decline in birth rates indicated by the 1982 Moroccan census. Declines in infant mortality also measured by the WFS have not been as dramatic, but do show constant improvement, falling from 130 in the 1950s to about 93 in 1975-80. In general, the WFS results show real movement towards the government's goal of lowering fertility rates.

Africa↗
PubMed2004

Awareness and practices of contraception among Pakistani women attending a tertiary care hospital.

Pakistan is one of the most populous nations in the world, with an annual growth rate of 2.8 and high total fertility rate, even among developing nations. The Pakistan Reproductive Health and Family Planning Survey highlighted the wide gap between knowledge (97%) and use of contraceptives (28%) among currently married women. Our actual need is to enhance contraceptive practice in our country. This study was designed to investigate contraceptive knowledge and practice in Pakistani women attending a tertiary care hospital. This questionnaire-based study was conducted at the Gynaecology Unit II of Sir Ganga Ram Hospital, Fatima Jinnah Medical College, Lahore, Pakistan. A total of 204 married women of reproductive age were interviewed by a registrar to record their age, occupation, educational status, number of children, knowledge about contraceptive methods, source of the knowledge, attitudes and practices of contraception. About 57% of women were between 26 and 35 years of age, while 52% of men were between 31 and 40 years. Educational status of the majority of females was below matriculation (33%), while 34% males were above matriculation; 88% of females were housewives and less than 1% of men were out of work. Regarding the social status of couples, 64% were living on income less than 5000 rupees /month (about 60 pound sterling). Of the women, 67% were para 2-5; 68% had some sort of awareness regarding contraception. The main source of information was television (26%) and relatives (24%). The majority knew about the pill (68%) and IUCD (55%). Only 47% were using some sort of contraception. The most common method chosen was the barrier method (15%), followed by IUCD (10%) and the pill (10%). The least common methods were sterilisation (2%) and the rhythm method (2%); 85% of the women and 74% of the men in the study group had a positive attitude toward contraception. In order to improve contraceptive use in Pakistan we need to use multiple media sources to educate couples and their parents regarding contraceptive services, strengthen the perceptions that religion not only allows but also recommends family planning and to create awareness among women to have their rights and opinions about the size of family. The concept of differentiation between sons and daughters should be discouraged. In addition government and non-governmental organisations (NGOs) should organise groups to provide counselling and promotion of contraceptive services at the doorstep. We must act as a team to control our growth rate for economic stabilisation of the country and to raise the living standards of our people.

Adult↗
PubMedDate not supplied

[The effect of contraception on fertility in the border region of Chiapas, Mexico].

OBJECTIVE: To estimate the effect of contraception on fertility in the border region of Chiapas, Mexico. MATERIALS AND METHODS: In 1994 an epidemiological cross-sectional study was carried out on a representative sample of 1,560 non-indigenous women between ages 15 and 49 in the border region of Chiapas. The prevalence of contraception practices and the total fertility rates (TFR) were obtained and stratified by rural, intermediate and urban communities. TFR were compared between women who had never used contraceptives and those who had used them. RESULTS: The estimated TFR was 3.67 and varied from 4.14 in rural areas to 3.36 in urban areas. There were no differences in the TFR (3.74 and 3.88) nor in the average live births (3.47 and 3.48) between women who had never used contraceptives and those who had used them. CONCLUSIONS: The major effect of contraception on fertility was observed in rural areas. Factors which influence the small impact of contraception on fertility include the late use of these methods and the early age of first union among users.

Adolescent↗
PubMedDate not supplied

Induced abortion and fertility.

Even in countries with high rates of legal induced abortion, contraceptive use and marital patterns nearly always have a greater impact on fertility levels than does abortion. As a rule, extremely high rates of abortion--three or more abortions per woman of childbearing age during the reproductive years--are required for the fertility-inhibiting effect of abortion to rival that of contraceptive use. Nevertheless, the absolute effect of abortion on fertility (defined as the amount by which the current total fertility rate, or TFR, would increase if no abortions were performed) is often substantial. In most of the countries examined, the TFR would have been from about 20 percent to nearly 90 percent higher than it actually was (other things being equal) had no induced abortions been performed. Among developed countries, the Soviet Union, Japan, Eastern European countries, Israel and the United States have the highest total legal abortion rates, ranging from one abortion to more than five abortions per woman of childbearing age during the reproductive years. Among the developing countries for which reliable data are available, South Korea, China, Cuba and Singapore have rates of about 1-2 abortions per woman of fertile age. However, a number of other countries in Latin America and Asia, for which the data are deficient, probably have equally high rates.

Abortion, Induced↗
PubMed2006

Fertility and abortion rates in the United States, 1960-2002.

This paper provides a general overview of trends in the United States (US) birth, fertility and abortion data from 1960 to 2002. Rates by age, race and Hispanic origin are also discussed. Data presented in this paper are derived primarily from published reports of the US government's Centers for Disease Control and Prevention's National Center for Health Statistics. In 2002, there were 4,021,726 births in the US. The general fertility rate was 64.8 births per 1,000 women aged 15-44 years, the total fertility rate was 2013.0 children per 1,000 women, and the net reproduction rate was 968 daughters per 1000 women. These rates have declined in the US since 1960, down by at least 44% for all rates. While these rates have been declining, there are substantial differences in fertility patterns by age and race and Hispanic origin. Rates for women, 30 years of age and over, increased between 1980 and 2002. In contrast, rates for women under 25 years of age rose considerably during the late 1980s, and then decreased sharply since 1991. Rates for women in their late twenties (25-29 years of age), the principal childbearing ages, have fluctuated within a narrow range throughout this period (1980-2002). As a result of the increase in births to older women, the mean age of mother at first birth increased by nearly 4 years from 1968 to 2002. In 2000, the latest year for which data are available, there were 21.3 induced abortions per 1000 women aged 15-44 years, down from 27.4 in 1990. The total abortion rate, average number of legally induced abortions that would occur to a hypothetical cohort of 1000 women, was 672.0 abortions per 1,000 women in 2000, down from 785.5 in 1980. The abortion rate has declined fairly steadily since 1980. Like the birth and fertility rates, substantial differences in abortion rates exist by age and race and Hispanic origin. The rates of induced abortion increased for women in their thirties between 1980 and 2000, whereas rates for women under 25 years of age and women 40 years of age and over decreased since 1980. The rate for women 25-29 years of age changed little. The rate of induced abortion was considerably higher for non-Hispanic black women (57.4) in 2000 than for non-Hispanic white women (11.7). The rate for Hispanic women (30.6) was intermediate. The total abortion rate was also much higher for non-Hispanic black women than non-Hispanic white and Hispanic women.

Abortion, Induced↗
PubMed1978

Declining world fertility: trends, causes, implications.

This Bulletin examines the evidence that the world's fertility has declined in recent years, the factors that appear to have accounted for the decline, and the implications for fertility and population growth rates to the end of the century. On the basis of a compilation of estimates available for all nations of the world, the authors derive estimates which indicate that the world's total fertility rate dropped from 4.6 to 4.1 births per woman between 1968 and 1975, thanks largely to an earlier and more rapid and universal decline in the fertility of less developed countries (LDCs) than had been anticipated. Statistical analysis of available data suggests that the socioeconomic progress made by LDCs in this period was not great enough to account for more than a proportion of the fertility decline and that organized family planning programs were a major contributing factor. The authors' projections, which are compared to similar projections from the World Bank, the United Nations, and the U.S. Bureau of the Census, indicate that, by the year 2000, less than 1/5 of the world's population will be in the "red danger" circle of explosive population growth (2.1% or more annually); most LDCs will be in a phase of fertility decline; and many of them -- along with most now developed countries -- will be at or near replacement level of fertility. The authors warn that "our optimistic prediction is premised upon a big IF -- if (organized) family planning (in LDCs) continues. It remains imperative that all of the developed nations of the world continue their contribution to this program undiminished."

Africa↗
PubMedDate not supplied

Fertility and family planning in southern and central Africa.

Southern Africa comprises a zone where the total fertility rate is below 6 births per woman. To the north is a ring of countries with higher fertility and relatively low contraceptive prevalence rates. The experience of South Africa, Botswana, and Zimbabwe, which have successful family planning programs, is compared with that of neighboring countries.

Adult↗
PubMed1994

[[Aging of the population and social policy: lessons from Sweden]].

"In this paper I tried to show how the ageing of the population influences the change in the growth of employment, employment structure, the savings ratio, economic growth and the cost of social security [in Sweden]. In the latter part of the paper I suggested a close correlation between the average marriage age of women, the total fertility rate and the work participation ratio of women." (SUMMARY IN ENG)

Age Distribution↗
PubMedDate not supplied

Changes in fertility relative to starting, stopping, and spacing behaviors in a migrating Mennonite community, 1775-1889.

Fertility change over time in a migrating Mennonite church congregation is reconstructed through genealogies developed from church registries of vital events during 1725-1924. The congregation was located in Prussia from 1725-1821, in Russia from 1822-1874, and in Kansas, U.S.A., from 1875-1924. Age-specific marital fertility rates were relatively low and usually peaked for women aged 25-29. Total fertility rates ranged from 1.19 to 5.29. These relatively low figures for a natural fertility population may partly reflect underreporting of births and deaths of infants, but it also reflects the heterogeneity in fertility evident for this population. Some women had many children while others were having either few or none. This pattern changed twice. Fertility was lowest during residence late in Prussia and early in Russia, peaked during residence late in Russia, and has decreased slightly for women born in the United States.

Birth Intervals↗
PubMedDate not supplied

Contraceptive use and fertility in Guatemala.

In 1983, one-quarter of married Guatemalan women aged 15-44 years were using contraception, and female sterilization was the most prevalent method. Fertility rates for the population were at correspondingly high levels, with an overall total fertility rate of about six births per woman. Contraceptive prevalence varied by residence and ethnic group; less than 5 percent of currently married Indian women and about 50 percent of married women in the capital city area were using contraception. From 1978 to 1983, prevalence increased overall by six percentage points, with surgical contraception accounting for most of the increase. Findings of the study suggest that different strategies need to be employed among Ladino and Indian women in order to increase contraceptive prevalence in these subgroups.

Adolescent↗
PubMedDate not supplied

Fertility and contraception in the Marshall Islands.

Data on fertility and contraception in Micronesian women in the Marshall Islands were collected during a women's health survey in 1985. High total fertility rates were found. The reproductive pattern of many Marshallese women is one that has been associated with adverse health consequences: pregnancies in teenagers and in women over 39 years, high parities of four or more births, and short birth intervals. The practice of breastfeeding is declining in younger women. The prevalence of contraceptive use is low, and the availability of reversible methods is limited. Most contraceptive nonusers would like to practice contraception, but are inhibited by the lack of information about family planning. It is suggested that more attention needs to be given to family planning services in the Marshall Islands, in particular to improving the availability of reversible methods of contraception and of information about family planning. Further research is also needed on how family planning services might best be organized to maximize participation by women and their partners who wish to use such services.

Adolescent↗
PubMed1992

[Fertility trends in Bulgaria (1960-1990)].

"This paper reports an analysis of fertility in Bulgaria during the period 1960-1990. Alternative demographic indicators are used, such as period and cohort total fertility rates...[and] mean age [at] childbearing, marriage, and divorce. The analysis includes distribution by order of births. Two age patterns of fertility behaviour are distinguished, one for females aged below 22, and the other for females above that age. The report notes the different impact of pronatal policy actions undertaken in 1968 and in 1973...." (SUMMARY IN ENG AND RUS)

Age Factors↗