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PubMed2005

Adolescent birth rates, total homicides, and income inequality in rich countries.

Income inequality has been associated with both homicides and births to adolescents in the United States and with homicides internationally. We found that adolescent birth rates and general homicide rates were closely correlated with each other internationally (r= 0.95) and within the United States (r = 0.74) and with inequality internationally and within the United States. These results, coupled with no association with absolute income, suggested that violence and births to adolescents may reflect gender-differentiated responses to low social status and could be reduced by reducing income inequality.

Adolescent↗
PubMed1993

Socioeconomic factors affecting marriage, divorce and birth rates in a Japanese population.

The effects of low income, urbanisation and young age population on age-adjusted rates of first marriage, divorce and live birth among the Japanese population in 46 prefectures were analysed by stepwise regression for 1970 and for 1975. During this period, Japanese society experienced a drastic change from long-lasting economic growth to serious recession in 1973. In both 1970 and 1975, the first marriage rate for females was inversely related to low income and the divorce rates for both males and females were positively related to low income. The live birth rate was significantly related to low income, urbanisation and young age population only in 1975. The first marriage rate for females and the divorce rates for both sexes increased significantly but the first marriage rate for males and live birth rate significantly decreased between 1970 and 1975. These findings suggest that low income was the essential factor affecting first marriage for females and divorce for males and females.

Adolescent↗
PubMedDate not supplied

[Can by preventive cervix cerclage the premature birth rate in multiple pregnancy be reduced? A retrospective statistical analysis on effectiveness of cerclage using the Bavarian Perinatal Survey 1978-1980].

Through a retrospective statistical analyzation of 3081 multiple births with 907 cerclage of BPE from 1978-1980, among which included 77 multiple births and 61 Cerclage cases of the Amberg gynecology clinic, could be proved that the liberal use of prophylactic cerclages could not reduce the premature birth rate of multiple birth pregnancies.

Birth Weight↗
PubMed1997

Birth rate and mortality rate of infants with congenital malformations of the limbs in the Awajishima free-ranging group of Japanese monkeys (Macaca fuscata).

The birth rate and mortality rate of infants with congenital malformations of the limbs were examined in the Awajishima free-ranging group of Japanese macaques (Macaca fuscata). Of the 606 infants born between 1978 and 1995, 86 (14.2%) were malformed. The male-female ratio did not differ between malformed and normal infants. Most kin-groups included females who gave birth to malformed infants at least once. The mortality rate within the first year after birth for malformed infants (28.2%) was significantly higher than that for normal infants (10.0%). However, this indicates that more than 70% of malformed infants were able to survive for the first year of life, even though they were unable to cling to their mother's ventrum due to their limb deformities. This finding indicates that maternal care-taking is sufficient to enable malformed infants to survive during the early stages of development and that clinging by the infant is not necessary for the display of maternal care.

Animals↗
PubMed1988

An epidemiologic investigation of the relationship between DBCP contamination in drinking water and birth rates in Fresno County, California.

This report describes an epidemiologic investigation of the relationship between DBCP (dibromochloropropane) contamination in drinking water and birth rates between 1978 and 1982 in Fresno County, California. Census tracts in the county were categorized according to DBCP level in their drinking water. Standardized birth ratios and relative birth ratios (adjusted for age, race, per cent Hispanic, and parity) were calculated for these census tracts. No relation between birth ratios and DBCP contamination in drinking water was found.

Adult↗
PubMed1990

The Green Bay cesarean section study. I. The physician factor as a determinant of cesarean birth rates.

This study was designed to identify the determinants of cesarean birth rates. The study population included all 1030 cesarean deliveries performed on singleton pregnancies by 11 obstetricians practicing at two Green Bay hospitals from 1986 through 1988; 1076 control patients with vaginal deliveries were selected for comparison purposes. The 1030 cesarean deliveries represented 14% of the 7335 singleton deliveries that occurred during the study period. Individual physician cesarean rates ranged from 5.6% to 19.7%. Cesarean rates for physician groups ranged from 9.8% to 18%. The variances in cesarean rates among individual and groups of physicians were not attributable to patient obstetric risk factors, socioeconomic status, service status, or duration of the physician's practice. Higher cesarean rates did not result in better neonatal outcome. Individual physician practice style was the only apparent determinant of cesarean rates for the 11 obstetricians. Current cesarean rates can be substantially reduced without sacrificing fetal and newborn safety.

Cesarean Section↗
PubMed2006

A randomized double-blind controlled study on the efficacy of laser zona pellucida thinning on live birth rates in cases of advanced female age.

BACKGROUND: It is conceivable that defective embryo hatching plays a part in the mechanisms involved in the decrease of embryo implantation rates with advancing age. In an effort to test this hypothesis, we tested the effectiveness of assisted hatching (AH) in women > or =37 years of age. METHODS: We prospectively studied 103 IVF-embryo transfer patients undergoing 103 embryo transfers. All of them were > or =37 years of age and had <3 previous IVF-embryo transfer attempts. Laser-AH of transferred embryos was either performed (AH group, n = 49) or not (control group, n = 54) according to randomized and double-blind methodology. Primary outcome was live birth rate. RESULTS: Population characteristics were comparable in AH and control groups as well as the mean number of embryos transferred (2.7 +/- 0.6 versus 2.7 +/- 0.6) and the prevalence of top quality embryos transferred (65 versus 59%, respectively). We failed to find any statistically significant difference between AH and control groups with regard to implantation (16.1 versus 16.7%, respectively) and live birth rates (22.4 versus 29.6%, respectively). CONCLUSION: The present study indicates that AH does not improve IVF-embryo transfer outcome in women aged > or =37 years.

Adult↗
PubMed1988

On generating birth rates from skeletal populations.

Sattenspiel and Harpending (1983, American Antiquity 48(3): 489-498) have stated that the life expectancy at birth (e0(0] which paleodemographers calculate from skeletal population data is actually the mean age at death (ad) of the population. Yet, only when a population is neither growing or declining (i.e., is stationary) are these two statistics equivalent. They further assert, that the mean age at the death (ad) is more accurately interpreted as a measure of the fertility of the population. While we support their statement that since paleodemographic calculations use skeletal evidence of death, these do not a priori produce life expectancy values, we disagree that the inverse of the birth rate is a substitute for the average age at death (ad). The following pages demonstrate that: 1) An exact expression for the relationship between ad and 1/b can be derived using standard stable population theory, wherein ad = 1/b is shown to be a special case. 2) There are only two cases when ad = 1/b is an identity. 3) Whereas empirically ad and 1/b appear to correspond closely, this is an artifact of heavy mortality at early ages, which is a characteristic of the populations being considered. 4) Without insights into the behavioral dynamics of the situation any assessment of the demographics of the population is questionable.

Birth Rate↗
PubMed1986

Relation of private or clinic care to the cesarean birth rate.

The rising rate of cesarean births in the United States has been the focus of academic attention as well as attention from the media during the past decade. Although there is a consensus about the indications for cesarean delivery that have led to the increased rate (dystocia, malpresentation, fetal distress, and previous cesarean delivery), the influence of other key factors, such as whether the patient received care from a private physician or through a hospital clinic, has not been established. In a review of 65,647 deliveries in four Brooklyn hospitals between 1977 and 1982, we found that private physicians performed significantly more cesarean sections than house officers and attending physicians. Private patients giving birth to their first child were significantly more likely than clinic patients to undergo cesarean delivery if dystocia, malpresentation, or fetal distress was diagnosed, and private patients with one or more previous deliveries were significantly more likely to undergo cesarean delivery if dystocia or malpresentation was diagnosed. Private patients had fewer perinatal deaths, which were concentrated among infants with birth weights under 2000 g, but the infants of private patients had a significantly higher rate of low Apgar scores and birth injuries than the infants of clinic patients.

Adult↗
PubMed1994

Exposure to high fluoride concentrations in drinking water is associated with decreased birth rates.

A review of fluoride toxicity showed decreased fertility in most animal species studied. The current study was to see whether fluoride would also affect human birth rates. A U.S. database of drinking water systems was used to identify index counties with water systems reporting fluoride levels of at least 3 ppm. These and adjacent counties were grouped in 30 regions spread over 9 states. For each county, two conceptionally different exposure measures were defined, and the annual total fertility rate (TFR) for women in the age range 10-49 yr was calculated for the period 1970-1988. For each region separately, the annual TFR was regressed on the fluoride measure and sociodemographic covariables. Most regions showed an association of decreasing TFR with increasing fluoride levels. Meta-analysis of the region-specific results confirmed that the combined result was a negative TFR/fluoride association with a consensus combined p value of .0002-.0004, depending on the analytical scenario. There is no evidence that this outcome resulted from selection bias, inaccurate data, or improper analytical methods. However, the study is one that used population means rather than data on individual women. Whether or not the fluoride effect on the fertility rate found at the county level also applies to individual women remains to be investigated.

Adolescent↗
PubMed2003

[Birth rates and reproductive risk in adolescents in Chile, 1990-1999].

OBJECTIVE: For Chilean teenage mothers under 15 years old and from 15 to 19 years old, to evaluate the trends in birth rates and reproductive risk for the period of 1990-1999. METHODS: A database was constructed using data from the Demography Yearbook (Anuario de demografía) volumes published by Chile's National Institute of Statistics (Instituto Nacional de Estadísticas) for 1990-1999. From that database we calculated the trends in the number of live births and in the rates of maternal mortality, late fetal mortality, neonatal mortality, and infant mortality among the teenage mothers under 15 and from 15 to 19 years old. We calculated the risk odds ratio (OR) for both of those age groups in comparison with women from 20 to 34 years old. The groups were compared using Fisher's exact test or the chi-square test, and the analysis of trends in the period studied was carried out with Pearson's correlation, with an alpha level of 0.05. RESULTS: In the period studied, for the teenage mothers under age 15, the respective rates for maternal mortality, late fetal mortality, neonatal mortality, and infant mortality were 41.9 per 100 000 live births, 5.1 per 1 000 live births, 15.2 per 1 000 live births, and 27.4 per 1 000 live births. For the adolescents from 15 to 19 years, the corresponding rates were 19.3, 4.1, 8.1, and 16.6; for the women 20-34 years old, they were 26.8, 5.0, 6.7, and 12.1. The adolescents under 15 had higher risks of maternal mortality (OR = 1.56; 95% confidence interval (CI): 0.50 to 4.31; P = 0.372) and of fetal mortality (OR = 1.02; 95% CI: 0.76 to 1.36; P = 0.890), but those differences were not statistically significant. However, the younger adolescents did have significantly higher risks of neonatal mortality (OR = 2.27; 95% CI: 1.92-2.68; P < 0.0001) and of infant mortality (OR = 2.39; 95% CI: 2.04 to 2.62; P < 0.0001). In comparison to the women 20-34 years old, the teenage mothers from 15 to 19 years old had significantly lower risks of maternal mortality (OR = 0.72; 95% CI: 0.56 to 0.92; P < 0.008) and of fetal mortality (OR = 0.81; 95% CI: 0.77 to 0.86; P < 0.0001) but significantly higher risks of neonatal mortality (OR = 1.20; 95% CI: 1.16 to 1.25; P < 0.0001) and of infant mortality (OR = 1.38; 95% CI: 1.35 to 1.42; P < 0.0001). Among both the older teenage mothers and the mothers 20-34 years old there was a significant downward trend in maternal, fetal, neonatal, and infant mortality rates in the period studied; in the younger adolescents only neonatal mortality and infant mortality declined significantly. There was a rising trend in the number of live births among the two groups of teenage mothers, but that trend was statistically significant only for the mothers under 15; among mothers 20-34 years old there was a statistically significant downward trend. CONCLUSIONS: In the period studied, the Chilean teenage mothers faced greater reproductive risk than did the women 20-34 years old. The number of live births among teenage mothers tended to rise during the 1990-1999 period, but the change was significant only for the mothers under age 15. These results point to the need to develop programs that improve both sex education and birth control practices starting in early adolescence.

Adolescent↗
PubMed2004

Minimization of the Renyi entropy production in the stationary states of the Brownian process with matched death and birth rates.

We analyze the Fleming-Viot process. The system is confined in a box, whose boundaries act as a sink of Brownian particles. The death rate at the boundaries is matched by the branching (birth) rate in the system and thus the number of particles is kept constant. We show that such a process is described by the Renyi entropy whose production is minimized in the stationary state. The entropy production in this process is a monotonically decreasing function of time irrespective of the initial conditions. The first Laplacian eigenvalue is shown to be equal to the Renyi entropy production in the stationary state. As an example we simulate the process in a two-dimensional box.

Journal Article↗
PubMed1974

Abortion, illegitimacy, and the American birth rate.

In sum, it appears that legal abortion depressed overall fertility, but particularly illegitimate fertility, by giving women an opportunity to terminate their pregnancies when other means of birth control either had not been used or had failed. If legalized abortion had not been available, an estimated additional 39,000 illegitimate babies and 28,000 legitimate babies would have been born in 1971 in the United States. While this makes up a small part of total births (3,500,000), the illegitimate births prevented represent almost onetenth of all out-of-wedlock children born in the country in that year. In addition to preventing these births the legalization of abortion appears to have reduced the incidence of pregnancy-related marriages and thereby may have helped to limit subsequent marital disruption. Finally, legal abortion prevented large numbers of illegal abortions from occurring. Our data indicate that well over half-most likely between two-thirds and three-fourths-of all legal abortions in the United States in 1971 were replacements for illegal abortions. Further declines in illegitimate birth rates for the country as a whole will depend, in considerable part, on the extent to which legal abortion becomes more readily available and more widely used. Theoretically, greater use of efficient contraception could also cause illegitimate fertility to decline. But there are many reasons why women do not use efficient contraception even when they know about it and have access to the materials (25). Even though the use of abortion throughout the nation is now legalized by the Supreme Court decision, this does not necessarily mean that services will in fact be everywhere more readily available. Our interstate analysis suggests that should the liberalization of abortion laws be reversed, not only would there be an upturn in illegal abortions and pregnancy-related marriages, but also a marked rise in illegitimacy, particularly among women who do not have the means to obtain an illegal abortion.

Abortion, Legal↗
PubMed2004

Knowledge and attitudes towards emergency contraception of health-care providers in a region with a high birth rate.

OBJECTIVE: To assess the knowledge of, attitude towards and practices of emergency contraception among health-care providers at a university hospital located in a region with a high birth rate. METHODS: The survey was conducted among 214 health-care providers working at a university hospital located in eastern Turkey. RESULTS: Two hundred participants completed the questionnaire. Of the respondents, 26.0% said that they did not know anything about emergency contraception, while the remaining 74.0% said that they knew about at least one of the methods of emergency contraception. But among these, the knowledge of 38.5% of the participants about emergency contraception was accurate and that of 61.5% was inaccurate. Thirty-four percent of the respondents stated that they had previously required personally to use emergency contraceptive methods. The most commonly used emergency contraceptive methods were oral contraceptives (69.1%) and intrauterine device (14.7%). None of the respondents knew anything about mifepristone and levonorgestrel. CONCLUSION: There is a knowledge deficit among health-care providers who play a significant role in the dissemination of the information about emergency contraception.

Adult↗