Differential fertility in Bangladesh: A path analysis

Abstract

This study attempts to show both theoretically and empirically the causal links between selected background, socioeconomic, and demographic variables, on the one hand, and between these variables and cumulative fertility, on the other. Two distinct models, urban and rural, emerge as a result of a statistical test. In both models, neither wife's nor husband's childhood background is found to have any significant direct effects on fertility. Wife's age, religion, and age at marriage are the common variables which directly affect the number of children ever born. While age and religion bear positive direct effects, age at marriage exerts a negative direct effect. The indirect effect of religion is positive both in the rural and urban area. Both the direct and indirect effects of wife's education on fertility in urban Bangladesh are negative. Husband's education, in contrast, has a positive direct effect in the urban area and no effect at all in the rural area.     

Determinants of the sex ratio at birth: Review of recent literature

Abstract

Use of contraception by rural Egyptian women who desire no more children is examined within a modified microeconomic framework. Four sets of factors are hypothesized to influence current use of contraception: (1) costs of contraception, ‘(2) factors influencing the slope of the desired family size function, (3) anticipated costs of child rearing and (4) strength of motivation for fertility regulation. Women's education and two measures of psychic costs were found to be important predictors of contraceptive use. Factors affecting the demand for children and thus indirectly influencing the motivation for fertility regulation were also important. Land ownership, cultivating status of the household, and educational expectations for children were significantly related to current use. Strength of motivation, although significant, was less strongly related to use of contraception. The findings suggest women who want no more children, but who are not practicing contraception, are affected by factors influencing both the costs of contraception and the costs of an unwanted child.     

The effect of female education on marital fertility in different size communities of Mexico

Abstract

Based on a very large sample of married women aged 15 to 49 from the 1970 census of Mexico, the effect of literacy and education on the number of children ever born in different size communities is investigated. While cumulative marital fertility tends to be inversely related to community size, the overall shape of the education‐fertility relationship is generally similar in rural, semi‐urban, small urban, and large urban localities. These results combined with those for literacy do not support the hypothesis of an urbanization or a literacy “threshold” at which women's schooling begins to reduce family size.     

An examination of factors influencing black fertility decline in the Mississippi Delta, 1880–1930

Abstract

Although the fertility decline in the black population in the Mississippi Delta between the late 1870's and early 1930's closely paralleled that of the national black population, it rose much more dramatically in the 1940's and 1950's to almost 1880 levels. Given the especially rural and oppressed conditions of blacks there, the initial decline seems puzzling. Low fertility rates in the 1930's reflected a large proportion of childless females. Investigations of changing contraceptive usage and mate exposure suggest both were minor components at most. Several physiological impairments were investigated including dietary deficiences, malaria, tuberculosis, and sexually transmitted diseases (STD). Evidence suggests STD played the major role, facilitated by nutritional and other health problems. Models relying heavily on those developed by McFalls and McFalls (1984) suggest 50–80 percent of the decline could have been due to the spread of STD. Age‐specific birth rates for different periods and post‐World‐War‐II fertility increases seem consistent with this finding.     

Selection intensities in menopausal and permanent contraceptor women of a rural population in India

Abstract

The opportunity for selection was estimated in the rural population of Visakhapat‐nam District, Andhra Pradesh, India. The index of total selection was found to be low. Selection in relation to birth control reveals that opportunity for selection is lower among the women who completed their fertility by family planning methods than in women who completed their fertility by attaining menopause. Further, the results showed that differential fertility and mortality make equal contributions to the total measure of selection in both groups.     

Sociodemographic attributes of Iranian wives who reported unwanted pregnancies

Abstract

In a 1989 Family Planning Study in Iran, 40 percent of the married women of reproductive age reported that their last or current pregnancies were unwanted and unintended. This finding is consistent with the results obtained from a number of studies undertaken in the countries of North Africa and the Middle East. Although the phenomenon of unwanted pregnancy is a significant topic in the population studies, it has received very little attention. This paper shows the differences between two groups: group A, those married women who reported that their last or current pregnancies were wanted, and group B, those married women who reported that their last or current pregnancies were unwanted. The findings of this study clearly show significant differences between these two groups in regard to some key sociodemographic attributes: wife/husband's education, actual and desired fertility, wife's current age, past and present practice of contraceptive methods, and extent of satisfaction with family planning services are among the attributes differentiating these two groups. Our examination of these variables suggests that group B had higher parity, fertility, less desire for more children, less use of contraceptive techniques, and less satisfaction with the efficiency of the contraceptive techniques than group A. The relationship between education and wanted/unwanted pregnancies is mixed. The urban women who wanted‐pregnancies and were 25 years old or older were more educated than those who did not want pregnancies. On the contrary, the rural women whose pregnancies were not wanted were more educated than those who wanted pregnancies regardless of age, parity, and locality differences. Furthermore, the urban/rural women with different levels of parities who did not want to be pregnant were more educated than the urban/rural women who wanted pregnancies. Finally, the standardized regression coefficients, obtained in logistic regression, reveal that among urban women the desire for more children and parity are the first and second most significant independent variables differentiating between group A and group B. Among rural women, living children and the desire for more children were the first and second most important variables differentiating between group A and group B.     

Natural selection and degenerative cardiovascular disease

Abstract

The analyses shown here indicate that the pervasiveness of fertility trends found earlier for the 1950's and 1960's has continued for the 1970's. The national period fertility trends have occurred within every racial, social, and economic subgroup examined. As before, there is no evidence of a narrowing of fertility differentials within successive cross‐sections. Variables, such as race or education, continue to exert effects on cross‐sectional fertility differences. Standard socioeconomic variables operate to shift the entire trend line up or down, but do not explain the trend line. The question remains of what causes changes in period fertility rates in developed societies.     

Women's status and infant mortality in rural Colombia

Abstract

This paper investigates the effects of maternal demographic characteristics and social and economic statuses on infant mortality in rural Colombia. Demographic characteristics include the age of the mother, parity and length of preceding interbirth interval, and sex of infant. Measures of women's status at the time of birth include education, wage labor and occupation, economic stratum, place of residence, and whether the mother is living with a husband. The life history data for the study (involving 4,928 births) were collected in 1986 from a representative sample of two cohorts of women resident in rural central Colombia. Overall diflFerentials in infant mortality by measures of women's status are small and are in good part associated with the differing reproductive behaviors of the women and variations in breastfeeding practices. The sharp declines in infant mortality recorded in rural Colombia in recent years appear less related to improved status of women than to reductions in fertility that enhance infant survivorship and to public health interventions shared by all segments of the population.     

Multilevel Effects of Wealth on Women's Contraceptive Use in Mozambique

Objective

This paper analyzes the impact of wealth on the use of contraception in Mozambique unmixing the contextual effects due to community wealth from the individual effects associated with the women''s situation within the community of residence.

Methods

Data from the 2011 Mozambican Demographic and Health Survey on women who are married or living together are analyzed for the entire country and also for the rural and urban areas separately. We used single level and multilevel probit regression models.

Findings

A single level probit regression reveals that region, religion, age, previous fertility, education, and wealth impact contraceptive behavior. The multilevel analysis shows that average community wealth and the women’s relative socioeconomic position within the community have significant positive effects on the use of modern contraceptives. The multilevel framework proved to be necessary in rural settings but not relevant in urban areas. Moreover, the contextual effects due to community wealth are greater in rural than in urban areas and this feature is associated with the higher socioeconomic heterogeneity within the richest communities.

Conclusion

This analysis highlights the need for the studies on contraceptive behavior to specifically address the individual and contextual effects arising from the poverty-wealth dimension in rural and urban areas separately. The inclusion in a particular community of residence is not relevant in urban areas, but it is an important feature in rural areas. Although the women''s individual position within the community of residence has a similar effect on contraceptive adoption in rural and urban settings, the impact of community wealth is greater in rural areas and smaller in urban areas.     

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

Abstract

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.     

Clinical implications of genetic susceptibility to diabetes mellitus

Abstract

Relatively little attention has been given to the interpretation of age‐at‐marriage differences in fertility. This paper discusses possible demographic and sociological sources of this differential. The argument is made that sociological interpretations deserve increased attention since most of the observed differential persists after control for likely demographic components (premarital pregnancy, unwanted fertility, and subfecundity) and for correlated social and background variables (education of self and parents, religion, farm background, number of siblings, whether respondent's parental family was intact, and husband's age at marriage). Multiple‐classification analysis is employed. The analysis concludes by noting that age at first birth has an even stronger relationship with fertility than age at marriage and that the sociological dimensions of age relevant to age at marriage are even more appropriate to age at entrance into motherhood.     

Women's role orientations and expected fertility: Evidence from the Detroit area, 1978

Abstract

The paper investigates whether there is empirical evidence to support the hypothesis that women's attitudes toward traditionally female family roles affect their expected fertility net of the much‐discussed link between women's employment and fertility. Along with several socio‐demographic variables, the study uses a nonwork related attitude variable comprised of a motherhood role attitude measure and a housekeeping attitude measure. The study uses a probability sample of white, fecund, once‐married women under 35 living with their husbands in the Detroit Metropolitan Area in 1978. Findings suggest that nonwork related attitudes have a significant effect on fertility expectations net of labor force participation. They also suggest that general fertility surveys could benefit from including questions on nonwork related role orientations.     

Changes in Sibling configurations for American preschool children

Abstract

This paper uses data drawn from the 1940 through 1980 Public Use Microdata Samples of the U.S. Census of Population to document sibling configurations from the child's perspective. Changes in four aspects of siblings are examined for five cohorts of white and black preschool‐aged children: number, birth order distributions, spacing intervals, and sex composition. Changes in fertility behavior of adults in the post‐war era had a profound effect on the structure of sibling systems experienced by children. Successive cohorts of preschool children show a rise in number of siblings through the early post‐war years before showing sharp declines in number of siblings through the 1960's and 1970's. These shifts in size of sibling sets are reflected in changes in the proportion of each cohorts who are first born and only children, both of which have increased substantially by the 1980 cohort. The 1940 and 1980 cohorts have similar proportions of children with short intervals. However, the middle cohorts show the effects of the quickened pace of fertility with substantial proportions of children with comparatively short birth intervals. Finally, substantial shifts across cohorts in several measures of sex composition of children are observed. Most significantly, there is a marked decline in the proportion of children experiencing an opposite‐sex older sibling.     

Effects of Recruiting Midwives into a Family Physician Program on Women's Awareness and Preference for Mode of Delivery and Caesarean Section Rates in Rural Areas of Kurdistan

BackgroundThe accepted rate rate of caesarean section is 15%. It is expected that an increase in the density of midwives in the family physician program lead to a decrease in this indicator. This study aimed to compare the rates of caesarean section and women''s awareness and preference for mode of delivery before and after the implementation of the family physician program in health centres with and without an increase in midwives density.MethodsIn this cross-sectional study, using multistage cluster sampling method a total of 668 mothers with two-month-old children were selected from among all mothers with two-month-old children who were living in rural areas of Kurdistan province. Using the difference-in-differences model and Matchit statistical model, the factors associated with caesarean section rates and women''s awareness and preference for mode of delivery were compared in centres with and without an increase in midwives density after the implementation of the family physician program. To compare the changes before and after the program, we used the data collected from the same number of women in 2005 as the baseline.ResultsAfter adjusting for baseline data collected in 2005, the resutls showed no significant change in caesarean section rates and women''s awareness and preference for mode of delivery in the centres with and without an increase in midwives density after the implementation of the family physician program. The Matchit model showed a significant mean increase 14%(0.03–0.25) in women’s awareness of the benefits of natural childbirth between 2005 and 2013 in health centres where the density of midwives increased compared with health centres where it did not. The difference-in-differences model showed that the odds ratio of women’s preference for caesarean section decreased by 41% among participants who were aware of the benefits of natural childbirth, (OR = 0.59, 95% CI: (0.22–0.85); P>0.001).ConclusionsThe results of this study showed that an increase in the density of midwives in the family physician program led to an increase in women''s awareness of the benefits of natural childbirth. An increase in women’s awareness of the benefits of natural childbirth was associated with a decreased preference for caesarean section, however this reduction did not have a significant impact on caesarean section rates; possibly, this finding might be attributed to the complexity of this problem that needs a mixed strategy involving various stockholders.     

Social class and fertility in metropolitan Madras

Abstract

Interviews were conducted with a random sample of 463 couples in metropolitan Madras. From these data, social class, as measured by the respondent's self‐identification, is found to be inversely correlated with the fertility and child mortality experienced by women in unbroken marriages. These class differences in fertility are not explained either by their rates of sterility or their variations in duration of marriage, i.e., exposure to the risks of conception.     

Final results from 10 year cohort of patients undergoing surveillance for Barrett's oesophagus: observational study

ObjectivesTo review the benefit of an endoscopic surveillance programme for patients with Barrett''s oesophagus.DesignObservational study.SettingUniversity teaching hospital.Participants409 patients in whom Barrett''s oesophagus was identified during 1984-94; 143 were entered into the annual surveillance programme.ResultsThe average period of surveillance was 4.4 years; 55 patients were reassessed in 1994 but only eight remained in the programme in 1999, withdrawal being due to death (not from carcinoma of the oesophagus), illness, or frailty. Five of the patients who entered surveillance developed carcinoma of the oesophagus. Only one cancer was identified as a result of a surveillance endoscopy, the others being detected during endoscopy to investigate altered symptoms. Of the 266 patients who were not suitable for surveillance, one died from oesophageal cancer and 103 from other causes. Surveillance has resulted in 745 endoscopies and about 3000 biopsy specimens.ConclusionThe current surveillance strategy has limited value, and it may be appropriate to restrict surveillance to patients with additional risk factors such as stricture, ulcer, or long segment (>80 mm) Barrett''s oesophagus.     

Changes in contraceptive use and fertility: Panama, 1976 to 1984

Abstract

From 1976 to 1984 important demographic changes occurred in Panama. The total fertility rate declined from 4.5 to 3.7, and contraceptive use amongmarried women 20–44 years of age increased from 55 per cent to 63 per cent. However, using data from three national level reproductive health surveys which were conducted in Panama in 1976, 1979, and 1984, we found that most of the changes took place between 1976 and 1979. Since 1979, overall contraceptive use and fertility have remained virtually unchanged, although there has been an important method‐mix shift toward an increase in the use of contraceptive sterilization and IUD's, with an accompanying decline in the use of oral contraceptives. Although the singulate mean age at marriage remained relatively constant, the average duration of breastfeeding rose 23 per cent during the period. Further gains in contraceptive prevalence and reduction in unplanned fertility in Panama will largely depend on enhanced program efforts first begun in the early 1970's by the Panama Ministry of Health. Future program efforts especially should be directed toward encouraging young couples to space their children more effectively by using temporary methods of contraception.     

The Gran Poder Parade and the Social Movement of the Aymara Middle Class: A Video Essay

The parade for the patron saint of the parish of Gran Poder is the largest city-wide folklore event in La Paz, Bolivia, in which tens of thousands of indigenous Aymara and mestizo residents of the city participate in dances that tie them to the nation's indigenous past. The sequences of images discussed in this article focus on a dance fraternity composed of members of the prosperous urban Aymara middle class (or cholos ) who use their indigenous costumes and dance movements as vehicles in which they enter and display their modernity. Using harshly exaggerated masks that relate social subordination to racial difference, the performance of the Morenada by today's well-to-do Aymaras revisits the cultural marginalization and hardship they experienced in their own migration to La Paz from the rural countryside. Wearing a series of expensive outfits and ostentatious costumes, these dancers vividly flaunt their distinction from the Western-mestizo middle class, and its signs of well-being.     

Attachment to Pets among Eighth Graders

Abstract

The Pet Attachment Survey (PAS) developed by the University of Minnesota's Center to Study Human-Animal Relationships and Environments (CENSHARE) and a demographic survey developed by the researcher were administered to eighth graders in two rural public schools and one urban public school in northern Utah during spring 1988. Gender and residence PAS scores were analyzed (N=490) utilizing a 2 by 2 analysis of variance (ANOVA) to determine significant differences in attachment to pet cats and dogs among urban and rural, male and female students. Results indicated that urban children were more attached to their pets than were rural children. However, there were no significant differences in attachment to pets between males and females. The demographic survey results (N=656) indicated that the most common demographic variable among the children studied was the experience of having a pet at some point in their lives. These findings indicated that pets were an integral part of pet-owning children's development that represent an important component in the construct of attachment.