Fertility Changes in Rural Moroccan Berbers during the 20th Century

Morocco’s fertility pattern evolved in the 20th century from a traditional model close to ‘natural fertility’ to a modern pattern incorporating contraception. The very high fertility rate of nearly 7 offspring per woman observed in the 1960s was still at a level of 5.5 offspring per woman in the early 1980s. The total fertility rate subsequently declined to 2.5 by 2003. This decline was apparently, principally, the result of two factors in the urban context: the relative increase in women’s age at marriage and the use of contraception to regulate and to close reproduction. This research studied a group of Berber agriculturists in the region of Marrakech to better understand the extension and modalities of fertility changes in a rural environment. Though delayed, the changes observed in rural Berbers paralleled the general trends seen at the national level. As in the urban environment, the changes affecting reproductive patterns resulted from an increase in the age at marriage of women and the introduction of contraception. However, these changes were apparently minor adaptations to the traditional pattern, in that the progressive increase in mean age at marriage was obtained by the decrease in the frequency of pre-nubile unions (<15 years old) and not from the upward shift of the modal age. On the other hand, contraception apparently was employed to stop childbearing after the expected family size was already attained.     

Fertility and social class in a French village, 1901-75

Explanations of rural-urban fertility differentials have normally lain in assumptions about the traditionalist nature of rural, and especially agricultural, societies in contrast to the more rationalist and modern attitudes towards the family that exist in urban societies. This paper raises 2 objections to such an oversimplified view of rural-urban fertility differentials. The 1st is that rural fertility is assumed to have been relatively uncontrolled until the final stages of the demographic transition: the possibility of significant early control on fertility in rural areas is discounted. The 2nd is that this simplistic view of fertility differentials ignores the existence of social sub-groups within the rural population and assumes that all country-dwellers are members of an idealized rural society and behave, demographically, in a uniform fashion. The extent to which it is possible to recognize distinctive patterns of marriage and fertility within sub-groups of the rural population is examined by an analysis of the fertility experience of 294 females who lived in a single village in southern Normandy at some period between 1901 and 1975. Biographical details were obtained from an exhaustive analysis of census lists and the civil registration documents to attempt a family and household reconstitution. Other sources used include electoral registers and land-ownership records. The pattern of evolution of fertility in the village for the period considered is derived using Coale's demographic indices: indices of female proportions married, marital fertility, illegitmate fertility and overall fertility are derived by standardizing the population under study against the age-specific fertility schedules of a population believed to have natural fertiltity (the American Hutterites). Overall fertility has increased slightly through the 75-year period, being notably low at the star of the century, chiefly as a result of the high average age at 1st marrige of girls from owner-oc pying farm families. Changes in overall fertility through the century have partly resulted from changes in the proportionate contribution of the different sub-classes of the village as a whole, but the increased importance of owner-occupying farm households has been compensated by a similar increase in the importance of employees in nonagricultural activities who have the highest fertility levels of all. The explanations of these differentials in fertility between sub-classes of the local population appear to lie in the relationships of those classes to the labor market, and in the degree to which capital accumulation and inheritance act as a brake on early marriage and fertility within marriage.     

Marriage form and age at first marriage: a comparative study in three counties in contemporary rural China

Using data from two surveys in three counties in which the prevalence of uxorilocal marriage differs greatly, this article analyzes the effects of marriage form, individual, family, and social factors on age at first marriage and spousal age difference. The results show that, under the Chinese patrilineal joint family system, compared with the dominant virilocal marriage form, uxorilocal marriage significantly lowers women's age at first marriage, increases men's age at first marriage, and consequently increases spousal age difference. Education, number of brothers, adoption status, marriage arrangement, and marriage circle also significantly affect age at first marriage for both genders. Age at first marriage and spousal age difference vary greatly among the three counties. These findings address the process and consequences of change in rural family and marriage customs during the current demographic and social transition and may help to promote later marriage and later childbearing under the present low fertility conditions in rural China.     

Assessing the reproductive behavior of on- and off-reservation American Indian females: characteristics of two groups in Montana

Only limited fertility and general reproductive health data exist on American Indians. Using data from the 1987 Montana American Indian Health Risk Assessment, we found that the fertility of American Indians in Great Falls and on the Blackfeet Reservation was similar to blacks in the U.S. and relatively high when compared with fertility of whites in the United States. The influence of the direct determinants of fertility (nuptiality, contraceptive use, and lactation) was very different for the populations examined in this study. Great Falls American Indians and the U.S. black population were similar regarding age at first sexual intercourse (very young), breastfeeding (low prevalence and short duration), planning status of pregnancies (high unplanned), and contraceptive use (only moderate use). In contrast, Blackfeet women on the reservation and the U.S. white population married relatively late, had very high contraceptive use, used effective methods of contraception, and had moderately high levels of breastfeeding. However, Blackfeet fertility was much higher than that of whites. Three interrelated reasons are suggested as possible explanations. Blackfeet couples either wanted high fertility, were relatively poor users of family planning methods, or used less effective methods until they had exceeded their desired family size after which time they turned to sterilization. These finds raise numerous questions concerning the social and economic factors that may account for these group similarities and differences. Further studies with much larger data sets are needed to address these issues adequately.     

Female Employment Reduces Fertility in Rural Senegal

Economic growth and modernization of society are generally associated with fertility rate decreases but which forces trigger this is unclear. In this paper we assess how fertility changes with increased labor market participation of women in rural Senegal. Evidence from high-income countries suggests that higher female employment rates lead to reduced fertility rates but evidence from developing countries at an early stage of demographic transition is largely absent. We concentrate on a rural area in northern Senegal where a recent boom in horticultural exports has been associated with a sudden increase in female off-farm employment. Using survey data we show that employed women have a significantly higher age at marriage and at first childbirth, and significantly fewer children. As causal identification strategy we use instrumental variable and difference-in-differences estimations, combined with propensity score matching. We find that female employment reduces the number of children per woman by 25%, and that this fertility-reducing effect is as large for poor as for non-poor women and larger for illiterate than for literate women. Results imply that female employment is a strong instrument for empowering rural women, reducing fertility rates and accelerating the demographic transition in poor countries. The effectiveness of family planning programs can increase if targeted to areas where female employment is increasing or to female employees directly because of a higher likelihood to reach women with low-fertility preferences. Our results show that changes in fertility preferences not necessarily result from a cultural evolution but can also be driven by sudden and individual changes in economic opportunities.     

Nuptiality and fertility in the Dominican Republic

Women in marital unions had more live births than those in consensual unions. The relationship between cumulative fertility and the number of fertile sexual unions is positive for the early childbearing years and negative for the later ones. There is no consistent pattern of relationship between fertility and the sociocultural independent variables for different subgroups according to nuptiality pattern. The relationship between fertility and nuptiality in the Dominican Republic is consistent with that for the Caribbean region.     

Harijans and Girijans of Andhra Pradesh: an application of analysis of variance in the study of fertility,mortality and family planning

Research on the Bagatha tribe and the Malas and Madigas in India has been done for economic and social planning purposes in regard to family planning. Bagatha are mostly agricultural people where the nuclear family is prevalent and polygamy is popular as well as cousin marriage. The Madigas and Males (Harijans) are lower caste with the 1st being leather workers and the latter being agricultural helpers. The data was collected by direct interview of 202 tribesmen and 202 caste households with women from 15-49 years of age. The data collected on fertility include live births, child survival rate, fetal wastage, husband and wives education, income, and occupations. On mortality, the number of deaths, age at marriage, number of and intervals of pregnancies. As expected, educated and employed families show healthier and higher levels of fertility especially if the wife is educated. The wife shows more of the responsibility for family planning. The age at marriage and the number of pregnancies appears to have little effect on mortality. In the caste group the education level of the husband has little effect on fertility and again the wife has the primary responsibility in using family planning techniques.     

The evolution of the family planning programme and its role in influencing fertility change in Kenya

Kenya was one of the first sub-Saharan countries to enter the fertility transition, and analysts have suggested various explanations for this. This paper examines the growth in contraceptive availability in Kenya by looking at the Kenya family planning programme and its association with the fertility transition. This is of critical programmatic importance because the fertility transition is not yet underway in many sub-Saharan countries. Policymakers will find the information from this study helpful in evaluating the efficacy of current programmes and replicating the Kenyan programme in areas where fertility decline has not yet occurred. For researchers, the study attempts to highlight some of the major factors driving Kenya's fertility decline, apart from the conventional arguments about social and economic development.     

Contraceptive use dynamics of Asian women in Britain

In-depth interviews were conducted with married Asian women from Indian, Pakistani and Bangladeshi backgrounds, to investigate patterns of contraceptive use and influences on contraceptive decision making. The results show two distinctively different contraceptive 'lifecycles'. Non-professional women typically have little knowledge about contraception until after their marriage or first birth. Their patterns of contraceptive behaviour show low levels of contraceptive use until after their first birth, when condom use is most prevalent. Non-professional women are influenced by their extended family, religion and cultural expectations on their fertility and family planning decisions. Professional women show an entirely different pattern of contraceptive behaviour. They are more likely to have knowledge about contraception before marriage, use some method of contraception throughout their childbearing years (typically the pill) and cite personal, practical or economic considerations in their fertility decisions rather than religious, cultural or extended family influences.     

Evolution of birth intervals in a french rural population (1840–1950)

This study presents the first results concerning the evolution of the birth intervals since 1840 among a rural population of the centre of France, where birth control appeared as far back as the end of the 18th Century. We observe the absence of variation of the average interval between successive briths in relation to the period of marriage, family size and socio-economic status of spouses. This confirms that child spacing does not play a part in the constitution of family. The average intervals between marriage and first birth are associated with most of the variables, essentially due to the marrying age and to a lesser extent to the family size. This rural population, in spite of a modern profile by the widespread practice of birth control, still presents traditional attitudes in the structure of its fertility as is indicated by the absence of birth spreading and the important part which seems to be played by the marriage age of women.     

A comparative study of determinants of uxorilocal marriage in two counties of China

Abstract

A strictly maintained patrilineal family system makes virilocal marriage almost universal and uxorilocal marriage rare in the history of rural China. Uxorilocal marriage can be divided into two types that may be termed, respectively, contingent and institutional. The former preserves family lineages in families without a son and occurs when uxorilocal marriage is uncommon. The latter serves practical economic purposes in families with sons and occurs when uxorilocal marriage is relatively prevalent. Using data from a survey in two counties of Shaanxi—Lueyang, where both kinds of uxorilocal marriage are prevalent, and Sanyuan, where uxorilocal marriage is rare and usually contingent—this paper employs logistic regression models in a quantitative comparative study of determinants of uxorilocal marriage in rural China. We show that the purposes and prevalence of the two types of uxorilocal marriage differ and that their determinants are also different in the two counties. In Sanyuan, the determinants are only a couple's sibling composition, membership in a large family clan, and educational level. In Lueyang, in addition to those determinants in Sanyuan, important contributions to the type of uxorilocal marriage include a couple's parental marriage type, age at marriage, adoption status, marriage arrangement, and their attitudes toward uxorilocal marriage. The results indicate the potential importance of encouraging uxorilocal marriage in rural areas as a means of mitigating demographic and social problems related to son preference, such as high sex ratio at birth and lack of old‐age security, which are projected for China's future.     

Gender differences in child survival in contemporary rural China: a county study

Using data from a survey of deaths of children less than 5 years old conducted in 1997 in a county in Shaanxi Province, China, this paper examines gender differences in child survival in contemporary rural China. First, excess female child mortality in the county in 1994-96 is described, followed by an analysis of the mechanisms whereby the excess mortality takes place, and the underlying social, economic and cultural factors behind it. Excess female child mortality in this county is probably caused primarily by discrimination against girls in curative health care rather than in preventive health care or food and nutrition. Although discrimination occurs in all kinds of families and communities, discrimination itself is highly selective, and is primarily against girls with some specific characteristics. It is argued that the excess mortality of girls is caused fundamentally by the strong son preference in traditional Chinese culture, but exacerbated by the government-guided family planning programme and regulations. This suggests that it is crucial to raise the status of girls within the family and community so as to mitigate the pressures to discriminate against girls in China's low fertility regime. Finally, the possible policy options to improve female child survival in contemporary rural China are discussed.     

More than a leap of faith: the impact of biological and religious correlates on reproductive behavior

Using a conceptual model that integrates both social and biomedical factors of causation, this paper tries to delineate the pathways through which the reproductive characteristics of a multidenominational community are characterized. In total, 5513 historical entries from family reconstitution were available. Selection of data was guided by the inclusion of information about religious affiliation. Only married couples with children as well as single mothers with the relevant information were considered. Of these, 1855 entries were of Roman Catholic (C), 1143 of Lutheran/Protestant (L/P2), and 609 of Reformed Calvinist (R) denomination. The analysis documented differential nuptiality and fertility patterns, which at first glance may be interpreted along religious lines. However, the paper attempts to show that these various sociocultural patterns associated with religious behavior are merely proximate determinants, while the ultimate causes are biological in nature (i.e., differential parental age at marriage or birth, different parity progression regimes, differences in median interpregnancy interval, as well as highly variable sibship size within the denominational groups).     

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.     

Coitus, the proximate determinant of conception: inter-country variance in sub-Saharan Africa

There is a general consensus in the literature that fertility differences between populations can be accounted for by differences in just four key proximate determinants: nuptiality, the postpartum non-susceptible period, contraception and abortion. Natural fecundibility is generally assumed to be constant between populations. This paper puts the theoretical and empirical case for a re-evaluation of that assumption, drawing on the under-utilized data on sexual activity collected in the Demographic Health Surveys (DHSs). Using data for married women in nine African countries, the analysis finds substantial population level differences in mean monthly coital frequency, which, if accurate, suggest an important demographic effect. There is a clear regional patterning to these differences, with levels of activity considerably lower among women in the West African populations included in the study than those from East and southern Africa. For West Africa in particular the data indicate the normality of exceptionally long periods of very infrequent or no intercourse by married women outside the period of postpartum abstinence. The findings challenge prevailing presumptions concerning susceptibility to pregnancy in marriage on which statistics for unmet need for family planning are derived. While doubts are raised over the precision of the sexual activity data used, the paper argues for the need for a greater effort to operationalize the 'proximate determinant of conception', not only for more accurate fertility modelling, but also as a planning tool for a more sensitive provision of family planning services in Africa.     

Main results of recent Hungarian family planning studies.

The demographic situation in Hungary is analyzed by presenting results of 5 different surveys on family planning carried out between 1958-1974. During those 16 years the practice of planning the number of children desired grew. In 1958 only 63 out of 100 women planned the number of children at marriage, and in 1974 98% gave an affirmative reply. The number of children planned by women declined from 2.25 in 1958 to 2.05 in 1966, and then increased to 2.19 in 1974. More and more childless married women want to give birth to a child. In early studies, 66-67% desired a child, and in 1974 83% desired a child. The idea of a family size with 2 children has become the rule in Hungary. In 1958 only 76% of the women used birth control; by 1966 the percentage was 84. 37% in 1958, 44% in 1966, and 26% in 1969 used both contraception and induced abortion. By 1972, 42% of the women interviewed had had an abortion. The use of contraception has increased considerably from 58% in 1958 to 75% in 1974. In 1974, 36% of the women using contraception were taking oral pills and only 7% were using the IUD.     

A conceptual model for the identification, organization, and measure of influence of fertility policies and programs.

The fertility program of any government is the procedural action intended to effect the government fertility policy. There may also be unintended results of any fertility program. A conceptual model was designed to measure the effect of governmental action on fertility and to identify sociocultural factors that have the greatest influence on fertility. The model uses sociocultural variables as intervening variables between fertility programs and changes in actual fertility. The structural variables considered by the model are characteristics of the pattern of social order; the cultural variables consist of shared values and norms. Fertility trend analysis is effected by polynomial regression formulae. Puerto Rican data from 1946 to 1970 were used to test the proposed model. Analysis of the data indicated that emigration between 1940-1962 had little effect on national fertility. Governmental family planning programs, beginning in 1946, contributed to a sharp decline in fertility. It is recommended that the model be used with data from other countries to assess the effects of their family planning programs.     

Premarital childbearing in northwest Kenya: challenging the concept of illegitimacy

A number of African countries, including Kenya, have experienced a marked rise in births among unmarried women. In Western countries, reproduction outside of marriage is assumed to be illegitimate and a social problem. One hypothesis used to explain the increasing incidence of premarital fertility in Africa is a breakdown of traditional social controls by the extended family over the sexual behavior of adolescents. A competing hypothesis suggests that unmarried women use sexual relations to achieve goals such as marriage. Among Turkana pastoralists of northwest Kenya, we find a pattern of premarital birth that fits either hypothesis only loosely. Premarital fertility among the Turkana is both widespread and culturally acceptable, with over 30 per cent of women having at least one child prior to marriage. Although women with premarital births initiate childbearing on average one year earlier than women with only marital births, women's marital status does not influence the length of the interval between first and second births. Marriage among the Turkana is not a social trigger for the onset and continuation of reproduction or a means to legitimate reproduction. Marital status of the parents simply determines the custody of a child. In a premarital birth, the father pays a set fee to the mother's family, and the custody of the child remains permanently with the mother's family. If the parents later marry, the father must purchase custody of the child by another fee at that time. Since the Turkana have experienced few effects of modernization, the existence of such a practice suggests that cultural factors must be taken into account before assessing premarital fertility in Africa as a social problem.     

The Changing Timing of Births in Iran: An Explanation of the Rise and Fall in Fertility After the 1979 Islamic Revolution

Studies exploring the course of period fertility in Iran after the 1979 Islamic Revolution have not examined systematically the role played by changes in the timing of births. Using retrospective data from the 2000 Iran Demographic and Health Survey and frailty hazard models, this study finds that the rise in fertility in the early 1980s was due to faster transitions to the first birth among all social groups of women and to the fourth birth largely among illiterate and less educated women. In contrast, the rapid fertility decline after 1985 is attributed to slower transition to successive births, especially to the second, third, and fourth births. These findings point to the importance of education and contraceptive use (measured by length of previous birth interval) as key determinants of birth timing in Iran. Interaction between age at marriage and education positively influenced the timing of births, with stronger effects among highly educated women, suggesting that the onset of rapid fertility decline was likely driven by these highly educated women. Another interaction between the gender of prior children and education shows that birth timing, even among highly educated women, appears to have been influenced by son preference in Iran.     

Fertility and family planning in Papua New Guinea

This paper examines some of the data on fertility, family size and family planning from a survey conducted between November 1979 and March 1980 in 8 provinces both in rural and urban areas of Papua New Guinea (PNG). The sample consisted of 6283 male and female respondents; a total of 3986 females in the age group 15-49 and 2297 males between the ages of 20 and 54 were interviewed. About 9% of the rural and 5.4% of the urban female respondents were pregnant at the time of the interview. The higher number of pregnancies recorded for the rural population, compared to the urban, is due to longer duration of marriage and higher mean age. Both rural and urban respondents have similar attitudes to the ideal number of children. 4 and 6 children were indicated as an ideal number for the urban and rural population, respectively. The results indicate that economic pressures are being felt within the family in both urban and rural areas, and that the costs of raising children are clearly perceived, at least among the educated. Nonetheless, the majority of the population desires large numbers of children, the main reason being economic security in old age. It is also evident that the people have a negative attitude to modern methods of contraception because they are not well informed about them. The most frequently stated reason, the harmful effects on the health of the mother and future offspring, is probably one of the obstacles to their more widespread use. Though there is physical accessibility to family planning services for most urban and about 1/2 of the rural dwellers, the problems of non-use are mainly of a sociological and psychological nature. The problems include the attitude of husbands to their wives' use of contraceptives, reinforcement of culturally acceptable behavior by the extended family and community members, and the desire for more children. Although the levels of contraceptive awareness are relatively high, the overall impression is that the practice of modern contraception in both the rural and urban areas is low. Despite the rural-urban differences in educational and income levels, living conditions, and the availability of family planning services, awareness and current use are only slightly higher among the urban respondents. For family planning programs to have more impact in reducing the high fertility levels, a much more intensive program of activites is needed for the country at large.