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.     

Rural-urban differentials in marital fertility in four Muslim populations

An analysis based on data collected as a part of the World Fertility Survey program in 4 Muslim populations Bangladesh, Java, Jordan and Pakistan does not show a consistent pattern in rural-urban differentials in marital fertility. While no significant diiferential in current fertility by place of current residence is noticeable in Bangladesh and Pakistan, urban women in Jordan showed lower fertility than their rural counterparts. Cumulative fertility, when controlled for duration of marriage, was found to be higher in urban than in rural areas of Bangladesh and Pakistan, but no clear pattern emerged in Jordan. In Java, both current and cumulative fertility were higher in urban than in rural areas; urban women who had spent their childhood and were brought up in the urban environment showed, in most instances, higher fertility than the other residence groups. (author's modified     

Ecological variation in wealth–fertility relationships in Mongolia: the ‘central theoretical problem of sociobiology’ not a problem after all?

The negative wealth–fertility relationship brought about by market integration remains a puzzle to classic evolutionary models. Evolutionary ecologists have argued that this phenomenon results from both stronger trade-offs between reproductive and socioeconomic success in the highest social classes and the comparison of groups rather than individuals. Indeed, studies in contemporary low fertility settings have typically used aggregated samples that may mask positive wealth–fertility relationships. Furthermore, while much evidence attests to trade-offs between reproductive and socioeconomic success, few studies have explicitly tested the idea that such constraints are intensified by market integration. Using data from Mongolia, a post-socialist nation that underwent mass privatization, we examine wealth–fertility relationships over time and across a rural–urban gradient. Among post-reproductive women, reproductive fitness is the lowest in urban areas, but increases with wealth in all regions. After liberalization, a demographic–economic paradox emerges in urban areas: while educational attainment negatively impacts female fertility in all regions, education uniquely provides socioeconomic benefits in urban contexts. As market integration progresses, socio-economic returns to education increase and women who limit their reproduction to pursue education get wealthier. The results support the view that selection favoured mechanisms that respond to opportunities for status enhancement rather than fertility maximization.     

Assessing the correlates of desired family size in Shaanxi,China

Abstract

This exploratory analysis of factors associated with Chinese women's fertility desires uses data on married women between the ages of 18 and 35 who live in Shaanxi Province, China. Analyses using an economic framework found that both rural and urban couples who intended to sign, or who had already signed, the one‐child certificate reported wanting significantly fewer children. However, in rural areas (where 80 per cent of the provincial population lives), education level, living arrangements, participation in an arranged marriage, attitudes regarding the ideal age for marriage, and knowledge of the reasons for the government's fertility policies appear to play a relatively larger role in shaping fertility preferences.     

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

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. Literate wives have slightly more children than illiterate wives in rural areas, but in more urbanized regions this differential inverses and seems to widen with each increase in size of the community. Fertility is slightly higher at 1 to 3 years of primary school than at no education; it declines slightly at 4 to 5 years primary, and then declines substantially at complete primary, secondary, and preparatory/university levels. A statistically significant but small interaction between education and residence on cumulative marital fertility is noted. The overall greater impact of female education on cumulative marital fertility in urban as compared to semi-urban as compared to rural communities of Mexico is primarily due to the proportion of married women with fertility depressing educational backgrounds rather than to a markedly different effect of education, per se, on fertility. The results emphasize the country-wide importance of completion of the entire 6-year primary cycle.     

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.     

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.     

Physical activity and subsistence pattern of the Huli, a Papua New Guinea Highland population

Several studies on human energetics have been conducted in developed and developing countries, but very few simultaneously measured time use and energy expenditure. Only a few quantitatively compared subsistence patterns between rural and urban dwellers of an identical population. Here we present the daily physical activity level (PAL), physical exertion, time, and energy expenditure in contrasting subsistence/occupational activities of Papua New Guinea Highlanders, comparing 27 rural villagers (15 men, 12 women) who maintained traditional subsistence agriculture, with 29 urban migrants (14 men, 15 women) who engaged in cash-earning work. A large sex inequality in the division of labor was noted between rural males and females, but not among urban dwellers. Rural-urban comparison indicated sex differences in urbanization. For urban men, the reduction of physical exertion level during work, from energy-consuming agricultural work to sedentary cash-earning work, together with significantly extended work time (by 261 min/day, P < 0.001), led to an increase in work energy expenditure (15-29% of PAL). In contrast, urban women who spent almost equal time at work relative to rural women showed a lower energy expenditure (18% compared to 26% of PAL). The associations with urbanization included a gain in body weight (by 6.4 kg for either sex) and reduced PAL (by 7%, not significant in men; 13%, P < 0.01 in women). Further research is needed to elucidate the effects of urbanization on time use, energy expenditure, and PAL, by comparing rural residents with urban migrants in the same population.     

Analysing the relationship between family planning workers' contact and contraceptive switching in rural Bangladesh using multilevel modelling

With a population of over 131 million and a fertility rate of 29.9 per 1000, population growth constitutes a primary threat to continued economic growth and development in Bangladesh. One strategy that has been used to cease further increases in fertility in Bangladesh involves using family planning outreach workers who travel throughout rural and urban areas educating women regarding contraceptive alternatives. This study uses a longitudinal database to assess the impact of family planning outreach workers' contact upon contraceptive switching and upon the risk of an unintended pregnancy. Using longitudinal data on contraceptive use from the Operations Research Project (ORP) of the International Centre for Diarrhoeal Disease Research (ICDDR,B) in Bangladesh, multiple decrement life table analysis and multilevel, discrete-time competing risk hazards models were used to estimate the cumulative probabilities of switching to an alternative form of contraceptive use after a woman engaged in a discussion with an outreach worker. After controlling for the effects of socio-demographic and economic characteristics, the analysis revealed that family planning outreach workers' contact with women significantly decreases the risk of transitioning to the non-use of contraceptives. This contact also reduces the risk of an unintended pregnancy. Family planning workers' contact with women is associated with the increased risk of a woman switching from one modern method to another modern method. The study results indicate that side-effects and other method-related reasons are the two primary reasons for contraceptive discontinuation in rural Bangladesh.     

Arterial Pressures in Rural and Urban Populations in Nigeria

Surveys of arterial pressure carried out in rural and urban communities in Western Nigeria showed a steady rise in systolic values with age, this trend being less marked with diastolic pressures. Blood pressure levels were similar in women from rural and urban areas, but seemed much higher in urban than in rural men. The incidence of proteinuria was lowest in the female urban group. In general, the incidence of proteinuria or glycosuria was low and did not appear to be related to the blood pressure.     

Determinants of cumulative fertility in Kenya

This paper analyses the effects of age at first marriage, level of education, place of residence, marriage disruption, religion, contraceptive use, and work status on cumulative fertility in Kenya, using data from the 1977-78 Kenya Fertility Survey. Age at first marriage is the main determinant of cumulative fertility, but there are significant effects of level of education and marriage disruption. Place of residence is only significant for the Coast province. The implication of the findings is that to promote any real decline in fertility, emphasis should be placed on providing higher education and work opportunities for young women as an alternative to early marriage.     

Is traditional contraceptive use in Moldova associated with poverty and isolation?

This study investigates the correlates of traditional contraceptive use in Moldova, a poor country in Europe with one of the highest proportions of traditional contraceptive method users. The high reliance on traditional methods, particularly in the context of sub-replacement level fertility rate, has not been systematically evaluated in demographic research. Using cross-sectional data on a sub-sample of 6039 sexually experienced women from the 2005 Moldovan Demographic and Health Survey, this study hypothesizes that (a) economic and spatial disadvantages increase the likelihood of traditional method use, and (b) high exposure to family planning/reproductive health (FP/RH) programmes increases the propensity to modern method use. Multilevel multinomial models are used to examine the correlates of traditional method use controlling for exposure to sexual activity, socioeconomic and demographic characteristics and data structure. The results show that economic disadvantage increases the probability of traditional method use, but the overall effect is small. Although higher family planning media exposure decreases the reliance on traditional methods among younger women, it has only a marginal effect in increasing modern method use among older women. Family planning programmes designed to encourage women to switch from traditional to modern methods have some success--although the effect is considerably reduced in regions outside of the capital Chisinau. The study concludes that FP/RH efforts directed towards the poorest may have limited impact, but interventions targeted at older women could reduce the burden of unwanted pregnancies and abortions. Addressing differentials in accessing modern methods could improve uptake in rural areas.     

Rural to Urban Migration Is an Unforeseen Impact of Development Intervention in Ethiopia

Rural development initiatives across the developing world are designed to improve community well-being and livelihoods. However they may also have unforeseen consequences, in some cases placing further demands on stretched public services. In this paper we use data from a longitudinal study of five Ethiopian villages to investigate the impact of a recent rural development initiative, installing village-level water taps, on rural to urban migration of young adults. Our previous research has identified that tap stands dramatically reduced child mortality, but were also associated with increased fertility. We demonstrate that the installation of taps is associated with increased rural-urban migration of young adults (15–30 years) over a 15 year period (15.5% migrate out, n = 1912 from 1280 rural households). Young adults with access to this rural development intervention had three times the relative risk of migrating to urban centres compared to those without the development. We also identify that family dynamics, specifically sibling competition for limited household resources (e.g. food, heritable land and marriage opportunities), are key to understanding the timing of out-migration. Birth of a younger sibling doubled the odds of out-migration and starting married life reduced it. Rural out-migration appears to be a response to increasing rural resource scarcity, principally competition for agricultural land. Strategies for livelihood diversification include education and off-farm casual wage-labour. However, jobs and services are limited in urban centres, few migrants send large cash remittances back to their families, and most return to their villages within one year without advanced qualifications. One benefit for returning migrants may be through enhanced social prestige and mate-acquisition on return to rural areas. These findings have wide implications for current understanding of the processes which initiate rural-to-urban migration and transitions to low fertility, as well as for the design and implementation of development intervention across the rural and urban developing world.     

Exploring the hidden impact of the Covid-19 pandemic: The role of urbanization

We examine the role of residential environments (urban/rural) in understanding the impact of the COVID-19 pandemic and the restrictions in nationwide movement on several socio-economic attitudes. We conducted large-scale surveys in four European countries (France, Germany, Spain, and the United Kingdom) before and after nationwide lockdowns were implemented. We investigate how the pandemic affected: (i) economic (economic insecurity), (ii) political (trust in domestic and international institutions), and (iii) social attitudes (loneliness), by controlling for the degree of urbanization, obtained from the geocodes of the survey respondents. Our results show that taking the degree of urbanization into account is not only relevant but is also essential. Compared to urban areas, in rural areas lockdowns led to a greater increase of economic insecurity and to a greater decrease in trust in domestic institutions. We also show that these results are particularly valid for women and households with children.     

Symmetrical women have higher potential fertility

Fluctuating asymmetry (FA) is believed to reflect developmental stability and thus may serve as a marker of the biologic quality of individuals. To test the hypothesis that degree of FA is related to a woman's potential fertility, we measured finger length together with levels of estradiol in saliva samples collected daily for an entire menstrual cycle in 171 Polish urban and rural women. We show that women who are more symmetrical, as assessed by the degree of inequality in the fourth-digit length of their right and left hands, have 13% higher average levels of estradiol over the menstrual cycle than less symmetrical women (19.4 and 17.1 pmol/l, respectively; p=.0001). Among urban women, mid-cycle levels of estradiol were 28% higher in the symmetrical group than in the asymmetrical group. Because higher hormone levels in women may lead to a substantial rise in the probability of conception, low FA may therefore be associated with increased fertility.     

Indo-Fijian Children’s BMI

Health research has shown that overweight and obesity in children and adults are becoming significant public health problems in the developing world. Evidence suggests that this phenomenon is more marked in urban than rural areas and may be associated with modernization. However, the underlying reasons for this nutrition transition remain unclear. Dietary shifts, often in conjunction with income and time constraints in urban environments, may entail a greater reliance on more convenient sugar and fat-dense food. Also, the necessity of labor-intensive agricultural work to meet rural subsistence needs is supplanted in urban environments by sedentary work. This paper extends the application of human behavioral ecology theory into the realm of international development and policy by applying Kaplan’s embodied capital theory to explore differences in food habits and nutritional status of Indo-Fijian children within the context of urbanization. Urban high-embodied-capital women demonstrate higher rates of wage-earning employment than urban low-embodied-capital or rural women. Findings indicate that urban high-embodied-capital households spend significantly more on food purchases, purchase a greater proportion of processed foods, and have children with higher body mass indexes (BMI) than do urban low-embodied-capital or rural households. This suggests that urban high-embodied-capital mothers, who tend to be employed, may be making trade-offs between income and food choices.

Fertility decline driven by poverty: the case of Addis Ababa, Ethiopia

Demographic transition theory states that fertility declines in response to development, thus wealth and fertility are negatively correlated. Evolutionary theory, however, suggests a positive relationship between wealth and fertility. Fertility transition as a result of industrialization and economic development started in the late 19th and early 20th centuries in Western Europe; and it extended to some of the Asian and Latin American countries later on. However, economic crises since the 1980s have been co-incident with fertility decline in sub-Sahara Africa and other developing countries like Thailand, Nepal and Bangladesh in the last decade of the 20th century. A very low level of fertility is observed in Addis Ababa (TFR=1.9) where contraceptive prevalence rate is modest and recurrent famine as well as drought have been major causes of economic crisis in the country for more than three consecutive decades, which is surprising given the high rural fertility. Detailed socioeconomic and demographic characteristics of 2976 women of reproductive age (i.e. 15-49 years) residing in Addis Ababa were collected during the first quarter of 2003 using an event history calendar and individual women questionnaire. Controlling for the confounding effects of maternal birth cohort, education, marital status and accessible income level, the poor (those who have access to less than a dollar per day or 250 birr a month) were observed to elongate the timing of having first and second births, while relatively better-off women were found to have shorter birth intervals. Results were also the same among the ever-married women only model. More than 50% of women currently in their 20s are also predicted to fail to reproduce as most of the unmarried men and women are 'retreating from marriage' due to economic stress. Qualitative information collected through focus group discussions and in-depth interviews also supports the statistical findings that poverty is at the root of this collapse in fertility. Whilst across countries wealth and fertility have been negatively correlated, this study shows that within one uniform population the relationship is clearly positive.     

Focus: Health Equity: Differences Risk Factors for Hypertension Among Elderly Woman in Rural and Urban Indonesia

Introduction: Hypertension is a major risk factor for cardiovascular disease. A high prevalence of hypertension is found in elderly women. Rural areas have different characteristics from urban areas. Therefore, it is necessary to identify risk factors for hypertension in rural and urban elderly women for optimal therapy management. Methods: This cross-sectional study was conducted in rural (Banyuwangi district) and urban (Surabaya city) areas, East Java, Indonesia. The study was carried out in 2015-2016 in women aged ≥45 years, residing in an area for ≥10 years, and willing to collect urine for 24 hours. Respondents consisted of 54 older adults from rural areas and 51 older adults from urban areas who actively participate in the integrated healthcare center for the elderly. The independent t-test and multivariate logistic regression were used to analyze the data. Results: The prevalence of hypertension in the rural area was 27.8% and in the urban area was 37.25%. The risk factors for hypertension in the urban area were urine sodium level (AOR=1.02, 95% CI=1.001-1.04, p-value=0.043), urine potassium level (AOR=0.88, 95% CI=0.78-0.999, p-value=0.022), and Body Mass Index (AOR=1.26, 95% CI=1.06-1.49, p-value=0.008). Meanwhile, the factor associated with hypertension in the rural area was age (AOR=1.08, 95% CI=1.003-1.16, p-value=0.042). Conclusion: The prevalence of hypertension in the urban area was higher than in the rural area. There were differences in risk factors for hypertension that occurred both in rural and urban areas. However, risk factors in both areas are equally important to overcome. Collaboration from multiple stakeholders and sectors is urgently needed, such as the Public Health Center, Integrated Assistance Post for Non-Communicable Diseases, and the local health office.     

Birth spacing in Pakistan

Life table analysis was applied to data from the 1975 Pakistan Fertility Survey to identify child spacing differentials between population subgroups. Women in urban areas had shorter birth intervals than their rural counterparts from parities 1-6; only after parity 7 was this differential reversed. Similarly, women with some education had shorter birth intervals at the earlier parities than uneducated women. While overall family size is relatively homogeneous in Pakistan, women of more modern backgrounds seem to space their children more closely than traditional women. Age at marriage appears to play an important role not only in determining the length of the 1st interval, but also that of subsequent intervals. An unexpected finding was that ever users of contraception had distinctly more rapid spacing of their births than never users. The median interval to 1st birth was shortest in North West Frontier Province, but similar in Punjab and Sind. Multiple classification analysis revealed that some differentials in child spacing by education, residence, and province persisted even after other variables were controlled. Cohort of mother had an independent effect, with younger cohorts having shorter birth intervals. However, the variable that had the strongest effect on length of interval (aside from the 1st interval) was breastfeeding duration. It is likely that increasing urbanization and improved levels of education among women will lead to high levels of marital fertility associated with shorter birth intervals. Even though these trends tend to increase the age at marriage, they are associated with shorter durations of breastfeeding. In the longer term, greater use of contraception among women in the modern sector may partially counteract the fertility increasing effect of reduced birth intervals.