Fertility Rates Research Articles

Assessing Trends in Women's Reproductive Health and Family Planning in Haryana: Insights from NFHS-4 and NFHS-5

Women's reproductive health is a crucial aspect of public health that impacts overall societal well-being and economic stability. In Haryana, India, addressing this issue involves confronting deeply ingrained societal norms and enhancing women's autonomy in health-related decisions. Utilising data from the National Family Health Survey (NFHS) reports of NFHS-4 (2015–16) and NFHS-5 (2019–21), this study evaluates the reproductive health and family planning issues among women aged 15–49 in the region. The research specifically focuses on analysing key indicators, including the total fertility rate (TFR), the impact of educational attainment on TFR, fertility preferences, birth intervals, the desired number of children, child sex preferences, and the prevalence of contraceptive use. The findings reveal significant trends and variations in these indicators, offering a comprehensive understanding of women's reproductive health in Haryana. The study tracks progress by comparing data from the NFHS-4 and NFHS-5 reports and identifying persistent gaps and areas that require attention. The insights provided by this analysis are critical for policymakers, healthcare providers, and non-governmental organisations striving to enhance reproductive health services and promote women's rights in Haryana. The study emphasises the necessity for targeted interventions that address societal attitudes and provide educational opportunities to improve family planning and reproductive health outcomes. Keywords: fertility rate, reproductive health, family planning, contraceptive prevalence, birth interval, sex preferences.

Diabetes, life course and childhood socioeconomic conditions: an empirical assessment for Mexico

BackgroundDemographic and epidemiological dynamics characterized by lower fertility rates and longer life expectancy, as well as higher prevalence of non-communicable diseases such as diabetes, represent important challenges for policy makers around the World. We investigate the risk factors that influence the diagnosis of diabetes in the Mexican population aged 50 years and over, including childhood poverty.ResultsThis work employs a probabilistic regression model with information from the Mexican Health and Aging Study (MHAS) of 2012 and 2018. Our results are consistent with the existing literature and should raise strong concerns. The findings suggest that risk factors that favor the diagnosis of diabetes in adulthood are: age, family antecedents of diabetes, obesity, and socioeconomic conditions during both adulthood and childhood.ConclusionsPoverty conditions before the age 10, with inter-temporal poverty implications, are associated with a higher probability of being diagnosed with diabetes when older and pose extraordinary policy challenges.

Birth timing: supporting female graduate students

ABSTRACT Women seeking higher education frequently do so during peak childbearing years and women with higher levels of education are more likely to postpone motherhood until a later age. Fertility rate, defined as the average number of children born to a woman over her lifetime, has decreased globally. The decrease in birthrate has been partially attributed to women seeking educational opportunities. Understanding the experience of students in this realm would allow higher education institutions to better support students who are (or wish to be) mothers. Unfortunately, there is a paucity of research examining graduate women and the factors involved in their consideration of having a child while in school. We seek to fill this gap by examining the impact of fertility concerns (FC) and importance of on-time degree completion (DC) on the probability of having a biological child in graduate school (PC) among 469 female graduate psychology students in the USA. We found higher FC was associated with higher PC. In contrast, higher DC was associated with lower PC. Furthermore, FC had a significant unique relation to PC after accounting for the contribution of DC. We discuss how institutions and programs may help support and empower female graduate students by implementing educational policies and procedures that are supportive of graduate student mothers. This is particularly important because a large proportion of women pursue advanced degrees, and this number is projected to increase.

Multidimensional Analysis of Adolescent Fertility in Latin America: Trends and Determinants

Adolescent pregnancy in Latin America constitutes a complex issue with significant consequences. High pregnancy rates among individuals under 20 years old impact education, personal development, and future opportunities. It is imperative to pay closer attention to sexual education, access to contraceptive methods, and reproductive health services to prevent unintended pregnancies and ensure the well-being of both adolescents and their children. The study aimed to elucidate the determinants influencing the adolescent fertility rate, thus providing an academic contribution for the formulation of public policies in Latin America. The period covered was 1990-2019, and the analyzed data were sourced from the World Population Prospects 2019 report. The main findings indicate that the adolescent pregnancy rate is alarming, attributed to the absence of effective public policies for control and prevention in response to this phenomenon.   Received: 10 February 2024 / Accepted: 27 April 2024 / Published: 5 May 2024

The influence of personal political connectivity on fertility intentions across changing family planning policies in China

ABSTRACT In the past years, China’s fertility rate has experienced negative growth. In order to cope with the decline in fertility rate and the ageing of the population, the multi-child policy was implemented in 2015, that is, from the original husband and wife having only one child to having two or more children. Since the promulgation and implementation of China’s policy will have a greater impact on people’s livelihood, so before and after the implementation of the fertility policy, the impact of residents ’ political connectivity on fertility desire needs further study. This study categorizes residents’ political connectivity into political participation behaviour, political background, and political attitudes to explore the impact on residents’ fertility intentions. It conducts an empirical analysis of residents’ fertility intentions using data from the China General Social Survey (CGSS). The study found that before and after the implementation of the multi-child policy, there was a positive correlation between political participation behaviour and fertility intention, and there was no significant change. The influence of residents with party members ‘political background and residents’ political attitude on fertility intention has changed greatly, from negative correlation to positive correlation.

Gallic acid supplementation partially ameliorates reproductive aging in rooster breeders by improving semen quality, sperm kinetics, hormones, and antioxidant status

Aging leads to decreased fertility in roosters, which is likely due to increased oxidative stress. This study evaluated the antioxidant effects of gallic acid (GA) supplementation on sperm quality and fertility of aged roosters. This study evaluated whether gallic acid (GA) supplementation can mitigate age-related fertility decline. Roosters were randomly assigned to: control, 100 mg/kg GA, or 200 mg/kg GA. Semen parameters, sperm kinetics, hormone levels, fertility rate, and hatchability were assessed. GA increased semen concentration, membrane integrity and viability while decreasing defects versus control (P<0.01). Testosterone was higher in GA groups (P<0.01) without affecting gonadotropins. Furthermore, 200 mg/kg GA optimized motility, velocity, linearity, and beat cross frequency versus control and 100 mg/kg GA (P<0.01). Fertility and hatchability were higher in both GA groups. In conclusion, GA supplementation in aged roosters improves sperm quality, antioxidant status, testosterone, and fertility outcomes, likely by mitigating oxidative stress. The 200 mg/kg dose elicited optimal effects on motion parameters.

The Reproductive Journeys of French Women over 40 seeking Assisted Reproductive Technology Treatments in Spain

Fertility decline is a complex phenomenon resulting from converging social and cultural changes that are governed through politics. As it has been discussed in many studies, the European’s low fertility rate goes hand in hand with the trend of maternity postponement. Although in many European countries over the last decades reproduction is envisaged as an individual choice that can be made at older ages, having a child after a certain age can be impossible -either “naturally” or using assisted reproductive technology- depending on the medical and legislative possibilities and limits of the country in which people live. In the extremely diverse European reproscape, reproductive legislations have forced but also allowed many people to seek reproductive treatments outside their home countries.Spain is a leading destination in Europe for cross border reproductive travel and, of the foreigners it receives, the French are the largest group. Despite having a history of strong pro-natalist policies, France has been one of the strictest European countries regarding access to medically assisted procreation. Until 2022, only heterosexual couples in which women were under 43 years of age could access treatments. Despite the recent opening of access to “all women”, including single women and same-sex female couples, women over 43 years of age were once again excluded from the new legal framework and therefore remain condemned to travel abroad to access reproductive treatments. In this article, we analyze the experience of French women over 40 who cross the Spanish border to access reproductive treatments in order to fulfill their desire to have children. Through ethnographic data emerging from six years of participant observation and in-depth interviews with 15 women, we explore why they remain excluded from the French system of reproductive governance and the obstacles they face during their reproductive journey.

Różnice w pomiarze płodności kobiet zależnie od szacunku liczby ludności

The primary objective of the article was to present the differences in women’s fertility measurements in Poland depending on the method of estimating the population number. An additional aim was to determine the variability of fertility rates by age and geographical region as a consequence of the adopted definitions of population. The study used data from Statistics Poland, Eurostat and the Human Fertility Database for 2021, taking into account changes in women’s fertility starting from the 1945 generation. Demographic, period and cohort analysis methods were employed in the study. The longitudinal approach was used to additionally identify changes in fertility patterns across generations of women. In accordance with the principle of constructing demographic coefficients, the number of events was related to the population that could actually experience them, i.e. the resident population. All partial fertility rates were recalculated based on the estimated resident population according to the Population and Housing Census 2021. The results of the analysis indicate that total fertility rate (TFR) of women in Poland in 2021 calculated for the population according to the national definition was lower by 4.3% than the rate calculated for the resident population. The most significant underestimation was observed for the 35–39 age group (by 6.3%), and in terms of geographical regions, for Podkarpacie (by 11.0%). The discrepancies are larger for age groups and regions with greater mobility, showing the need to take into account the resident population when measuring the intensity of demographic processes.

Aging with and into disability: An introductory review with clarification of basic terms

Aging involves the progression of becoming older, encompassing physical, mental, and social changes that take place in individuals over time. The longer lifespan and decreasing fertility rates have brought attention to the difficulties experienced by elderly people with disabilities. A survey method was used to collect titles of articles from different electronic databases, both online and offline, in national and international journals, as well as chapters or full-length books in the fields of gerontology and disability studies. The resulting list of 95 entries up to March 2024 was examined using the SANRA guidelines (Scale for the Assessment of Narrative Review Articles: Baethge, Goldbeck-Wood, &amp; Mertens, 2019), aided by a flow chart and harvest plot to visually present the findings. The main focus was on clarifying fundamental terms related to aging with and into disability, successful aging, atypical aging, psychological aging, premature aging, and others. This type of clarification, which is not yet available from a single source, is considered necessary for aspiring researchers in this field to choose specific topics or themes for further study. The findings provide valuable insights for future considerations and opportunities for additional research.

PERIODISATION OF CHANGES IN STATE FAMILY POLICY IN POLAND BETWEEN 1989 AND 2022

The subject of this article is the periodization of changes in the state family policy in Poland that took place in the years 1989–2022, in order to systematize on this basis the main directions, priorities and instruments of the title policy as well as the most significant events, activities and turning points in a given area. This analysis shows a multi-aspect perspective on the assessment of the evolution of family policy in Poland in the years 1989–2022. Indicates, among others: periods in which there was a significant expansion of the scope of state intervention in the functioning of the family, especially through a significant increase in expenditure on financial instruments, for example after 2015. However, the development of service and leave instruments is particularly important, which took place in particular in 2013 as part of the "Good climate for the family" program. Due to the low fertility rate, financial difficulties of many families and difficulties in combining child care responsibilities with paid work, family policy should be based to a greater extent on investments and social services.

Health District at Queenstown: Catalyst for translational research

Ageing societies dominating global demographics is not new. However, the pace of global population ageing is causing disquietude. In 2017, the global population over age 60 years exceeded those below 5 years for the first time in history, and only 3 years later, the population over age 65 surpassed those below 5.1,2 The US took 72 years to double its proportion of population over age 65 from 7% to 14% while Sweden took 85 years, but Asia has been projected to achieve this in about 23 years, with Singapore having taken 20 years.3 This unprecedented ageing acceleration in populations results from longer individual lifespans due to improvements in healthcare and population health, combined with a steady decline in total fertility rate—the latter being the mean number of children per woman in her lifetime. Unfortunately, the number of years in good health has not kept pace with lengthening lifespan; consequently, time spent in poor health is increasing.4 This demographic change, along with a widening healthspan and lifespan gaps will have dramatic impact on economic growth, workforce composition, healthcare, housing and transportation.

Intensification of reproduction of a highly productive dairy cattle herd

The research work was carried out in a breeding facility for dairy cattle breeding with a milk yield per cow of 10,564 kg and a reproduction level of 96.6 %. Semen of Holstein bulls was used for reproduction. At dry-off pregnant cows were immunized against a range of bacterial, viral and parasitic diseases. After birth, the calves were injected with vitamin E and selenium, dectomax and gradually immunized against common infections. Data on 922 heifers were included in the analysis, including 192 obtained through inseminating cows with sexed semen. Heifers were inseminated at 13–15 months of age. Fertility rate after the first insemination was 67.4 %, calving at the age of (710 ± 2) days. Early calving and balanced feeding ensured high milk yields in full lactation and standard period – on average 9401 and 8854 kg of milk with the fat mass fraction of 4.32 %, protein of 3.38 % and the number of somatic cells of 73 thousand/ml. After calving, the first insemination was carried out on average in 82.6 days, the efficiency was 61.8 %, the insemination index was 1.60, the service period averaged to 107.5 days. When using sexed semen, the fertility rate after the 1st insemination was the same – 67.7 %. The age at calving in animals of the Vis Ideal line was 20 days more compared to their peers of the R. Sovereign line (722 versus 702 days, P &lt; 0.05). Milk yield in full lactation and its standard period were higher in animals of the R. Sovereign line – 9304 and 8890 kg versus 8753 and 8461 kg, which indicates the positive effect of early calving on animal productivity. Early calving of heifers is a necessary condition for a highly productive herd. The results of the research are recommended to be used not only at dairy farms of the Republic of Belarus, but also in other countries with developing dairy cattle breeding.

Using MATLAB to Make Population Prediction Analysis

Through the curve fitting and interpolation function of matlab software, based on the demographic data in the Statistical Yearbook of Hunan Province from 2000 to 2020, the total population, birth rate and death rate of Hunan Province were predicted, and the data and images were obtained, showing intuitive results. This study uses the two forecasting methods to obtain images and compare them to enrich the population forecasting methods, which has great theoretical and research significance for the population development trend of the future society and the formulation of correct and reasonable population planning schemes.

Correlation Analysis Between National Fertility Rate and Socioeconomic Development: A Study Based on Birth Rates in China

China's declining fertility rate poses significant challenges to social and economic development. The deceleration in population growth, potentially leading to negative growth, has diverse implications. Socially, an aging population strains the social security system, escalating demands for healthcare and pensions, while insufficient supply may compromise social welfare. The labor market is also affected, as an aging populace may cause labor shortages and increased labor costs, impacting economic development. Economically, the fertility rate decline hampers economic growth by slowing down population and economic scale expansion. Adjustments to the labor market and industrial structure may induce short-term economic fluctuations and unemployment issues, negatively impacting the social economy. Addressing falling fertility rates requires government intervention. Strengthening the social security system is crucial to meet challenges posed by an aging population. Additionally, policies encouraging fertility are essential, involving support for healthcare, education, and childcare services. Human resource development must be emphasized to enhance workforce skills, adapting to labor market changes and economic needs. In conclusion, China's declining fertility rate profoundly influences social and economic development. Government measures are imperative to ensure sustainable and healthy socio-economic growth.

Fertility divergence across large and small areas

AbstractThis paper examines U.S. female fertility during 2005–2019. Small areas had higher fertility rates than large metropolitan statistical areas (MSAs) during each year. Both experienced fertility declines between 2005 and 2019. However, decreased fertility was more pronounced for large MSAs, and the fertility gap between large and small areas widened considerably. Investigation by age group reveals that diverging fertility across large and small areas is driven by women ages 25–34. We also use multivariate regression analysis for ages 25–34 to consider relationships between individual‐level and area‐level characteristics and spatial divergence in fertility. Employment patterns, foreign‐born status, and local housing costs are notable factors.

A population-based estimation of maternal mortality in Lagos State, Nigeria using the indirect sisterhood method

BackgroundPregnancy and delivery deaths represent a risk to women, particularly those living in low- and middle-income countries (LMICs). This population-based survey was conducted to provide estimates of the maternal mortality ratio (MMR) in Lagos Nigeria.MethodsA community-based, cross-sectional study was conducted in mapped Wards and Enumeration Areas (EA) of all Local Government Areas (LGAs) in Lagos, among 9,986 women of reproductive age (15–49 years) from April to August 2022 using a 2-stage cluster sampling technique. A semi-structured, pre-tested questionnaire adapted from nationally representative surveys was administered using REDCap by trained field assistants for data collection on socio-demographics, reproductive health, fertility, and maternal mortality. Data were analysed using SPSS and MMR was estimated using the indirect sisterhood method. Ethical approval was obtained from the Lagos State University Teaching Hospital Health Research and Ethics Committee.ResultsMost of the respondents (28.7%) were aged 25–29 years. Out of 546 deceased sisters reported, 120 (22%) died from maternal causes. Sisters of the deceased aged 20–24 reported almost half of the deaths (46.7%) as due to maternal causes, while those aged 45–49 reported the highest number of deceased sisters who died from other causes (90.2%). The total fertility rate (TFR) was calculated as 3.807, the Lifetime Risk (LTR) of maternal death was 0.0196 or 1-in-51, and the MMR was 430 per 100,000 [95% CI: 360–510].ConclusionOur findings show that the maternal mortality rate for Lagos remains unacceptable and has not changed significantly over time in actual terms. There is need to develop and intensify community-based intervention strategies, programs for private hospitals, monitor MMR trends, identify and contextually address barriers at all levels of maternal care.

What is driving the global decline of human fertility? Need for a multidisciplinary approach to the underlying mechanisms.

An intense period of human population expansion over the past 250 years is about to cease. Total fertility rates are falling dramatically all over the world such that highly industrialized nations, including China and the tiger economies of SE Asia, will see their populations decline significantly in the coming decades. The socioeconomic, geopolitical and environmental ramifications of this change are considerable and invite a multidisciplinary consideration of the underlying mechanisms. In the short-term, socioeconomic factors, particularly urbanization and delayed childbearing are powerful drivers of reduced fertility. In parallel, lifestyle factors such as obesity and the presence of numerous reproductive toxicants in the environment, including air-borne pollutants, nanoplastics and electromagnetic radiation, are seriously compromising reproductive health. In the longer term, it is hypothesized that the reduction in family size that accompanies the demographic transition will decrease selection pressure on high fertility genes leading to a progressive loss of human fecundity. Paradoxically, the uptake of assisted reproductive technologies at scale, may also contribute to such fecundity loss by encouraging the retention of poor fertility genotypes within the population. Since the decline in fertility rate that accompanies the demographic transition appears to be ubiquitous, the public health implications for our species are potentially devastating.

The dynamics of Long-Acting Reversible Contraception (LARC) choices in rural Jambi: Socio-economic perspectives

High population growth without concurrent improvements in human quality poses significant challenges in promoting equitable welfare across various life aspects. Thus, population control is crucial for achieving sustainable development goals. This study emphasizes the role of Long-Acting Reversible Contraception (LARC) in managing fertility rates and investigates three main components of population growth: fertility, mortality, and migration. The objectives are threefold: 1) Analyze the profile of fertile-age couples using LARC in rural Jambi; 2) Investigate the socio-economic factors influencing the choice between LARC and non-LARC methods among these couples; 3) Explore the relationship between the couples' characteristics and their choice of LARC. Data were collected from a survey of 200 fertile-age couples participating in a family planning program across four villages in Jambi. The analysis utilized descriptive statistics, binary logistic regression, and multinomial logistic regression. Findings indicate that LARC usage among fertile-age couples in rural Jambi is low, at approximately 28% of total contraceptive users, with implants being the most common LARC type. In contrast, non-LARC methods are more prevalent, accounting for 72% of usage, dominated by three-month injectables, followed by pills and male condoms. Significant factors influencing the choice between LARC and non-LARC include the husband's education, the woman's employment status, the number of living children, the disparity between actual and ideal family size, desire for more children, knowledge about contraceptive options, and family income. Furthermore, characteristics significantly related to the choice of LARC methods such as tubal ligation, implants, and IUDs include the woman's age, number of living children, the gap between the ideal and actual number of children, desire for more children, woman's employment status, knowledge about contraceptive devices, and family income.

On Some Demographic Structures and Economic Growth in Nigeria (2003–2022)

Effective development planning necessitates the integration of sound social and economic planning strategies. In Nigeria, demographic  and population data play a crucial role in shaping these plans. This research investigates the impact of demographic structure on the  country's economy, with a specific focus on key characteristics such as population size, birth rate, mortality rate, growth rate, GDP growth  rate, and fertility rate. The study analyzes demographic features alongside GDP growth rate data spanning from 2003 to 2022.  The findings reveal a robust correlation between birth rates and GDP growth, indicating that population dynamics significantly influence  economic development. Additionally, positive relationships are identified between death rates and GDP growth, underscoring the impact  of mortality issues on economic outcomes. The regression model demonstrates that demographic factors collectively mold Nigeria's  economic growth trajectory, shedding light on the intricate dynamics between demography and economic development. Through time  series analysis, the model exhibits low errors and high explanatory power. However, residual analysis highlights serial association,  emphasizing the temporal demographic effects on economic growth. Ultimately, the study underscores the potential contributions of  demographic characteristics to Nigeria's economy. Policymakers and economists keen on leveraging demographic shifts for economic  advancement will find valuable insights in this research. As demographic considerations increasingly play a pivotal role in Nigeria's  economic growth, strategic planning and decision-making must take these factors into account.

Validation and measurement properties of the Male and Female Fertility Knowledge Inventories (MFKI and FFKI) in Iranian couples

BackgroundOne of the most important population challenges during the last three decades has been the significant decrease in the fertility rate worldwide. Since the validity and reliability of the Male and Female Fertility Knowledge Inventories (MFKI and FFKI) have not been determined in Iran, we conducted this study to assess psychometric characteristics of the MFKI and FFKI in couples in Tabriz and Urmia, Iran.MethodsThis was a cross-sectional study, as the first part (quantitative phase) of a sequential explanatory mixed-method study. The current study was done on 1200 participants (600 women with their husbands) living in the northwestern region of Iran, between January 2023 and September 2023. The psychometric properties of the Persian version of the tool (MFKI and FFKI) were performed in 5 stages, including translation process, content validity, face validity, construct validity and reliability assesment.ResultsIn this study, the CVI, CVR, and impact scores of the MFKI tool were equal to 0.90, 0.88, 3.26 and CVI, CVR, and Impact scores of the FFKI tool were respectively equal to 0.95, 0.91 and 3.59, that it indicated a satisfactory level of content and face validity. Then, to check the construct validity, the results of the exploratory factor analysis of the MFKI tool on 13 items led to the identification of 3 factors, including Environment and reproductive health (ERH), Lifestyle factors (LSF) and Sperm quality (SQ), which explained 66% of the cumulative variance. The results of the exploratory factor analysis of the FFKI tool on 15 items led to the identification of 4 factors, including Reproductive health (RH), Lifestyle factors (LSF), Chance of conception (CHC) and Ovarian reserve and preservation (ORP), which explained 68% of the cumulative variance.ConclusionsThe findings of this study indicated that the Persian version of MFKI and FFKI has acceptable psychometric properties to measure the awareness of Iranian couples regarding fertility, which can be used as a screening tool for fertility knowledge by health care professionals and also as a reliable tool in research.