Document Detail

Effects of infant mortality, family planning and socioeconomic factors on fertility reduction in developing countries.
MedLine Citation:
PMID:  21432419     Owner:  NLM     Status:  In-Data-Review    
The demographic transition theory that mortality reduction is followed by fertility reduction is challenged by reports that many developing countries are trapped in the stage of high fertility and lower mortality. We examined the extent to which reduced infant mortality lowers fertility both directly and indirectly relative to other determinants of fertility in developing countries. According to the available information, determinants of fertility were selected. Data from the United Nations on fertility and its determinants in 117 developing countries were analyzed. Remarkable fertility reduction started only when the infant mortality rate was reduced to a certain "threshold" level around 50-125 per 1000 live births. Fertility reduction is related to the level of infant mortality and other socioeconomic variables mainly indirectly through the increase in contraceptive prevalence. Thus, the demographic transition theory is still maintained. Even in the country group which was "trapped" in the stage of "low" mortality of around 125 and high fertility, fertility reduction seems to be possible by further reducing the infant mortality rate, e.g. to lower than 100, which helps increase family planning practices.
A Shimouchi; K Hayashi; K Ozasa; Y Watanabe; K Kawai
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Environmental health and preventive medicine     Volume:  1     ISSN:  1342-078X     ISO Abbreviation:  Environ Health Prev Med     Publication Date:  1996 Apr 
Date Detail:
Created Date:  2011-03-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609642     Medline TA:  Environ Health Prev Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  39-43     Citation Subset:  -    
Department of Preventive Medicine, Kyoto Prefectural University of Medicine, Kawaramach-hirokoji, Kamigyo-ku, 658, Kyoto, Japan.
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