Population studies
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The relative income-health hypothesis postulates that income distribution is an important determinant of population health, but the age and sex patterns of this association are not well known. We tested the relative income-health hypothesis using panel data collected for 21 developed countries over 30 years. ⋯ These findings suggest that policies to decrease income inequality may improve health, especially that of children and young-to-middle-aged men and women. The mechanisms behind the income inequality-mortality association remain unknown and should be the focus of future research.
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We investigated birth-interval dynamics in 24 African countries using data from 76 Demographic and Health Surveys conducted since 1986. Controlling for selection bias in the birth-history data using the Brass-Juárez method and regression models produced almost identical results. Birth intervals have lengthened in every country examined. ⋯ Moreover, in several countries, birth intervals are now too long to be explicable by birth spacing contingent on the age of women's youngest child. Rather, women are postponing births for other reasons. These findings offer empirical support for the idea that the fertility transition in sub-Saharan Africa is following a different pattern from that observed elsewhere.
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Historical Article
Effects of population policy and economic reform on the trend in fertility in Guangdong province, China, 1975-2005.
An analysis of data mainly from China's 1990 and 2000 censuses and 2005 mini-census shows how fertility decline between 1975 and 2005 in the province of Guangdong has been influenced by both fertility policy and economic and social development. Guangdong's development since 1975 has been very rapid and has attracted huge numbers of migrants from other provinces. The analysis of the province's fertility trend from 1975 shows clearly the influence of fertility policy on the trend. The analysis also shows that economic development has brought about large changes in population composition by urban/rural residence, education, occupation, and migration status, which, together with large fertility differentials by these characteristics, have contributed substantially to Guangdong's fertility decline, in large part through changes in proportions currently married.
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This paper uses data from censuses and surveys to re-estimate mortality levels and trends in China from the 1960s to 2000. We use the General Growth Balance method to evaluate the completeness of death reporting above the youngest ages in three censuses of the People's Republic of China from 1982 to 2000, concluding that reporting quality is quite high, and revisit the completeness of death recording in the 1973-75 Cancer Epidemiology Survey. ⋯ Our estimates show a spectacular improvement in life expectancy in China: from about 60 years in the period 1964-82 to nearly 70 years in the period 1990-2000, with a further improvement to over 71 years by 2000. We discuss why survival rates continue improving in China despite reduced government involvement in and increasing privatization of health services, with little insurance coverage.
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Historical Article
The elimination of contraceptive acceptor targets and the evolution of population policy in India.
In 1966 the government of India announced a new national population policy that eliminated numerical targets for new contraceptive acceptors. This paper examines the history of target setting in India and factors that led to the elimination of targets. The analysis is based on published and unpublished reports on India's population policy and the family planning programme and interviews with senior Indian and foreign officials and population specialists. Five factors are identified as playing a role in the evolution from target setting to a target-free policy:(1) the research of India's academics; (2) the work of women's health advocates; (3) the support of officials in the state bureaucracy who approved the target-free approach; (4) the influence of the donors to India's family planning programme, especially the World Bank; and (5) the International Conference on Population and Development.