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This book provides a unique blend of social and biomedical sciences in the field of low fertility and reproductive health. It offers a significant contribution to understanding the determinants of low fertility mostly in East Asia, including an assessment of the effectiveness of policies that aim to raise fertility. It introduces new analytical tools and methods and shares application of innovative approaches to analyzing cross-sectional and longitudinal survey data and macro socioeconomic data to shed light on changing mechanisms of low fertility in the context of reproductive health. The volume introduces the demographic dividend into the study of fertility, analyzes possible impact of population ageing on the amount of resources allocated to child rearing, i.e. the so called "crowding effect" in social care and public spending between the elderly and children. The book also tests the Low Fertility Trap (LFT) hypothesis, a new important theory regarding fertility trends. The book focuses on East Asia which is numerically large but relatively under-researched with regard to issues covered in various chapters. The relevance of the volume, however, goes beyond countries in East Asia. The book breaks new grounds and reveals little known facts regarding the influence of endocrine disruptors on male fertility through falling sperm counts, the phenomenon of marital sexlessness and about the sexual behavior of adolescents in East Asia.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
This volume examines two distinct low fertility scenarios that have emerged in economically advanced countries since the turn of the 20th century: one in which fertility is at or near replacement-level and the other where fertility is well below replacement. It explores the way various institutions, histories and cultures influence fertility in a diverse range of countries in Asia, Europe, North America and Australia. The book features invited papers from the Conference on Low Fertility, Population Aging and Population Policy, held December 2013 and co-sponsored by the East-West Center and the Korea Institute for Health and Social Affairs (KIHASA). It first presents an overview of the demographic and policy implications of the two low fertility scenarios. Next, the book explores five countries currently experiencing low fertility rates: China, Hong Kong, Japan, Singapore and South Korea. It then examines three countries that have close to replacement-level fertility: Australia, the Netherlands and the United States. Each country is featured in a separate chapter written by a demographer with expert knowledge in the area. Very low fertility is linked to a number of conditions countries face, including a declining population size. At the same time, low fertility and its effect on the age structure, threatens social welfare policies. This book goes beyond the technical to examine the core institutional, policy and cultural factors behind this increasingly important issue. It helps readers to make cross-country comparisons and gain insight into how diverse institutions, policies and culture shape fertility levels and patterns.
This book explores how low fertility levels could fundamentally change a country's population and society. It analyzes the profound effects below average birthrates have on virtually all aspects of society, from the economy to religion, from marriage to gender roles. An introduction written by Dudley L. Poston Jr. provides a general overview of this relatively new phenomenon that has already impacted nearly one-half of the countries of the world today. Poston also discusses the broad implications of the changes that these societies are currently experiencing and the ones that they will soon confront. Next, each of the 12 essays collected in this volume look into how a low fertility level affects a particular demographic or societal structure or process. In addition, case studies offer an in-depth portrait of these changes in the United States and China. Coverage includes the dynamics of low and lowest-low (where the birthrate is well below average) fertility, high and increasing life expectancies in the United States, the implications of native-born fertility and other socio-demographic changes for less-skilled U.S. immigration, ageing and age dependency in post-industrial societies, good mothering and gender roles in China, the increasing prevalence of voluntary childlessness, how low fertility and prolonged longevity could result in slow economic growth, the decreasing relevance of traditional religious systems, and more. The emergence and persistence of population decline produced by low fertility levels has the potential to greatly alter key aspects of society as well as individual lives. Containing insightful analysis from some of the top minds in demography today, this book will arm readers with the knowledge they need to fully understand these transformations.
This book takes an interdisciplinary approach to one of Japan's thorniest public policy issues: why are women increasingly forgoing motherhood? At the heart of the matter lies a paradox: although the overall trend among rich countries is for fertility to decrease as female labor participation increases, gender-friendly countries resist the trend. Conversely, gender-unfriendly countries have lower fertility rates than they would have if they changed their labor markets to encourage the hiring of women—and therein lies Japan's problem. The authors argue that the combination of an inhospitable labor market for women and insufficient support for childcare pushes women toward working harder to promote their careers, to the detriment of childbearing. Controversial and enlightening, this book provides policy recommendations for solving not just Japan's fertility issue but those of other modern democracies facing a similar crisis.
More than 1 million teenage girls in the United States become pregnant each year; nearly half give birth. Why do these young people, who are hardly more than children themselves, become parents? This volume reviews in detail the trends in and consequences of teenage sexual behavior and offers thoughtful insights on the issues of sexual initiation, contraception, pregnancy, abortion, adoption, and the well-being of adolescent families. It provides a systematic assessment of the impact of various programmatic approaches, both preventive and ameliorative, in light of the growing scientific understanding of the topic.
Japan, Singapore, Taiwan, South Korea and Hong Kong SAR are among the very lowest-fertility countries in the whole world, and even China has reached fertility levels lower than those in many European countries. If these levels continue over long periods East Asia will soon face accelerating population decline in addition the changes in age distributions in such populations raise major new questions for planning of economic and social welfare. This book brings together work by noted experts on the low fertility countries of East Asia with an up-to-date analysis of trends in fertility, what we know about their determinants and consequences, the policy issues and how these are being addressed in the various countries. Its role in bringing together information on policy trends and initiatives of a pro-natalist kind adopted over recent years in these countries is extremely important, as is the fact that the discussion of these pro-natalist policies is set in the context of a thorough analysis of what has driven fertility so low in these countries. Ultra-Low Fertility in Pacific Asia is invaluable to students and scholars of East Asian public and social policy, as well as fertility studies more generally.
This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.
Here is the full report of the 1970 National Fertility Study, a national sample survey for which thousands of women were interviewed who had been married at some time and were of reproductive age when they were interviewed. The book assesses the growth in the use of the pill and the IUD, the increasing reliance on contraceptive sterilization, and both the intended and the unwanted fertility of American women. The volume opens with an introduction to the survey and its methods. Contraceptive practice in 1970 is then compared with data for 1965, and an analysis is supplied of trends since 1955 in the attitudes of Roman Catholics. Originally published in 1977. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.