Week 4: Fertility Flashcards

1
Q

Define parity.

A

The number of children a woman has.

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2
Q

What is Parity Progression Ratio (PPR)?

A

The probability of a woman progressing from one parity to the next

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3
Q

Why are PPRs a useful measure?

A

Helps us look at differences in the distribution of births across women over time and between populations.

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4
Q

Where do we compute PPRs from?

A

Marriage or birth cohorts.

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5
Q

Why are PPRs derived from women at the end of their childbearing years?

A

Women still in childbearing years may move to higher parities.

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6
Q

What is the formula for PPR?

A

a(o) (probability of women having at least one child) = women with at least 1 CEB/ women with at least 0 CEB
e.g. a(1) (if a woman has 1 CEB, the probability of having at least one more) = women with at least 2 CEB/women with at least 1 CEB

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7
Q

What are the proximate determinants of fertility?

A

A range of physiological and behavioural factors that intervene to suppress a woman’s lifetime fertility potential.

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8
Q

List the four main determinants of fertility variations between populations.

A
  • Time spent in a sexual union
  • Postpartum non-susceptibility
  • Birth control
  • Permanent sterility
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9
Q

How does time spent in a sexual union affect fertility?

A

An increase in the mean age of first marriage or reduction in the proportion who marry will lower average time spent in a sexual union – and reduce a populations fertility.

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10
Q

What is postpartum non-susceptibility?

A

The contraceptive effect of breastfeeding (lactational amenorrhea) and postpartum abstinence from sex.

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11
Q

How does birth control affect fertility?

A

Contraception and abortion can be used to DELAY next birth (spacing behaviour) and also to stop further childbearing once desired number of children (parity) has been reached (stopping behaviour).

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12
Q

Define parity-specific regulation.

A

Mass use of contraception for parity-specific regulation is a feature of fertility transitions to a small family norm.

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13
Q

Define natural fertility.

A

Fertility in the absence of any parity specific control behaviour.

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14
Q

Describe the proximate determinants model of fertility.

A

The model identifies a hypothetical maximum number of births a women would have in the absence of any of the proximate determinants (i.e if there was universal marriage, no breastfeeding/postpartum abstinence, no contraception, no abortion).

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15
Q

What is the Total Fecundity Rate (TF)?

A

The hypothetical maximum number of births a women would have in the absence of any of the proximate determinants.

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16
Q

What is the TF of the model?

A

15.3 births

17
Q

Write the formula of TFR.

A

TFR = TF x C(m) x C(c) x C(a) x C(i)

18
Q

Describe the variables of the TFR formula.

A

C(m) = index of marriage
C(c )= index of contraception
C(a) = index of abortion
C(i) = index of postpartum infecundability

19
Q

How are the variables measured?

A

They each take a value between 0-1, with 1 = no suppression of fertility and 0 = total suppression of fertility.

20
Q

Why are the estimates of TF usually incorrect for the true values?

A

Estimate of TF may be wrong – 15.3 is widely used but real values may vary between populations (fall within a range 13-17). Factors such as abnormal levels of sterility may raise or lower TF. Indices may be wrong (e.g. use effectiveness of contraception may be over or underestimated).